Great video. Excellent depth of research and explanations. The history of the USMLE is something that is seldom discussed. At the end of the day it is a licensing exam, not a residency entrance exam - it should not be used as such! Have you considered doing a lecture on the history of the AMA, the Flexner report, and the institution of medical education in the United States?
Totally agree with you doctor, NBME wants to pursue for 3 digits score to make money mainly! the medical certification exams in Australia, UK, etc. all these countries use pass/fail score for certification. If you also look to certification exams for dentistry and pharmaceutical schools, they also use p/f screening. So that it will be so weird if the continue for 3 digits score reporting
I love this video, and am very appreciative of what you have contributed towards medical education. Curious, what was the room like when you presented this? Were faculty angry, confused, excited, etc? How supported were you, or targeted?
I completely agree with you. I am still a Junior Doctor and graduated back in 2017. I currently have only a 1 year working experience from which I am shaping my opinion. However I do think that the one year I worked was enough for me to realize some things regarding medicine with regard to how it is practiced and how it is learned. Firstly, during the past year i've taken about 6-7 months dedicated to studying for STEP 1. I put in 8-12 hours a day for 6 months of trying to achieve a score good enough to allow me to get into internal medicine training as an IMG. It has always been a dream of mine to practice in the US because of its global reputation as a pioneer in improving medical care. However, thinking about the opportunity cost like you have stated, I do feel that during these 7 months, I could have definitely done other things in order to improve my practice and skills for the care of my future patients. I could have attended many courses to improve surgical skills, management skills, research methods, knowledge etc instead of sitting on a chair all day learning about minute details and irrelevant information that will probably never come up in my everyday practice. After entering the workplace as a physician you realize that 50% of being a good doctor is being able to just function in a hospital. To be literate in performing every day procedures, dealing with patients, dealing with other medical staff. These are the skills that would definitely contribute to a better outcome for both the physician and the patients. Anyway thats just my 2 cents. Hoping that we can re shape how medical students and doctors spend their time truly being productive. I think that will benefit patient outcome greatly.
44:10 - It's very peculiar that the authors found comfort in undergraduate GPA and MCAT scores diminishing the difference; these variables themselves have shown themselves to be biased in a similar fashion. As someone graduating from a lesser known school, I came in to this video quite opposed to the idea on account of the test giving folks from smaller schools a chance to even the playing field, so to speak. However, I cannot reconcile the gatekeeping position this exam is in given how unrelated its content is to the more competitive fields. I'm still in the middle of the video, but the question I have is how we can provide enough meaningful data in the residency application via the MSPE, transcripts, or other ERAS items to transcend the need for these scores? In the meantime, thank you for providing this compelling argument in favor of the change.
Wondering if I am responding because you are cute or because I had a legitimate response? 🤔🤔🤔 Anywho, the EM SLOE might be an option in terms of adding standardized LORs. I have some other ideas, but I think the SLOE format is worth prototyping by all medical specialties.
Step 4 anyone? 😅 Thank you Dr. Carmody for (exposing the shenanigans) these presentations, I’ve become a reluctant fan, initially I’m on the other side of the issue I find myself agreeing with you. #monopoly #corruption
@@pokoirlyase5931 Then you didn't listen, I don't know what else to tell you. He even starts with the average scores for DO and IMGs on STEP 1 and proposes a thought exercise based on those. It's right there. Right @1:16:04
@@MrFrankyGification so how do u propose that pass/fail will help IMGs? wouldn't it then be all about connections, school prestige etc. (which isn't that great for IMGs anyway)
Great video. Excellent depth of research and explanations. The history of the USMLE is something that is seldom discussed. At the end of the day it is a licensing exam, not a residency entrance exam - it should not be used as such!
Have you considered doing a lecture on the history of the AMA, the Flexner report, and the institution of medical education in the United States?
Totally agree with you doctor, NBME wants to pursue for 3 digits score to make money mainly!
the medical certification exams in Australia, UK, etc. all these countries use pass/fail score for certification. If you also look to certification exams for dentistry and pharmaceutical schools, they also use p/f screening. So that it will be so weird if the continue for 3 digits score reporting
I love this video, and am very appreciative of what you have contributed towards medical education.
Curious, what was the room like when you presented this? Were faculty angry, confused, excited, etc? How supported were you, or targeted?
I completely agree with you. I am still a Junior Doctor and graduated back in 2017. I currently have only a 1 year working experience from which I am shaping my opinion. However I do think that the one year I worked was enough for me to realize some things regarding medicine with regard to how it is practiced and how it is learned. Firstly, during the past year i've taken about 6-7 months dedicated to studying for STEP 1. I put in 8-12 hours a day for 6 months of trying to achieve a score good enough to allow me to get into internal medicine training as an IMG. It has always been a dream of mine to practice in the US because of its global reputation as a pioneer in improving medical care. However, thinking about the opportunity cost like you have stated, I do feel that during these 7 months, I could have definitely done other things in order to improve my practice and skills for the care of my future patients. I could have attended many courses to improve surgical skills, management skills, research methods, knowledge etc instead of sitting on a chair all day learning about minute details and irrelevant information that will probably never come up in my everyday practice. After entering the workplace as a physician you realize that 50% of being a good doctor is being able to just function in a hospital. To be literate in performing every day procedures, dealing with patients, dealing with other medical staff. These are the skills that would definitely contribute to a better outcome for both the physician and the patients.
Anyway thats just my 2 cents. Hoping that we can re shape how medical students and doctors spend their time truly being productive. I think that will benefit patient outcome greatly.
44:10 - It's very peculiar that the authors found comfort in undergraduate GPA and MCAT scores diminishing the difference; these variables themselves have shown themselves to be biased in a similar fashion.
As someone graduating from a lesser known school, I came in to this video quite opposed to the idea on account of the test giving folks from smaller schools a chance to even the playing field, so to speak. However, I cannot reconcile the gatekeeping position this exam is in given how unrelated its content is to the more competitive fields. I'm still in the middle of the video, but the question I have is how we can provide enough meaningful data in the residency application via the MSPE, transcripts, or other ERAS items to transcend the need for these scores?
In the meantime, thank you for providing this compelling argument in favor of the change.
Wondering if I am responding because you are cute or because I had a legitimate response? 🤔🤔🤔 Anywho, the EM SLOE might be an option in terms of adding standardized LORs. I have some other ideas, but I think the SLOE format is worth prototyping by all medical specialties.
Step 4 anyone? 😅 Thank you Dr. Carmody for (exposing the shenanigans) these presentations, I’ve become a reluctant fan, initially I’m on the other side of the issue I find myself agreeing with you. #monopoly #corruption
It happened🤣🤣
Eliminating the Step 1 scores as a criterion would severely hinder our ability as IMGs to compete for the remaining seats.
He addresses that @ ~1:16:00 mark.
@@MrFrankyGification Didn't hear anything at 1h16 about IMGs
@@pokoirlyase5931 Then you didn't listen, I don't know what else to tell you. He even starts with the average scores for DO and IMGs on STEP 1 and proposes a thought exercise based on those. It's right there.
Right @1:16:04
Try 1 minute sooner....
@@MrFrankyGification so how do u propose that pass/fail will help IMGs? wouldn't it then be all about connections, school prestige etc. (which isn't that great for IMGs anyway)