Is only COMLEX good enough?

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genessis42

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So my school keeps pushing the idea that after the merger, the COMLEX should be exactly equal to the USMLE. Even mentioning step 1, seems kind of taboo. But can’t this type of advice screw students over?

I’m starting to feel that the only reason there is still a COMLEX after the merger is because it generates revenue

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Depends where you want to go and do.
look up frieda amcas and there you can search up programs.
dont take the usmle unless you are ready.
 
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So my school keeps pushing the idea that after the merger, the COMLEX should be exactly equal to the USMLE. Even mentioning step 1, seems kind of taboo. But can’t this type of advice screw students over?

I’m starting to feel that the only reason there is still a COMLEX after the merger is because it generates revenue

The sooner everyone realizes that just about everything their school tells them is a lie, whether intentional or not, the better.
 
Take the USMLE. No excuses or exceptions. Your school is horribly misguided, probably because it is only loosely (if at all) affiliated with residency decision-makers. If you bomb the USMLE, you don't have to report. You will be judged against MD students, you need to be playing on the same field
 
So my school keeps pushing the idea that after the merger, the COMLEX should be exactly equal to the USMLE.

I imagine that the perception PDs have of Level v.s. Step won’t be changed as a result of the merger. I don’t see any reason why it would.
 
Comlex only will increasingly limit apps more in the short term. Since we redo our mean every year, it makes it very difficult to compare comlex to usmle year to year. If you see some of the 'conversion' formulas out there they are downright insulting to the comlex only student. The moral: just take the USMLE if you can get above a 210.
 
So my school keeps pushing the idea that after the merger, the COMLEX should be exactly equal to the USMLE. Even mentioning step 1, seems kind of taboo. But can’t this type of advice screw students over?

I’m starting to feel that the only reason there is still a COMLEX after the merger is because it generates revenue
Re the bolded: That's the ideal, not the reality.

It has nothing to do with revenue...everything to do with "this is our lane" type of thinking....ie "we're special"

While there are plenty of PDs who are fine with COMLEX only, these tend to be in DO-friendly specialties, and if you wish to have more doors open, I recommend that you take Step I as well.
 
Take the USMLE. No excuses or exceptions. Your school is horribly misguided, probably because it is only loosely (if at all) affiliated with residency decision-makers. If you bomb the USMLE, you don't have to report. You will be judged against MD students, you need to be playing on the same field
From my understanding, you have to report any board scores no matter what. Otherwise you might get in trouble during residency interviews.

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MSUCOM has a discussion on USMLE.
Rather than making a decision based on national trends, each student must weigh a variety of individual factors,
such as: class rank, MCAT score/standardized testing ability, test anxiety, and specialty choice/preference. Other
variables, which may be more difficult to gauge at the end of the second year are whether or not (1) you intend to
stay in Michigan, and (2) your preferred program has a pronounced osteopathic presence (i.e., is D.O. friendly,
related to the number of DO students typically accepted into the program). The decision of whether or not to take
USMLE involves weighing risks versus benefits: relatively straightforward for some but complicated for others.
• Students with a substantially high risk for underperforming are those who have low class rank (especially
bottom quintile), low first-time MCAT score, and high level of test anxiety.
• Students least likely to need to take USMLE are those who plan to stay in Michigan and are interested in
primary care.
• Students most likely to need to take USMLE are those seeking allopathic programs, especially those that
are competitive, outside of Michigan, and do not have a strong D.O. presence.
 
MSUCOM has a discussion on USMLE.
Rather than making a decision based on national trends, each student must weigh a variety of individual factors,
such as: class rank, MCAT score/standardized testing ability, test anxiety, and specialty choice/preference. Other
variables, which may be more difficult to gauge at the end of the second year are whether or not (1) you intend to
stay in Michigan, and (2) your preferred program has a pronounced osteopathic presence (i.e., is D.O. friendly,
related to the number of DO students typically accepted into the program). The decision of whether or not to take
USMLE involves weighing risks versus benefits: relatively straightforward for some but complicated for others.
• Students with a substantially high risk for underperforming are those who have low class rank (especially
bottom quintile), low first-time MCAT score, and high level of test anxiety.
• Students least likely to need to take USMLE are those who plan to stay in Michigan and are interested in
primary care.
• Students most likely to need to take USMLE are those seeking allopathic programs, especially those that
are competitive, outside of Michigan, and do not have a strong D.O. presence.

