Thsi is why I like this guy, he gives a real and honest answer for the soul purpose of helping us. Thank you hearing what things will be like and getting advice early heavily reduces the stress
actually i was not so good at school but i was able to bypass my spill over. this russian dude was recommended to me wow he is really good. he got this done for me last year. contact his instagram; josephhank2 or whatsapp;+13184790559 . i had to recommend him out.
One of my plastic surgery research mentors told me when he took step 1, all he had to do was pass. He said he studied for like 2 days for it. He is now a nationally recognized academic plastic surgeon. Step 1 was never intended to become this end-all-be-all metric for residencies, yet it became one because residencies do need some form of a meteric. It will be interesting to see how it plays out. Ultimately I think it will just get more people with a true passion for a certain specialty into those specialty instead of, after taking step 1, so many people have a new found love for dermatology......
#1 tip, get a good adviser. #2 tip, get a small (VERY small), focused yet impactful project -- it takes some experience to identify those, that's why #1 is so important #3 focus & be efficient, succinct in writing #4 pick a good (appropriate) journal. I know what I am talking about -- look me up by my last name and initial (attending, MD/PhD).
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I have an idea. Why not finally FORCE by LAW the residency programs to treat their residents like human beings and not like a profit center. These OSHA laws are not doing enough. They used to not have any problem having surgery residents working 120 hours a week, unbelievable. Think about it....they pay roughly $60K at most for people doing skilled educated labor and work that is valued much higher, as much as 4-5 times as what they are paying them. They have no incentive to NOT burn them out. If they fall into severe depression or even commit suicide well that is a personal failing, boomers love to blame the person and never the system and boomers are still deep in control of all aspects of the medical system. Why is it that in any other first world country, even European countries, that their residents work much less and have a better work life balance. If you were sick or needed surgery in France or Germany would you be nervous your doctor is not smart enough or trained well enough? Why is it that so many female residents can not or do not start families and that also leads to depression, or the male students that can't be at home with their wife or kids? The competitive nature of getting in medical school, finishing medical school, competing for highly sought after residency spots (usually the big money residencies), completing residency training produces a very stressed out and burned out population of doctors and other health care workers. It is never ending for over a decade and even starts in college. Of course the system is broken. Once people are jaded and tainted with the non stop stress, judging, testing, and HUGE DEBT that affects what type of person they become. I've seen so many promising medical school students who were altruistic and get incredibly jaded and just started to look after themselves, especially ones that didn't come from money and had to bear the whole brunt of undergraduate and graduate education.
I like the point you made about shifting the stress and anxiety from step 1 to other areas on ones resume. what they basically did can be metaphorically described as just shifting the potassium when treating hyperkalemia with insulin. yes less potassium in the blood, but it’s still there (the anxiety) one could manage a high score(since it’s purely merit based exam)
Love the logical perspective here! Ive seen a lot of people freaking out and none really taking a realistic approach. I feel the cream will most likely rise to the top regardless for competitive specialties - in most cases at least
Step 1 was undoubtedly the worst part of med school. I'm thrilled for the med students coming after us for this change. Step 2CK is way more relevant. But I really need whatever "objective" metric that replaces it isn't highly biased, like many med school evals are
AbdulMax021 people generally score higher on CK than step 1 in terms of absolute numeric score, meaning that the average score us higher. But all of these exams are scored in relation to how everyone who takes it scores. So people do not always improve in terms of which percentile their score is
actually i was not so good at school but i was able to bypass my spill over. this russian dude was recommended to me wow he is really good. he got this done for me last year. contact his instagram; josephhank2 or whatsapp;+13184790559 . i had to recommend him out.
students should be more stressed about a test of CLINICAL KNOWLEDGE than a test of basic science. the students stressing out about step 2 CK probably are the ones who need to hone in on their clinical skills and patient relations
I'm wondering how this new change is going to have an effect on non-US med students that wish to apply to residency in the US. What's your opinion about that?
My opinion is that this is a disaster for IMGs. Without an objective measurement to set themselves apart, they will be easily crushed by the prestige of U.S schools.
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@@Brancononordeste idk about disaster. They’ll have to rely on transcript, research and step 2 CK. They’ll get residencies for sure though. Remember there’s a growing shortage of physicians in the US and the shortfall is estimated to be up to 139,000 by 2033. Not many people recognize it but we actually desperately need IMGs in the states.
Most if not all of your publications were in plastics! How do you get to do 60-65 in I would assume 4 years? And how did you approach those professors and what was required of you? 60 is insane, it’s amazing! 🤩
@@kevinjubbalmd Please do Kevin. As a future IMG I need to know when do I need to start doing research (MS1? or MS3?) and minimum of how may publications.
I agree that step one doesn’t reveal how dood of a doctor you will be. I believe it’s great to put more emphasis on other aspects of the application. Step 1 is an exam that is referred to by many physicians as “not relevant”. High volume research shows passion and innovation. You’re able to search through journals and develop your own project (s)? You can not only develop them, but present/publish as well? You’ve published and presented numerous case studies over your thee years of medical school? You were in the clinic day after day running your study, collecting data to ultimately organize the results into a meaningful conclusion? Now that is passion!! And with great LOR + networking (in smaller fields), i do not believe anyone will have trouble matching, regardless of school prestige.
As a current MS2 (the change won't directly affect me), it just feels like a move to delay the stress of residency applications from beginning of med school to the end. Theoretically, med schools will like the change because this should mean students will be less focused on a high score for Step 1, but I'm sure other issues will arise. The change will continue to highlight the fact that there seems to be not enough residency spots for all of the graduating medical students.
@@anon003 Everyone already knew step 2 was more clinically relevant. And residency directors valued step 2. However now that step 1 is completely useless in differentiating students. Directors are looking at step 2 a little more and they're going to look at research, prestige of medical school and LOR. Getting research, good letters from "famous" academicians are much easier when you go to a prestigious school. IT used to be that a kid in a poor school could bust his ass for an amazing step 1 and step 2 score and hang with the big dogs. Now its harder to do that with just step 2 alone. Now other factors have become more important.
@@lovefunkrockmusic given the current options, that could be viable. The primary problem is that there is no great way to standardize rotation grades. Most schools weigh clinical evaluations fairly highly
Dermatology is a joke. They refuse to open any more residency spots and keep the numbers of dermatologists at a certain number to keep the supply low. Ever wonder why it takes 3-6 months to see a dermatologist? Also, no it isn't harder than internal medicine....Dr. Pimple Popper anyone?
they do not, in fact my dermatologist was at the bottom of his medical school class 40 years ago, and he said it was only the rise of procedures for skin cancer and cosmetics that derm became popular. 40 years ago internal medicine was what he wanted but he settled for derm because he wasn't smart enough for internal medicine. in fact, most derm resident doctors now are arrogant, superficial, and pretentious because of their "high scores" and personalities as if they are better than other fields. personally, getting a high step 1 score does make you a good doctor, it means you are good at standardized exams only. I say this because I"m a resident and I do derm procures all the time and I'm not in dermatology. But Derm residents don't tend to be the nicest to be around at my instituition. However, Step 2 CK and CS is 100% more clinical relevant. And step 3 should be p/f since no one cares about it.
@@JM-gy1ev This is what people don't understand, you are right and good to hear from people who know the truth from back then. Dermatology was never a great "glamour" specialty like people are led to believe now. It really is a shame as it "sucks" some of the best and brightest. It's big money because of the procedures and the "cosmetics" aspect of it. Have you seen what the average dermatology resident looks like now?! Young, almost instagram hot, and ridiculously driven and overachieving like an investment banker. I avoid them at all costs.
