Effects of Moving the United States Medical Licensing Examination Step 1 After Core Clerkships on Step 2 Clinical Knowledge Performance

Academic Medicine : Journal of the Association of American Medical Colleges
Daniel JurichMichelle Daniel

Abstract

To investigate the effect of a change in the United States Medical Licensing Examination Step 1 timing on Step 2 Clinical Knowledge (CK) scores, the effect of lag time on Step 2 CK performance, and the relationship of incoming Medical College Admission Test (MCAT) score to Step 2 CK performance pre and post change. Four schools that moved Step 1 after core clerkships between academic years 2008-2009 and 2017-2018 were analyzed. Standard t tests were used to examine the change in Step 2 CK scores pre and post change. Tests of differences in proportions were used to evaluate whether Step 2 CK failure rates differed between curricular change groups. Linear regressions were used to examine the relationships between Step 2 CK performance, lag time and incoming MCAT score, and curricular change group. Step 2 CK performance did not change significantly (P = .20). Failure rates remained highly consistent (pre change: 1.83%; post change: 1.79%). The regression indicated that lag time had a significant effect on Step 2 CK performance, with scores declining with increasing lag time, with small but significant interaction effects between MCAT and Step 2 CK scores. Students with lower incoming MCAT scores tended to perform better on Step 2 ...Continue Reading

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Citations

Mar 7, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Aubrie Swan SeinSally A Santen
Feb 23, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Frederic W HaffertyJon C Tilburt
Jun 11, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Sam SchuitemanMichelle Daniel
Jan 28, 2021·Medical Education·Seetha U MonradSally A Santen
Mar 30, 2021·Medical Science Educator·Aubrie Swan SeinSally A Santen

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