Impact of USMLE Step 1 Transition to Pass/Fail Scoring System on Medical Students' Anxiety, Sleep Quality, and Burnout

• DOI: 10.5195/ijms.2023.2337
• Publication Date: 2024-01-18T15:18:38Z
• Authors: Lana AlDoori; Peter G. Zaki; Vivek Joshi
• Keywords: Depression

BACKGROUND: Originally designed to evaluate the application of foundational scientific knowledge in clinical contexts, United States Medical License Exam Step 1 evolved into a comparative tool for assessing candidates' educational foundations. This transition heightened pressure on medical students excel exam. In response, collaborative efforts involving National Board Examiners prompted significant change from reporting scores pass/fail system. However, true impact this shift remains insufficiently explored. study aims assess emotional toll - encompassing burnout, anxiety, depression, and sleep quality experienced prior taking Additionally, it uncover potential gender-based disparities perceived stress, depression. METHODS: The encompasses entirety third-year at Drexel University College Medicine, who were invited participate comprehensive survey. Drawing retrospection, survey relies self-reported data regarding index, burnout levels. Data compilation was anonymized executed through Qualtrics platform. RESULTS: A total 102 completed survey, with 97% pass rate USMLE 1. Despite their excellent performance, 75% reported inadequate quality, 68% exhibited mild moderate anxiety Among them, higher percentage females (83%) compared male counterparts (50%). Furthermore, 66% felt that commitment education exceeded what reasonable well-being. CONCLUSION: traditional scoring system ostensibly intended enhance mental well-being students. Nevertheless, our findings underscore continue grapple levels during pivotal month leading up examination.