@@bobgill4069 also, what patients don't know is procedural family med doctors will do all derm procedures except "mohs surgery", So if you get a highly skill family med doc, like my residency, we will do all the derm procedures and never refer. If we do refer it's for mohs surgery or to plastics for complicated stuff. But when I was on my derm rotation, the derm residents cared more about what free fillers or botox they would do on each other, microneedling and etc. I'm talking about the most superficial stuff you could think of, and then when the patient had a question about their diabetes or etc, it was "go see a family med or internal med doctor". a group of us fam med docs are getting the training in residency to get all derm procedures learnt, so if you need a biopsy, frozen off ak, or lipoma removed, you have ALOT OF OPTIONS. Even for botox and fillers, that is not something residents are taught in residency and it's about years of experience and not a title. most doctors are doing botox for migraines but cosmetics isn't taught. regardless, I'm a doctor and I don't trust alot of the young derm doctors. Ones i've seen only care about skin diseases, and yes rare diseases are for derm specialist, but bread and butter of derm is super basic. I walked into clinic and told the nurse, "why are putting steroid cream on your face?" Within 30 secs I diagnosis her with S. dermatitis and told her to use the fungal ointment she had left over from her scalp issue the year before. She canceled her derm appt and was fixed in 5 days. Saved her a co-pay. I'm not sure why she was referred to derm by her PA, but pick a pcp who isn't a referral doctor. I think it's better.
@@JM-gy1ev I'm really glad to hear this, I hope you guys take as much of the derm procedures as you can because dermatologists charge so much more and take so long to get to. I will definitely shop around for a good family practice doc for future derm issues. The first dermatologist I saw couldn't get my staph infection cleared up, should have gone to a family practice doc, this particular derm was driving a Ferrari 20 years ago and is now the owner of several cosmetic derm clinics and drives a Lamborghini parked outside of his office. They really make aesthetic plastic surgeons seem almost like normal decent people. My sister's father in law is a foreign med school graduate family practice doctor who has extra training to see diabetes patients (not even an endocrinologist) I think works on Saturdays by choice and has at least 20 years of experience. He pays for my sister's house to keep her in his city and she said he makes over $500K/year total compensation as a lowly family practice doctor when they had to sign all the paperwork for the house. This is why I'm glad the Step 1 is going to pass/fail. We took my mom to see a well regarded dermatologist about an infection in between her pinky toe, she helped clear it up as it was as a super easy diagnosis but she quickly deflected any questions about her diabetes and looked like a deer in the headlights when asked. Her resident was smoking hot though, LOL. Another residency that makes no sense for being so competitive is radiology. I just don't get it, probably the most boring thing to do all day in medicine. It's for people who only want to work hard for one test and then hardly ever work again.
Makes sense. The whole reason Step 1 is so stressful is not because of the test itself, but because the goal is matching to a desirable residency and program. So making Step 1 pass/fail just passes on the stress to other tests or aspects of the application. If they really want to minimize the student-resident transition stress, they should increase the number of residencies so that all competent students can more easily match into the residency they want. Otherwise, few residencies for too many students keeps the competition cut-throat and the resulting stress high.
Mayflower018 Yes, But one can argue if they increase too many spots. Then it could lead to saturation. That’s worse because in a saturated market, you could be unemployed, and trying to find a job is way more stressful than grades.
Hey, can you please tell us how Pass/ Fail will affect Foreign medical students writing the exam? Will they be evaluating us only based on our Step 2 score now (provided we pass step 1)?
Another reason for the switch is to because of the medical schools and the faculty in them. NO ONE goes to class and only a minority of students even look at the PowerPoints our faculty put so many hours into. These physicians (many of which still practice on top of teaching) are trying to impart the knowledge they think we will need as future physicians. However, everyone is so concerned with Step 1, we outright ignore them in favor of all the review content out there. Why sit through an hour long lecture when Boards and Beyond covers it in 20 min right? Kind of wrong. We are focusing on the most high yield material for step not for clinical practice. PS: the preclinical years are pass/fail at my school.
All I know is as a DO student, I'm now going to have to prep for Step 2 and COMLEX during clinical rotations, instead of having dedicated study time. This only makes my anxiety worse. If they're making one pass/fail, they should make them all pass/fail.
Something I haven't heard you address in your videos is that if you want to enter a top 10 program in internal medicine and other specialties like this one, you also need to be a superb candidate, not only for surgical specialties.
Very well said. I am currently an IMG, step one is stressed for us, however, I have always been told by past IMG's as important as step 1 has been, step 2 for residencies are more indicative of the kind of doctor you are going to be. Sadly, step 1 just filtered out what individuals personally applied for.
Pass/fail is a huge drawback for med students who do not have a home program/department/faculty in their desired specialty to obtain research and letters of rec from. Luckily my Step 1 score allowed me to get my foot in the door for away rotations and interviews. Yes it's a stressful exam, but it's in your control (unlike the prestige of your school and the Chair letter that you can't get). Mediocre students from top schools already clinch a significant number of total spots in competitive specialties. Now with pass/fail that proportion will be worse.
These are the exact thoughts that I had when I heard the announcement. MS1 here, so hopefully this won't affect me much since I'll take the Step 1 prior to the change.
That's what the whole confusion is about. I'm about to give step 1 sometime this year so will my score be considered in 2022 application. ? ? No one seems to know this. What do you think
As Italian final year student I can say that your real problem, as in Italy, it's the need of increasing residency posts to avoid this stupid bottleneck-effect. We have the same problem and the government is going to put more money in to increase our residency posts. Don't take in a lot of students if you can't guarantee them to specialize in something. It makes no sense. Every med graduate should have the possibility to specialize even if it will be less money to doctors but at least you can sustain your healthcare system .
So instead of focusing on rotations, learning the clinical environment, and spending as much time as we can third year, it will turn into who can leave the hospital at noon to study. In addition, doing research and gunning for a competitive specialty, only to bomb CK two months before residency apps are due and you find out you need to find a new specialty
Sue Reepmeyer I would disagree. MD programs even if lower ranked still have a strong alumni base and connections. DOs have to rely more so on objective tests like STEP2CK and CS and SHELF to make them competitive.
Thanks Dr.Jubbal! I'm an IMG, and based on my timeline I do have a chance to postpone my step 1 until it becomes pass/fail (I could take it anywhere between the end of 2020 to the beginning of 2022..6 year program). However, it makes it closer to my expected step 2 date. Still trying to decide but you've given me something to think about!
Personally, I think now residencies will look more at how you do on interviews, if you had a more rounded life in med school instead of being hyperfocused on grades and boards, your 3rd year and 4th year will matter a lot more now because it doesn't all just end with "Oh I did great on step 1, now I can chill". I think 3rd and 4th year should set you apart from other candidates because this is where you are in hospitals and clinics, interacting with patients, colleagues and preceptors and these interactions and the grades coming off of there should matter more than some standardized testing score. Ultimately, in medicine, it matters how you get along with people, you can be a shitty doctor because of your personality but do really well on exams and it will hinder you from providing the best care. Just my 2 cents.
They’re already doing that. Step 1 is just one of three tests but it does help to show which students wont do well on future boards. Program directors are very interested in how well you do on tests too bc they don’t want a certain percentage of residents that fail their boards. It reflects poorly on the program.
Here's a terrible scenario related to the matter: Student doctor Joe is interested in dermatology. Joe does all the necessary extracurricular activities (research, clubs, volunteering). Step 1 being pass/fail now puts immense importance on Step 2CK. Joe schedules all of his away rotations for dermatology. Joe then bombs Step 2CK. He now knows that he will not get into derm with that score but also cannot change his away rotations due to the time constraint. Joe is now using all of his away rotations for a residency he will most likely not match in. He has zero time to course-correct and schedule away rotations suitable for his score.
