Why the Delay? Factors Predicting Step 1 Delay

Area of Science:

• Medical Education
• Student Assessment
• Learning Analytics

Background:

• Limited research exists on factors influencing Step 1 exam delay within active learning curricula.
• Identifying predictors can help develop interventions for students at risk of delaying Step 1.

Purpose of the Study:

• To examine factors within an active learning curriculum that predict Step 1 exam delay.
• To identify early indicators of potential Step 1 delay.

Main Methods:

• A multiple logistic regression model was employed.
• Data analyzed included performance on formative assessments and NBME final exams in systems-based modules.

Main Results:

• Performance on later NBME final exams correlated with Step 1 delay.
• Formative assessments emerged as the earliest significant predictors of Step 1 delay.

Conclusions:

• Early and ongoing student assessment is crucial for identifying potential Step 1 delays.
• Success in active learning curricula, indicated by formative and summative assessments, correlates with timely Step 1 examination.
• These insights can guide the development of supportive interventions for medical students.