USMLE Official 2020 Step 1 Experiences and Scores Thread

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If the 20+ NBMEs are trash then which ones are the good ones? Can somebody please rank them for me, I legit have no idea which ones are worth doing anymore.

23 and 24 were really close for me score wise. They under predicted slightly for and the UWSA's over predicted a tad. I feel like the grading curve on 23/24 is much more realistic, a 240 is like 81% or something.
Because **** you, that’s why.

Honestly though, it’s probably just gross incompetence and poor leadership response and coordination creating a **** show.

This is pretty much medical education in a nutshell lol

Sorry this is happening to you all. This really does suck something terrible.
 
23 and 24 were really close for me score wise. They under predicted slightly for and the UWSA's over predicted a tad. I feel like the grading curve on 23/24 is much more realistic, a 240 is like 81% or something.


This is pretty much medical education in a nutshell lol

Sorry this is happening to you all. This really does suck something terrible.

In your opinion, is there any chance these ***** (likely ivy league) deans could actually get Step 1 moved to P/F immediately? I really don't see how they could but nothing surprises me these days.
 
According to a moderator on Reddit, some people have had dates canceled without being notified by Prometric and instead found out through their date no longer showing up on their NBME account. I’d check it at least once daily moving forward to be safe.

And if you’re lucky enough to actually get an email from Prometric notifying you of an appointment cancellation, apparently they aren’t specifying which exam it is if you’re a DO student taking both. Go to their site, select appointment confirmation and type in the confirmation number they gave you when you registered along with the first 4 letters of your last name and it will confirm your appointment if you still have one.
 
According to a moderator on Reddit, some people have had dates canceled without being notified by Prometric and instead found out through their date no longer showing up on their NBME account. I’d check it at least once daily moving forward to be safe.

And if you’re lucky enough to actually get an email from Prometric notifying you of an appointment cancellation, apparently they aren’t specifying which exam it is if you’re a DO student taking both. Go to their site, select appointment confirmation and type in the confirmation number they gave you when you registered along with the first 4 letters of your last name and it will confirm your appointment if you still have one.
So if it still says scheduled on the NBME website we're good?

I also suspect that they're not sending out June updates yet. It seems like everyone who got a June date cancelled was in that one Fort Wayne site that's closed till July 31st.
 
So if it still says scheduled on the NBME website we're good?

I also suspect that they're not sending out June updates yet. It seems like everyone who got a June date cancelled was in that one Fort Wayne site that's closed till July 31st.

If you haven’t gotten an email from Prometric and you still have a date scheduled on your NBME account, I think that means you’re good (for now at least). And yeah no one in my class has had anything canceled yet and most of us have June dates so hopefully they hold off on us for a little while until they are certain cancellations are necessary.
 
Just finished Rx (although it's telling me I have 1 unanswered question, but when I go to create a test it says I have 0 unused questions so whatever). 72% correct, score predictor at 266 which is obviously never going to happen but I'll take 30 points less than that.
72% is really good. Think I finished around there with a 74% and avging 75% on UW so id imaging youll start out on UW around the same spot which I think is pretty good. Gone are the days of “10% answered correctly”
 
Guess I'm devil's advocate as per usual! I think the early P/F has some legs on it. I see no other way to rescue thousands of MS2s from a 5-6 month dedicated where they constantly believe they're about to test before repeated delays. Many could even have to sit for Step in the middle of a life crushing rotation like Surgery.

As bad as getting a Pass may seem, doesn't that **** sound even more intolerable? Y'all are really down to be yanked around until July or August when you may have to shoehorn your Step 1 test day into a busy week on surgery or obstetrics? That sounds even worse to me
 
Guess I'm devil's advocate as per usual! I think the early P/F has some legs on it. I see no other way to rescue thousands of MS2s from a 5-6 month dedicated where they constantly believe they're about to test before repeated delays. Many could even have to sit for Step in the middle of a life crushing rotation like Surgery.

As bad as getting a Pass may seem, doesn't that **** sound even more intolerable? Y'all are really down to be yanked around until July or August when you may have to shoehorn your Step 1 test day into a busy week on surgery or obstetrics? That sounds even worse to me

They literally made a public statement saying this wasn't a possibility and listed a massive pile of reasons. To renege on that this quickly would be a massive lawsuit. Not to mention they would suddenly be yanking away the scores of all the people who have already taken it this year. It just isn't going to happen.
 
