Effects of Moving the United States Medical Licensing Examination Step 1 After Core Clerkships on Step 2 Clinical Knowledge Performance
| Autor: | Michael A. Barone, Aubrie Swan-Sein, Miguel A. Paniagua, Daniel Jurich, Arnyce R. Pock, Sally A. Santen, Victoria Harnik, Michelle Daniel, Amy Fleming |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Students Medical 020205 medical informatics 02 engineering and technology Entrance exam Education Clinical knowledge 03 medical and health sciences 0302 clinical medicine Lag time Linear regression 0202 electrical engineering electronic engineering information engineering medicine Humans 030212 general & internal medicine skin and connective tissue diseases Pre and post Core (anatomy) Academic Failure business.industry Clinical Clerkship Research Reports General Medicine Licensure Medical United States Medical Licensing Examination United States College Admission Test Knowledge Physical therapy Linear Models Female sense organs Clinical Competence Curriculum business |
| Popis: | PURPOSE 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. METHOD 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. RESULTS 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 CK when Step 1 was after clerkships. CONCLUSIONS Moving Step 1 after core clerkships appears to have had no significant impact on Step 2 CK scores or failure rates, supporting the argument that such a change is noninferior to the traditional model. Students with lower MCAT scores benefit most from the change. |
| Databáze: | OpenAIRE |
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