Subscribe to RSS
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0044-1800830
Assessing the Impact of USMLE Step 1 Going Pass-Fail: A Brief Review of the Performance Data
Funding This article received no specific grant or support from any public or private agencies.![](https://www.thieme-connect.de/media/10.1055-s-00051312/EFirst/lookinside/thumbnails/10-1055-s-0044-1800830_240134-1.jpg)
Abstract
On January 26, 2022, the United States Medical Licensing Examination (USMLE) Step 1 exam transitioned to a pass-fail grading system instead of the conventional three-digit score. This move was intended to decrease the emphasis on Step 1 scores and facilitate a more holistic approach by programs in the residency selection process. However, since the implementation of the new grading system, we have seen a lower passing percentage among all medical students, including U.S. MDs, DOs, and international medical graduates. In this article, we assess the USMLE Step 1 performance data since the change in scoring and some factors that may have contributed to the lower passing rates among all medical students.
Publication History
Article published online:
24 December 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Currie M, Hammond C, Martinez OP, Lane-Cordova A, Cook J. The impact of United States Medical Licensing Examination Step 1 transitioning to pass/fail on medical student perception of research needed to match into one's preferred specialty. Cureus 2024; 16 (04) e57395
- 2 Belovich AN, Bahner I, Bonaminio G. et al. USMLE Step-1 is going to pass/fail, now what do we do?. Med Sci Educ 2021; 31 (04) 1551-1556
- 3 Al-Akchar M, Salih M, Fanari Z. USMLE step 1 pass/fail: the impact on international medical graduates. Avicenna J Med 2021; 11 (01) 40-41
- 4 Yadav S, Dekhne A, Harikrishnan S. et al. The pass/fail effect: a longitudinal study of United States Medical Licensing Examination (USMLE) Step 1 performance over a decade. Cureus 2023; 15 (07) e41702
- 5 USMLE. Performance data [Internet]. Accessed November 22, 2024 at: https://www.usmle.org/performance-data
- 6 Keltner C, Haedinger L, Carney PA, Bonura EM. Preclinical assessment performance as a predictor of USMLE Step 1 scores or passing status. Med Sci Educ 2021; 31 (04) 1453-1462
- 7 Rayamajhi S, Dhakal P, Wang L, Rai MP, Shrotriya S. Do USMLE steps, and ITE score predict the American Board of Internal Medicine Certifying Exam results?. BMC Med Educ 2020; 20 (01) 79
- 8 Cheloff AZ, Bharadwa S. A student perspective on taking the USMLE Step 1 during the COVID-19 pandemic. Acad Med 2022; 97 (05) 621
- 9 Swan Sein A, Daniel M, Hauer KE, Santen SA. Educational and practical implications of Step 1 timing in the context of COVID-19. Med Sci Educ 2021; 31 (02) 911-916
- 10 Southworth E, Gleason SH. COVID 19: a cause for pause in undergraduate medical education and catalyst for innovation. HEC Forum 2021; 33 (1-2): 125-142
- 11 Prasad S, Perez C, Carnevale KJF. Medical students' perspective on the United States Medical Licensing Examination (USMLE) Step 1 transition to Pass/Fail. MedEdPublish 2024; 14: 20
- 12 Girard AO, Qiu C, Lake IV, Chen J, Lopez CD, Yang R. US medical student perspectives on the impact of a pass/fail USMLE Step 1. J Surg Educ 2022; 79 (02) 397-408
- 13 Swan Sein A, Dathatri S, Bates TA. Twelve tips on guiding preparation for both high-stakes exams and long-term learning. Med Teach 2021; 43 (05) 518-523
- 14 Rajkumar RP. COVID-19 and mental health: a review of the existing literature. Asian J Psychiatr 2020; 52: 102066