Frank De Stefano In that scenario, Joe has to take a gap year ( fifth year) and prepare for STEP2 CK again if he wants derm and also do research in derm. Joe can take STEP2 CK up to four times. If Joe does not make it the second time, Joe needs to consider primary care Family medicine as back up and Joe has done a required Primary Care rotation.
@@lovefunkrockmusic A few comments I have: 1. I may be mistaken due to the new changes, but getting 4 times to take it is for people who failed, not just did poorly. So Joe would be stuck with his score if he got one point higher than passing. 2. I'm not sure if you have applied to residency, but I can tell you that PD's in those specialties do not care for second takers. There are plenty of applicants who did well on the first go. 3. Taking a gap year sounds like just about as bad of a solution to that problem that many might run into.
Not sure what bombed means in terms of a score, but if it is less than 240 then he is still eligible for specialties that don’t require away rotations. He could cancel the derm ones and see if he could get at least one in IM (not necessary to match into IM) or another specialty like path and do derm path. All is well.
This is not fair to MD physicians like myself where our whole future pretty much depended on our USMLE Step 1 score to get into certain fields of medicine which determined our career and future. If anything USMLE Step 3 should be pass/fail, because most of us had to take this 16 hour board during Residency where we are on call and working 15 hour or longer days with limited time to study. I highly disagree that USMLE Step 1 should be pass/fail and this is probably to accommodate the shortage of doctors. I feel like all of us that had passing as a numerical score got the short end of the stick. I agree with how Step 2 CS should be pass/fail, but not Step 1. If anything make Step 3 pass/fail.
Now i have a question... what happens if i have a numerical score (took the test before 2022) and my colleague has a pass/fail score (took the test after 2022), then we apply to the same program in the same year (for example in 2025)... will my numerical score get reduced to a pass/fail??!!
Sorry if i was not clear in my question... i am asking if i have a numerical score (suppose i will get a 99%) and my friend has a pass/fail score (since each will take the test at a different time), then we apply together to the same program... what happens to my numerical score at this point since there will be applicants with numerical scores competing with applicants with pass/fails scores.
I also have the same question. Basically, if we take it before it changes to P/F, and we get a numerical score, will it be reported as P/F on ERAS? Because they did say it will be "reported" as P/F after 2022
Step 2CK will largely replace Step 1 Standardized LOR are also going to become more important, where students must be ranked numerically in terms of their strength compared to other students the letter writer has worked with
Ultimately students will adapt and conquer in their own way. I don’t think making Step 1 Pass/fail solves most of the problems that most students were worried about. If you aren’t stressed for Step 1, you’ll probably be more stressed for Step 2 now. Something always has to give The new change does place more emphasis on step 2 however, which is more clinical so i like that outcome.
Nah bc you’d have to go to Harvard or a top 20 in order to get in med schools bc GPAS can’t be properly compared amongst all colleges in the US . I go to a low ranked school but I’m on scholarship
Great overview, I just did a post over on Instagram talking about the same thing. I think Step 1 Pass Fail will help rather than hurt, especially since it puts the emphasis onto step 2 which is more clinically relevant. Its funny to hear you talk about the SLOE which was my first reaction to this change too. I wouldn't be shocked if we see other specialties adapting this over the next year or two
I think every step should be a pass/fail. The true purpose of these exams is to determine if you have a minimum amount of knowledge to practice medicine or not. Regardless if you pass with a minimum score or a 260+, that means you can practice medicine in the US... so why do need to compete with scores
I do agree when considering that in order to compensate for these changes in step 1, more importance will be given to step 2 scores. However, I’d like to ask if you think that studying less hard for step 1 would make it so that students will start to give less importance to such fundamental knowledge thus affecting in a negative way their step 2 scores.
I scored significantly higher on step 2s because it was clinically relevant, and step 1 was a struggle. I studied 5x as hard for step 1 to score much lower than studying less and doing shockingly better on step 2.
Step 1 score is overrated. It is neither the sole indicator nor the only measure that residency and fellowship training program directors take into account. Many of us have often argued that it was a huge distraction and put the US graduates at disadvantage since unlike their foreign counterparts they cannot take time off to cram questions and answers from multiple sources and regurgitate answers. I have found poor correlation between USMLE scores and clinical performance. How often does a dermatologist use hard core biochemistry knowledge to diagnose and treat skin disorders - hardly ever. To do away with numerical score is right decision. This course correction was long overdue. Yes students need strong grounding in basic sciences to understand intricacies of diseases, and medical schools must ensure that happens. It can be a calibrated process that can extend throughout the years of medical school. Romesh Khardori, MD., PhD
Great video as always. I really feel your platform would be elevated if you were still in residency and pursuing practice. I understand why you choose not, but I have to say it.
You failed to acknowledge that DOs also use step 1 to differentiate themselves on VSAS so they can be accepted to away / audition rotations. Now increasingly important LoRs are harder to get. Step 2 is too late in the game to be considered for VSAS. I've already matched, so it doesn't affect me, but I don't want more nepotism in medicine and you shouldn't either.
Oh, wow. I guess DOs have to rely on a good GPA in pre clinical years and now LORs and research to get away rotations. Will this curriculum force DOs to do Primary care to fill the shortage gap?
@@lovefunkrockmusic I think more DOs might go into primary care, yes. But "to fill the shortage gap" is making too much of an assumption. I doubt that was the intention.
The statistics of the match shows that so far the match rates for Do's and IMG's are pretty similar to the years before. However I'm still concerned that the pass/fail for step 1 could potentially hurt in particular IMG's in the future. You talked about the shift of step scores to other factors in your application. But this shift is in particular not favorable for IMG's. And I am one, so I know well what I'm talking about. It is really hard to obtain strong letters of recommendation, since the author is much more important than the content. A letter of recommendation written by a person from your home country is pretty useless, regardless who this person is. Besides that foreigners usually don't even know how to write a good letter. That was a big problem I ran into when I applied for residency. In addition: there are numerous countries, which don't issue a deans letter, simply because it is not common everywhere. In fact my medical school did not know what a deans letter even is. Bottom line: I had over average Step 1 and step 2CK scores and did not even get an interview in Family Medicine or Internal Medicine. I finally matched into a program just due to personal connections.
First of all, congrats on matching! First, to address the Step 1 concern: Many students are concerned that without Step 1 there won't be objective metrics, but don't forget that USMLE Step 2CK is largely replacing the importance of Step 1. Step 2CK will become the new heaviest weighted metric in determining an applicant's competitiveness. Previously, if a student scored well on Step 1, they may wait until after applying to take Step 2CK. Now, taking Step 2CK prior to applying will be important. Additionally, if a student didn't perform well on Step 1, they could always take Step 2CK and knock it out of the park to compensate. With regards to not getting an interview with above average Step 1 and 2CK scores, that likely points to soft components of the application holding you back - personal statement, work/activities, research, LOR, etc.
I would rather take a test to dictate my future than have someone else evaluate weather iam fit to be in a competitive field. This will just create more bias, and it’s kind of stupid.
I'm a second year med student. My only question is If I give step 1 in September 2021 and step 2 after graduation i.e in 2023, will my step 1 marks be in a 3 digit score or pass/fail in my CV?
I'm in a similar situation. I'll be giving my Step 1 in July 2020 and be applying for residency in 2022. I assume we'll be given a 3 digit numerical score for our Step 1 exam but no idea whether they'll be considered when we apply for residency.
Yup, my classmates are definitely a little more stressed and will probably have less of a knowledge base for clinical rotations and it will only get worse for the upcoming classes
This is a really relevant and interesting insight. What advice would you share with medical students who are prepping for USMLE Step 1? Have you created content relevant to traveling medical professionals you'd suggest sharing?
