Making videos about controversial topics like these is not always easy, but I think it's so important. What do you think about USMLE Step 1 being Pass/Fail? I think this is a very important conversation to be had.
@ammarzidat6922
4 жыл бұрын
they just announced the pass/fail today. You called it boss
@ddfelder2
4 жыл бұрын
Can we get an update on where you stand on this topic?
@CN-vv6wm
4 жыл бұрын
I completely disagree! *Why should one take ownership of a low step 1 score?* Most students who do not score well started studying for the exam a lot later than they should have or started to study only during their school's dedicated period. They chose to focus on the school curriculum and lectures and it back fired. Everyone knows that getting a high score on step 1 increases linearly with time and the exam is heavily reliant on memorization of discrete details rather than clinical reasoning. You say, "learn from the experience and do step 2 better" but its not applicable for step 2 as you are already studying earlier for step 2 when your taking your shelf exams. Shelf exams and thorough content review over 1.5 years is needed for step 2 but beyond that more time does not equal a higher score because it is dependent on clinical reasoning rather than memorization and anki drilling.
@joshb2686
4 жыл бұрын
chng.it/ShQwzdVLpm
@MrINGSOC225
4 жыл бұрын
@@CN-vv6wm you raise a good point. I'd be fine with a transition of weight from step 1 to step 2. Much of the information I had on my step one was very granular, and had little applicability to actual clinical medicine. Still never have to use the kreb cycle in all of my clinical year, yet it's part of an exam weighted more heavily than any of the equally objective shelf exams for my ERAS? That doesn't make sense. Use step 1 as a gate to let us get into clinicals with a baseline of knowledge and then we can prove ourselves as candidates with a clinically relevant exam.
@omghomeslice
4 жыл бұрын
Update requested please!
@brettp_DO
4 жыл бұрын
100% agree
@james007bond7
4 жыл бұрын
actually i was not so good at school but i was able to bypass my spill over. this russian dude was recommended to me wow he is really good. he got this done for me last year. contact his instagram; josephhank2 or whatsapp;+13184790559 . i had to recommend him out.
@011shantanu
5 жыл бұрын
totally agree with Dr jubbal here , making Step 1 a pass fail exam would put unnecessary emphasis on subjective assessments like the clerkships and publications
@011shantanu
5 жыл бұрын
@@noonnoon5900 but mind you that is purely a subjective estimation and getting best clerkships and the best LORs stands solely upon your luck
@pimpnorris2097
5 жыл бұрын
I'd rather the EXPERTS in their fields tell the board members that I am ready for the field, rather than some bullshit test!
@saeedvazirian
4 жыл бұрын
@@pimpnorris2097 they have anal pedantism that is unhealthy, it makes no difference.
@0doublezero0
4 жыл бұрын
@@pimpnorris2097 There are a lot of "EXPERTS" in the field I wouldn't let treat my dog. Would rather take the USMLE, than have to kiss their @ss to get a good eval.
@eduardocastaneda9476
4 жыл бұрын
@@0doublezero0 Why can't you just be yourself instead of having to kiss their ass? People will either like you or dislike you. Learning how to deal with that in the workplace and overcoming others disliking you shows me your level of maturity more-so than what you got on the USMLE.
@bellefeu4933
4 жыл бұрын
As hard as step1 is, I think it plays a vital role in removing bias and subjective elitism.
@workout9594
4 жыл бұрын
I find it quite sarcastic that mental health is neglected in Medical school but helping patient's mental health is priority..
@FormaAlert
4 жыл бұрын
For real, these systems are designed to force people to dig their own graves. What good is a doctor if they’re taught to not help themselves?
@sara215
5 жыл бұрын
Dr. J you are hitting some controversial topics lately! I like it! I don’t think this should be a thing bc pedigree will matter more...this only hurts people not in top institutions
@shaden1135
5 жыл бұрын
As an IMG high usmle scores are the only way for me to prove how competent I am !! High scores = open doors 😔
@al-fatihahmed6570
5 жыл бұрын
Literally😔😔😔😔
@mar_zwierz
5 жыл бұрын
Same 🤔
@azavala5
5 жыл бұрын
USMLE STEP 2 will be scored and weighted more if STEP 1 is pass/fail
@sinofdusk3
5 жыл бұрын
Yup, as an applicant to Australia who isn't even an IMG. I need to get the top 5 percentile to even have a chance
@samik3184
5 жыл бұрын
STEP 1 has NO reflection on what kind of doctor you'll be. You can ge ta 250 and still be a jackass doctor. Step 2 is a more accurate predictor of your clinical knowledge and what you'll need. Make step 1 pass/fail and put more emphasis on step 2.
@mdhafidz777
4 жыл бұрын
Too late, already announced it will pass/fail, pls make new video what of ur opinions
@vinitpatel7531
5 жыл бұрын
Suicide is the second leading cause for adolescents death (age 15-24). This should not happen. Education should bring happiness and knowledge not death.
