Step 1: now pass/fail!

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How will this impact residency applications for 2022? My understanding is all AMG applicants will have step 1 scores (having taken them in 2020/2021), but some IMGs might have a pass fail (since many take the steps in rapid succession after graduation). Would it be better for IMGs applying for the 2022 match to make sure they're done with step 1 before 2022, to ensure they get a 3 digit score?

 

[deleted939704]

as an incoming medical school student, if I get into a T20 vs T25, would it be worth going to the T20 for an Additional 100k? I wanna do something competitive (Derm or Ophth)

 

[Jappa]

as an incoming medical school student, if I get into a T20 vs T25, would it be worth going to the T20 for an Additional 100k? I wanna do something competitive (Derm or Ophth)

I highly doubt there will be a difference between the two when its comparing T20 vs T25, I'm sure both programs are well known and will get you wherever/whatever you want as long as you put in the work for it.

 

[Dr. Rick Sanchez]

Wondering if anyone can share their thoughts on this.... Would ranking between mid tier schools grow in importance from the projected P/F change? I would assume choosing between mid tier schools from rankings of 30-50 would not really matter?

 

[yennefer]

I'm worried about school ranking affecting residency apps. But if I think about it logically, why should a number describing a school dictate how good an individual attending that school is as a doctor? Esp. since many rankings are based on research, which can change much year-to-year and vary based on the department/specialty, I would think judging a student based on their school's ranking would be sheer laziness on the residency committee's part. I personally haven't seen not attending a "highly ranked" college affect my med school apps, but then again I had a good MCAT score to help. This issue worries me and I wonder if I should attend a highly ranked med school if I don't think I will be happy there

 

[CorgiLoaf]

I'm worried about school ranking affecting residency apps. But if I think about it logically, why should a number describing a school dictate how good an individual attending that school is as a doctor? Esp. since many rankings are based on research, which can change much year-to-year and vary based on the department/specialty, I would think judging a student based on their school's ranking would be sheer laziness on the residency committee's part. I personally haven't seen not attending a "highly ranked" college affect my med school apps, but then again I had a good MCAT score to help. This issue worries me and I wonder if I should attend a highly ranked med school if I don't think I will be happy there

I don't think it's the ranking as much as all the benefits that come with a "highly" ranked school. Higher ranked schools, on average, have more well-known staff and more research funding.

 

[Moko]

Wondering if anyone can share their thoughts on this.... Would ranking between mid tier schools grow in importance from the projected P/F change? I would assume choosing between mid tier schools from rankings of 30-50 would not really matter?

If this does change anything, then the importance of school reputation is likely to only increase from here. How much, or if at all? No one can say definitively. However, there is unlikely to be any meaningful difference between the ranges that you specified. Also, with Step I turning P/F, there is still other standardized tests to help differentiate candidates (ie Step II).

But if I think about it logically, why should a number describing a school dictate how good an individual attending that school is as a doctor? Esp. since many rankings are based on research, which can change much year-to-year and vary based on the department/specialty, I would think judging a student based on their school's ranking would be sheer laziness on the residency committee's part.

There are medical school PD rankings available online. These PD rankings are correlated with USNWR's. Keep in mind that biases and laziness will exist in every facet of society, medicine included.

I don't think it's the ranking as much as all the benefits that come with a "highly" ranked school. Higher ranked schools, on average, have more well-known staff and more research funding.

See below. There's more to the secret sauce than connections and research opportunities (though certainly both of these help).

... for many programs, school prestige is already given considerable weight in deciding who to interview and rank. Per the 2018 NRMP PD Survey , 50% of programs (among all specialties) cited 'being a graduate of a highly-regarded US medical school' as a factor in deciding who to interview, with a mean importance score (MIS) of 3.8.

Select comparisons:
Step I: 94% programs, MIS of 4.1
MSPE / letters from same specialty: ~80-85%, MIS of 4.0-4.2
Clerkship grades: 76%, MIS of 4.1
AOA membership: 60%, MIS of 3.9
Research: 41%, MIS of 3.7

Similar findings and trends are seen when considering who to rank highly, and also across competitive specialties. I suspect that the most competitive programs within each specialty (typically big name university academic programs) are the ones citing research and medical school reputation as being factors, with mean importance scores being quite comparable to Step I, LORs, clerkship grades, AOA, etc. This isn't to imply that medical school rank/reputation is the most important factor considered (nb: it's definitely not), but school reputation is a consideration for many program directors per this survey ... For me, this would explain why "top" schools tend to have more impressive match lists, and why residents at the most competitive programs by and large disproportionately come from their peer institutions (with some notable exceptions against this trend). Access to better-known faculty and other opportunities would not fully explain these observations.

If for whatever reason a student deems it important to end up in one of these programs, then considering medical school reputation (as one of many considerations, including debt, fit, proximity to family, etc) would not be an unreasonable one. Just my thoughts.

 

[Dr. Rick Sanchez]

There are medical school PD rankings available online. These PD rankings are correlated with USNWR's. Keep in mind that biases and laziness will exist in every facet of society, medicine included.

Thank you for your input, I do believe prestige will raise in importance, but probably slightly along with other factors if P/F is implemented.

Going off the PD rankings, the discrepancy in prestige changes doubly in my case. Any opinions on if a change of ~30 is significant? The range in PD rankings for the two schools are from ~30 to ~60. It seems like such a large drop in the PD rankings, although both schools are mid tier in my opinion and their PD total score difference is 1 point (~6.5 to ~7.5).

 

[YourChickenGangster]

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[justaperson274939135]

Do we know when they would announce officially when it starts? I know as of now it’s just no sooner than Jan 2022

 

[Matthew9Thirtyfive]

Do we know when they would announce officially when it starts? I know as of now it’s just no sooner than Jan 2022

They said more information later this year but no one knows.