They literally made a public statement saying this wasn't a possibility and listed a massive pile of reasons. To renege on that this quickly would be a massive lawsuit. Not to mention they would suddenly be yanking away the scores of all the people who have already taken it this year. It just isn't going to happen.
To renege prior to March, I agree. But when it reaches the point where people are studying 5 months to hear it's delayed (for the 3rd time) only 48 hours beforehand? I don't imagine the deans are going to hear their thousands of MS2s cry "Save Us!" and whisper "No"

Whether the NBME wants to argue its duty is to "stakeholders" first, and to the medical education system second, I guess we will see. I don't think they can point to their blog post as a good defense if the majority of their testing population and the AAMC are saying this situation is not acceptable.
 
I'll add that earlier this year, it was common sense that there was 0% chance of a Pass/Fail change occurring in the next couple years, if it was going to happen at all.

Wouldn't be our first time getting surprised.
 
Guess I'm devil's advocate as per usual! I think the early P/F has some legs on it. I see no other way to rescue thousands of MS2s from a 5-6 month dedicated where they constantly believe they're about to test before repeated delays. Many could even have to sit for Step in the middle of a life crushing rotation like Surgery.

As bad as getting a Pass may seem, doesn't that **** sound even more intolerable? Y'all are really down to be yanked around until July or August when you may have to shoehorn your Step 1 test day into a busy week on surgery or obstetrics? That sounds even worse to me
As a DO student lol yes i would rather get a numerical score and have to take Step 1 during surgery than take a pass fail step. 2-3 months of hell to match the specialty of my dreams at the program I want vs pass/fail exam and have all my hard work go to **** and be limited to community programs and family medicine? id rather go through hell for a few months of my life 10 times out of 10. I dont go to harvard or hopkins lol if i did then P/F step all the way!
 
To renege prior to March, I agree. But when it reaches the point where people are studying 5 months to hear it's delayed (for the 3rd time) only 48 hours beforehand? I don't imagine the deans are going to hear their thousands of MS2s cry "Save Us!" and whisper "No"

Whether the NBME wants to argue its duty is to "stakeholders" first, and to the medical education system second, I guess we will see. I don't think they can point to their blog post as a good defense if the majority of their testing population and the AAMC are saying this situation is not acceptable.

The majority of their testing population does not want a P/F Step....
I'll add that earlier this year, it was common sense that there was 0% chance of a Pass/Fail change occurring in the next couple years, if it was going to happen at all.

Wouldn't be our first time getting surprised.

Completely different. We thought there was 0% chance but knew it was on the table and being actively discussed.

We will see what happens but honestly I would bet my entire medical career on the fact they don't implement P/F. It's not feasible given the timeframe, and quite frankly it's most likely not legal. Their blog post was the equivalent of an official statement and would be treated as such in any legal proceedings.
 
To renege prior to March, I agree. But when it reaches the point where people are studying 5 months to hear it's delayed (for the 3rd time) only 48 hours beforehand? I don't imagine the deans are going to hear their thousands of MS2s cry "Save Us!" and whisper "No"

Whether the NBME wants to argue its duty is to "stakeholders" first, and to the medical education system second, I guess we will see. I don't think they can point to their blog post as a good defense if the majority of their testing population and the AAMC are saying this situation is not acceptable.

A friend of mine said that while the deans at their school want P/F now, they know it's not just a button they can push when it suits them. There's a reason the original announcement said 2022 at the earliest because there has to be an adjustment period for a change of this magnitude. I'm an M2 right now about to go into dedicated with a June test date and every day feels like a game of Russian roulette on whether or not I'll hear something from Prometric and I am still staunchly against a P/F immediate transition. I have worked my butt off for 2 years to put myself in position to get the score I want on Step for the specialty I want (especially important as a DO student) and to have that snatched away in the 11th hour with no time to figure out a feasible alternative would be the worst thing imaginable, even more so than having to study for it during rotations. That would only increase my stress and anxiety, not help me out in any way.

And I really don't see the benefit to the medical education system of making it P/F right now when what would happen is either students having a numerical score they worked hard for redacted or students with only a P competing against those who have a numerical score when applying for residency. Both have grounds for legal action so who really wins here? And you're only putting all the stress and anxiety off a year to step 2, not eliminating it entirely. How do we know things will be 100% back to normal by this time next year?
 
Guess I'm devil's advocate as per usual! I think the early P/F has some legs on it. I see no other way to rescue thousands of MS2s from a 5-6 month dedicated where they constantly believe they're about to test before repeated delays. Many could even have to sit for Step in the middle of a life crushing rotation like Surgery.

As bad as getting a Pass may seem, doesn't that **** sound even more intolerable? Y'all are really down to be yanked around until July or August when you may have to shoehorn your Step 1 test day into a busy week on surgery or obstetrics? That sounds even worse to me

Are you serious? No, I'd rather wait in perpetuity than have the exam I've been studying for over a year suddenly made meaningless
 
The majority of their testing population does not want a P/F Step....


Completely different. We thought there was 0% chance but knew it was on the table and being actively discussed.

