دورية أكاديمية
Medical Student Attitudes toward USMLE Step 1 and Health Systems Science - A Multi-Institutional Survey.
| العنوان: | Medical Student Attitudes toward USMLE Step 1 and Health Systems Science - A Multi-Institutional Survey. |
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| المؤلفون: | Carmody JB; Department of Pediatrics, Eastern Virginia Medical School, Norfolk, Virginia, USA., Green LM; EVMS-Sentara Healthcare Analytics and Delivery Science Institute, Eastern Virginia Medical School, Norfolk, Virginia, USA., Kiger PG; Department of Pediatrics, Eastern Virginia Medical School, Norfolk, Virginia, USA., Baxter JD; Office of Undergraduate and Graduate Medical Education, University of Nebraska Medical Center, Omaha, Nebraska, USA., Cassese T; Department of Medicine, Yeshiva University Albert Einstein College of Medicine, Bronx, New York, USA., Fancher TL; Department of Internal Medicine, University of California Davis, Sacramento, California, USA., George P; Department of Family Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA., Griffin EJ; Office of Medical Education, University of California Davis, Sacramento, California, USA., Haywood YC; Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA., Henderson D; Department of Family Medicine, University of Connecticut School of Medicine, Farmington, Connecticut, USA., Hueppchen NA; Gynecology and Obstetrics, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA., Karras DJ; Department of Emergency Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA., Leep Hunderfund AN; Department of Neurology, Mayo Clinic Rochester, Rochester, Minnesota, USA., Lindsley JE; Department of Biochemistry, University of Utah School of Medicine, Salt Lake City, Utah, USA., McGuire PG; Department of Cell Biology and Physiology, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA., Meholli M; Department of Medicine, Yeshiva University Albert Einstein College of Medicine, Bronx, New York, USA., Miller CS; School of Medicine, Saint Louis University, Saint Louis, Missouri, USA., Monrad SU; Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA., Nelson KL; Office of Undergraduate and Graduate Medical Education, University of Nebraska Medical Center, Omaha, Nebraska, USA., Olson KA; Department of Pathology and Laboratory Medicine, University of California Davis, Sacramento, California, USA., Pahwa AK; Department of Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA., Starr SR; Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA., Tunkel AR; Section of Medical Education, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA., Van Eck RN; Department of Medical Education, University of North Dakota, School of Medicine and Health Sciences, Grand Forks, North Dakota, USA., Youm JH; Office of Medical Education, University of California, Irvine, Irvine, California, USA., Ziring DJ; Academic Affairs, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, USA., Rajasekaran SK; Medical Academic and School Programs, Wayne State University School of Medicine, Detroit, Michigan, USA. |
| المصدر: | Teaching and learning in medicine [Teach Learn Med] 2021 Apr-May; Vol. 33 (2), pp. 139-153. Date of Electronic Publication: 2020 Dec 08. |
| نوع المنشور: | Journal Article; Multicenter Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Routledge Country of Publication: United States NLM ID: 8910884 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8015 (Electronic) Linking ISSN: 10401334 NLM ISO Abbreviation: Teach Learn Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2008- > : Philadelphia : Routledge Original Publication: Hillsdale, N.J. : Lawrence Erlbaum Associates, 1989- |
| مواضيع طبية MeSH: | Education, Medical, Undergraduate* , Internship and Residency* , Students, Medical*, Attitude ; Educational Measurement ; Humans ; Licensure, Medical ; United States |
| مستخلص: | Phenomenon: Because of its importance in residency selection, the United States Medical Licensing Examination Step 1 occupies a critical position in medical education, stimulating national debate about appropriate score use, equitable selection criteria, and the goals of undergraduate medical education. Yet, student perspectives on these issues and their implications for engagement with health systems science-related curricular content are relatively underexplored. Approach: We conducted an online survey of medical students at 19 American allopathic medical schools from March-July, 2019. Survey items were designed to elicit student opinions on the Step 1 examination and the impact of the examination on their engagement with new, non-test curricular content related to health systems science. Findings: A total of 2856 students participated in the survey, representing 23.5% of those invited. While 87% of students agreed that doing well on the Step 1 exam was their top priority, 56% disagreed that studying for Step 1 had a positive impact on engagement in the medical school curriculum. Eighty-two percent of students disagreed that Step 1 scores should be the top item residency programs use to offer interviews. When asked whether Step 1 results should be reported pass/fail with no numeric score, 55% of students agreed, while 33% disagreed. The majority of medical students agreed that health systems science topics were important but disagreed that studying for Step 1 helped learn this content. Students reported being more motivated to study a topic if it was on the exam, part of a course grade, prioritized by residency program directors, or if it would make them a better physician in the future. Insights: These results confirm the primacy of the United States Medical Licensing Examination Step 1 exam in preclinical medical education and demonstrate the need to balance the objectives of medical licensure and residency selection with the goals of the broader medical profession. The survey responses suggest several potential solutions to increase student engagement in health systems science curricula which may be especially important after Step 1 examination results are reported as pass/fail. |
| فهرسة مساهمة: | Keywords: HSS; Medical education; USMLE; survey |
| تواريخ الأحداث: | Date Created: 20201208 Date Completed: 20211028 Latest Revision: 20220531 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1080/10401334.2020.1825962 |
| PMID: | 33289589 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1532-8015 |
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| DOI: | 10.1080/10401334.2020.1825962 |