This is probably the most reasonable DO school stance I’ve seen. Pretty accurate advice.
 
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MSUCOM has a discussion on USMLE.
Rather than making a decision based on national trends, each student must weigh a variety of individual factors,
such as: class rank, MCAT score/standardized testing ability, test anxiety, and specialty choice/preference. Other
variables, which may be more difficult to gauge at the end of the second year are whether or not (1) you intend to
stay in Michigan, and (2) your preferred program has a pronounced osteopathic presence (i.e., is D.O. friendly,
related to the number of DO students typically accepted into the program). The decision of whether or not to take
USMLE involves weighing risks versus benefits: relatively straightforward for some but complicated for others.
• Students with a substantially high risk for underperforming are those who have low class rank (especially
bottom quintile), low first-time MCAT score, and high level of test anxiety.
• Students least likely to need to take USMLE are those who plan to stay in Michigan and are interested in
primary care.
• Students most likely to need to take USMLE are those seeking allopathic programs, especially those that
are competitive, outside of Michigan, and do not have a strong D.O. presence.
/thread.
 
MSUCOM has a discussion on USMLE.
Rather than making a decision based on national trends, each student must weigh a variety of individual factors,
such as: class rank, MCAT score/standardized testing ability, test anxiety, and specialty choice/preference. Other
variables, which may be more difficult to gauge at the end of the second year are whether or not (1) you intend to
stay in Michigan, and (2) your preferred program has a pronounced osteopathic presence (i.e., is D.O. friendly,
related to the number of DO students typically accepted into the program). The decision of whether or not to take
USMLE involves weighing risks versus benefits: relatively straightforward for some but complicated for others.
• Students with a substantially high risk for underperforming are those who have low class rank (especially
bottom quintile), low first-time MCAT score, and high level of test anxiety.
• Students least likely to need to take USMLE are those who plan to stay in Michigan and are interested in
primary care.
• Students most likely to need to take USMLE are those seeking allopathic programs, especially those that
are competitive, outside of Michigan, and do not have a strong D.O. presence.
I agree with everything except for the low first time MCAT criteria. It is a confusing critaria.Time and time again people that had a low MCAT do well on the USMLE. More than 50% of DOs (most with low MCATs) take the USMLE every year with a 96% or above passing rate. So how low of an MCAT score are we talking about? Lower than 500? Lower than 496? Is just above 500 (501-503) not low?

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I agree with everything except for the low first time MCAT criteria. It is a confusing critaria.Time and time again people that had a low MCAT do well on the USMLE. More than 50% of DOs (most with low MCATs) take the USMLE every year with a 96% or above passing rate. So how low of an MCAT score are we talking about? Lower than 500? Lower than 496? Is just above 500 (501-503) not low?

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I can guarantee you there is internal data they have behind that statement. We aren't talking about passing USMLE, it's implied they are talking about doing well with the phrase "underperforming". Low MCAT to high USMLE does happen, yes, but it is not the norm and most of the low MCAT students don't take it. If all DO students took Step I honestly believe the average score for DOs would be in the 210's.

There is nothing false about them saying if you had a low first MCAT score that you are at significant risk of underperforming.
 
I can guarantee you there is internal data they have behind that statement. We aren't talking about passing USMLE, it's implied they are talking about doing well with the phrase "underperforming". Low MCAT to high USMLE does happen, yes, but it is not the norm and most of the low MCAT students don't take it. If all DO students took Step I honestly believe the average score for DOs would be in the 210's.

There is nothing false about them saying if you had a low first MCAT score that you are at significant risk of underperforming.
Yes, I can agree with that. But how low of an MCAT though? They didn't define low? Low may fall on different brackets for different people. Also, do they account for people that had low MCAT maybe because English was their second or third language? What about people that just didn't study well on their first MCAT, and killed it on their second go around?
 
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Yes, I can agree with that. But how low of an MCAT though? They didn't define low? Low may fall on different brackets for different people. Also, do they account for people that had low MCAT maybe because English was their second or third language? What about people that just didn't study well on their first MCAT, and killed it on their second go around?