@lukec1750
4 жыл бұрын
Great observation 👏 let's point out flaws in society with no solutions
@ricardoferral4553
5 жыл бұрын
With a STEP 1 score you level the playing field for everyone. Not to belittle other measures, but what other objective measure could we use to take its place? Specially for IMG’s, this is the only way we could boldly stand out in our resume. Despite having publications or good observerships, the single way we could be objectively compared to an US graduate is this score !
@arshiastath2101
3 жыл бұрын
USMLE 2
@truthteller2711
Жыл бұрын
Step 2 CK? Hello?
@ItWillRainXO
5 жыл бұрын
LOVED this video!!! Would love more on similar controversial topics! I love that you walked us through each side in a rational way and then your own take. Thank you!!!!
@yanlingdong6698
4 жыл бұрын
Can’t agree with you more Dr. Juppal! As a current 4th year who just underwent the stress of residency interviews, I was shocked when I heard the news. I don’t believe students who come from a second tier school like me will have the same chances for good programs under this new policy. Having high step1 score is the only way to prove that you are as smart as the ones from famous schools. Without it will make the whole residency application more not less stressful.
@kylamaupin9668
4 жыл бұрын
Well it's official
@marvin_meza
4 жыл бұрын
RIP DO's, IMG's and students from non-prestigious schools
@TheKashyaprocks
4 жыл бұрын
Marvin Albert Meza Jarquín well you could always think like that or step up your work ethic and get better especially as an IMG I still believe i can do it.
@josephs3169
4 жыл бұрын
@@marvin_meza Relax, step 2 CK will just become the new step 1...
@ABSYTP
4 жыл бұрын
@@TheKashyaprocks what school are you enrolled in
@TheKashyaprocks
4 жыл бұрын
Barkin Sahin its a school in Dubai, UAE.
@Mike-tb6qs
5 жыл бұрын
There was more to the proposal than making it Pass/Fail I believe. In their document, they were also considering scoring students based on quantiles or using Step 1 and 2 as a composite score that would be reported. I think if any changes were to be made, the latter makes the most sense to me. As of now, Step 2 CK is practically non-essential for many fields before applying to residency and even the competitive ones don't really care about your score on it, and yet it's more clinically relevant than Step 1. It might give people a chance at redemption from Step 1 if the score is submitted as a composite score, but I can see how that would also create the same problems for Step 2 as it does for Step 1 ... Anyways, I agree, changing Step 1 won't change anything under the current education system, but something does need to be done.
@MedSchoolInsiders
5 жыл бұрын
Well said
@saeedvazirian
4 жыл бұрын
All residency programs need CS and CK.
@ajleed2933
4 жыл бұрын
This amazing video needs more awareness, this guy is too intelligent.👏👏. I'm highly against changing the USMLE step 1 to a pass/fail system.
@AzizMD001
5 жыл бұрын
Great Video! but what is a rocket surgeon ;) ? 11:51
@Jimpopal
5 жыл бұрын
a surgeon that operates on rockets lol, I heard that too. A little slip of the tongue in such a greatly informative video. Thanks Dr Jubal
@concertoinx9070
5 жыл бұрын
It's a parody, I think.
@sebucwerd
4 жыл бұрын
Are you obtuse? it's a play on rocket scientist/brain surgeon
@tesseract5025
4 жыл бұрын
He said it on purpose
@julieschubert7418
5 жыл бұрын
I agree with you Dr. Jubbal. I’ve been learning how important your attitude and response to negative events are in live. I feel as if Step 1 was made pass/fail, people would find new ways to complain and blame the exam for their result. Yes, it may take some of the stress off of taking Step 1, but it will make other components of med school, like rotations, even more stressful. I believe we need to change whole structure of med school education. To find ways to support students successfully, and make it a less mental-health taxing environment.
@saeedkarajah9745
4 жыл бұрын
" it doesn't take a rocket surgeon to know that" 😂😂😂 11:51
@bartoszponiewierka6323
5 жыл бұрын
I would like to thank you for providing very interesting topics connected with medicine. After watching your channel I improved my learning skills (omg anki is the greatest think I have ever used) and I was encouraged by you to do my best so now I am trying to become a neurosurgeon. Keep on doing this videos and making the world a better place for future doctors!!
@rodrellgreen167
5 жыл бұрын
Dr. J, you're the man for this!
@lakeforeststudent
5 жыл бұрын
Step 1 is a terrible exam, majority of the content is useless for future practice and could appropriately be pass/fail with more emphasis on step 2ck (a much more relevant exam) or transition to a script concordance format. Additionally, having more data points by using NBME scores to give a better overall picture of the applicant is even better. IF you want to study hard on all these exams and match in plastics, go for it, that way if you slip up on the psychiatry nbme, you got 5/6 others to shine. All of the points you bring up are true, but I think you focused a little to much on “this is the best we have” argument instead of agreeing that it’s a terrible exam whose performance on one day (think about the variability of that data point) has a huge influence and has an unbelievable influence on an individual’s future career (big deal). You’re a smart man but I think your conclusion was extremely short sighted in the grand scheme of things. We need to do better and we have the options. Regardless, appreciate you helping to push the conversation.
