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.


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


The Lecture That Never Got to Be

Step 1 Mania: The Case for #USMLEPassFail

Application Fever: The Movie