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Updated: Feb 16, 2026

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Development and Evaluation of a Student-Initiated Test Preparation Program for the USMLE Step 1 Examination.

Lindsay F Schwartz1, Matthew Lineberry2, Yoon Soo Park3

  • 1a Department of Pediatrics , University of California , Los Angeles, Los Angeles , California , USA.

Teaching and Learning in Medicine
|December 15, 2017
PubMed
Summary

A student-led USMLE Step 1 prep program significantly boosted scores by 8.82 points and increased first-time pass rates by 8%. This initiative fostered a stronger sense of community and empowerment among medical students.

Keywords:
USMLE Step 1peer educationstudent-initiated programtest preparationundergraduate medical education

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Area of Science:

  • Medical Education
  • Licensing Examinations
  • Student Support Programs

Background:

  • USMLE Step 1 performance is crucial for residency program interviews and rankings.
  • Historically, the University of Illinois College of Medicine at Chicago (UIC) has had below-average USMLE Step 1 scores.
  • Medical students' future career prospects are influenced by their success on this high-stakes examination.

Purpose of the Study:

  • To develop and evaluate a student-initiated preparatory program for the USMLE Step 1 exam at UIC.
  • To improve the mean USMLE Step 1 scores of medical students.
  • To increase the first-time pass rate for the USMLE Step 1 exam.

Main Methods:

  • A retrospective and quasi-experimental mixed-methods study design was employed.
  • The program provided resources such as "First Aid for the USMLE Step 1" and a question bank subscription.
  • Optional peer-led review sessions for basic sciences and organ systems were offered.

Main Results:

  • Average USMLE Step 1 scores increased by 8.82 points post-intervention (p < .001).
  • The first-attempt pass rate significantly improved by 8% (p < .001).
  • Program participants scored 6.57 points higher and had higher odds of passing (OR = 3.08, p < .01) when controlling for other factors.

Conclusions:

  • A student-initiated curriculum is effective in enhancing USMLE Step 1 performance.
  • The program fostered a sense of community and student empowerment.
  • This model offers guidance for developing similar examination preparatory programs at other institutions.