@bushidobrown9996
3 жыл бұрын
well said!
@rhythmandmotiongirl
4 жыл бұрын
They announced today that it's official. Step 1 will be pass/fail in 2022.... of course after I take it.
@CXY96
5 жыл бұрын
In order to reach something in the middle, Step 1 could be changed to this: 1. Instead of Pass/Fail, do Quartile scoring 2. Allow students to retake Step 1 if they aren't pleased with their results. A lot of stress with Step 1 revolves around the fact that one exam determines your residency choices, and you can't improve on your score,.
@MedSchoolInsiders
5 жыл бұрын
Retaking I like. I would have to think further about quartiles. Why stop at 4 levels of measurement, why not 10? And in that case, why not 50-100, which is essentially what we have right now. The biggest reason for quartile scoring is the standard deviation of it as a measurement of medical knowledge, which isn’t a bad reason. Would need to think further about the implications
@danielbester6963
5 жыл бұрын
Quartile wont work. How can you say use 1 point or 1 question to make the difference between the bottom of one group and top of the other? what about standard error? I like retaking exams but the price really needs to come down to make it fair to students. or else the people with the money to take the test 3-4 times trying to get a better score have a huge advantage. Personally i think the error needs to be around +-8 points at most (not the 16 it is now) for 95%. And 1 retake at half the cost if you think you can do better.
@mgmtgirlyeah7493
4 жыл бұрын
I've never even though about the option of retaking and I couldn't agree more. I was so afraid to take step 1 because it was just one shot. Much different than when I took the MCAT and realized that there was still a chance to retake if necessary.
@storispinner
4 жыл бұрын
@@Peace00723 You're talking about ASPIRING med students. The equivalent test for aspiring med students here - the MCAT - can, and is, taken multiple times by pre-med students and similarly leads to a lot of stress. Simply increasing residency positions, while it would increase the overall supply, isn't going to necessarily increase the supply of the high-demand positions like dermatology. As a society we need a lot more primary care physicians than we do dermatologists.
@iggy5895
5 жыл бұрын
Dr. Jubbal, thank you for bringing up Jocko Willink! That man and EXTREME OWNERSHIP saved my life!
@joelgutierrez1549
5 жыл бұрын
you calling out everyone and they momma😭💀
@smitparikh3969
5 жыл бұрын
I hope the board of directors of these organizations watch your video! They are acting insanely foolish! What about the IMG'S or DO students? Deserving candidates will lose their job. Shame!!!! Great video Dr. Jubbal. Thank you so much for such wonderful information. God bless you!
@tracy_cakkes
5 жыл бұрын
I think it’s ridiculous that their making so much money for practice tests that should be free I mean we’re studying to help people why put us in more debt than we already have? And mental health is a big issue and things do need to change
@TheHiddenChronicle-b9l
5 жыл бұрын
Tracy Ragland everything’s got a price
@Agony_00
5 жыл бұрын
@@TheHiddenChronicle-b9l Still 60$ for one practice exam is insane.
@pastmedicalhistory2523
4 жыл бұрын
it just happened d, step 1 is pass/fail from 2022, your video was really informative
@lordyflies9237
4 жыл бұрын
How will this impact current first years at medical schools (class of 2023)? There are some schools who take step during 3rd year and there are some who take it 2nd year...so with the change class of 2023 will have applicants with both p/f and scores? So how would they report numerical scores then?
@lordyflies9237
4 жыл бұрын
@Raed 928 yeah i agree it wouldn't...but then wouldn't it dis equal the playing fields cause of the mix of people with pass fail and the mix of people with scores? this also affects md/phds and people who take research years.
@nightshockplayz5894
5 жыл бұрын
A week away from my MCAT... Thanks for the argument, it will hopefully get me in the mood for CARS! Alright, back to the Section Banks.
@swishbish4525
5 жыл бұрын
GOOD LUCK!!! ALSO LOVE THE MINECRAFT PROFILE PIC :D
@nightshockplayz5894
5 жыл бұрын
@@swishbish4525 Thank you! Also thanks about the profile pic. I don't play very much anymore (for obvious reasons), but it still is a part of my childhood, haha!
@greysongan3410
5 жыл бұрын
my friend is also a week away from her MCAT. Nerves are kicking in for sure, eh?
@nightshockplayz5894
5 жыл бұрын
@@greysongan3410 It is yeah. Tell them that the MCAT is just a way to diagnose how prepared you are for medical school, not a competition. They may get nervous after having gotten certain FL scores compared to other people... But it really is all about working hard on it and scoring well, not perfectly. This exam is an MCAT, not an MLion or an MTiger, it is more tamable than one thinks.
@swishbish4525
5 жыл бұрын
@@nightshockplayz5894 omg It's sad that we are already preparing for med schools and such when it feels like the day we logged in to minecraft to play happened just yesterday :( But yeah, which schools are you applying to?