We will see what happens but honestly I would bet my entire medical career on the fact they don't implement P/F. It's not feasible given the timeframe, and quite frankly it's most likely not legal. Their blog post was the equivalent of an official statement and would be treated as such in any legal proceedings.
I mean have they actually posted anything more than this little corporate-speak deflection towards "complexity" and "stakeholders"?

I think USMLE should institute Pass/Fail scoring for the Step 1 examination as soon as possible because of all the stresses on examinees due to the COVID-19 pandemic. Is this a possibility?

No. The decision to move to a Pass/Fail scoring system for Step 1 impacts many individuals and stakeholders beyond USMLE and will require a considerable amount of time and coordination among many in medical education and licensing to implement successfully. Any effort to accelerate this change could introduce further stress in an already complex system.

A friend of mine said that while the deans at their school want P/F now, they know it's not just a button they can push when it suits them. There's a reason the original announcement said 2022 at the earliest because there has to be an adjustment period for a change of this magnitude. I'm an M2 right now about to go into dedicated with a June test date and every day feels like a game of Russian roulette on whether or not I'll hear something from Prometric and I am still staunchly against a P/F immediate transition. I have worked my butt off for 2 years to put myself in position to get the score I want on Step for the specialty I want (especially important as a DO student) and to have that snatched away in the 11th hour with no time to figure out a feasible alternative would be the worst thing imaginable, even more so than having to study for it during rotations. That would only increase my stress and anxiety, not help me out in any way.

And I really don't see the benefit to the medical education system of making it P/F right now when what would happen is either students having a numerical score they worked hard for redacted or students with only a P competing against those who have a numerical score when applying for residency. Both have grounds for legal action so who really wins here? And you're only putting all the stress and anxiety off a year to step 2, not eliminating it entirely. How do we know things will be 100% back to normal by this time next year?
I can def see why DO students aiming at competitive matches would be willing to tolerate Hell itself for six months for a numerical score.

But stepping back to look at it more broadly, you've got to imagine you're the typical US MD student that composes most of the testing population. As Joe Average, surely you might rather move the P/F change sooner than deal with 5+ months of dedicated culminating in the middle of a rotation. Maybe dedicated was a different experience for people who Zankied in preclinicals, but if my two month dedicated had turned into six months, I would've just left for a research year. You can't put thousands of US MD MS2s in that situation and think the majority will want to tough it out.
 
I can def see why DO students aiming at competitive matches would be willing to tolerate Hell itself for six months for a numerical score.

But stepping back to look at it more broadly, you've got to imagine you're the typical US MD student that composes most of the testing population. As Joe Average, surely you might rather move the P/F change sooner than deal with 5+ months of dedicated culminating in the middle of a rotation. Maybe dedicated was a different experience for people who Zankied in preclinicals, but if my two month dedicated had turned into six months, I would've just left for a research year. You can't put thousands of US MD MS2s in that situation and think the majority will want to tough it out.
I dunno, I appreciate your perspective but don't you go to a top school, and weren't you also someone who didn't really start studying for Step till dedicated? I'd much rather be in this hell for the next few months than have the last 2 years of my life, days of which were hell smashing the space bar, be meaningless. I'm sure anyone, even your "average Joe" who didn't Zanki, wouldn't want to have gone through weeks of dedicated and then be told the exam is going P/F. That's the kind of thing people need to know about at least a year in advance, so they know how much effort to put into their studying. The only people that would advocate for this, just like the only people who advocated for P/F Step in the first place, are people at top schools and people who know they won't do well. This does nothing to solve the problem of the backlog and the NBME would be better off trying to figure out an alternative testing solution than making Step P/F, that doesn't actually address the problem of having to wait months to test.
 
I mean have they actually posted anything more than this little corporate-speak deflection towards "complexity" and "stakeholders"?

I think USMLE should institute Pass/Fail scoring for the Step 1 examination as soon as possible because of all the stresses on examinees due to the COVID-19 pandemic. Is this a possibility?

No. The decision to move to a Pass/Fail scoring system for Step 1 impacts many individuals and stakeholders beyond USMLE and will require a considerable amount of time and coordination among many in medical education and licensing to implement successfully. Any effort to accelerate this change could introduce further stress in an already complex system.


I can def see why DO students aiming at competitive matches would be willing to tolerate Hell itself for six months for a numerical score.

But stepping back to look at it more broadly, you've got to imagine you're the typical US MD student that composes most of the testing population. As Joe Average, surely you might rather move the P/F change sooner than deal with 5+ months of dedicated culminating in the middle of a rotation. Maybe dedicated was a different experience for people who Zankied in preclinicals, but if my two month dedicated had turned into six months, I would've just left for a research year. You can't put thousands of US MD MS2s in that situation and think the majority will want to tough it out.

