Discover and read the best of Twitter Threads about #USMLE

Most recents (5)

I’d like to talk about the finances - and potential financial conflict of interest - at the National Board of Medical Examiners.

This is gonna be a long one - but thanks for hearing me out.

(Thread)
Yesterday, I started a discussion about how our focus on #USMLE Step 1 was hurting both undergraduate and graduate medical education.

It’s gotten a lot of attention, probably because I highlighted a comment from the CEO of the NBME that touched a nerve for a lot of you.
Beyond that quote, when I read the article, what struck me was this:

The CEOs of the NBME and FSMB expressed numerous concerns about adverse effects of making USMLE Step 1 pass/fail...

...but loss of revenue to the @NBMEnow was not mentioned.
Read 37 tweets
Y’all, come on a journey with me. A journey of speaking up, high stakes testing in medical school, and Netflix jokes. This is the state of USMLE Step 1.

(A thread)
Recently, some medical students spoke up about a problem they saw with a big test that we all take called Step 1. First, some background.

USMLE Step 1 is a super high stakes test after the first two years of medical school.
Your score on the USMLE Step 1 basically determines the fate of your medical career - score well, and the doors to residency are open. Score low or fail, and well, tough luck. Give up on your dreams of entering a competitive specialty and maybe on being a doctor all together.
Read 23 tweets
In response to this thread about using #USMLE Step 1 scores for residency selection, many people have asked some variation of this question:

“But without Step 1 scores, how will we possibly select residency applicants?”

I have a few things to say about that. (1/x)
First, a reminder. The USMLE is a licensing exam. It is intended to discriminate between test-takers with sufficient content mastery to be licensed as a physician, and those who do not have such mastery.

It was not intended to discriminate among higher scores. (2/x)
So first of alll, it’s not entirely clear what you are measuring when you have an applicant with a 225 and a 245 and a 265.

(But probably, you are measuring test preparation, test-taking strategy, and memorization of increasingly arcane minutae.). (3/x)
Read 20 tweets
Today, I reviewed course feedback for a second-year medical school course. In response to a request for areas for improvement, one student wrote this.

The sentiment is extremely common, but rarely have I seen it stated so succinctly.
We have a major problem with the overextension of #USMLE Step 1. I’m not the first to point this out.

But to the extent that the product of medical school/licensure is a public good, can we please start asking questions about whether our systems are producing the good we desire?
One obvious solution is to report USMLE Step 1 scores as Pass/Fail.

This is, after all, what the test was designed for - to broadly determine which candidates have sufficient subject mastery to be licensed.
Read 10 tweets
حتكلم ان شاء الله بالتفصيل عن البورد الامريكي والكندي وكيفية التحضير لهم
باتكلم عن دي الدولتين فقط للاسباب التالية
١- نظام الرزدنسي والتعليم الجامعي للاطباء في السعودية مطابق لهذه الدولتين .
Read 94 tweets

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