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代表性不足的申请者在USMLE后通过/失败:对竞争性住宿主任的全国调查

Rebecca Kindler^1,2, Julia Kahn^1,2, Anaz Uddin^1,2

¹New York Medical College, School of Medicine, Valhalla, NY, USA.

Journal of medical education and curricular development

|June 3, 2024

概括

居住计划主管预计,在USMLE第一步通过/失败后,DO和IMG申请人将面临更大的困难. 强调第二步CK和远程轮换可能会为URM学生创造新的障碍.

科学领域:

医学教育医学教育
住院招生住院招生
研究生医学教育研究生医学教育

背景情况:

美国医疗执照考试 (USMLE) 第1步评分报告在2022年1月过渡到通过/失败.
这一变化影响了居住计划主任 (PD) 如何评估医学院毕业生.
对于来自医学 (URM) 群体,国际医学毕业生 (IMG) 和骨科医生 (DO) 学生的申请人可能产生的影响存在担忧.

研究的目的:

确定对居住计划主管至关重要的选择标准.
评估PD对USMLE第一步的通过/失败得分如何影响URM,IMG和DO居住申请人的看法.
分析USMLE第一步评分变化对居住匹配结果的影响.

主要方法:

一项调查分发给1141名美国PD,涉及具有历史低居留选择率的专业.
数据收集发生在2022年8月至2023年1月之间.
响应率为38% (433个响应).

主要成果:

PD预计DO (93.77%) 和IMG (96.07%) 申请人的匹配难度增加或不变.
大多数 (76.0%) 认为,URM申请人的匹配困难将会减少或保持不变.
确定的最关键的选择因素是USMLE Step 2 CK分数和出场轮换参与.

结论:

住院项目主管预计,在USMLE第一步通过/失败过渡后,DO和IMG申请人面临重大挑战.
虽然通过/失败第一步可能会减少URM学生的一个障碍,但越来越重视第二步CK和外围轮换会带来新的障碍.
该研究强调了居住选择的不断变化的格局及其对不同申请人群的差异影响.

关键词:

USMLE:美国医疗执照考试多样性的多样性多样性的多样性通过/失败通过/失败选择居住地选择在药物中代表性不足.

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