Abstract: For years, the USMLE Step 1 has acted as an unofficial “concours” for medical students applying to residency positions in the United States. The three-digit numeric score has been used to rank thousands of applicants without any evidence of validity. The USMLE will soon change score reporting to a pass/fail outcome. The main reason given was to address the concerns about its effects on the well-being of the students and medical education. It is argued that time for change has come. The authors discuss the various viewpoints of the stakeholders and the effects of this change on applicants and potential changes on the undergraduate medical curriculum. Furthermore, this article discusses several metrics that can be utilized in the application process in lieu of the USMLE Step 1. Additionally, some novel key metrics in the application process are identified, and their unique dynamic and adaptive characteristics are deliberated. Finally, the benefits of a transparent and holistic process are strongly advocated.

Keywords: USMLE step 1 residency, multiple mini interviews, holistic graduate medical education admissions


中文翻译：

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关于将美国医师执照考试第 1 步过渡为通过/失败评分模型的观点：为申请住院医师的医学生定义新框架

摘要：多年来，USMLE Step 1 一直充当医学生申请美国住院医师职位的非官方“竞赛”。三位数的分数已被用来对数千名申请人进行排名，但没有任何有效性证据。USMLE 很快将把分数报告改为通过/失败结果。给出的主要原因是为了解决对其对学生福祉和医学教育影响的担忧。有人认为，变革的时刻已经到来。作者讨论了利益相关者的各种观点以及这一变化对申请人的影响以及本科医学课程的潜在变化。此外，本文还讨论了可以在申请流程中代替 USMLE 步骤 1 使用的几个指标。此外，还确定了申请流程中的一些新颖的关键指标，并探讨了它们独特的动态和自适应特征。最后，强烈提倡透明和整体流程的好处。

关键词： USMLE 步骤 1 住院医师实习、多次迷你面试、整体研究生医学教育招生