Grand Rounds: The Rise and Fall of USMLE Step 1

Recently, I had the chance to give a Grand Rounds presentation for another institution’s Department of Internal Medicine.

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How did the USMLE Step 1 examination get such an outsized role in medical education? Why did a multiple-choice question test of basic science attain such incredible importance – and then collapse under the force of its own weight? And what should we do when the all-powerful three digit score disappears?

Run time: 56:21

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