Yes, the cutoffs for "low" might be arbitrary and there are other mitigating factors that go into a poor MCAT performance. That isn't the point.

At the end of the day the biggest predictor of future performance is past performance. If you've struggled with standardised testing in the past (and in many cases ended up in a DO school precisely because of difficulties with standardised testing) why would anyone assume that you would suddenly turn it around for arguably the most consequential exam of your career? Even if you take those mitigating factors you mentioned into account - why would anyone assume that they suddenly changed in two years?

Sure, people sometimes surprise you and really blossom and excel in medical school. More often though, you find people regressing to the mean of whatever new cohort they find themselves in.
 
I agree with everything except for the low first time MCAT criteria. It is a confusing critaria.Time and time again people that had a low MCAT do well on the USMLE. More than 50% of DOs (most with low MCATs) take the USMLE every year with a 96% or above passing rate. So how low of an MCAT score are we talking about? Lower than 500? Lower than 496? Is just above 500 (501-503) not low?

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Nearly 80 percent of the 300 students who were admitted to MSUCOM in 2019 are Michigan residents. 15 percent of the class are from groups underrepresented in medicine; 36 percent are persons of color; 16 percent are first generation college students; 19 percent are non-traditional students. Average MCAT is 507 and science GPA is 3.7. Fully 6,155 persons applied for admission to this class -- a 9.4 percent increase over 2018.
So 501-503 would certainly be a low MCAT for MSUCOM.
 
So my school keeps pushing the idea that after the merger, the COMLEX should be exactly equal to the USMLE. Even mentioning step 1, seems kind of taboo. But can’t this type of advice screw students over?

I’m starting to feel that the only reason there is still a COMLEX after the merger is because it generates revenue

Welcome welcome, stay a while.
 
The other trend we might see is having them make the COMLEX more difficult over the years

I’ve seen a lot of med students focus on just Step 1, and then take the COMLEX a week later after cramming the OMM content
 
The other trend we might see is having them make the COMLEX more difficult over the years

I’ve seen a lot of med students focus on just Step 1, and then take the COMLEX a week later after cramming the OMM content
This is already happening. People used to get 650+ on comlex and not be able to pass step. Now it would be very surprising for anyone with that comlex not to get AT LEAST an average score on step.
 
This is already happening. People used to get 650+ on comlex and not be able to pass step. Now it would be very surprising for anyone with that comlex not to get AT LEAST an average score on step.


I think it honestly depends on what programs you’re targeting. A residency that was former AOA for many years will know how to interpret COMLEX scores and stuff. But a lot of 2nd years aren’t sure if they only want to go for those programs or apply with a “mixed” ranked list of both ACGME and former AOA

I feel like the school’s advice can screw people over if they take it face value
 
I think it honestly depends on what programs you’re targeting. A residency that was former AOA for many years will know how to interpret COMLEX scores and stuff. But a lot of 2nd years aren’t sure if they only want to go for those programs or apply with a “mixed” ranked list of both ACGME and former AOA

I feel like the school’s advice can screw people over if they take it face value
Just my experience with the programs at my site, but I don’t think they realize/care about the score fluctuations year to year. They just set it at the number they set it at and call it. So I’m skeptical that even our former AOA programs really know that a 550 one year isn’t the same as a 550 the next.
 
Just my experience with the programs at my site, but I don’t think they realize/care about the score fluctuations year to year. They just set it at the number they set it at and call it. So I’m skeptical that even our former AOA programs really know that a 550 one year isn’t the same as a 550 the next.

Same. Programs set a cutoff and rarely do they change.
 
Yes, the cutoffs for "low" might be arbitrary and there are other mitigating factors that go into a poor MCAT performance. That isn't the point.

At the end of the day the biggest predictor of future performance is past performance. If you've struggled with standardised testing in the past (and in many cases ended up in a DO school precisely because of difficulties with standardised testing) why would anyone assume that you would suddenly turn it around for arguably the most consequential exam of your career? Even if you take those mitigating factors you mentioned into account - why would anyone assume that they suddenly changed in two years?

Sure, people sometimes surprise you and really blossom and excel in medical school. More often though, you find people regressing to the mean of whatever new cohort they find themselves in.
Bc undergrad doesn't prepare you for MCAT.
But med school prepares you for COMLEX/USMLE.
 
