Scores were lower in the 1990s because med students didn’t have access to all the prep materials they had in 2016-2018. I suspect with pass/fail scores (if they exist internally) on step 1 would be lower in 2024 by a wide margin vs 2018.
They’re also all on their phones in the OR and barely even look up when an attending walks in.
Believe it or not merit matters. Without merit in medicine there will be sadly many dead bodies.
'A Failed Medical School': How Racial Preferences, Supposedly Outlawed in California, Have Persisted at UCLA
Long considered one of the best medical schools in the world, the University of California, Los Angeles's David Geffen School of Medicine receives as many as 14,000 applications a year. Of those, it accepted just 173 students in the 2023 admissions cycle, a record-low acceptance rate of 1.3...freebeacon.com
"Those tests, known as shelf exams, which are typically taken at the end of each clinical rotation, measure basic medical knowledge and play a pivotal role in residency applications. Though only 5 percent of students fail each test nationally, the rates are much higher at UCLA, having increased tenfold in some subjects since 2020, according to internal data obtained by the Free Beacon.
That uptick coincided with a steep drop in the number of Asian matriculants and tracks the subjective impressions of faculty who say that students have never been more poorly prepared.
One professor said that a student in the operating room could not identify a major artery when asked, then berated the professor for putting her on the spot. Another said that students at the end of their clinical rotations don't know basic lab tests and, in some cases, are unable to present patients.
"I don't know how some of these students are going to be junior doctors," the professor said. "Faculty are seeing a shocking decline in knowledge of medical students.""
"Lucero has even advocated moving candidates up or down the residency rank list based on race. At a meeting in February 2022, according to two people present, Lucero demanded that a highly qualified white male be knocked down several spots because, as she put it, "we have too many of his kind" already. She also told doctors who voiced concern that they had no right to an opinion because they were "not BIPOC," sources said, and insisted that a Hispanic applicant who had performed poorly on her anesthesiology rotation in medical school should be bumped up. Neither candidate was ultimately moved."
Wow, any truth to this? It's scary if that's what's happening at other institutions.
Same here - attending life on my end is wayyyy less stressful than resident and fellow life. But from what I hear the new grads are finding attending life much more stressful than trainee life…. Somewhere around COVID a flip happened.
Right, but we have clear statistics of DEI admissions policies
great post, agree wholeheartedly.
The issue is only partially related to “pass” vs “no pass.”
Funny enough I used to joke about this. Like I would say I had a hard time writing my personal statement because I had no adversity in life to overcome.
You got peeps like my crazy cuz bring her “emotional” support animal (which can be obtained via online for as little as $50) to major league and nfl games due to “mental health”. She even takes dog on cruises. It’s ridiculous some of this mental health crap. I’m sorry. But mental health excuse is over used. We seen it use as stupid criminal offenses as well.
I am sort of sad that I couldn't give him **** last season for how amazingly, thoroughly, completely his Eagles collapsed.
Disagree. If you put a first semester medical school test in front of me at this point (without any studying), I would not pass it. Simple as that. The vast majority of it was not retained.
Was this PBL by chance? If so I was one of the first few classes to transition to this and I loved it. People before me said they used to have a test week of about six exams each six weeks or so. Nope nope nope.
Are you sure you’ve forgotten as much as you think? Maybe you couldn’t draw out the steroid synthesis pathways but you know enough of the concepts that you can grasp why etomidate causes problems. When a new drug comes out, I can typically look at the mechanism of action and grasp how it works, even if a lot of the science was done after I finished school. Any competent medical school graduate should be able to do the same and if we lose that in our graduates I’d be concerned.
So you had no preparation of any kind? No Review courses? Authorized old test questions?
What races would be left behind in a true meritocracy? Care to elaborate? I bet not but I have a little hope.
Condescending to you because you were the wrong race or gender eh?
According to lore, studying for step 1 pre-‘first aid’ consisted of re-reading your textbooks and notes, and maybe reviewing your own old tests. MCAT had review courses since at least the 70s but the boards didn’t get competitive for some time.
Literally. Because why does it say that the medical student berated the attending in the OP article? Berated the attendinf for asking a question? On what planet. This is normal now?
Mental health it’s important. Many cultures disregard it and maybe your culture does but it’s very important.
I agree. It is not the minutiae of the biochem stuff that is important, but the ability to understand the implications such as understanding when a drug negatively impacts the electron transport chain and what that means. It helps in understanding just why nitroprusside results in an elevated SVo2 and other clinical nuances. The baseline knowledge allows you to do better critical analysis of new journal articles and decide what is true and what is garbage or to understand the side effect profiles of drugs based on their mechanism of action.
Yes that’s exactly why they were condescending. And I also agree with you that it is and has always been inappropriate for women and minorities to be mistreated.
You are being way too sensitive. Lighten up man!!!!. 😂😂
Not in the 00's either. For anesthesia, there was an in-person review course by Jensen, and some audio CDs, and some binders of notes. Not much else.
I agree. After the first three months of internship boot camp there should be a Navy Seals like Hell Week. All 100 of the hospital's interns enter into it the last week of September, and by the end of the week only 15 are left. Attendings scream at them 24/7 what a worthless pos they are while making the interns do intense physical and mental training such as 300 pound patient gurney races, wind sprints to see your next patient, and CT machine dead lifts, all while getting 25 minutes of rest per 24 hour period and living off of vending machine food. That'll turn these pansies into men (No women will finish. They'll ring the bell like all of the other losers). After completion these 15 men will now do the work previously done by all 100 sorry-a** interns that had complained of being overworked.
I fear many want that required 10 million dollar Blade retirement fund before touching this one.....
There won’t be any data published about what you’re asking because doing so would be considered “racist”. The outcome of such a study “could” undermine the DEI movement. Correspondingly for years, anesthesiologists have called upon the CMS (Ctr. for Medicare Services) to publish data on clinical outcomes between anesthesiologists vs. CRNA’s. To date, CMS has refused to do that. They don’t want to undermine their payment structure or the validity of CRNA-provided care. Do you want to make the claim that CRNA care is superior to anesthesiologist care because CMS refuses to publish the requested study?
So do you think that this is due to their race? They perform poorly because they are inherently not as intelligent? This isn’t even controversial?
First paragraph yes.
In politics a question like that would be referred to as "Third rail"
Yeah except @anonperson just linked a study of the urology match and URMs and he’s very quick to like this post which contradicts his reference to a Science Direct article. So quite frankly there are apparently studies out there if you cared to look instead of just jumping on “they won’t publish it.
Have never heard of this. I am not into politics. What is third rail?
The problem with that logic is that all anesthesiologists should be rockstars because they simply aced some tests and got into medical school. We all know colleagues that are dangerous or incompetent. Yes, academically speaking, MD candidates are light years ahead of SRNA candidates. Very few SRNA candidates could get into medical school. That's obvious. Goes without saying. We go above and beyond in our postgraduate training to learn challenging pathology and how it directly impacts anesthetic care. CRNAs do not do that. They have zero postgraduate training. The gap between anesthesiologists and CRNAs would be fairly small if we didn't do residencies. It's a light year since we have structured postgraduate training.
