Student USMLE step 1 preparation and performance.

OBJECTIVES: Many medical students take commercial preparation courses to prepare for the USMLE Step 1. This investigation examined the relationships among Step 1 performance, preparation method, and academic achievement in medical school. METHOD: A survey was conducted on 148 junior students at a medical school in July 2000 regarding their preparation methods for Step 1. Additional data was collected on student Step 1 scores, attendance record on preparation courses, and course grades in medical school. RESULTS: One hundred students (68%) responded to the survey including 32 preparation course participants. Course participants had significantly lower Step 1 scores and second-year GPAs than those of the non-participants (p < 0.05). However, the effect of preparation method was not significant by using ANCOVA when the second-year GPA was used as a covariate (p = 0.71). CONCLUSION: Performance on Step 1 is related to academic performance in medical school and not the type of preparation methods.

Duke Scholars

Author Cynthia Ann Toth Ophthalmology, Vitreoretinal Diseases & Surgery