I agree with everything except for the low first time MCAT criteria. It is a confusing critaria.Time and time again people that had a low MCAT do well on the USMLE. More than 50% of DOs (most with low MCATs) take the USMLE every year with a 96% or above passing rate. So how low of an MCAT score are we talking about? Lower than 500? Lower than 496? Is just above 500 (501-503) not low?

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BIG FACTS !
 
The link between MCAT score and USMLE Step 1 score is well established. If it was not predictive, then it would be stupid to use MCAT scores as an admission criteria imo.
1574291757917.png



We computed Pearson product-moment correlation coefficients to assess the general relationship between MCAT composite scores and USMLE exam scores. We found positive correlations for both Step 1 (r=0.39, p<0.001) and Step 2 CK (r=0.31, p<0.001). These results indicate significant moderately positive relationships between MCAT composite scores and USMLE exam scores.
USMLE Step 1 score increased 3.548 points for each point on the MCAT BS component, 2.215 points for each point on the MCAT PS component, and 0.748 points for each point on the MCAT VR component.
 
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Bc undergrad doesn't prepare you for MCAT.
But med school prepares you for COMLEX/USMLE.

That's not entirely true.

Med school prepares you to pass the boards, but your actual performance is largely a result of self study, much like the MCAT. Your school has almost no say over whether or not you get a 210 or 250, much like how your undergrad has little say in whether or not you get a 490 or 520. It's mostly on your own shoulders.
 
That's not entirely true.

Med school prepares you to pass the boards, but your actual performance is largely a result of self study, much like the MCAT. Your school has almost no say over whether or not you get a 210 or 250, much like how your undergrad has little say in whether or not you get a 490 or 520. It's mostly on your own shoulders.
I agree with that. I was implying pass. That's why pass rate is so high for boards for med students.
MCAT is a **** show honestly.
 
Did this recently change?
When I took it (approx 7 years ago), the rule was you HAD to report USMLE if you had taken it
There was a rule change yes. Although I’m not sure when exactly it happened. The current deans from my experience still don’t know about the rule change.
 
I agree with that. I was implying pass. That's why pass rate is so high for boards for med students.
MCAT is a **** show honestly.

The document presented by MSU is clearly talking about doing well and not just passing.
 
I’ve seen a lot of med students focus on just Step 1, and then take the COMLEX a week later after cramming the OMM content

I don't know why DO students do this. One of the few benefits of being a DO student is being able to take step 1 towards the end of 3rd year. You'd have a whole year of clinicals which imho helps tremendously with step due to the question format.
 
I don't know why DO students do this. One of the few benefits of being a DO student is being able to take step 1 towards the end of 3rd year. You'd have a whole year of clinicals which imho helps tremendously with step due to the question format.

Because it works?

Personally if I had to take Step after rotations I would not have scored what I did. You then have to turn around and take Step 2 right afterwards because being DOs we aren’t given the benefit of being able to take Step 2 later like MD students do, because programs want to see us have a score.
 
I don't know why DO students do this. One of the few benefits of being a DO student is being able to take step 1 towards the end of 3rd year. You'd have a whole year of clinicals which imho helps tremendously with step due to the question format.

Rotations do not help with Step 1 at all, in my opinion, since its mostly “book learning”.
 
The link between MCAT score and USMLE Step 1 score is well established. If it was not predictive, then it would be stupid to use MCAT scores as an admission criteria imo.
View attachment 286847


We computed Pearson product-moment correlation coefficients to assess the general relationship between MCAT composite scores and USMLE exam scores. We found positive correlations for both Step 1 (r=0.39, p<0.001) and Step 2 CK (r=0.31, p<0.001). These results indicate significant moderately positive relationships between MCAT composite scores and USMLE exam scores.
USMLE Step 1 score increased 3.548 points for each point on the MCAT BS component, 2.215 points for each point on the MCAT PS component, and 0.748 points for each point on the MCAT VR component.
It makes sense for them to be related and anyone who disagrees is probably just upset because they had a lower MCAT score. I think the important point to realize is that the MCAT is predictive if you studied correctly and put close to 100% effort into it. Obviously, if you studied your butt off and then pulled a sub-500 score, you're not likely to study your butt off and get a 250+ on Step 1. Sure, it's possible, but not likely. On the other hand, if you barely studied for the MCAT, rolled in and got a 505+, and now you're grinding hard for Step, that's a different story.
 
