•••quote:•••Originally posted by rad:
•step 3 tests your clinical decision making ability. If anything this should be the best guage of who the "smartest". There are 9 cases on the test in addition to about 500 mcq where you enter orders and manage the patient in multiple patient care settings.•••••Rad,
While I agree with you in principle, I haven't taken the test so I cant say for sure. Your thoughts are very well taken.
I will say that I am very suspicious of any standardized exam predicting 'smarts'. That is not what they are designed to do, at least in regard to all of the standardized exams I have taken up until this point in my life. Most required so basal level of knowledge, but beyond that, enough studying will usually produce a fine score.
I would argue further, that academic cunning can often produce excellent results. When confronted with the dizzying array of shelf exams and USMLE I had to confront, I pursued a different approach to exam success. I opted to use the most efficient tools for exam success. For the USMLE, it meant memorizing every single one of their Q-Bank questions. While I didn't feel particularly gifted, I did have a great handle on medical trivia. Both step one and two turned out to be very manageable, and at times I felt as if I had seen many of the same questions before. Each of the shelf exams also had their best question/answer book.
Most of medical school and step one/two, represent intricate testing of one's ability to remember. Being able to remember is merely one aspect of being a good physician. A much larger part of clinical success is being able to function in this rigorous and fast paced environment. Additionally one must be able to get this knowledge from the head to the fingertips. This is no small feat, and the best physicians are quite often the worst test takers.
If one is interested in how 'smart' they really are, I would recommend an IQ test. While this exam too has it's limitations, it is perhaps the best method to evaluate intellectual ability.
I have to say that I really dread these kinds of exams, because they foster a kind of studying that, in my opinion, is inefficient in producing clinically knowledgeable providers. The newly imposed recertification requirements are an absolutely outrageous way to legally steal from fully trained and licensed health care providers. In short, IT SUCKS.
I envision a future where we are taught and tested in a clinically relevant way. Alas, the arab-israeli conflict is likely to be solved before that vision is realized.