@Shiv05B
4 жыл бұрын
i totally agree with some comments below with making the step 1 "retakeable" the main reason for my anxiety around the exam was not the stress of trying to get the highest score possible otherwise i'll be shunned for life (which is a stress in itself), but also the fact that i have only one chance. either I slay it or I bomb it and there goes my entire future down the drain. instead they've reduced the number of attempts you can give. but even with the 6 attempt policy that was there earlier, culture is that if you retake the step 1, you'll be shunned, programs won't even look at your application because omg god forbid you had one bad day which caused a problem in your performance so that makes you a terrible future doctor. it's ridiculous. we should have the chance to do the exam as many times as we want. and trust me if we fail the exam 3 or 4 times we ourselves will make the judgement that medicine make just not be for us... we're smart enough to understand our strengths and weaknesses. they can also change the content of the exam.. let's be real, knowing the mechanism of mutation for this particular code on this particular gene is irrelevant when clinically examining a patient
@dianesinghroy
5 жыл бұрын
I wholeheartedly agree: medical education as a whole needs to change. But so does the practice of medicine. In both Canada and USA the corporatization of medicine is leading to burnout and patient dissatisfaction. For example, there has to be a better way to practice medicine then only haveing 15-20min/patient. And we are nowhere near destigmatizing mental Illness in healthcare when we see the public discourse around mental Illness and gun violence. The education needs to change, the culture needs to change.
@haydenwilson5753
4 жыл бұрын
Direct primary care is a new model of providing care that addresses some of these issues
@detailed8962
4 жыл бұрын
As an IMG i was so motivated to one day do this a was carving a 280 or more I'm doing everything along with my courses, kaplans, every textbook and every resource for usmle for all subjects. This is so devastating.
@joshuamorny9967
5 жыл бұрын
This whole issue comes down to the fact that there is a huge disparity in physician salaries across the various specialties. Fix that disparity and doctors will choose a specialty based on passion and desire to help patients within that specialty which can be objectively accessed by a simple interview. Doctors will be happier if they are able to pursue a specialty they love and not what a standardized test tells them they are capable of doing. A standardized test is never a determinant of a doctor's ability to excell in any specialty. Everybody will flourish where they are happy doing what they are passionate about.
@harrism8047
4 жыл бұрын
This is the true and only solution to this subject.
@rashed5506
4 жыл бұрын
but then who will spend an extra 4 years doing neurosurgery residency when they could get the same paycheck doing something like internal medicine or dermatology where call hours are predictable, dont need to be on call at different times and isn't spontaneous. Thats unrealistic sadly. (i do realize that some people will want neurosurgery even with 4 years and the paycheck but that is a small minority.)
@9527david
5 жыл бұрын
Pass fail system would affect IMGS...
@Bellaexe5091
5 жыл бұрын
Make a video on doctors with felony records. Whether it be Pro-Con or just your opinion on them. Would be a great topic of discussion especially in the comments
@TobytheNinja
5 жыл бұрын
You make a great point about how P/F wouldn’t fix the issue. I have a couple questions that have been bothering me about this process so far. (Also, love the rocket surgeon joke). 1. Something I’ve noticed greatly both on step 1 and 2 is the increase in “useless information” such as zebras that are board favorites because there is a unique treatment/drug even though their clinical relevance is almost non-existent and could be argued that it belongs at the fellow level, not the MS-3 level. 2. There seems to be a great deal of information on step 1 that immediately gets thrown out the window for step 2, such as glomerular pathology recognition. And I at least find it very demotivating to be studying for one test that specifically says the stuff I studied for the last test wasn’t useful. Could the weight and subsequent soul-sucking time debt required to study for step 1 be replaced by a more pragmatic test that requires less time to study, but provides better relevant information for the students about to enter clinicals and actually see the prevalent diseases. 3. Instead of boards being the only objective metric, could we add a greater emphasis on research and learning how to properly construct a study, so that students learn early how to understand the difference between a good vs a poor study? Even if students do poor studies as MS-2’s or MS-3’s, the experience up to that point would be a starting point to be more critical of the studies we read as the basis for our own practice of evidence-based medicine. And this would be a great discussion point during residency interviews. Right now, it seems like most students do not have time to dedicate to research (please correct me if you have data to the contrary) since they must marry themselves to their board studying. 4. Lastly, this is more speculation, so I want your opinion. But just like with step 1 and less-than-relevant information playing a seemingly large role, I wonder if there is a fundamentally broken part of med school didactics that spend too much time on zebras and fellow level details, and not enough time on the core foundational knowledge necessary to be a good problem solver, which is at the core of being a physician. I spent much of my first two years wishing I had more time to spend on linking biochemistry with pharmacology to understand multi-system drug effects and less time on learning about leishmaniasis and African diseases that I might only see once, if ever. Because most doctors will have access to resources to look up details about a disease to reference if they get a weird lab report, but if they don’t have the confidence in their knowledge to know which lab to order in the first place, it won’t matter. I’d love to hear your thoughts on the matter. And I’m sorry if you covered any of this in other videos. If anyone knows if these thoughts were covered, I’d love to know which video, so I can watch it, thanks.