As a current 3rd year just having gone through step/comlex 9 months ago, I think this is really going to hurt the foundation of biomedical knowledge that we need to accumulate during didactics. All of the clinical skills we learn 3rd year build upon a strong foundation, and with less pressure to do well on step 1 people aren't going to learn as much. Medicalschool is Hell the first 2 years, but it's that way for a reason. This really feels like more of a blow to DO students than anything else because now we have less measures to set ourselves apart from MD students.
Kyle Herout I don’t think so. DO students can still take STEP2 CK and CS and SHELF to make themselves competitive. I think the new curriculum is indirectly pushing DOs to Primary Care though. This is more of a blow to Caribbean IMGs who now cannot even get a rotation site in the US. Medical school faculty do not like Caribbean schools
Quick question: At what ranking of medical school does your med school count as a “lower-rank medical school”? Like what’s the cutoff number before a school is classified a “low ranked school”
I dont get it. What difference does it make? Now basically your step 2 score will probably determine where you end up. That stuff is actual clinical stuff. Step 1 is basically just sciences not whats actually practical in real life. If anything this is better.
Not necesarily. Now emphasis will be put on other factors, such as LoR, the prestigue of your medical school, publications, research, etc. Yes, the Step 2 will now become the #1 factor, but the Step 1 was a way for Caribbean MS to differentiate themselves and possibly earn a spot among the US' medical schools. So, now it's going to get even harder.
the whole USMLE system seems like a confusing mess. I think the USA should adopt an Australian style system, with intermediary "residency" years before applying for specialty trainee positions.
Lol! APGAR pass/fail. Well, I am so glad that I don’t have to worry about the USMLE exam. I just need to worry about my residency and fellowship boards. My STEP 1 score wasn’t great because I just had a baby and broke up with my ex. I actually went down 20 points from my numerous practice exams because I had situational depression. HOWEVER, I did really well on STEP 2 CK. I still had a very good academic record and matched into Pathology at a competitive program. FYI: I wanted to be a Pathologist when I went into medical school so it wasn’t a huge deal with not having a super high STEP 1 score. Recently, I matched into the most competitive Pathology subspecialty-Dermpath (which is sought after by both Pathology and Dermatology residents). What people need to realize is that it’s really just a number which doesn’t define your academic ability or how great of a physician you will be. We should really be instead focusing on academic patterns/the overall picture and not who may be more skilled at rote memorization. How you connect with your patients and colleagues is even more important.
How about they focus on opening more residency spots and actually reduce the competition by widening the bottleneck, rather than shifting the filter. Oh wait that costs money, doesn’t make money, nvm, bad idea, let’s just open more medical schools instead
So I was starting medical school in the Caribbean because I don’t want to take on a lot of extra debt trying to get into a US school and this step 1 change made me question the decision. I looked at the first two practice questions of step 2 ck and surprisingly got them right, so I feel competent to do well on that exam, having not learned that material yet. That information makes more sense to me than the information on step 1, so maybe it’s a good thing for me. Clinical stuff is far more appealing, to me at least...
Be careful. Remember .most score better on STEP 2CK anyways. But now there will be even harder competition , so residency programs have to find other ways to compare students. If you are in Carribean, you already disadvantaged in research, and publications. I know many friend from Carribean med schools struggling to get into residency and wast years of their life. Money should not be the only reason to go to Carribean. Any ways May God be your guide in your decision.
Joshua D. Wright But isn’t Carribean schools more expensive in general than a US school. Also, US hospitals requires IMGs from carribean to have a competitive STEP1 score. Now that it is pass and fail. How will an IMG get a rotation in a US hospital?
thanks for the informative video! as an IMG, my focus needs to shift a lot to research/volunteer/LOR. Anyone has any tips about how to go about this for it to be highly recognized by usmle? eg. which doctors to try to network with or which communities to get involved with that's internationally recognized etc?
I'm seconding this. That's a ridiculous number of publications. If you factor that over 4 years of medical school, it becomes a new publication every 3 weeks. I don't know how it is simply possibly to get that many PUBLISHED, not just written and edited, but also published.
Thsi is why I like this guy, he gives a real and honest answer for the soul purpose of helping us. Thank you hearing what things will be like and getting advice early heavily reduces the stress
actually i was not so good at school but i was able to bypass my spill over. this russian dude was recommended to me wow he is really good. he got this done for me last year. contact his instagram; josephhank2 or whatsapp;+13184790559 . i had to recommend him out.
One of my plastic surgery research mentors told me when he took step 1, all he had to do was pass. He said he studied for like 2 days for it. He is now a nationally recognized academic plastic surgeon. Step 1 was never intended to become this end-all-be-all metric for residencies, yet it became one because residencies do need some form of a meteric. It will be interesting to see how it plays out. Ultimately I think it will just get more people with a true passion for a certain specialty into those specialty instead of, after taking step 1, so many people have a new found love for dermatology......
Please make a video explaining how to get multiple pubs, abstracts etc. published efficiently for those pursuing competitive specialties.
Yes please!
Yes... kindly make a video on that...!! we need tips...
#1 tip, get a good adviser. #2 tip, get a small (VERY small), focused yet impactful project -- it takes some experience to identify those, that's why #1 is so important #3 focus & be efficient, succinct in writing #4 pick a good (appropriate) journal. I know what I am talking about -- look me up by my last name and initial (attending, MD/PhD).
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Are you guys insane 😱😱😱😱😱 just checked the prices at your website. 9200 dollars for Gods sake omg. Absolutely mind boggling.
I have an idea. Why not finally FORCE by LAW the residency programs to treat their residents like human beings and not like a profit center. These OSHA laws are not doing enough. They used to not have any problem having surgery residents working 120 hours a week, unbelievable. Think about it....they pay roughly $60K at most for people doing skilled educated labor and work that is valued much higher, as much as 4-5 times as what they are paying them. They have no incentive to NOT burn them out. If they fall into severe depression or even commit suicide well that is a personal failing, boomers love to blame the person and never the system and boomers are still deep in control of all aspects of the medical system. Why is it that in any other first world country, even European countries, that their residents work much less and have a better work life balance. If you were sick or needed surgery in France or Germany would you be nervous your doctor is not smart enough or trained well enough? Why is it that so many female residents can not or do not start families and that also leads to depression, or the male students that can't be at home with their wife or kids? The competitive nature of getting in medical school, finishing medical school, competing for highly sought after residency spots (usually the big money residencies), completing residency training produces a very stressed out and burned out population of doctors and other health care workers. It is never ending for over a decade and even starts in college. Of course the system is broken. Once people are jaded and tainted with the non stop stress, judging, testing, and HUGE DEBT that affects what type of person they become. I've seen so many promising medical school students who were altruistic and get incredibly jaded and just started to look after themselves, especially ones that didn't come from money and had to bear the whole brunt of undergraduate and graduate education.
Well stated and I couldn't agree more. Politics/businesses...
This is why I follow you always straight to the point and saying what others won’t say.
I’m so early. Appreciate hearing your thoughts on this.
Dr. Jubbal is smart, fine, and honest. He is literally perfect.
I like the point you made about shifting the stress and anxiety from step 1 to other areas on ones resume. what they basically did can be metaphorically described as just shifting the potassium when treating hyperkalemia with insulin. yes less potassium in the blood, but it’s still there (the anxiety) one could manage a high score(since it’s purely merit based exam)
Haha love the physiology analogy
Love your channel
Is this 1.25x on default?cool
Lol do I really talk that fast 😂
@@kevinjubbalmd i really thought you intentionally speed up the video to save some of our time.
