The Effect of Numeric Versus Pass/Fail USMLE Step 1 Scores in the Integrated Plastic Surgery 2023-2024 Match Cycle: A Single Institution Study

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2024-09-16 DOI:10.1016/j.jsurg.2024.08.025

Kerilyn N Godbe MD , Lauren M Sinik MD , Niaman Nazir MD, MPH , Katie Egan MD , David Mathes MD , James Butterworth MBBCh , Rebecca Farmer MD, PhD

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引用次数: 0

Abstract

OBJECTIVE

The USMLE Step 1 exam, an important metric in the integrated plastic surgery match, transitioned to pass/fail scoring in January 2022. No previous studies have investigated the impact of this new scoring system on the process of ranking applicants in the integrated plastic surgery match.

DESIGN

330 Plastic Surgery Common Applications (PSCAs) were submitted to a single academic center in the 2023-2024 match cycle. Applicants were sorted into tiers via a holistic review process, and quantifiable data, including USMLE Step 1 scores, were then compared between tiers.

SETTING

Our Institution's Integrated Plastic Surgery Residency Program.

PARTICIPANTS

Integrated Plastic Surgery applicants in the 2023-2024 match cycle.

RESULTS

317 of 330 PSCAs were analyzed in this study, excluding applicants who did an elective rotation at our institution. Applicants were sorted into 3 tiers: high (n = 100), middle (n = 118) and low (n = 99), with a significant difference in match rate per tier, respectively (88.0%, 58.5%, 30.3%, p < 0.0001). The majority of USMLE Step 1 scores were reported as pass/fail (186/317, 58.7%). There was a significant difference (p < 0.0001) between the average USMLE Step 1 score between the high (mean 250.5, SD 10.4), middle (mean 241, SD 14.6), and low tiers (mean 235.5, SD 16.5). More applicants in the low tier (50%) and high tier (40%) reported numeric USMLE Step 1 scores than those in the middle tier (35%, p = 0.0734). Stepwise logistic regression revealed USMLE Step 1 score to be an independent predictor of tier placement between the high and middle tier (p = 0.0030) and high and low tier (p = 0.0001). Lastly, 3 applicants reported their USMLE Step 1 score as ‘pass’ instead of their given numeric score.

CONCLUSIONS

Comparing applicants with numeric USMLE Step 1 scores to those with pass/fail scores can have a significant impact on the ranking of those applicants and should be carefully considered during the plastic surgery match process.

查看原文本刊更多论文

数字与及格/不及格USMLE第1步分数在2023-2024年综合整形外科匹配周期中的影响：单个机构研究

目的USMLE第1步考试是综合整形外科匹配中的一项重要指标，2022年1月过渡到通过/未通过评分。设计在 2023-2024 年的匹配周期中，向一个学术中心提交了 330 份整形外科通用申请（PSCAs）。结果本研究分析了 330 份 PSCAs 中的 317 份，不包括在本机构进行选修轮转的申请人。申请人被分为 3 个等级：高（n = 100）、中（n = 118）和低（n = 99），每个等级的匹配率分别有显著差异（88.0%、58.5%、30.3%，p <0.0001）。大多数 USMLE 第 1 步的分数被报告为通过/未通过（186/317，58.7%）。USMLE 第 1 步平均分在高分段（平均 250.5 分，标准差 10.4 分）、中分段（平均 241 分，标准差 14.6 分）和低分段（平均 235.5 分，标准差 16.5 分）之间存在明显差异（p < 0.0001）。低分段（50%）和高分段（40%）中报告 USMLE 第 1 步数字分数的申请人多于中间分段的申请人（35%，P = 0.0734）。逐步逻辑回归显示，USMLE 第 1 步分数是高分段和中等分数段（p = 0.0030）以及高分段和低分数段（p = 0.0001）之间分层的独立预测因素。结论将 USMLE 第 1 步分数与及格/不及格分数的申请人进行比较会对申请人的排名产生重大影响，因此在整形外科匹配过程中应慎重考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.