@abdelhakmeddoc5568
5 жыл бұрын
Wow! Amazing analysis and you convinced me
@SonyaKBhatti
5 жыл бұрын
Yes, but if a student didn't pass they should know how much they scored so they know how much more they need to work
@Skarrletta
4 жыл бұрын
EXACTLY
@ahmedalrasheed7938
4 жыл бұрын
The only thing concerns me is the affect on IMGs!!!! It was our best chance
@adakuudoyeh6960
4 жыл бұрын
and yet here we are...
@ksharma103
5 жыл бұрын
I had no idea about the profiteering agenda and it's extent behind this, thank you for the information Dr.! This is a well presented video and I agree against the idea of this proposition. Your take on nepotism and other crude factors which will inevitably play a bigger role than they already do, was eye opening. Questions: 1. If the proposal were to pass, would you get multiple attempts at the pass/fail model of the Step 1? 2. Does the significance of time since year of graduation change as a part of the new statement? I would argue as an IMG that the most stressful factor is the time taken to apply since graduation, since a lot of students don't give all the steps during their med school. (Of course now, this trend is changing) Reducing the emphasis on this single factor could and rather should, help alleviate a lot of the stress IMG's face. (It's just another way to filter out the competition, I get it. But in most cases, is it really a valid one?) In terms of leveling the playing field amongst AMG's and IMG's, if not for Step 1, Step 2 ck would equally take it's place as an objective yardstick (as mentioned in the video) Arguably, this could be a better measure, however it's not as simple for reasons mentioned by Dr. Jubbal here. Yes, the US has some of the world's best training programs, which is why it's so competitive. But just the same, for an IMG, it is by far the most numerous, time-consuming, stressful and complicated series of exams needed to secure a residency anywhere in the world. Your score is stuck with you for 7 years. You've got one shot at getting an above average score, and in a limited time frame. That's unlike any other country's licensing exam framework. There's a lot on the line here and there is no doubt that the USMLE is a source of anxiety amongst physicians. But it's not Step 1 as an exam, it's the entire process. (In fact in my opinion, Step 1 could relatively be one of the best structured exams out there, even if all the topics tested may not exactly be clinically relevant) Naturally, the system isn't perfect and something needs to be done. But making Step 1 a pass/fail exam would only worsen this.
@etherealbae2160
5 жыл бұрын
lol this video was sassy and I totally agree with it
@MedSchoolInsiders
5 жыл бұрын
😘
@etherealbae2160
5 жыл бұрын
Med School Insiders 😍
@etherealbae2160
5 жыл бұрын
@@MedSchoolInsiders While I have your attention could you make a video about how to get your research published during medical school? I recently got accepted and I really want to accomplish this within the next 4 years
@davidjoseph4449
5 жыл бұрын
Agree with almost all of your takes recently. Glad to see someone not afraid to speak inconvenient truths despite potential backlash. Keep up the good work, my friend.
@rogersc4107
5 жыл бұрын
The issue would be greatly mitigated if we have more residency spots. Preferably more spots than applicants
@deepdark795
5 жыл бұрын
lmfao
@tesseract5025
4 жыл бұрын
Get working on that then
@rogersc4107
4 жыл бұрын
@@tesseract5025 guess we are now
@oliverallen5324
5 жыл бұрын
DISCIPLINE = FREEDOM. Great video. Personal responsibility is the key to success.
@azavala5
5 жыл бұрын
I'm all about a pass/fail step 1 exam. Step 2 is a better indicator of the type of doctor you are. It is the measure of both clinical and medical science.
@AzizMD001
4 жыл бұрын
its official, its now pass/fail.
@safashereen3389
4 жыл бұрын
Is it really so
@hsg2422
4 жыл бұрын
Qamar Gs yes it is
@ChudOfTheCaribbean
4 жыл бұрын
Great take Kevin, education needs more investment to figure out solutions to these real problems you outlined, which we now face. Relevant stakeholders - PDs, chairs, and students- need to be involved in these decision-making processes. Seems we now have to figure out the fall-out in the next match and pick up the pieces to see where they fit.
@1134eminem
4 жыл бұрын
The world is coming to an end!
@MedSchoolInsiders
4 жыл бұрын
😂
@IndianS60
5 жыл бұрын
I love this. Thank you, dude!
@humanaesthetic
4 жыл бұрын
I didn't realize this was from 6 months ago. Still relevant after the decision has been made.
@kashyapreddy5946
5 жыл бұрын
I think every residency programme should have its own step 1 with its own difficulty level. That way people interested in a particular residency have higher chances of getting into it and will work harder towards it. Pass/fail system in that process would make sense.
@sherimalik5026
4 жыл бұрын
They just made it significantly harder for IMGs to match. Step 1 was the major way an IMG would impress programs.