Gurninderjeet Singh lol I thought I was tripping that he sounded fast
@@kevinjubbalmd lol I keep all my videos sped up, I'm a fast talked too ;)
@@garrygjsr it's just that there's a lot of jump cuts, Philip DeFranco style, so there's constant fast talking
I love Dr. Jubbal because when he says “what no one else will say” I believe him
I was in that same mindset before watching, but then I don't think he said anything that I haven't already read (or thought of on my own).
This video is huge!! So well articulated in showing a BOTH sides of each variable in this predicament.
ps the reddit reference had me rolling lol
You really gave me hope......thanks Dr Kevin Jubbal!🙂
I respect you sir for being so kind and helping out people to find the right way for going into medicine
Thank you so much!!!!!!!!! Finally we are receiving the best information!!!! God bless you 🤗
Love the logical perspective here! Ive seen a lot of people freaking out and none really taking a realistic approach. I feel the cream will most likely rise to the top regardless for competitive specialties - in most cases at least
Step 1 was undoubtedly the worst part of med school. I'm thrilled for the med students coming after us for this change. Step 2CK is way more relevant. But I really need whatever "objective" metric that replaces it isn't highly biased, like many med school evals are
Is it true that everyone gets a high grade on Step 2CK ?
AbdulMax021 people generally score higher on CK than step 1 in terms of absolute numeric score, meaning that the average score us higher. But all of these exams are scored in relation to how everyone who takes it scores. So people do not always improve in terms of which percentile their score is
actually i was not so good at school but i was able to bypass my spill over. this russian dude was recommended to me wow he is really good. he got this done for me last year. contact his instagram; josephhank2 or whatsapp;+13184790559 . i had to recommend him out.
Medical school are just procrastinating med students stress til' step 2 CK
students should be more stressed about a test of CLINICAL KNOWLEDGE than a test of basic science. the students stressing out about step 2 CK probably are the ones who need to hone in on their clinical skills and patient relations
Alanna Perlin but bias in this are a probablem. I would rather dictate my future than have someone else evaluate me
I'm wondering how this new change is going to have an effect on non-US med students that wish to apply to residency in the US. What's your opinion about that?
My opinion is that this is a disaster for IMGs. Without an objective measurement to set themselves apart, they will be easily crushed by the prestige of U.S schools.
What about imgs is USA citizen
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I was thinking the same and I'm pretty worried about that actually.
@@Brancononordeste idk about disaster. They’ll have to rely on transcript, research and step 2 CK. They’ll get residencies for sure though. Remember there’s a growing shortage of physicians in the US and the shortfall is estimated to be up to 139,000 by 2033. Not many people recognize it but we actually desperately need IMGs in the states.
Yes, other factors of your app will be weighed more heavily.
E.g. if you attended a top 30 MD school
The rich get richer.
This is a wonderful video. Dr. Jubbal is a wonderful speaker and very insightful
Most if not all of your publications were in plastics! How do you get to do 60-65 in I would assume 4 years? And how did you approach those professors and what was required of you? 60 is insane, it’s amazing! 🤩
I think those are his total publications, not juust the one's in med school
Includes pubs and abstracts/pres. All but 4 were in med school. I’ll talk more about it in a future video
Kevin Jubbal, M.D. awesome! Looking forward to it! 🤩
@@kevinjubbalmd Yes please! I was about to comment about that... 60 is insane! Would love hear your thoughts and suggestions
@@kevinjubbalmd Please do Kevin. As a future IMG I need to know when do I need to start doing research (MS1? or MS3?) and minimum of how may publications.
I agree that step one doesn’t reveal how dood of a doctor you will be. I believe it’s great to put more emphasis on other aspects of the application. Step 1 is an exam that is referred to by many physicians as “not relevant”. High volume research shows passion and innovation. You’re able to search through journals and develop your own project (s)? You can not only develop them, but present/publish as well? You’ve published and presented numerous case studies over your thee years of medical school? You were in the clinic day after day running your study, collecting data to ultimately organize the results into a meaningful conclusion? Now that is passion!! And with great LOR + networking (in smaller fields), i do not believe anyone will have trouble matching, regardless of school prestige.
As a current MS2 (the change won't directly affect me), it just feels like a move to delay the stress of residency applications from beginning of med school to the end. Theoretically, med schools will like the change because this should mean students will be less focused on a high score for Step 1, but I'm sure other issues will arise. The change will continue to highlight the fact that there seems to be not enough residency spots for all of the graduating medical students.
And why a physician should be evalueted on preclinical subjects for residency application?
Step 2 CK is better
@@anon003 Everyone already knew step 2 was more clinically relevant. And residency directors valued step 2. However now that step 1 is completely useless in differentiating students. Directors are looking at step 2 a little more and they're going to look at research, prestige of medical school and LOR. Getting research, good letters from "famous" academicians are much easier when you go to a prestigious school. IT used to be that a kid in a poor school could bust his ass for an amazing step 1 and step 2 score and hang with the big dogs. Now its harder to do that with just step 2 alone. Now other factors have become more important.
K BinSaud but there’s still the step 2 score
K BinSaud They can make STEP2 CS a three digit score and include SHELF exam score in application. Also change rotation from pass fail to grades.
@@lovefunkrockmusic given the current options, that could be viable. The primary problem is that there is no great way to standardize rotation grades. Most schools weigh clinical evaluations fairly highly
Lots of truth in this. Be the best you can be everyday.
This is what always confused me: why does a dermatologist need to know more basic science then an internist? 260+ vs 230. Like really?!
Dermatology is a joke. They refuse to open any more residency spots and keep the numbers of dermatologists at a certain number to keep the supply low. Ever wonder why it takes 3-6 months to see a dermatologist? Also, no it isn't harder than internal medicine....Dr. Pimple Popper anyone?
they do not, in fact my dermatologist was at the bottom of his medical school class 40 years ago, and he said it was only the rise of procedures for skin cancer and cosmetics that derm became popular. 40 years ago internal medicine was what he wanted but he settled for derm because he wasn't smart enough for internal medicine.
in fact, most derm resident doctors now are arrogant, superficial, and pretentious because of their "high scores" and personalities as if they are better than other fields. personally, getting a high step 1 score does make you a good doctor, it means you are good at standardized exams only.
I say this because I"m a resident and I do derm procures all the time and I'm not in dermatology. But Derm residents don't tend to be the nicest to be around at my instituition.
However, Step 2 CK and CS is 100% more clinical relevant. And step 3 should be p/f since no one cares about it.
@@JM-gy1ev This is what people don't understand, you are right and good to hear from people who know the truth from back then. Dermatology was never a great "glamour" specialty like people are led to believe now. It really is a shame as it "sucks" some of the best and brightest. It's big money because of the procedures and the "cosmetics" aspect of it. Have you seen what the average dermatology resident looks like now?! Young, almost instagram hot, and ridiculously driven and overachieving like an investment banker. I avoid them at all costs.
@@bobgill4069 also, what patients don't know is procedural family med doctors will do all derm procedures except "mohs surgery", So if you get a highly skill family med doc, like my residency, we will do all the derm procedures and never refer. If we do refer it's for mohs surgery or to plastics for complicated stuff. But when I was on my derm rotation, the derm residents cared more about what free fillers or botox they would do on each other, microneedling and etc. I'm talking about the most superficial stuff you could think of, and then when the patient had a question about their diabetes or etc, it was "go see a family med or internal med doctor".
a group of us fam med docs are getting the training in residency to get all derm procedures learnt, so if you need a biopsy, frozen off ak, or lipoma removed, you have ALOT OF OPTIONS. Even for botox and fillers, that is not something residents are taught in residency and it's about years of experience and not a title.
most doctors are doing botox for migraines but cosmetics isn't taught.
regardless, I'm a doctor and I don't trust alot of the young derm doctors. Ones i've seen only care about skin diseases, and yes rare diseases are for derm specialist, but bread and butter of derm is super basic. I walked into clinic and told the nurse, "why are putting steroid cream on your face?" Within 30 secs I diagnosis her with S. dermatitis and told her to use the fungal ointment she had left over from her scalp issue the year before. She canceled her derm appt and was fixed in 5 days. Saved her a co-pay. I'm not sure why she was referred to derm by her PA, but pick a pcp who isn't a referral doctor. I think it's better.
