Med school prof told me my class (2014) wouldn't even have to take step 1...and that we would just take 1 USMLE at the end.
Is this true? I've heard this from multiple sources...
Is this true? I've heard this from multiple sources...
Med school prof told me my class (2014) wouldn't even have to take step 1...and that we would just take 1 USMLE at the end.
Is this true? I've heard this from multiple sources...
They're combining step 1 and 2 in the next few years. My school is already preparing for that change.
They're combining step 1 and 2 in the next few years. My school is already preparing for that change.
I remember hearing this same rumor as a first year medical student. Four years ago. Don't be a sucker and fall for it until you see a firm commitment and date from the NBME.
They've been talking about combining steps 1 and 2 for a while now. It's been slowly moving toward that already. For instance, step 1 used to be questions on little factoids (i.e. what is the name of ___). Now, it's all in clinical vignette form. I think these are good changes and I hope they eventually combine it with step 2 to save us all some time and money.
thank goodness. i dont wanna be a guinea pig.
I think there have been talks of adding audio to step 1 such as heart sounds and breath sounds. I dont know if i like that. Maybe by step 2, i'll be more comfortable with that, but not step 1
New item formats will be introduced into the Step 2 CK exam during the latter half of 2011, and
into Steps 1 and 3 shortly thereafter. Formats may incorporate video materials, and may include
alternate response formats that more authentically simulate clinical practice.
-from the previously posted USMLE article
I think there have been talks of adding audio to step 1 such as heart sounds and breath sounds. I dont know if i like that. Maybe by step 2, i'll be more comfortable with that, but not step 1
I think there have been talks of adding audio to step 1 such as heart sounds and breath sounds. I dont know if i like that. Maybe by step 2, i'll be more comfortable with that, but not step 1
Had these on my step 1. Easy points, know what murmurs sound like and where they are best heard. No big deal really.
it has to be right if drbowtie says soNo chance that it would be implemented for C/O 2014.
I'm just hoping that things stay stable until 2016ish...when I actually apply to residency. It would be kind of a kick in the pants to take step I for absolutely no reason.
On the upside, it would be kind of old-school and endearing like applying with a paper and pencil MCAT score. Still, not much of an upside.
Paper and pencil MCAT is not old school. Hell, I took the 8 hour paper and pencil MCAT.
Paper and pencil MCAT is not old school. Hell, I took the 8 hour paper and pencil MCAT.
... I dont know how much additional resistance would have to be taken into account for Step 1. ...
The additional resistance comes from virtually every residency in the country, which now uses Step 1 as the primary basis upon which to compare applicants from different med schools. It's not a change in format they are talking about, they are talking about changing the test, combining it with another test that also factors into residency consideration for some students, and moving the timing of the test, which may make it difficult for residencies to consider usefully. This is a HUGE change, and there are tons of implications. It will take a lot of consideration, and residencies will have to figure out some other basis for comparing applicants, possibly putting greater emphasis on shelf exams, or creating their own specialty specific exams or the like. It's not something that gets announced one year and happens in the next. Once it is conclusively decided that it will happen, I suspect we are talking many years of addressing implications and revamping the residency application system before this actually happens. If it does. Don't try to compare it to a mere, paper or online transition where the test and its purpose largely stay the same. It's like comparing an apple to a watermellon.
My school is not even considering a change in Step I when they review their curriculum each year. According to the vice-dean, this is something that will happen, but is not even in the remote future. They have to make a decision to do it first, and then actually figure out how to replace it. I think we are looking at maybe 6-10 years before this thing gets changed, IMO.
They've been saying they're going to a combined step I/IICK to be taken at the end of 3rd year since I was a second year in med school (2006-2007). There was also talk of getting rid of CS because it's a horrible test and outrageously expensive. The reasoning for the step I/IICK was pretty solid too.....they evidently have been putting Step I style questions in Step II to see how much of this information is retained. As expected.....not much is retained, so their thinking is that we need emphasize the basic sciences much more during out clinical training years than we are now. I would agree with that too. The chief problem with all of this is that residencies would be unable to use a standardized test to weed through appicants since the absolute earliest anyone would take the exam would be the July after their 3rd year.
