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Performance on Step 2 Clinical Knowledge (CK) exam has also been associated with performance on USMLE Step 1 and the MCAT. Moderate correlations have been identified between USMLE Step 1, MCAT, and undergraduate GPA. Many studies have examined predictors of standardized exam performance however, data sets do not distinguish by institution or curriculum (i.e., problem based learning, lectures, team based learning, etc.). These exams are the primary academic criteria for residency selection, for to an extent they provide a gauge of student learning. Step 1 assesses basic science knowledge, whereas Step 2 focuses on clinical understanding. Meanwhile, two forms of student evaluation that occur during the time of medical studies include assessments in clinical clerkships and United States Medical Licensing Examination (USMLE) exams due to variability in scoring systems for clinical clerkships, the most consistent measurement of school product is the USMLE Step exams. Despite such challenges, prior medical school assessments have emphasized school admissions rate, entering class Medical College Admissions Test (MCAT) and grade point averages (GPA), full-time faculty-to-student ratio, and National Institute of Health (NIH) funding. Gauging medical education quality has always remained challenging due to the myriad of factors that can be assessed, including those which are difficulty to quantify-such as adherence to the medical school’s mission statement. Having identified these institutions, their curriculums can be further studied to determine what factors enhance student learning. Their performance might be explainable by differences in curriculum. Outlier institutions produce USMLE scores that do not follow expected trend lines. Although MCAT scores and National Institute of Health funds are significantly associated with USMLE performance, six outlier institutions were identified, producing higher USMLE scores than trend line predictions. Multivariable analysis also supports a significant association between MCAT scores and Step scores, meanwhile National Institute of Health funding size demonstrates a negative correlation with USMLE Step 2 scores. Of these nine variables, MCAT scores and Step 1 scores display the strongest correlation (corr = 0.72, P < .0001). public), full-time faculty-to-student ratio, National Institute of Health funds, residency director assessment score, peer assessment score, and class size. Univariate analysis reveals a significant association between USMLE Step 1 and 2 scores with medical college admissions test scores, grade point averages, school type (private vs. All statistical analyses were two-sided and performed using SAS software version 9.4 (SAS Institute Inc., Cary, NC). A multivariable linear regression model was developed to identify the factors contributing to USMLE scores. A univariate analysis was performed first for each variable using two sample t-test or Wilcoxon rank sum test for categorical variables, and Pearson or Spearman correlation coefficients for continuous variables. News and World Report’s 2014 evaluation of allopathic U.S. Our objective is to present a summary of variables associated with the United States Medical Licensing Examination (USMLE) scores, and thus identify institutions (and therefore curriculums) which deviate from trend lines by producing higher USMLE scores despite having lower entrance grade point averages and medical college admissions test (MCAT) scores. Many studies have examined predictors of standardized exam performance however, data sets do not distinguish by institution or curriculum. If that were true, then we could assume that each Step 1 question may be close to the 1.09 point/question average for CBSSA 25-30.Gauging medical education quality has always remained challenging. Note it has been speculated that up to 25% (80 questions) of Step 1 is “experimental” and won’t contribute to your score. If every single question on Step 1 was worth the same amount, then each question might be worth 1.09 * 200/280 = 0.78 points/question. A Step 1 NBME has 200 questions, while Step 1 has 280 questions. Let’s start with the average points/question of CBSSA 25-30 of 1.09. That said, we can make an educated guess on how much each question is worth, to know how close/far away you are/were to passing. The NBME has never stated how many points each question is worth on Step 1. How Much Is Each Step 1 NBME Question Worth?Īverage points/question for CBSSA 25-30 = 1.09 points How Many Points is Each Step 1 Question Worth? The passing score percentage for each of the Step 1 NBMEs is:Īssuming Step 1 is scored similarly to CBSSA 25-30, you would need somewhere between 63 to 65% correct to attain the passing score of 196. However, we can determine what percentage you would need on each CBSSA (NBME) to pass Step 1. What is the Step 1 passing score percentage? We won’t know with certainty.
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