@@JM-gy1ev I'm really glad to hear this, I hope you guys take as much of the derm procedures as you can because dermatologists charge so much more and take so long to get to. I will definitely shop around for a good family practice doc for future derm issues. The first dermatologist I saw couldn't get my staph infection cleared up, should have gone to a family practice doc, this particular derm was driving a Ferrari 20 years ago and is now the owner of several cosmetic derm clinics and drives a Lamborghini parked outside of his office. They really make aesthetic plastic surgeons seem almost like normal decent people. My sister's father in law is a foreign med school graduate family practice doctor who has extra training to see diabetes patients (not even an endocrinologist) I think works on Saturdays by choice and has at least 20 years of experience. He pays for my sister's house to keep her in his city and she said he makes over $500K/year total compensation as a lowly family practice doctor when they had to sign all the paperwork for the house.
This is why I'm glad the Step 1 is going to pass/fail. We took my mom to see a well regarded dermatologist about an infection in between her pinky toe, she helped clear it up as it was as a super easy diagnosis but she quickly deflected any questions about her diabetes and looked like a deer in the headlights when asked. Her resident was smoking hot though, LOL.
Another residency that makes no sense for being so competitive is radiology. I just don't get it, probably the most boring thing to do all day in medicine. It's for people who only want to work hard for one test and then hardly ever work again.
Makes sense. The whole reason Step 1 is so stressful is not because of the test itself, but because the goal is matching to a desirable residency and program. So making Step 1 pass/fail just passes on the stress to other tests or aspects of the application.
If they really want to minimize the student-resident transition stress, they should increase the number of residencies so that all competent students can more easily match into the residency they want.
Otherwise, few residencies for too many students keeps the competition cut-throat and the resulting stress high.
Mayflower018 Yes, But one can argue if they increase too many spots. Then it could lead to saturation. That’s worse because in a saturated market, you could be unemployed, and trying to find a job is way more stressful than grades.
@@lovefunkrockmusic hooly shit!you nailed it!!
Hey, can you please tell us how Pass/ Fail will affect Foreign medical students writing the exam? Will they be evaluating us only based on our Step 2 score now (provided we pass step 1)?
Another reason for the switch is to because of the medical schools and the faculty in them. NO ONE goes to class and only a minority of students even look at the PowerPoints our faculty put so many hours into. These physicians (many of which still practice on top of teaching) are trying to impart the knowledge they think we will need as future physicians. However, everyone is so concerned with Step 1, we outright ignore them in favor of all the review content out there. Why sit through an hour long lecture when Boards and Beyond covers it in 20 min right? Kind of wrong. We are focusing on the most high yield material for step not for clinical practice. PS: the preclinical years are pass/fail at my school.
You're the best Kevin !!
I've been waiting for this
All I know is as a DO student, I'm now going to have to prep for Step 2 and COMLEX during clinical rotations, instead of having dedicated study time. This only makes my anxiety worse. If they're making one pass/fail, they should make them all pass/fail.
Highly appreciate your effort.
Something I haven't heard you address in your videos is that if you want to enter a top 10 program in internal medicine and other specialties like this one, you also need to be a superb candidate, not only for surgical specialties.
Very well said. I am currently an IMG, step one is stressed for us, however, I have always been told by past IMG's as important as step 1 has been, step 2 for residencies are more indicative of the kind of doctor you are going to be. Sadly, step 1 just filtered out what individuals personally applied for.
i hear what youre saying, medical students are braver than the marines #saveourdoctors
Pass/fail is a huge drawback for med students who do not have a home program/department/faculty in their desired specialty to obtain research and letters of rec from. Luckily my Step 1 score allowed me to get my foot in the door for away rotations and interviews. Yes it's a stressful exam, but it's in your control (unlike the prestige of your school and the Chair letter that you can't get). Mediocre students from top schools already clinch a significant number of total spots in competitive specialties. Now with pass/fail that proportion will be worse.
These are the exact thoughts that I had when I heard the announcement. MS1 here, so hopefully this won't affect me much since I'll take the Step 1 prior to the change.
That's what the whole confusion is about. I'm about to give step 1 sometime this year so will my score be considered in 2022 application. ? ? No one seems to know this. What do you think
As Italian final year student I can say that your real problem, as in Italy, it's the need of increasing residency posts to avoid this stupid bottleneck-effect. We have the same problem and the government is going to put more money in to increase our residency posts. Don't take in a lot of students if you can't guarantee them to specialize in something. It makes no sense. Every med graduate should have the possibility to specialize even if it will be less money to doctors but at least you can sustain your healthcare system .
Yeah, that would be possible in Europe, still they don't do that. But in the US, you have to pay off you study depth somehow.
Great insight! I was waiting for your take!!
So instead of focusing on rotations, learning the clinical environment, and spending as much time as we can third year, it will turn into who can leave the hospital at noon to study. In addition, doing research and gunning for a competitive specialty, only to bomb CK two months before residency apps are due and you find out you need to find a new specialty
Thank you doctor
Great video as always!
You should mention that the COMLEX for DO schools is still scored! This is actually worse for lower ranked MDs than for DO programs.
Sue Reepmeyer I would disagree. MD programs even if lower ranked still have a strong alumni base and connections. DOs have to rely more so on objective tests like STEP2CK and CS and SHELF to make them competitive.
Can you please remake a video about this pass fail thing discussing what do program directors prefer after 2022 especially for IMG?
lol the copyright Uworld cracked me up. So relatable 😂
Dude Lets Face it.. Perceived Prestige of Medical School will start to play a HUGE factor and this will be no shock..
Thanks Dr.Jubbal! I'm an IMG, and based on my timeline I do have a chance to postpone my step 1 until it becomes pass/fail (I could take it anywhere between the end of 2020 to the beginning of 2022..6 year program). However, it makes it closer to my expected step 2 date. Still trying to decide but you've given me something to think about!
Personally, I think now residencies will look more at how you do on interviews, if you had a more rounded life in med school instead of being hyperfocused on grades and boards, your 3rd year and 4th year will matter a lot more now because it doesn't all just end with "Oh I did great on step 1, now I can chill". I think 3rd and 4th year should set you apart from other candidates because this is where you are in hospitals and clinics, interacting with patients, colleagues and preceptors and these interactions and the grades coming off of there should matter more than some standardized testing score. Ultimately, in medicine, it matters how you get along with people, you can be a shitty doctor because of your personality but do really well on exams and it will hinder you from providing the best care. Just my 2 cents.
They’re already doing that. Step 1 is just one of three tests but it does help to show which students wont do well on future boards. Program directors are very interested in how well you do on tests too bc they don’t want a certain percentage of residents that fail their boards. It reflects poorly on the program.
Another superb video, Dr. Jubbal! Great insight mentioned~ x
Here's a terrible scenario related to the matter: Student doctor Joe is interested in dermatology. Joe does all the necessary extracurricular activities (research, clubs, volunteering). Step 1 being pass/fail now puts immense importance on Step 2CK. Joe schedules all of his away rotations for dermatology. Joe then bombs Step 2CK. He now knows that he will not get into derm with that score but also cannot change his away rotations due to the time constraint. Joe is now using all of his away rotations for a residency he will most likely not match in. He has zero time to course-correct and schedule away rotations suitable for his score.