With all due respect, I'm not going to imagine I'm anyone except me and I would be absolutely screwed over by this. I'm also not sure what to make of the implication that MD students are more important than DO students. And outside of the Harvards and Yales of the world, MD students don't benefit from P/F Step either and most of them know it. My friend is an MD student at a lower tier school aiming for a competitive specialty who just had their Step 1 moved from late May to mid July in another state in the middle of their rotations and they're not in favor of P/F Step either despite the circumstances.

It's also quite interesting to see the schools that the students advocating for P/F right now attend when they were responding to the USMLE's statement on Twitter. And yes it's on their official website so it counts as an official statement, and their official Twitter account posted this blurb specifically referring to it as a statement.
 
I dunno, I appreciate your perspective but don't you go to a top school, and weren't you also someone who didn't really start studying for Step till dedicated? I'd much rather be in this hell for the next few months than have the last 2 years of my life, days of which were hell smashing the space bar, be meaningless. I'm sure anyone, even your "average Joe" who didn't Zanki, wouldn't want to have gone through weeks of dedicated and then be told the exam is going P/F. That's the kind of thing people need to know about at least a year in advance, so they know how much effort to put into their studying. The only people that would advocate for this, just like the only people who advocated for P/F Step in the first place, are people at top schools and people who know they won't do well. This does nothing to solve the problem of the backlog and the NBME would be better off trying to figure out an alternative testing solution than making Step P/F, that doesn't actually address the problem of having to wait months to test.
Pretty sure efle goes to a top 5 medical school. I love the guy hes really helpful with a lot of things on here but I dont agree with wanting Step to be P/F. I would literally cry like a 2 year old if that happened lmao
 
To renege prior to March, I agree. But when it reaches the point where people are studying 5 months to hear it's delayed (for the 3rd time) only 48 hours beforehand? I don't imagine the deans are going to hear their thousands of MS2s cry "Save Us!" and whisper "No"

Whether the NBME wants to argue its duty is to "stakeholders" first, and to the medical education system second, I guess we will see. I don't think they can point to their blog post as a good defense if the majority of their testing population and the AAMC are saying this situation is not acceptable.

Idk about any legal arguments, but they’ve been clear that it’s not happening.

And by “stakeholders” they mean everyone involved. People keep twisting that word into something it’s not. It’s not synonymous with “investors”. It includes medical education, students, testing organizations, licensing systems, etc. It’s a huge mess of bureaucracy and that’s why it’s not going to happen overnight even if most people wanted it to (which they don’t anyways), especially in a situation where these systems are already overload with other problems. They said 2022 at the earliest; that’s because of the massive amount of paper pushing and bureaucracy the change would entail. It’s a pretty clear no.

On the topic of having to study during July/August rotations, I think a significant number of schools are going to be having online rotations to begin anyways. My school is already pretty sure of it, and from trying to schedule electives I know that hospitals in my area and even neighboring states aren’t very willing to accept students even into September right now.

There’s lots of other stuff to worry about, but Step 1 going P/F right now is not one of them. And we shouldn’t be getting people worried about that on SDN or Reddit in my opinion.

In terms of medical education, I’d be more worried about your rotations considering a second wave is likely to hit at some point once restrictions are relaxed. It’s going to be ****ty if we have online rotations intermittently for half of our 3rd year.
 
It's also quite interesting to see the schools that the students advocating for P/F right now attend when they were responding to the USMLE's statement on Twitter. And yes it's on their official website so it counts as an official statement, and their official Twitter account posted this blurb specifically referring to it as a statement.
Noticed that lol. Also noticed the same thing on Reddit, most people are against this except for the few that you could tell were from top schools. NBME and USMLE can stick their heads as far up their butts as they want, but we all know the majority of test takers didn't want P/F Step when it was originally passed, let alone now. There was a reason why you only read articles about it from students at T10 schools.
 
Noticed that lol. Also noticed the same thing on Reddit, most people are against this except for the few that you could tell were from top schools. NBME and USMLE can stick their heads as far up their butts as they want, but we all know the majority of test takers didn't want P/F Step when it was originally passed, let alone now. There was a reason why you only read articles about it from students at T10 schools.

I still fail to see how changing it to P/F right now solves the real problem which is the massive back log of students the late March and April cancellations created as well as the further back log to come due to the 50% reduction in May and June. Maybe I'm missing something but how does making that change solve the problem at hand?
 
I still fail to see how changing it to P/F right now solves the real problem which is the massive back log of students the late March and April cancellations created as well as the further back log to come due to the 50% reduction in May and June. Maybe I'm missing something but how does making that change solve the problem at hand?

