The orthopedic surgery residency application process is highly competitive, and residency programs rely on objective measures, such as the United States Medical Licensing Examination (USMLE) Step 1 score, to assist in applicant selection. To deemphasize standardized test scores and improve student well-being, governing bodies have elected to change the Step 1 examination to a pass/fail grading system beginning in 2022. Given the utility of Step 1 in the orthopedic surgery residency application process, this change will significantly affect how applicants are assessed. To determine how this change will affect the process, we developed and validated a 19-item anonymous electronic survey and invited program directors (PDs) from orthopedic surgery residency programs accredited by the Accreditation Council for Graduate Medical Education to respond. The 86 surveys that were completed represented a 43.2% response rate (86 of 199). Only 4.7% of orthopedic surgery PDs believe that this change is a good idea, and 91.7% of PDs believe that the change will make it more difficult to compare applicants objectively. In addition, 90.7% of PDs report that they will increase emphasis on the Step 2 CK (clinical knowledge) examination in comparing residency applicants for their program, with 90.4% of PDs reporting that they will require students to submit their Step 2 scores via the Electronic Residency Application Service. These results indicate that changing the Step 1 scoring to pass/fail is unpopular among orthopedic surgery PDs. Further, losing the numeric Step 1 score will increase reliance on Step 2 scores and emphasis on less objective measures, such as where an applicant attended medical school. [Orthopedics. 20XX;XX(X):xx–xx.]

骨科手术住院医师申请流程竞争激烈，住院医师计划依靠客观的衡量标准，例如美国医学执照考试 (USMLE) 的第 1 步分数来协助申请人选择。为了淡化标准化考试成绩并提高学生的幸福感，管理机构已选择从 2022 年开始将 Step 1 考试改为通过/失败评分系统。鉴于 Step 1 在整形外科住院医师申请流程中的实用性，这一变化将显着影响申请人的评估方式。为了确定这一变化将如何影响这一过程，我们开发并验证了一项包含 19 项匿名电子调查，并邀请了来自研究生医学教育认证委员会认可的整形外科住院医师项目的项目主管 (PD) 做出回应。完成的 86 项调查的回复率为 43.2%（199 份中的 86 份）。只有 4.7% 的骨科 PD 认为这一变化是一个好主意，而 91.7% 的 PD 认为这一变化将使客观比较申请人变得更加困难。此外，90.7% 的 PD 表示他们将更加重视 Step 2 CK（临床知识）考试来比较其项目的住院医师申请者，90.4% 的 PD 表示他们将要求学生通过电子居留申请服务。这些结果表明，将步骤 1 评分更改为通过/失败在骨科手术 PD 中不受欢迎。此外，失去第 1 步的数字分数将增加对第 2 步分数的依赖，并强调不太客观的衡量标准，例如申请人在哪里就读医学院。骨科。20XX;XX(X):xx–xx.]