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    Dermatology residency program directors will increase focus on USMLE Step 2 CK scores and other metrics after the USMLE Step 1 moved to a pass/fail system. This shift may impact holistic candidate evaluation.

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    Area of Science:

    • Medical Education
    • Residency Admissions
    • Licensing Examinations

    Background:

    • The United States Medical Licensing Examination (USMLE) Step 1 transitioned to a pass/fail scoring system in January 2022.
    • This change necessitates adjustments in how medical residency programs evaluate applicants.

    Purpose of the Study:

    • To survey Dermatology residency program directors regarding their evaluation strategies post-USMLE Step 1 pass/fail implementation.
    • To identify anticipated changes in candidate assessment criteria.

    Main Methods:

    • An online survey was administered to Dermatology program directors.
    • Statistical analyses, including Chi-squared and paired t tests, were performed using R and MATLAB.
    • Response data were analyzed to compare pre- and post-change evaluation criteria.

    Main Results:

    • Program directors plan to place greater emphasis on USMLE Step 2 CK (Clinical Knowledge) scores.
    • Consideration of National Board of Medical Examiners (NBME) shelf exam scores and medical school ranking is anticipated.
    • Some directors expressed a need for medical schools to disclose NBME shelf exam scores.

    Conclusions:

    • Increased reliance on Step 2 CK scores, NBME shelf exams, and institutional rank may affect holistic review.
    • This transition presents an opportunity for programs to refine and potentially broaden their evaluation methods.
    • Balancing new metrics with existing criteria is crucial for comprehensive candidate assessment.