I think it does solve the backlog. Instead of an unexpected 10 week delay being a repeat of 50+ hours/week studying, now it's two months of rotations or research or whatever you want, and then doing enough review for a couple weeks to comfortably pass. It's really, really ****ing hard to fail Step 1 as a US med student unless you've got a long history of struggling with exams. Being able to take it anytime in the next 18 months with no higher bar than Pass is far and away the best way to deal with the overcrowding/backlog right now, imho.
 
I still fail to see how changing it to P/F right now solves the real problem which is the massive back log of students the late March and April cancellations created as well as the further back log to come due to the 50% reduction in May and June. Maybe I'm missing something but how does making that change solve the problem at hand?
It doesn't. At all. What would is either contracting with other companies that offer secure test taking, or letting schools administer the exam.

Also, IHME models allow for minimizing of social distancing (the way it currently is) by mid-June for most states, so maybe Prometric won't even be doing the 50% thing by then.
 
With all due respect, I'm not going to imagine I'm anyone except me and I would be absolutely screwed over by this. I'm also not sure what to make of the implication that MD students are more important than DO students. And outside of the Harvards and Yales of the world, MD students don't benefit from P/F Step either and most of them know it. My friend is an MD student at a lower tier school aiming for a competitive specialty who just had their Step 1 moved from late May to mid July in another state in the middle of their rotations and they're not in favor of P/F Step either despite the circumstances.

It's also quite interesting to see the schools that the students advocating for P/F right now attend when they were responding to the USMLE's statement on Twitter. And yes it's on their official website so it counts as an official statement, and their official Twitter account posted this blurb specifically referring to it as a statement.
Maybe specialty choice is a better lense than school attended. I can see why a future Ortho or ENT or whatever would brave Hell for a numerical score, whether they're DO or MD. But, much like with medical school admissions, SDN tends to be an echo chamber for the hyper-elite to discuss the most competitive pursuits. Most med students don't depend on a high score enough to warrant suffering what's currently in front of them.
 
Being able to take it anytime in the next 18 months with no higher bar than Pass is far and away the best way to deal with the overcrowding/backlog right now, imho.
Or they could just do what they're currently planning on doing, which is add Sunday dates and night hours? There's no reason for the measure taken to be so drastic.
 
Maybe specialty choice is a better lense than school attended. I can see why a future Ortho or ENT or whatever would brave Hell for a numerical score, whether they're DO or MD. But, much like with medical school admissions, SDN tends to be an echo chamber for the hyper-elite to discuss the most competitive pursuits. Most med students don't depend on a high score enough to warrant suffering what's currently in front of them.
I feel this is another cop out argument. I want to do IM, and my top factor in considering where I want to go for residency is location, so I'm targeting a lot of community programs. I'd still be super pissed if this happened. We want to show our merit because we want to get recognized for our hard work, not because we want to go into x speciality. Yeah of course if you're gunning for ortho there may be more pressure to get a higher score, but I think it's such a cop out argument to say that if you want to go into a specialty that's not as competitive you must not care about anything and you'd rather just coast.
 
I feel this is another cop out argument. I want to do IM, and my top factor in considering where I want to go for residency is location, so I'm targeting a lot of community programs. I'd still be super pissed if this happened. We want to show our merit because we want to get recognized for our hard work, not because we want to go into x speciality. Yeah of course if you're gunning for ortho there may be more pressure to get a higher score, but I think it's such a cop out argument to say that if you want to go into a specialty that's not as competitive you must not care about anything and you'd rather just coast.

Strongly agree with this. I want to do EM which really doesn't even prioritize Step 1 all that much and cares a lot more about Step 2 and especially SLOEs so a high Step 1 score is not imperative for me personally. But like you said, a good Step 1 score not only shows our merit but also keeps doors open should we decide we want to pursue them.
 
Or they could just do what they're currently planning on doing, which is add Sunday dates and night hours? There's no reason for the measure taken to be so drastic.
Hey man, if that works for your local prometrics, more power to you. Everything within 100 miles of me right now was booked out to late July or August before the 50% cancellations became known. The backlog will only continue to pile up during the limited capacity testing and I don't think adding a day will solve the issue. I also can't imagine overnight testing will be a popular option.

I completely agree this should be viewed as a drastic last resort. I just also think that looking at things from a population level, like Deans and the NBME do, it will become an increasingly reasonable option. For med students this feels like life and death. But to them it's a change that was going to happen in the next couple years anyways, why not consider doing it sooner because of COVID? They'd need some concrete reasons a lot more convincing than that lame FAQ saying it'll disrupt their synergy.