... So long as everyone takes the new step exam somewhere between July-Sept, there would be ample time to get the results for the residency application cycle. ...
Not really. There are currently early matches which need the scores earlier. You are also assuming the scores come out rapidly, rather than months later. Interviews for the regular match tend to start as early as October for some fields, so if the scores aren't back by then, this changes residency schedules.
You could simply adjust the timeline based on the residency you're applying to. If you're applying for early match, take it in July. If you're applying for radonc, derm, or plastics, take it later.
I am assuming the scores would come back in the same amount of time that they currently do. There's no reason that it should take longer than the current 3-4 weeks. Everything is electronic, they should be able to do it quicker, if anything.
It probably could be done, but it still changes everything. Heck, a lot of people take step 2 much later and use a vacation month to study for it. To combine Step 1 and push it into 3rd year means folks will need a block of time prior to that to study. Which I guess means you do away with second year summer and start the cores earlier. And may cut into early fourth year elective time that people currently use to figure out what they want to go into. It really shuffles everything around, and not in a positive way IMHO. I can't imagine this won't be met with huge resistance, both by residencies, and by the folks who organize the curriculum at med schools. All of whom are going to say, hey, what exactly is the problem with the current system. The answer to which likely eludes everyone other than those deadset on a change.
I've thought for awhile now that we could probably get rid of MS1 and MS2 summers, compact the preclinical curriculum into 18 months, and get out onto the wards earlier (U Penn does something like this). You could do Step 1 and 2 at month 18 and 30, or you could do just a combined exam at 30. The result would be an extended MS4: You'd still have time for elective/away rotations and get test results back before even the early match specialties. Jan-May, the usual "slacker time" of MS4, could be spent doing long-term research or more electives.It won't be easy, I'll give you that. Anything they do could easily result in a change for the worse.
I've thought for awhile now that we could probably get rid of MS1 and MS2 summers, compact the preclinical curriculum into 18 months, and get out onto the wards earlier (U Penn does something like this). .
I remember when Step 2 CS was just a horrible rumor...
FWIW, I think Step 1 is the most irrelevant test ever. I bet 90% of MDs would fail it if they had to take it again. Forcing med students to take it any time after the end of 2nd year (or retain most of that information past 2nd year) is cruel.
Considering how tired and burnt out i feel now, i dont know what i'd do if you told me i had another 3 months of school left from right now.
I've thought for awhile now that we could probably get rid of MS1 and MS2 summers, compact the preclinical curriculum into 18 months, and get out onto the wards earlier (U Penn does something like this). You could do Step 1 and 2 at month 18 and 30, or you could do just a combined exam at 30. The result would be an extended MS4: You'd still have time for elective/away rotations and get test results back before even the early match specialties. Jan-May, the usual "slacker time" of MS4, could be spent doing long-term research or more electives.
I agree that all med schools could take a page out of Baylor/Duke/UPenn handbook. Eliminating MSI Summer would be unfortunate, but not crippling, and our school barely has an MS2 Summer as it is. Something needs to be done to open up more elective time prior to match, so people can actually make an informed decision about their specialty.
In my post above, you can see that a lot of these can be done during the proposed extended 4th year.Instead of eliminating MSI summer, which I think is valuable as a lot of people use it for personal gain (getting married, traveling abroad, etc) or professional experience (clinical or research, etc)...
In my post above, you can see that a lot of these can be done during the proposed extended 4th year.
True. But most student's summer work doesn't result in a poster, let alone a paper. In your situation, you could have just carried out your project over MS1-MS3, instead of over the summer. If students want an intense research training experience (separate from CV enhancement), then the Penn plan would work better than the current schedule. And there's less play in MS3 than MS1 and MS2.True, but if you do research at the beginning of 4th year (even if it's an "early" 4th year) you probably won't have a chance to get any publications accepted if you do research.
I just think that my MS1 summer was very productive in terms of my CV, in ways that would not have been so if I had to do it after 3rd year.