![]() ![]() The result, however, is being less prepared for Step 1. So rather than an issue of laziness or lack of motivation, it may well be a product of a shift of priorities. And if you spend all your time in the lab, in clubs, or other activities, you’ll have less time to get ready to pass Step 1. However, less focus on Step 1 increases the chances of being unprepared. However, at least anecdotally, it seems that has increased. Students focused on research even before a pass-fail Step 1. Many have responded to the lack of a graded Step 1 to increase their participation in other extracurriculars, including research. Med students are (usually) rational actors. However, there are several other more likely explanations. And there is certainly something to be said for a high-stakes examination focusing our energies and attention. It is natural to speculate whether struggling to pass Step 1 is the fault of med student escapism or laziness. Improving Residency Selection Requires Close Study and Better Understanding of Stakeholder Needs. We know that assessment drives learning, so another concern resulting from a shift to pass/fail scoring may be a less knowledgeable physician population.” However, if students were to devote more time to activities that make them less prepared to provide quality care, such as binge-watching the most recent Netflix series or compulsively updating their Instagram account, this could negatively impact residency performance and ultimately patient safety. This would arguably be an ideal outcome of such a change. “If students reduce time and effort devoted to preparing for Step 1, they may indeed devote attention to other activities that will prepare them to be good physicians. ![]() They raised the possibility that students would essentially become lazy. Peter J Katsufrakis, MD, MBA, and Humayun J Chaudhry, DO, MS – the respective CEOs of the NBME and FSMB at the time – infamously raised this prospect. The first thing many people will claim is that students are simply less motivated. Are Students Who Struggle to Pass Step 1 Lazy? Step 1 scores weighed heavily in residency applications scoring high was paramount. Instead, the goal was to score as high as possible. So why do so many students struggle to pass Step 1 now? Before, when Step 1 had a score, passing wasn’t even on many people’s radar. Why Do So Many Students Struggle to Pass Step 1? It seems as if passing Step 1 wasn’t as easy as some may have expected. I’ve had similar conversations with students from other schools across the country. But, of course, that doesn’t include the number of students who weren’t ready to take their exam and failed. This postponement meant either pushing their test to the last possible pre-clerkship date or even taking an entire research year to give them more time. However, I spoke with a student recently from a highly-regarded med school who told me that roughly 25% of the class had delayed their Step 1 exam date. However, the number is high judging by conversations with students and the large volume of emails/(free) consultation requests we receive. I know no official statistics on how many students struggle to pass Step 1.
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