I feel this is another cop out argument. I want to do IM, and my top factor in considering where I want to go for residency is location, so I'm targeting a lot of community programs. I'd still be super pissed if this happened. We want to show our merit because we want to get recognized for our hard work, not because we want to go into x speciality. Yeah of course if you're gunning for ortho there may be more pressure to get a higher score, but I think it's such a cop out argument to say that if you want to go into a specialty that's not as competitive you must not care about anything and you'd rather just coast.
It's very noble that you care enough about displaying your hard work that you'd put youself through 5 months of dedicated, get cancelled on 48 hours beforehand, and shrug it off. But you've got to recognize most med students aiming for their hometown community IM programs would react to that scenario very differently.
 
Hey man, if that works for your local prometrics, more power to you. Everything within 100 miles of me right now was booked out to late July or August before the 50% cancellations became known. The backlog will only continue to pile up during the limited capacity testing and I don't think adding a day will solve the issue. I also can't imagine overnight testing will be a popular option.

I completely agree this should be viewed as a drastic last resort. I just also think that looking at things from a population level, like Deans and the NBME do, it will become an increasingly reasonable option. For med students this feels like life and death. But to them it's a change that was going to happen in the next couple years anyways, why not consider doing it sooner because of COVID? They'd need some concrete reasons a lot more convincing than that lame FAQ saying it'll disrupt their synergy.


It's very noble that you care enough about displaying your hard work that you'd put youself through 5 months of dedicated, get cancelled on 48 hours beforehand, and shrug it off. But you've got to recognize most med students aiming for their hometown community IM programs would react to that scenario very differently.
We can keep arguing back and forth, but I guess at the end of the day it doesn't matter because nothing we say will make an impact on the decision anyways. All we can do is wait and see. But, I think you're misunderstanding my point: I would be livid if my exam got cancelled at all, whether it was today or 2 days before I'm supposed to test. I would be upset, I would cry, it would crush me. But telling me that I can take it in 3-4 months and have it P/F would not make me feel any better. As mentioned, how would NBME address those who've already tested and would have scores applying with those of us who wouldn't? I mean, you want to provide an option for students to opt into P/F like most universities are doing, power to them.
 
We can keep arguing back and forth, but I guess at the end of the day it doesn't matter because nothing we say will make an impact on the decision anyways. All we can do is wait and see. But, I think you're misunderstanding my point: I would be livid if my exam got cancelled at all, whether it was today or 2 days before I'm supposed to test. I would be upset, I would cry, it would crush me. But telling me that I can take it in 3-4 months and have it P/F would not make me feel any better. As mentioned, how would NBME address those who've already tested and would have scores applying with those of us who wouldn't? I mean, you want to provide an option for students to opt into P/F like most universities are doing, power to them.
The point of talking about this stuff isn't to change it, just fodder for good discussion! In other words I like stirred pots.

I'm in the affected group who would be in a mixed cohort if it happens (some with scores who tested after MS2 and some with Pass who tested after MS3). I know many will discount it because they think school name is enough to ride to a dream match, but losing my ability to display my score would without a doubt hurt my competitiveness compared to if I could display it. I can relate to that anger of having your evidence of good performance wiped away. But I can see their angle for The Greater Good, and unless USMLE has a better answer than "it'll be a pain in the ass to accelerate," I'm a fan even to my own detriment.
 
The point of talking about this stuff isn't to change it, just fodder for good discussion! In other words I like stirred pots.

I'm in the affected group who would be in a mixed cohort if it happens (some with scores who tested after MS2 and some with Pass who tested after MS3). I know many will discount it because they think school name is enough to ride to a dream match, but losing my ability to display my score would without a doubt hurt my competitiveness compared to if I could display it. I can relate to that anger of having your evidence of good performance wiped away. But I can see their angle for The Greater Good, and unless USMLE has a better answer than "it'll be a pain in the ass to accelerate," I'm a fan even to my own detriment.
Lol fair enough, you did admit you love playing devil's advocate 😛

I just think it's not something they're considering; I think if it was something they wanted to leave on the table, they either wouldn't have responded to people asking about it (it was just a bunch of students on Twitter after all) or their statement would have been more vague. I don't think they would come out with a hard no and then revert it just because a few deans decided to ask for it. Even in their current FAQ, they mention that they're looking into alternative testing options but for the meantime would prefer to keep everything through Prometric, so it doesn't seem like suddenly having the exam given elsewhere would change their opinion on P/F considering both of those FAQ responses were posted together.

The topic of the greater good, as you put it, is a whole other argument that I'd rather not get into....I am very much against the "everybody gets a trophy" mentality in pretty much all aspects of life, but we could go down a rabbit hole with that one.
 
I mean have they actually posted anything more than this little corporate-speak deflection towards "complexity" and "stakeholders"?

