Both groups believe that allopathic students from less prestigious medical schools, osteopathic students, and international medical graduates will be disadvantaged. Compared to internal medicine PDs, orthopaedic PDs were significantly more likely to emphasize research, letters of recommendation from known faculty, Alpha Omega Alpha membership, leadership/extracurricular activities, audition elective rotations, and personal knowledge of the applicant. Both groups believe that the Step 2 Clinical Knowledge exam and clerkship grades will take on more importance. The majority of both groups disagree with the change to pass/fail, and felt that the decision was not transparent. We received 58 (36.0%) orthopaedic and 125 (22.8%) internal medicine program director responses. Program director emails were obtained from the American Medical Association’s Fellowship and Residency Electronic Interactive Database. internal medicine residency program directors.
orthopaedic residency program directors and 548 U.S. MethodsĪ 27-item survey was distributed through REDCap to 161 U.S. The aim of this study was to compare how program directors in orthopaedics and internal medicine perceive a pass/fail Step 1 will impact the residency application process. Specialties in yellow are easier to match, green harder to match, and red most difficult.United States Medical Licensing Examination Step 1 will transition from numeric grading to pass/fail, sometime after January 2022. The following summarizes the typical average score required to match in most specialties. The USMLE® Step 2 passing score is 209, with an average score of 245. The USMLE® Step 1 passing score is 194, and the national average score is approximately 232. USMLE® does not publicly explain how they calculate the three-digit score. USMLE® Step 1 and Step 2 is scored with a range of 1 to 300, with a passing score of 194 however, starting in January of 2022, USMLE® Step 1 will become a pass-fail exam. Most students take USMLE® Step 1 at the end of their 2nd year of medical school and USMLE® Step 2 early in their 4th year of medical school. The USMLE® evaluates whether medical school students can apply foundational sciences and clinical sciences to the practice of medicine. They are arguably the two most important exams a medical student will complete as they typically determine your chances of obtaining a residency training field of your choice.
The USMLE® Step 1 and USMLE® Step 2 are the first and second board exams offered by the United States Medical Licensing Examination. Consensus opinion provided by Jesse Cole, MD Nick Lorenzo, MD and Bill Gossman, MD
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