Document Detail

Does US Medical Licensing Examination Step l score really matter in surgical residency match outcomes (and should it)?
MedLine Citation:
PMID:  18308226     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The relationship between US Medical Licensing Examination Step 1 scores and core surgical-specialty match outcomes has not been well defined. STUDY DESIGN: With IRB approval, we measured associations between aggregate Step 1 scores and other specialty-specific, match-process variables for 3 surgical-specialty matches. Chi-square tests measured differences between proportions of US students and independent applicants (ie, all non-US allopathic student applicants) who matched. Independent samples t-tests compared differences in Step 1 scores between matched- and unmatched-applicant groups. Pearson correlations measured the magnitude and direction of associations between matched-applicants' Step 1 scores and other variables of interest and between Step 1 scores for all match participants and percentage of positions filled by US students (two-tailed p values). RESULTS: Step 1 scores were lower for unmatched- than matched-applicant groups for each specialty examined (each p < 0.0001). Matched-applicant groups' Step 1 scores positively correlated with each unmatched-applicant groups' Step 1 scores (r =.82, p < 0.0001), Step 1 gap between matched- and unmatched-applicant groups' scores (r = .40, p = 0.035), percentage of positions filled by US students (r = .62, p < 0.0001), and mean number of applications filed/applicant (r = .50, p < 0.0001). Step 1 scores for all match participants correlated with percentage of positions filled by US students (r = .61, p = 0.0006). CONCLUSIONS: Step 1 scores were closely related to match process outcomes and match participation itself, with increasing Step 1 scores among both matched- and unmatched-applicant groups as specialty selectivity increased.
Dorothy A Andriole; Yan Yan; Donna B Jeffe
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Publication Detail:
Type:  Journal Article     Date:  2007-11-26
Journal Detail:
Title:  Journal of the American College of Surgeons     Volume:  206     ISSN:  1879-1190     ISO Abbreviation:  J. Am. Coll. Surg.     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-29     Completed Date:  2008-03-27     Revised Date:  2009-05-21    
Medline Journal Info:
Nlm Unique ID:  9431305     Medline TA:  J Am Coll Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  533-9     Citation Subset:  AIM; IM    
Department of Surgery, Washington University School of Medicine, St Louis, MO 63110, USA.
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MeSH Terms
Career Choice
Case-Control Studies
Internship and Residency / organization & administration*
Licensure, Medical*
Predictive Value of Tests
School Admission Criteria*
Specialties, Surgical / education*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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