I think USMLE should institute Pass/Fail scoring for the Step 1 examination as soon as possible because of all the stresses on examinees due to the COVID-19 pandemic. Is this a possibility?

No. The decision to move to a Pass/Fail scoring system for Step 1 impacts many individuals and stakeholders beyond USMLE and will require a considerable amount of time and coordination among many in medical education and licensing to implement successfully. Any effort to accelerate this change could introduce further stress in an already complex system.


I can def see why DO students aiming at competitive matches would be willing to tolerate Hell itself for six months for a numerical score.

But stepping back to look at it more broadly, you've got to imagine you're the typical US MD student that composes most of the testing population. As Joe Average, surely you might rather move the P/F change sooner than deal with 5+ months of dedicated culminating in the middle of a rotation. Maybe dedicated was a different experience for people who Zankied in preclinicals, but if my two month dedicated had turned into six months, I would've just left for a research year. You can't put thousands of US MD MS2s in that situation and think the majority will want to tough it out.
I'm an average joe that wants the second lowest specialty by step score and rather take it in the middle of surgery than P/F
 
I do admit the idea of universities proctoring USMLE just like they already proctor NBME Shelves makes a lot of sense.

I'd worry about cheating a lot though.

I'm an average joe that wants the second lowest specialty by step score and rather take it in the middle of surgery than P/F
Why?
 
Geez I leave to wash the dishes for one minute...

The point of talking about this stuff isn't to change it, just fodder for good discussion! In other words I like stirred pots.

I'm in the affected group who would be in a mixed cohort if it happens (some with scores who tested after MS2 and some with Pass who tested after MS3). I know many will discount it because they think school name is enough to ride to a dream match, but losing my ability to display my score would without a doubt hurt my competitiveness compared to if I could display it. I can relate to that anger of having your evidence of good performance wiped away. But I can see their angle for The Greater Good, and unless USMLE has a better answer than "it'll be a pain in the ass to accelerate," I'm a fan even to my own detriment.

1. You are greatly overestimating how many MDs are in favor of a P/F Step, let alone one implemented this year. I know a lot of medical students, the majority MD, and none of them wanted it and all were very upset when it was announced.

2. Lol there is absolutely zero chance our application cycle would be affected regardless. None. There are programs that already have a lot of students scores because of VSAS apps, they aren’t going to magically forget that report they read when you applied for an away rotation (RIP Aways).

3. P/F doesn’t help the backlog at all. It doesn’t increase the amount of seats or testing spots. There is no improvement “for the greater good” with a sudden implementation.
 
Geez I leave to wash the dishes for one minute...



1. You are greatly overestimating how many MDs are in favor of a P/F Step, let alone one implemented this year. I know a lot of medical students, the majority MD, and none of them wanted it and all were very upset when it was announced.

2. Lol there is absolutely zero chance our application cycle would be affected regardless. None. There are programs that already have a lot of students scores because of VSAS apps, they aren’t going to magically forget that report they read when you applied for an away rotation (RIP Aways).

3. P/F doesn’t help the backlog at all. It doesn’t increase the amount of seats or testing spots. There is no improvement “for the greater good” with a sudden implementation.
Remember that open commentary period that was a dead 50-50 split between student submissions favoring score and favoring pass/fail? Pepperidge farms remembers.

Like I said, there was also absolutely zero chance of P/F within two years. Then it happened. Back then all we knew was that INCUS was happening. Now all we know is that deans are pressing NBME on accelerating it. I find it unlikely, but far from ridiculous

It massively helps the backlog to tell everyone they can take it anytime in the next 18 months and only need a Pass. Most of the year there are empty seats at Prometrics up until just a couple weeks before you test. We have the capacity to spread everyone out over >1 year, we just don't have a way to deal with this cohort that are all studying up in the same window and stacking upon each other because nobody wants to delay even more.
 
I do admit the idea of universities proctoring USMLE just like they already proctor NBME Shelves makes a lot of sense.

I'd worry about cheating a lot though.


Why?
I bust my ass there past 2 years with a numeric value in mind. Plus I have regional preferences I wanna get and hope the step will help with that.
 
Was the student sample an adequate representation of the entire pool? I don’t remember seeing a breakdown.

Like I said, there was also absolutely zero chance of P/F within two years. Then it happened. Back then all we knew was that INCUS was happening. Now all we know is that deans are pressing NBME on accelerating it. I find it unlikely, but far from ridiculous

Again, completely different. Even though we never thought it would happen they explicitly told us that’s what they were discussing. We all knew it was at least on the table.

