Academic and professional career outcomes of medical school graduates who failed USMLE Step 1 on the first attempt

Leon McDougle, Brian E. Mavis, Donna B. Jeffe, Nicole K. Roberts, Kimberly Ephgrave, Heather L. Hageman, Monica L. Lypson, Lauree Thomas, Dorothy A. Andriole

    Research output: Contribution to journalArticlepeer-review

    17 Scopus citations

    Abstract

    This study sought to determine the academic and professional outcomes of medical school graduates who failed the United States Licensing Examination Step 1 on the first attempt. This retrospective cohort study was based on pooled data from 2,003 graduates of six Midwestern medical schools in the classes of 1997-2002. Demographic, academic, and career characteristics of graduates who failed Step 1 on the first attempt were compared to graduates who initially passed. Fifty medical school graduates (2. 5 %) initially failed Step 1. Compared to graduates who initially passed Step 1, a higher proportion of graduates who initially failed Step 1 became primary care physicians (26/49 [53 %] vs. 766/1,870 [40. 9 %]), were more likely at graduation to report intent to practice in underserved areas (28/50 [56 %] vs. 419/1,939 [ 21. 6 %]), and more likely to take 5 or more years to graduate (11/50 [22. 0 %] vs. 79/1,953 [4. 0 %]). The relative risk of first attempt Step 1 failure for medical school graduates was 13. 4 for African Americans, 7. 4 for Latinos, 3. 6 for matriculants >22 years of age, 3. 2 for women, and 2. 3 for first generation college graduates. The relative risk of not being specialty board certified for those graduates who initially failed Step 1 was 2. 2. Our observations regarding characteristics of graduates in our study cohort who initially failed Step 1 can inform efforts by medical schools to identify and assist students who are at particular risk of failing Step 1.

    Original languageEnglish (US)
    Pages (from-to)279-289
    Number of pages11
    JournalAdvances in Health Sciences Education
    Volume18
    Issue number2
    DOIs
    StatePublished - May 2013

    Keywords

    • Health professional career outcomes
    • Relative risk
    • Underrepresented in medicine
    • Underserved areas
    • United States Licensing Examination (USMLE) Step 1 failure

    ASJC Scopus subject areas

    • Education

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