@shahin2324
4 жыл бұрын
They changed it to pass or fail now!
@cathy9279
5 жыл бұрын
Excellent presentation doc m, keep it coming
@priyanshakumar4508
5 жыл бұрын
Pls make a video on how to clear USMLE by Indian students.... Pls🙏
@AzizMD001
5 жыл бұрын
I like the arguments, but I think I will end up being on the pass/fail camp, even though I did well on step 1, I think step 2 ck is much more predictive of residency performance, and that is why no one is touching or messing with step 2 ck. The main reason they want to make step 1 pass/fail is that it is a horrible predictor of residency performance.
@mike112693
5 жыл бұрын
but hes saying step 2 ck is too subjective and it would be given too much weight if step 1 was p/f. I think step 1 should stay as is because its the sole objective measure. It's just unfortunate that residencies put so much weight on it.
@gowrigouda9743
5 жыл бұрын
mike school why is step 2 more subjective then step 1?
@AzizMD001
5 жыл бұрын
@@mike112693 I just don't think its an issue to give an exam too much weight like step 2 ck because it will predict performance, its a fair assessment tool
@SoloJedi_
2 жыл бұрын
I'm so confused as to WHY STEP 1 is weighed so heavily when MOST Medical Schools have P/F grading system AND medical schools/programs say they "holistically review" all applicants which I know is BS but like
@itskarimarima
4 жыл бұрын
February 12th 2020 - this is official now
@jaycocina2076
5 жыл бұрын
This is triggering 😂😂😂. Thankfully I passed Step 1 with a ‘decent’ score, but I would have not studied nearly as hard if it was only P/F.
@gtg336y
4 жыл бұрын
As someone who came from a public medical school and got into a top residency program with good scores and an overall good cv, I would never have gotten into my residency WITHOUT my scores, the spot would have gone to someone who went to more private prestigious $$$ Med schools that are unaffordable for many. This policy will greatly benefit the for-profit private medical schools!!! I wouldn’t be surprised if that’s how this policy changed! Follow the money !
@manny1manito2
5 жыл бұрын
I am in the Past/Fail Camp, even though I'm an IMG, the USMLE step exam is only for you to have your license, it doesn't matter getting a 192 or 272 you still passed, there isn't any measure that describes why step 1 exam makes for better physicians? there should be other measurements, clerkships, research, postgraduate studies and well if we weren't so busy with the steps well there would be more time to actually be a more well rounded physician, take an extra curricular class, get a grant, be a mentor or even be able to get skills donating time in free clinics getting the soft skills that aren't measured until step 2 CS
@primeirrational
5 жыл бұрын
In Sweden, medical students have no other grades besides passed or failed. The thought is that no grades creates a better environment for us students who will help each other instead of turning everything into a competition. This is one of the ways we get experienced in teamwork.
@Glassbones_and_paperskin
5 жыл бұрын
This^^ I think pass-fail is a good idea and it really has nothing to do with "victim mentality"
@nightshockplayz5894
4 жыл бұрын
Welp, here we are...
@AspiringGuitarist100
5 жыл бұрын
While I see where you're coming from, there is one point I think that you are missing. If we were to pick a test to be the standard for residency application, it makes more sense to select Step 2 CK, rather than Step 1. Step 1 is very basic science and detail oriented, and often times not wholly relevant to patient care. Step 2 CK is more focused on the management of the patient, and assesses your ability to make decisions that affect patient outcomes. Even if we were to keep Step 1 as is, it doesn't make sense that of the two exams Step 1 is the one we chose to stratify students. I have felt this way long before the discussions about Step 1 becoming p/f had emerged.
@juannogues6271
5 жыл бұрын
It should be pass/fail so that they can test useful information rather than useless meaningless facts like the name of a stain for myofibrils that went out of use 30 years ago or how to differentiate different war chemicals by smell (two actual things I was tested on in step1) just to set a curve. If the pass score is bumped to a 215 and only pass/fail is reported then residency will have to weigh the interview more. The step 1 cut-off's that most competitive residencies use to lazily and conveniently weed out the large volumes of applicants they get won't work anymore. The next system won't be perfect and unfortunately they'll probably use some other bs to compare us like # of publications or w.e random thing they can find to make the application pool smaller. But hopefully it'll be better than the crap we have now. This wasn't a rant argument either because I'm mad about my score. My score is actually one of the strongest parts of my apps and will get me into w.e specialty I want (yes even plastics 🙄) but I still don't think the step system is good and it should be drastically changed and we should make changes to move in a positive direction not stick with the status quo. Ok I'll step off my soap box now.
@sreyabhuvanagiri7488
5 жыл бұрын
Working in a team is my fav idea.. Here in our med schools we still compete for 1st, 2nd, 3rd ranks nd so on...leaving others behind.. fighting amongst ourselves instead of fighting against the challenges In the end what matters is not our ranks but how many people we are surrounded by😐
@lucasbetterton87
4 жыл бұрын
Can you make an updated video and give some suggestions for those of us who are in medical school now, please?