Frank De Stefano In that scenario, Joe has to take a gap year ( fifth year) and prepare for STEP2 CK again if he wants derm and also do research in derm. Joe can take STEP2 CK up to four times. If Joe does not make it the second time, Joe needs to consider primary care Family medicine as back up and Joe has done a required Primary Care rotation.
@@lovefunkrockmusic A few comments I have: 1. I may be mistaken due to the new changes, but getting 4 times to take it is for people who failed, not just did poorly. So Joe would be stuck with his score if he got one point higher than passing. 2. I'm not sure if you have applied to residency, but I can tell you that PD's in those specialties do not care for second takers. There are plenty of applicants who did well on the first go. 3. Taking a gap year sounds like just about as bad of a solution to that problem that many might run into.
Frank De Stefano I agree. So Joe applies for Family Medicine residency or IM residency, depending on his score.
Not sure what bombed means in terms of a score, but if it is less than 240 then he is still eligible for specialties that don’t require away rotations. He could cancel the derm ones and see if he could get at least one in IM (not necessary to match into IM) or another specialty like path and do derm path. All is well.
In Portugal (and most Europe), we have a standartized exam for residency. Your score is the only factor.( if its a tie, they check your gpa)
This is not fair to MD physicians like myself where our whole future pretty much depended on our USMLE Step 1 score to get into certain fields of medicine which determined our career and future. If anything USMLE Step 3 should be pass/fail, because most of us had to take this 16 hour board during Residency where we are on call and working 15 hour or longer days with limited time to study. I highly disagree that USMLE Step 1 should be pass/fail and this is probably to accommodate the shortage of doctors. I feel like all of us that had passing as a numerical score got the short end of the stick. I agree with how Step 2 CS should be pass/fail, but not Step 1. If anything make Step 3 pass/fail.
Thank you for this video !! 😊 It helped me understand more about Step 1.
Now i have a question... what happens if i have a numerical score (took the test before 2022) and my colleague has a pass/fail score (took the test after 2022), then we apply to the same program in the same year (for example in 2025)... will my numerical score get reduced to a pass/fail??!!
No. It won't be implemented no earlier than Jan 1, 2022.
Sorry if i was not clear in my question... i am asking if i have a numerical score (suppose i will get a 99%) and my friend has a pass/fail score (since each will take the test at a different time), then we apply together to the same program... what happens to my numerical score at this point since there will be applicants with numerical scores competing with applicants with pass/fails scores.
I also have the same question. Basically, if we take it before it changes to P/F, and we get a numerical score, will it be reported as P/F on ERAS? Because they did say it will be "reported" as P/F after 2022
@@mohammadalimazloum4479 this question was posted on the website.The answer is vague
The number one factor will now be where you went to medical school. Almost anybody can get a favorable letter of recommendation. The rich get richer.
Step 2CK will largely replace Step 1
Standardized LOR are also going to become more important, where students must be ranked numerically in terms of their strength compared to other students the letter writer has worked with
Ultimately students will adapt and conquer in their own way. I don’t think making Step 1 Pass/fail solves most of the problems that most students were worried about. If you aren’t stressed for Step 1, you’ll probably be more stressed for Step 2 now. Something always has to give
The new change does place more emphasis on step 2 however, which is more clinical so i like that outcome.
Make the MCAT pass fail as well 😂
😂🙄
Nah bc you’d have to go to Harvard or a top 20 in order to get in med schools bc GPAS can’t be properly compared amongst all colleges in the US . I go to a low ranked school but I’m on scholarship
VibranCELE I definitely understand! I was just throwing it out there. I’m in nursing school but I’m thinking of going to med school in a few years.
Make college pass fail too. Lol!
VibranCELE the same logic should then apply for why Step 1 should not be pass/fail
It sucks that DO students have to now take Step 2 as well, if in fact Step 2 replaces Step 1 . So we've got 4 exams instead of 2.
Kyle Snook and those 7 SHELF exams.
A lot of residency programs interview applicants before Step II scores are even released though.
Applicants can choose to take it sooner
Great overview, I just did a post over on Instagram talking about the same thing. I think Step 1 Pass Fail will help rather than hurt, especially since it puts the emphasis onto step 2 which is more clinically relevant. Its funny to hear you talk about the SLOE which was my first reaction to this change too. I wouldn't be shocked if we see other specialties adapting this over the next year or two
I think every step should be a pass/fail. The true purpose of these exams is to determine if you have a minimum amount of knowledge to practice medicine or not. Regardless if you pass with a minimum score or a 260+, that means you can practice medicine in the US... so why do need to compete with scores
makes sense, surgeons don't have to be PIs in NIH founded biochemistry labs
I do agree when considering that in order to compensate for these changes in step 1, more importance will be given to step 2 scores. However, I’d like to ask if you think that studying less hard for step 1 would make it so that students will start to give less importance to such fundamental knowledge thus affecting in a negative way their step 2 scores.
I scored significantly higher on step 2s because it was clinically relevant, and step 1 was a struggle. I studied 5x as hard for step 1 to score much lower than studying less and doing shockingly better on step 2.
Step 1 score is overrated. It is neither the sole indicator nor the only measure that residency and fellowship training program directors take into account. Many of us have often argued that it was a huge distraction and put the US graduates at disadvantage since unlike their foreign counterparts they cannot take time off to cram questions and answers from multiple sources and regurgitate answers. I have found poor correlation between USMLE scores and clinical performance. How often does a dermatologist use hard core biochemistry knowledge to diagnose and treat skin disorders - hardly ever.
To do away with numerical score is right decision. This course correction was long overdue. Yes students need strong grounding in basic sciences to understand intricacies of diseases, and medical schools must ensure that happens. It can be a calibrated process that can extend throughout the years of medical school.
Romesh Khardori, MD., PhD
Thank you sir☺️☺️✨👍
Great video as always. I really feel your platform would be elevated if you were still in residency and pursuing practice. I understand why you choose not, but I have to say it.
I wouldn’t be able to do all that I’m doing now if I were in residency unfortunately. Thanks for the feedback regardless
You failed to acknowledge that DOs also use step 1 to differentiate themselves on VSAS so they can be accepted to away / audition rotations. Now increasingly important LoRs are harder to get. Step 2 is too late in the game to be considered for VSAS. I've already matched, so it doesn't affect me, but I don't want more nepotism in medicine and you shouldn't either.
Good point about aways
Oh, wow. I guess DOs have to rely on a good GPA in pre clinical years and now LORs and research to get away rotations. Will this curriculum force DOs to do Primary care to fill the shortage gap?
@@lovefunkrockmusic I think more DOs might go into primary care, yes. But "to fill the shortage gap" is making too much of an assumption. I doubt that was the intention.
The statistics of the match shows that so far the match rates for Do's and IMG's are pretty similar to the years before. However I'm still concerned that the pass/fail for step 1 could potentially hurt in particular IMG's in the future. You talked about the shift of step scores to other factors in your application. But this shift is in particular not favorable for IMG's. And I am one, so I know well what I'm talking about. It is really hard to obtain strong letters of recommendation, since the author is much more important than the content. A letter of recommendation written by a person from your home country is pretty useless, regardless who this person is. Besides that foreigners usually don't even know how to write a good letter. That was a big problem I ran into when I applied for residency. In addition: there are numerous countries, which don't issue a deans letter, simply because it is not common everywhere. In fact my medical school did not know what a deans letter even is.
Bottom line: I had over average Step 1 and step 2CK scores and did not even get an interview in Family Medicine or Internal Medicine. I finally matched into a program just due to personal connections.