It makes sense for them to be related and anyone who disagrees is probably just upset because they had a lower MCAT score. I think the important point to realize is that the MCAT is predictive if you studied correctly and put close to 100% effort into it. Obviously, if you studied your butt off and then pulled a sub-500 score, you're not likely to study your butt off and get a 250+ on Step 1. Sure, it's possible, but not likely. On the other hand, if you barely studied for the MCAT, rolled in and got a 505+, and now you're grinding hard for Step, that's a different story.
VCOM takes in a whole slue of kids from the post-bacc with sub 500 MCAT's. These students are in Honors with the best of us and have gotten 90th percentile scores on Step in recent years. I just have a hard time believing MCAT and Boards are correlated heavily. If anything look at one's pre-clinical GPA.
 
VCOM takes in a whole slue of kids from the post-bacc with sub 500 MCAT's. These students are in Honors with the best of us and have gotten 90th percentile scores on Step in recent years. I just have a hard time believing MCAT and Boards are correlated heavily. If anything look at one's pre-clinical GPA.
You missed my point. You have no idea how those people prepped for the MCAT vs. how they prepped for Step 1. That's the deciding factor, in my opinion. Also, I highly doubt every single one of those sub-500 MCATs are in honors and crushing boards. Pre-clinical GPA is too variable and dependent on curriculum.
 
VCOM takes in a whole slue of kids from the post-bacc with sub 500 MCAT's. These students are in Honors with the best of us and have gotten 90th percentile scores on Step in recent years. I just have a hard time believing MCAT and Boards are correlated heavily. If anything look at one's pre-clinical GPA.

1. Some of those students are honors with high scores at my school as well, most of them are not. Outliers are not a good argument.

2. You can have a hard time believing it all you want, but there is lots of data on this that shows a definite correlation that is statistically described as moderate.

No one is saying that these statistics hold true for every single individual, however it is 100% accurate to say that a low MCAT score puts you at significant risk for performing poorly on Step. Remember we aren’t talking about passing we are talking about doing well, whatever a school decides that means.
 
Not sure why anyone tries to predict step with things like preclinical gpa or especially the mcat. Even after uworld, a couple nbmes, and both uwsa’s I was only confident about my score with a 20 point range.
 
You missed my point. You have no idea how those people prepped for the MCAT vs. how they prepped for Step 1. That's the deciding factor, in my opinion. Also, I highly doubt every single one of those sub-500 MCATs are in honors and crushing boards. Pre-clinical GPA is too variable and dependent on curriculum.
As you stated - those that don't have high MCAT's don't want there to be a correlation. I'm starting to believe you had a higher MCAT and also are reaching for a more signifacant correlation than there actually is.

Good luck with your studies.
 
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Of course there is a correlation between MCAT score and Step 1, but I read somewhere that MCAT has a high predictive value in identifying students who are likely to fail than predicting their success. In other words, once we are all in medical schools, we are at the same playing field, and its how we prepare for exams that will predict our score.
 
Of course there is a correlation between MCAT score and Step 1, but I read somewhere that MCAT has a high predictive value in identifying students who are likely to fail than predicting their success. In other words, once we are all in medical schools, we are at the same playing field, and its how we prepare for exams that will predict our score.

1574404563108.png
 
Same. Programs set a cutoff and rarely do they change.
This is in general true. However, I have noticed an increase in the cut offs for many programs this year, which I think is related to 2019s bloated scores.
 
Also that graph for sub-500 scores is useless. Look at the variation.
I think maybe super high MCAT's = high board scores. But lower-avg MCAT's are poorly associated with a certain board score.

The fact that a 472 MCAT is seen with passing Boards gives me an idea that this graph is useless haha.
 
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No, it’s directly addressing the false assumption that higher MCAT’s aren’t related to higher Step scores.

Don’t move the goal posts.
What I said is true as well which is surprising nonetheless. I thought a 472 MCAT would fail med school. I guess this assumption was wrong. Yes higher MCAT may be associated with high scores. But why does it matter if someone got a 210 vs 280. Both people are Doctors? Also, does 280 translates to better patient care?

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