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Kevin Jubbal, M.D.

Kevin Jubbal, M.D.

267,000 subscribers

👁 10,773 views

Was Making USMLE Step 1 Pass/Fail a Mistake?

Video Overview & Insights

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This is fine😂😢

— @getcertprep

Step 1 was changed to pass/fail in 2022 to reduce stress and burnout. But medicine didn’t suddenly become less competitive. The pressure didn’t disappear. It shifted.

What actually changed after Step 1 became pass/fail, who felt it most, and what does it mean for staying competitive for residency?

They should just have one exam for each year in addition to the step 1 and 2. Stress is part of life. I get stressed and? We have to learn to manage it.

— @treehouse5408

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I have a feeling that eventually all testing will be pass/fail!

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Step 1 is an almost pointless exam. That’s why it went pass fail

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USMLE Step 1 is PASS/FAIL! What No One Else is Saying 🤫: https://youtu.be/LrJ5i9afqP8

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I recall that students who are disadvantaged typically do better on Step 2CK than Step 1 because they gain more exposure to medicine and science through rotations. If that's still true, then it's a benefit to having more weight on Step 2CK.

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Can't we argue that if we do NEED a bottleneck exam, it might as well be Step 2 rather than Step 1. It's far more useful and clinically relevant compared to the random fact check that step 1 requires.
But even this argument is shortsighted. People need to be asking the real question of whether the USMLE actually captures the qualities of a competent and good physician. How about the other metrics med students are graded on ( class rank, research items, subjective evaluations) do these actually create a better, more knowledgeable, and compassionate workforce of doctors?

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My biggest problem with Step is 1/4 of the questions not counting towards your score as "experimental" i.e. doing free work for the NBME and paying a lot of money for the privilege.

How is it there are fewer question on the Internal Medicine Board Exam than Step 1?

— @LloydBraun9000

TIMESTAMPS:

00:00 Introduction

It was a huge mistake. My class students were focused more on research the first and second year then they should have been. They should have been learning the fundamentals. And third year they are now rushing home to study for step two rather than taking in the experience of their clinical rotations.

— @TseeDu23

00:41 Why Step 1 Was Never the Real Problem

01:58 The Actual Data Three Years Later

Actually they rises the limit to pass. Actually making it even harder and not knowing how to improve because they took out the the score but the also of where to improve in as well

— @drose44444

02:35 Why Pass/Fail Changed Behavior

03:16 Pressure Shift #1: Step 2 CK

The USMLE (NBME) question writers can only reword old questions. The questions are terrible. I am using UWorld right now and it includes questions that most 4th year students cannot answer. It has become a memorization exam. Students just run through endless questions everyday (100-150) and memorize Anki cards. Actual learning is significantly diminished and rote memorization is heavily rewarded.

— @StudentDoctorAntonioPatterson

05:53 Pressure Shift #2: The Research Arms Race

09:26 Was Making Step 1 Pass/Fail a Mistake?

I don't believe in any of those numbers talking about research... 34.7 research items in 4-5 years? That's like 9 research projects per year. I need a month to just write a proper paper! Everybody is cheating adding their names to research projects. People literally know other people and do something very minimal or do nothing at all and they put their names in the paper.

— @eyadbazmawi8005

12:08 Who Was Hurt the Most

13:44 What Students Should Do Now

Bro next time declare its a course ad :)

— @LsigRegistration

#premed #medstudent #medicalschool

====================

When is research and score inflation going to stop? How much more can we increase the minimum pass rate for step? What until we are all only missing 10-20 questions?

— @Tamalecakes

Disclaimer: Content of this video is my opinion and does not constitute medical advice. The content and associated links provide general information for general educational purposes only. Use of this information is strictly at your own risk. Kevin Jubbal, M.D. will not assume any liability for direct or indirect losses or damages that may result from the use of information contained in this video including but not limited to economic loss, injury, illness or death. May include affiliate links to Amazon. As an Amazon Associate, I may earn a commission on qualifying purchases made through them (at no extra cost to you).

In Canada there is no step 1. There is an exam LMCC (MCCQUE1) that you write after matching which is clinical in nature, and which almost everyone passes.

The US is stupidly obsessed with standardized testing. Step 1 is useless all it tests is basic science. Clinical testing and experience are the only things that are important in medicine.

— @Kenman-G

More User Perspectives

@

You and Sheriff of Sodium are the goats 🐐

@Tamalecakes
@

The drop in step 1 pass rate has more to do with the increased pass barrier cutoff and difficulty in questions than it has to do with people not taking the exam as seriously as before

@thunderfreeze1544
@

USMLE Step 1 is extremely necessary. It has now been replaced by rushing to publish papers, most of which have little value and are generated using AI. In the future, it will be proven that this kind of reform is a mistake.Even though it is now only reported as pass/fail, I will still insist on reaching a top 1% level within my first year of the MD program. I firmly believe this will be extremely meaningful for my future growth.For research, I will pursue quality rather than quantity.

@garendemacia5862
@

4 ads/promotions in one video is insane lol

@VolPOSITE
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Nice Derek MPMD plug lol

@elejmizzytheone
@

I am curious if the fail rate also has something to do with the 2 point rise in the score students need to pass… I believe in 2022?

@elahowse