First of all, congrats on matching! First, to address the Step 1 concern:
Many students are concerned that without Step 1 there won't be objective metrics, but don't forget that USMLE Step 2CK is largely replacing the importance of Step 1. Step 2CK will become the new heaviest weighted metric in determining an applicant's competitiveness. Previously, if a student scored well on Step 1, they may wait until after applying to take Step 2CK. Now, taking Step 2CK prior to applying will be important. Additionally, if a student didn't perform well on Step 1, they could always take Step 2CK and knock it out of the park to compensate.
With regards to not getting an interview with above average Step 1 and 2CK scores, that likely points to soft components of the application holding you back - personal statement, work/activities, research, LOR, etc.
I would rather take a test to dictate my future than have someone else evaluate weather iam fit to be in a competitive field. This will just create more bias, and it’s kind of stupid.
thank god, your video came....
Always an inspiration and appreciate hearing your thoughts! Thanks for making these great videos.
5:41 subtle flex
💪
Man had 60 freakin publications... I have 1 (in undergrad but still) LOL what a legend
I discovered one of your videos by chance. Really like your videos and subscribed. Looking forward to your new content :)
I'm a second year med student. My only question is If I give step 1 in September 2021 and step 2 after graduation i.e in 2023, will my step 1 marks be in a 3 digit score or pass/fail in my CV?
I'm in a similar situation. I'll be giving my Step 1 in July 2020 and be applying for residency in 2022. I assume we'll be given a 3 digit numerical score for our Step 1 exam but no idea whether they'll be considered when we apply for residency.
now, we're seeing that students aren't taking med school serious since they know they can pass step 1 with minimum score
Yup, my classmates are definitely a little more stressed and will probably have less of a knowledge base for clinical rotations and it will only get worse for the upcoming classes
huge thanks @ mrfartbutt for the APGAR meme I chuckled
I hope this will not have to much of an impact on students attending offshore schools
Phil It will. It will affect mainly IMGs who graduated from Caribbean schools
Please post your stretch routine I have been waiting for it since your new years resolution video.
Before this the success limit was about 193 that mean 71% ...
Now In pass fail score what the success limit ??
Is it change ??
This is a really relevant and interesting insight. What advice would you share with medical students who are prepping for USMLE Step 1? Have you created content relevant to traveling medical professionals you'd suggest sharing?
As an IMG form China and not so good at English, I may never publish that many thesis through my life...not even my professors in China
As a current 3rd year just having gone through step/comlex 9 months ago, I think this is really going to hurt the foundation of biomedical knowledge that we need to accumulate during didactics. All of the clinical skills we learn 3rd year build upon a strong foundation, and with less pressure to do well on step 1 people aren't going to learn as much. Medicalschool is Hell the first 2 years, but it's that way for a reason. This really feels like more of a blow to DO students than anything else because now we have less measures to set ourselves apart from MD students.
Kyle Herout I don’t think so. DO students can still take STEP2 CK and CS and SHELF to make themselves competitive. I think the new curriculum is indirectly pushing DOs to Primary Care though. This is more of a blow to Caribbean IMGs who now cannot even get a rotation site in the US. Medical school faculty do not like Caribbean schools
Comment about research as game more so thag advancing health outcomes and care rings so true! I think we almost forget what the point of research is
Quick question: At what ranking of medical school does your med school count as a “lower-rank medical school”? Like what’s the cutoff number before a school is classified a “low ranked school”
Good video ! Thanks 🙏
I dont get it. What difference does it make? Now basically your step 2 score will probably determine where you end up. That stuff is actual clinical stuff. Step 1 is basically just sciences not whats actually practical in real life. If anything this is better.
Not necesarily. Now emphasis will be put on other factors, such as LoR, the prestigue of your medical school, publications, research, etc.
Yes, the Step 2 will now become the #1 factor, but the Step 1 was a way for Caribbean MS to differentiate themselves and possibly earn a spot among the US' medical schools.
So, now it's going to get even harder.
the whole USMLE system seems like a confusing mess. I think the USA should adopt an Australian style system, with intermediary "residency" years before applying for specialty trainee positions.
Haha, I love it. Thanks for sharing. Out of curiosity, when did you start accumulating your publications?
Lol! APGAR pass/fail. Well, I am so glad that I don’t have to worry about the USMLE exam. I just need to worry about my residency and fellowship boards. My STEP 1 score wasn’t great because I just had a baby and broke up with my ex. I actually went down 20 points from my numerous practice exams because I had situational depression. HOWEVER, I did really well on STEP 2 CK. I still had a very good academic record and matched into Pathology at a competitive program. FYI: I wanted to be a Pathologist when I went into medical school so it wasn’t a huge deal with not having a super high STEP 1 score. Recently, I matched into the most competitive Pathology subspecialty-Dermpath (which is sought after by both Pathology and Dermatology residents).
What people need to realize is that it’s really just a number which doesn’t define your academic ability or how great of a physician you will be. We should really be instead focusing on academic patterns/the overall picture and not who may be more skilled at rote memorization. How you connect with your patients and colleagues is even more important.
How about they focus on opening more residency spots and actually reduce the competition by widening the bottleneck, rather than shifting the filter. Oh wait that costs money, doesn’t make money, nvm, bad idea, let’s just open more medical schools instead
Need more residency spots for sure
So I was starting medical school in the Caribbean because I don’t want to take on a lot of extra debt trying to get into a US school and this step 1 change made me question the decision. I looked at the first two practice questions of step 2 ck and surprisingly got them right, so I feel competent to do well on that exam, having not learned that material yet. That information makes more sense to me than the information on step 1, so maybe it’s a good thing for me. Clinical stuff is far more appealing, to me at least...
Be careful. Remember .most score better on STEP 2CK anyways. But now there will be even harder competition , so residency programs have to find other ways to compare students. If you are in Carribean, you already disadvantaged in research, and publications. I know many friend from Carribean med schools struggling to get into residency and wast years of their life. Money should not be the only reason to go to Carribean. Any ways May God be your guide in your decision.
Beza Gebremedhine Forget research. You will struggle for a US rotation practice site.
You are taking extra debt to go to Caribbean. They are more expensive than US schools
lovefunkrockmusic both of your comments is inaccurate for the school I’m going to
Joshua D. Wright But isn’t Carribean schools more expensive in general than a US school. Also, US hospitals requires IMGs from carribean to have a competitive STEP1 score. Now that it is pass and fail. How will an IMG get a rotation in a US hospital?
Shoutout to fartbutt had me dying
People are overreacting. Remember, there was a time when the USMLE Step system didn't even exist. LOL
Things have changed quite a bit since then though. It's not as simple as going back to that
how will this impact DO students?
Probably negatively, just like FMG and Caribbean. Step 1 was their way to differentiate themselves from the MD schools.
I am 25 years old, should i just go for step 1 now while its not pass/fail yet or should i wait for 2022?
Now
thanks for the informative video! as an IMG, my focus needs to shift a lot to research/volunteer/LOR. Anyone has any tips about how to go about this for it to be highly recognized by usmle? eg. which doctors to try to network with or which communities to get involved with that's internationally recognized etc?
Very interesting! I wonder if this will change for other board exams like it
How did you get all those publications?! Please help :) need to get involved ASAP
I'm seconding this. That's a ridiculous number of publications. If you factor that over 4 years of medical school, it becomes a new publication every 3 weeks. I don't know how it is simply possibly to get that many PUBLISHED, not just written and edited, but also published.
Thank you for this.
Tangential question: how in the world did you get 65 publications?
A topic for a future video =)
@@kevinjubbalmd Please make this video asap so I can get started earlier 😭 MS1 here
Kevin Jubbal, M.D. Yes, please!
APGAR! Copyright UWorld!😂😂
I am a first year Med student IMG looking to do research. How did u get published???