@HRU-ou3vi
5 жыл бұрын
Im a great test taker but most major professions are moving towards pass/fail and I would agree that the medical profession do the same. Clinical performance is more relevant than a test score. So many physicians lack emotional intelligence and there should be more emphasis on this component of learning.
@MD_Hz
5 жыл бұрын
Needing an objective score to trim down application pools is fine, but leaning on one exam to do all of it is not. Maybe not switching to pass fail, but perhaps relying on performance across 3-4 exams instead of one could be a good alternative. Or maybe giving exams based on a desired specialty. Keeping things the way they are and just telling people to study harder and hustle for a better grade does not address any of the systemic issues that are magnified by this exam.
@bushidobrown9996
3 жыл бұрын
best response to the video.
@brianyi2995
5 жыл бұрын
Facts don't care about your feelings! You go Dr. J; THE GOAT!!!
@MrRocky06
5 жыл бұрын
Why doesn't the US government provide more funding to open residency programs, so the competitiveness could decrease? I am a firm believer that anyone that passes Step 1, Step 2 CK and CS, Step 3 deserves a spot in a residency program in the United States.
@gowrigouda9743
5 жыл бұрын
Rockeven Desir I agree. Every US graduate should at least be able to match into family medicine. There also needs to be greater emphasis on primary care specialties. I think the main reason the competitive specialties are competitive, is primarily money, but if that incentive was not there, people would not be gunning for them so badly, therefore less crazy about step 1.
@EricGoingCrazy
4 жыл бұрын
This video just tells ppl get gud, risk ur money and hope u made it
@bushidobrown9996
3 жыл бұрын
agree its really insensitive.
@jujube3736
4 жыл бұрын
Do the people who implement these changes actually look into the pros and cons of these decisions and attempt to investigate whether a change is actually going to work better than the status quo, or what people in the field think will work better because they’ve seen how the system can advantage and disadvantage people. Sometimes it feels like these choices to change things have a good intention but miss the mark.
@Chris-hp9be
4 жыл бұрын
Step 1 scores is essential for IMGs to show their potential
@nusiel
4 жыл бұрын
This is true, IMG tend to have high scores
@CN-vv6wm
4 жыл бұрын
I completely disagree! *Why should one take ownership of a low step 1 score?* Most students who do not score well started studying for the exam a lot later than they should have or started to study only during their school's dedicated period. They chose to focus on the school curriculum and lectures and it back fired. Everyone knows that getting a high score on step 1 increases linearly with time and the exam is heavily reliant on memorization of discrete details rather than clinical reasoning. You say, "learn from the experience and do step 2 better" but its not applicable for step 2 as you are already studying earlier for step 2 when your taking your shelf exams. Shelf exams and thorough content review over 1.5 years is needed for step 2 but beyond that more time does not equal a higher score because it is dependent on clinical reasoning rather than memorization and anki drilling.
@perrygriffin8900
5 жыл бұрын
In total agreement that a shortsighted change will not be the answer, but I'd like to address some of the points here. *Step 1 score levels the playing field* except you cite a study showing the impact of social determinants ~on~ that objective measure earlier this video. *More emphasis on clinical grades and/or other as of yet ill-defined metrics, and doesn't fix the real problem* I agree 100% that it doesn't fix the real problem, but it's an integral part of the result that begins to force the establishment to *Investigate other objective metrics* as you, yourself, suggested in this video. As for *Taking Responsibility* ....man you have no idea how callous that sounds coming from the guy who wants to save our doctors. As soon as someone leaves the testing facility, they must accept responsibility, in the form of potentially changing career trajectory, bracing to apply to more schools in more places, thinking about how to address the score in personal statements and interviews, dropping out, or dropping off. Taking responsibility as an IMG could mean giving up on ever practicing in the US. Meritocracy is great, but let it be about things that *really* matter. The limited data I've seen on step 1 correlates are what you'd hope to expect. Passing is the bar. I failed Step 1. I wanted to kill myself and I got pretty damn close. The 2nd was 30 points higher yet all I feel is shame. It's been almost 9 months since I returned and started clerkships, and still, multiple times a week I end up explaining why I started in January instead of the fall. I have over 180 students in my class, or 180+ opportunities to explain why I haven't picked out a specialty yet, or why I'm still on core clerkships instead of AI's. You say that Step 1 is only a small part of the bigger burnout problem, but I could easily argue, with trends, why it's the herald of calamity. I know why the caged bird sings.
@boriquachick2602
5 жыл бұрын
Traygus to your point about Dr Jubal sounding callous: I completely agree. Anyone who sits for STEP1, like myself, inherently accepts responsibility for the prep we did. I don’t need to be reminded that I failed to find a method of learning the inane details asked on that exam to the level necessary for an average score. I passed, but due to the stratification STEP1, there’s no way I can pursue anything remotely competitive. I had an interest in EM, but now that’s likely going to be beyond my reach with my score. Honestly, I think it’s pretty easy to look down from your high score and say “you could have done better if...” Where’s the compassion?
