Implications of Pass/Fail Step 1 Scoring: Plastic Surgery Program Director and Applicant Perspective

Author:

Lin Lawrence O.1,Makhoul Alan T.2,Hackenberger Paige N.1,Ganesh Kumar Nishant3,Schoenbrunner Anna R.1,Pontell Matthew E.4,Drolet Brian C.5,Janis Jeffrey E.1

Affiliation:

1. Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio

2. Vanderbilt University School of Medicine, Nashville, Tenn.

3. Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich.

4. Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenn.

5. Department of Plastic Surgery, Department of Biomedical Informatics, Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tenn.

Abstract

Background: As early as 2022, United States Medical Licensing Examination Step 1 results will be reported as pass or fail, rather than as 3-digit numeric scores. This survey examines the perspectives of plastic surgery applicants and program directors (PD) regarding this score reporting change. Methods: A 24-item survey was distributed to integrated applicants from the 2018–19 and 2019–20 application cycles. An analogous 28-item survey was sent to integrated and independent plastic surgery training program directors. Data were analyzed using summary tables and marginal homogeneity tests. Results: 164 applicants (33.2%) and 64 PDs (62.1%) completed the survey. Most applicants (60.3%) and PDs (81.0%) were not in favor of the score reporting change. As a result of binary scoring, a majority of respondents anticipate that residency programs will use Step 2 CK scores to screen applicants (applicants: 95.7%, PDs: 82.8%), prioritize students from more prestigious medical schools (applicants: 91.5%, PDs: 52.4%), and that dedicated research time will become more important (applicants: 87.9%, PDs: 45.3%). Most applicants (66.4%) and PDs (53.1%) believe that there will be an increase in plastic surgery applicants. Applicants and PDs anticipate that the top 3 metrics used by programs when deciding to offer an interview will change as a result of binary Step 1 scoring. Conclusions: Most plastic surgery applicants and PDs do not support the change in United States Medical Licensing Examination Step 1 scoring to pass or fail. The majority believe that other metrics (such as Step 2 CK scores, research experience, and medical school reputation) will become more important in the application process.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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