This is the exact opposite. An official statement says they will not consider an accelerated timeline to the P/F (yes it is an official statement). Deans can press all they like, an official statement has been made and deans are not the only stakeholders here. PD’s across the country would riot, as well as most students.
massively helps the backlog to tell everyone they can take it anytime in the next 18 months and only need a Pass. Most of the year there are empty seats at Prometrics up until just a couple weeks before you test. We have the capacity to spread everyone out over >1 year, we just don't have a way to deal with this cohort that are all studying up in the same window and stacking upon each other because nobody wants to delay even more.

Then get rid of the req that students need to take it to go on rotations... same timeline without such a drastic change that goes against what they’ve already said.
 
I had no idea people felt so invested in seeing fruit from their labor, when they aren't even hungry. All that knowledge you permanently crammed into your brain is still there. All the superior clerking and residenting and doctoring that I hear only happens from high scorers, that'll still be you. So why care at all about seeing the number if you know it's not changing the trajectory of your training?
 
I had no idea people felt so invested in seeing fruit from their labor, when they aren't even hungry. All that knowledge you permanently crammed into your brain is still there. All the superior clerking and residenting and doctoring that I hear only happens from high scorers, that'll still be you. So why care at all about seeing the number if you know it's not changing the trajectory of your training?
Because how do you know it doesn't? I'm in school in the Midwest. I want to go back home, which is South Florida. Not exactly NYC in terms of competitiveness, but not rural Montana either. My Step score is what I hope will open all the doors for me. How do you know I will have the same outcome without it?
 
Was the student sample an adequate representation of the entire pool? I don’t remember seeing a breakdown.



Again, completely different. Even though we never thought it would happen they explicitly told us that’s what they were discussing. We all knew it was at least on the table.

This is the exact opposite. An official statement says they will not consider an accelerated timeline to the P/F (yes it is an official statement). Deans can press all they like, an official statement has been made and deans are not the only stakeholders here. PD’s across the country would riot, as well as most students.


Then get rid of the req that students need to take it to go on rotations... same timeline without such a drastic change that goes against what they’ve already said.
No, the random sample surveys they sent out (that I was paid to fill out) never had their results released. But I'm making the point that other kinds of echo chambers also exist where everyone hates what the Step has become. We can write them off as elitists and idiots who couldn't score competitively, but they also have reasons for ignoring your view!

When did that FAQ about no accelerated timeline get posted?

Even for schools that are flexible with step timing, it's already gonna be a big problem for them to fit all our clerkships into the available time. Blocking out a dedicated period to re-study down the road is not something I'd be comfortable banking on if I was an MS2 given that option.
 
I had no idea people felt so invested in seeing fruit from their labor, when they aren't even hungry. All that knowledge you permanently crammed into your brain is still there. All the superior clerking and residenting and doctoring that I hear only happens from high scorers, that'll still be you. So why care at all about seeing the number if you know it's not changing the trajectory of your training?

But how do we know it wouldn't change the trajectory of our training? There's one program I'd like to go to in particular for residency that only takes one DO a year and you have to rotate with and really stand out to get ranked highly by them. In EM, while Step 1 doesn't mean a whole lot after getting an interview, it matters for getting aways which are necessary to get SLOEs so how am I to have a good chance at matching at this program I really like with just a P that does nothing to separate me from the other MD and DO students also vying for an rotation spot there?
 
Because how do you know it doesn't? I'm in school in the Midwest. I want to go back home, which is South Florida. Not exactly NYC in terms of competitiveness, but not rural Montana either. My Step score is what I hope will open all the doors for me. How do you know I will have the same outcome without it?
Because having a Pass along with everyone else won't be why you fail to match community PM&R in South Florida. For christs' sake you've still got a 80% match rate with a 20X score where they know you bombed the test. If you're having difficulty getting those interviews you've got bigger problems than a Pass.
 
But how do we know it wouldn't change the trajectory of our training? There's one program I'd like to go to in particular for residency that only takes one DO a year and you have to rotate with and really stand out to get ranked highly by them. In EM, while Step 1 doesn't mean a whole lot after getting an interview, it matters for getting aways which are necessary to get SLOEs so how am I to have a good chance at matching at this program I really like with just a P that does nothing to separate me from the other MD and DO students also vying for an rotation spot there?
This was specifically talking to someone interested in community hospital for a low-score specialty. If you want a 250 because it'll help your match in something like IM or EM and you're aiming high, then I think you fall in the same crowd as the surgical subspecialty people banking on their numbers for their match.
 
Because having a Pass along with everyone else won't be why you fail to match community PM&R in South Florida. For christs' sake you've still got a 80% match rate with a 20X score where they know you bombed the test. If you're having difficulty getting those interviews you've got bigger problems than a Pass.
It will be way you wont match PM&R the area the person you love is. Honestly learning medicine is a means to a end for me, it's not some trust for knowledge. A strong step will help me get to that goal better than a Pass
 
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