@TheJmgarzon
5 жыл бұрын
Making it pass fail would only affect us IMG's and people from less well known colleges Also, thinking that people would devote their free time to studying in this time and age is just plain foolish. They're on point when they talk about binge watching netflix or spending time on Instagram
@robertmitrani1014
4 жыл бұрын
Why would the NBME make step 1 pass fail if they make a profit from students spending money on test prep materials?
@0doublezero0
4 жыл бұрын
They only stand to lose money from DO students. Everyone else would still have to take it and will pay for NMBE practice tests.
@rajivsupra2011
4 жыл бұрын
Bye IMG students
@mikevanes4346
4 жыл бұрын
As an M4 DO student, I am lucky I will be matching before this change takes place. Like Dr. Jubbal said, it was a way for me to level the playing field against my competitors, particularly important as I will be participating in the first ACGME single match. Without Step 1. Step 2 will be the new metric by which things are filtered. I think it is not a stretch to guess that step 2 will move to pass/fail in the more distant future. Residencies will still have to sort through ridiculous amounts of applications. No score? Well then it will be research projects, school prestige, and LORs
@joshb2686
4 жыл бұрын
Keep it scored.
@souvikroy90
5 жыл бұрын
What do you think about making it possible to retake a passed step 1
@mohammadbalaw9286
5 жыл бұрын
souvik roy this can really make things better alongside with lowering the cost of the whole proccess
@excuseme1543
5 жыл бұрын
I don't think they'll ever let that happen :(
@perrygriffin8900
5 жыл бұрын
Unfortunately it wouldn't help, and would likely be harmful. I failed step 1, forcing me to withdraw and go back into dedicated prep. If ~8 weeks of isolation doing garbage all day is bad for your mental and physical health, then doing it for double that, nearly back to back, then returning to clerkships to explain to every classmate where you disappeared, to their awkward horror. On 2nd attempt I took an almost passing score up like 30 points, which is uncommon, but when PDs look at my residency application, there will still be a big red exclamation point next to my passing score (literally). The downsides are the same for IMG's but considering what's theoretically at stake, I'd wager they'd be most at risk for repeatedly taking the test until they achieved a certain score or they came to financial or physical ruin.
@alaaalsaadi7971
5 жыл бұрын
Can you please make a video about MultipleChoices exam
@linziesser796
5 жыл бұрын
I want to become a psychiatrist but have achromatopsia (being legally blind). Is it possible for me to become a psychiatrist by having to go through medical school and residency since I won’t be able to perform sutures or surgery or even just physical checkups?
@mushfiqursiddique8231
4 жыл бұрын
its simple. Step 2 will become the new step 1. Over time people will complain and eventually step 2 will become pass/fail too lmaoo
@ShubhamSharma-br6op
5 жыл бұрын
Dr. J why are you not making a video on medical specialities? I am eagerly waiting for it !!!!
@victore.1509
5 жыл бұрын
I feel personally attacked. @9:20
@relevart3754
4 жыл бұрын
With all due respect, but wouldn't it ultimately be in the best interest of patients, if instead of a test which is on the somewhat preclinical side compared to Step2CK/CS/3 and clerkships those more clinical and patient-centred scores would determine the chances of a med student when it comes to residency? After all, a physician has got to be -as mentioned- mainly a team-player from a scientific background who treats patients well.
@nusiel
4 жыл бұрын
This is bad for IMG...
@hamcam97
4 жыл бұрын
Hey Dr. J, How important are medical school letter grades now? I'm considering two medical schools that I got into: one that does pass/fail classes, and the other that gives letter grades. Not sure how to interpret this now that Step 1 has gone pass/fail. Thanks!
@du3844-m4v
Жыл бұрын
Letter grades don't really matter, programs find them too hard to interpret across programs and will just look for red flags like F's in your transcripts. Board scores are what are heavily scrutinized.
@TorchFilms_
5 жыл бұрын
Short answer. It shouldn’t.
@alongr5
4 жыл бұрын
Just became official..
@colesaucier5254
4 жыл бұрын
"It doesn't take a rocket surgeon" Lmao, best quote ever
@RJ-yn8hc
5 жыл бұрын
I enjoyed the way you reasoned through the controversies, but I think you didn't give enough credit to the suggestion that the weight of Step 1 be transferred over to Step 2 CK, which is a much better indicator of clinical reasoning and medical knowledge than Step 1. There would still be problems (i.e. it would still not do a good job of assessing team work and professionalism) but it would be interesting and may be a step in the right direction along with your other suggestions at the end.
@shelbylynadventures
4 жыл бұрын
I start med school this July and I would love to hear your updated thoughts and suggestions on this now that it will be official. I will be in the first class to take Step 1 as pass/fail. It’s a big topic amongst my peers, but we don’t know how to prep for residency now. Would love some advice for my class and beyond.
Пікірлер: 361