Division of Urology, Rutgers Cancer Institute of New Jersey and Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Division of Urology, Rutgers Cancer Institute of New Jersey and Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
J Surg Educ. 2024 Nov;81(11):1735-1742. doi: 10.1016/j.jsurg.2024.08.013. Epub 2024 Sep 19.
Step 1 has historically been a major criterion to evaluate students for residency match. With Step 1 now being pass/fail (P/F), students are uncertain how to distinguish their applications. We aim to understand student's opinions surrounding the scoring change as this is the first class of students applying to residency in the P/F era.
An electronic survey was sent to 3rd and 4th year American medical students.
Of the 255 students surveyed, 61.6% prefer Step 1 in the P/F format. Students applying for highly competitive specialties (HCS) preferred numerical scoring (55.6%). On a 5-point Likert scale, students entering HCS believed more strongly that they would have a better chance at matching if Step 1 was graded numerically (3.47 vs 2.71) and creates an unfair advantage for those who can afford to pursue a research year (3.46 vs 2.95). Students entering HCS felt finances played a significant role in whether they took a research year and felt added pressure to engage in research. Respondents believe that students from prestigious medical schools, well-connected students, and MD students will benefit most.
While students mostly prefer P/F scoring, there were differences of opinion between those going into HCS and LCS. Students indicated that those who have financial means are at a distinct advantage as they can afford to utilize a research year to distinguish their applications. Future efforts should be made to address student concerns and unintended consequences of the scoring change to create an equitable system.
第 1 步历来是评估住院医师匹配学生的主要标准。随着第 1 步现在变为通过/失败（P/F），学生们不确定如何区分他们的申请。我们旨在了解学生对评分变化的看法，因为这是第一批申请 P/F 时代住院医师的学生。
向 3 年级和 4 年级美国医学生发送了电子调查。
在接受调查的 255 名学生中，61.6%更喜欢 P/F 格式的第 1 步。申请高竞争力专业（HCS）的学生更喜欢数字评分（55.6%）。在 5 分制的李克特量表上，进入 HCS 的学生更相信如果第 1 步按分数评分，他们匹配的机会会更好（3.47 对 2.71），并且为那些能够负担得起研究年的人创造了不公平的优势（3.46 对 2.95）。进入 HCS 的学生感到财务状况在他们是否参加研究年方面起着重要作用，并感到从事研究的压力增加。受访者认为，来自著名医学院的学生、关系良好的学生和 MD 学生将受益最多。
虽然学生大多更喜欢 P/F 评分，但进入 HCS 和 LCS 的学生之间存在意见分歧。学生们表示，那些有经济手段的人处于明显的优势，因为他们可以负担得起利用研究年来区分他们的申请。未来应努力解决学生的担忧和评分变化的意外后果，以建立公平的制度。
