Identifying and Supporting Students to Prevent USMLE Step 1 Failures When Testing Follows Clerkships: Insights From 9 Schools.

Academic Medicine : Journal of the Association of American Medical Colleges
Aubrie Swan SeinSally A Santen

Abstract

Several schools have moved the United States Medical Licensing Examination Step 1 exam after core clerkships, and others are considering this change. Delaying Step 1 may improve Step 1 performance and lower Step 1 failure rates. Schools considering moving Step 1 are particularly concerned about late identification of struggling students and late Step failures, which can be particularly problematic due to reduced time to remediate and accumulated debt if remediation is ultimately unsuccessful. In the literature published to date, little attention has been given to these students. In this article, authors from 9 medical schools with a postclerkship Step 1 exam share their experiences. The authors describe curricular policies, early warning and identification strategies, and interventions to enhance success for all students and struggling students in particular. Such learners can be identified by understanding challenges that place them "at risk" and by tracking performance outcomes, particularly on other standardized assessments. All learners can benefit from early coaching and advising, mechanisms to ensure early feedback on performance, commercial study tools, learning specialists or resources to enhance learning skills, and we...Continue Reading

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Citations

Oct 10, 2020·Medical Teacher·Aubrie Swan SeinTodd A Bates
Mar 30, 2021·Medical Science Educator·Aubrie Swan SeinSally A Santen
Jul 26, 2021·Journal of Vascular Surgery·Catherine Go, Ulka Sachdev

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