Before reading this: I’m a current MS2 student writing this review for future students considering attending this school. This is basically a bunch of stuff that would have affected my decision to attend this school if I had known about it before coming here. I ultimately ended up choosing this school because they gave me a 5k/yr scholarship on top of the cheap tuition which I felt like was too good of a deal to turn down- but you get what you pay for as they say! So here we go:
Wow, there's a lot to unpack here. Current MS3 at Long here. I will
not dismiss this student's experiences- everyone is entitled to their opinions. I even agree with some of what they're sharing- but I think it is important to discuss some of their concerns, as someone on the other side of step 1. The applicants agonizing over rank lists deserve as much.
First, step 1 is a very important test- everybody knows that. However, it's only important insofar as it helps you match to the residency program of your choice. It is a big factor in what is ultimately a
multifactorial process. That being said, I think there are two, much more proximal factors applicants should consider when evaluating how a school will prepare them for residency:
1) How do students actually score on step? Additionally, how do those students seeking high step scores do?
2) How do students actually do in the residency match?
These are the important outcomes applicants should be looking at. Long students do at or above the national average on Step 1 (similarly to most Texas schools, especially when UTMB stopped fudging their stats). Long also consistently matches to competitive residencies and top programs. Students have no trouble matching to derm, ortho, ophtho, neurosurg, ent, uro, etc year after year. (As an aside- can we stop acting like having a good number of students go into primary care specialties is a failing on the part of the school?)
The above poster has also not yet experienced the absolute
transcendent magic that is the 4 months we get off to study for step. Whatever deficiencies, whether individual or curricular, a student identifies in his or her preparation for step are handily solved with up to 4 months of self-directed learning.
Second, Long frequently emphasized in the preclinical coursework that not everything was designed to be directly relevant to Step 1- much of the teaching was geared toward clinical knowledge and evolving science. Now that I am in the clinical years, I actually really appreciate this. Step 1 material is some of the most out-there esoteric crap you can imagine- it correlates poorly with real world medicine. Unfortunately, as the above poster mentioned, schools are faced with the dilemma of increasingly ridiculous pressure for students to perform well on Step 1, which they must balance with the ultimate goal of actually training good doctors. I think for some curricula, the pendulum has swung a little too far toward board preparation. Long still does a good job striking that balance. That being said, ask 10 people about their opinions on this and you'll get 10 different answers.
I agree with some of the points about the clinical skills class- no reason it should be worth that many credit hours. However, in my opinion it's a pretty easy class to get an A in. Most do- it's a grade buffer if anything. It forces you to be efficient with your history and physical exam skills. Cast a wide net and you're bound to catch fish. It's also being scrutinized by admin- every year they're making improvements, holding focus groups with students to improve things, etc. I can't imagine not having the class and trying to start third year. It was a hassle at times trying to balance it with other coursework, but helpful- and as another commenter pointed out, every school will have some variation of the same.
I agree with the comments regarding Synthesis. Great in theory, not that efficient in practice. I did anki during. A counterargument is that our Synthesis component is essentially a one day per week "flipped classroom". If you're considering schools with a completely flipped classroom model.... hope you like Synthesis.
Finally, I studied for the class exams primarily using outside step 1 resources, with a cursory review of the class material in the week we have off prior to each exam. Never felt I was at a disadvantage. Hit my target score for step, as did every one of my classmates I've talked to about it.
I think it is possible the above poster has had a uniquely sour experience with the clinical skills course so far, is worried it will hamper their chances at a competitive residency they've set their sights on, and hoped to warn applicants against a similar fate. Ultimately you have to make your rank list/decision by taking many data points into account. Don't let one comment (including mine) make your decision for you.
N = 2