For example, even if a candidate had failed but subsequently passed the exam, reporting the failed attempt may incline PDs to choose a candidate who has not been tested. Reporting Step 2 CS failed attempts will add bias during resident selection as PDs are more likely to choose a candidate who has not been tested. However, 40.8% will continue to use the filter, while 16.3% of PDs who had used the filter in the past will no longer do so. Would PDs use Step 2 CS to filter residency applications moving forward?Ĥ2.9% of the PDs responded they have not used Step 2 CS to filter residency applications in the past. Seems unfair.” “If Step 2 CS will be permanently discontinued, then its reporting should also be discontinued.” These scores should be wiped from USMLE records.” “Disclosing poor performance on a discontinued exam may bias PDs against those individuals.” “Failing CS, especially when they can’t retake it, is a blemish on the record, that the student can’t do anything about it. Some of the responses received were as follows: “It will affect perception.” “Program directors might regard students who failed (and were unable to retake) in a negative light, this is completely unfair. The majority of the PDs agreed that it may lead to bias. Would the disclosure of an applicant’s Step 2 CS history have an impact on the equality of opportunity?Ħ9.4% of PDs agreed that disclosing failed attempts of a now-discontinued exam will negatively impact the resident selection process, while 20.4% were not sure and 10.2% disagreed. When asked to choose between two candidates, one who had failed but was not able to remediate and one who was not tested: 63.3% of PDs chose the individual who was not tested, 34.7% considered both candidates to be equal, and 2% chose the candidate who had failed.When asked to choose between two candidates, one who failed but subsequently passed Step 2 CS and one who was not tested: 51% chose the individual who was not tested, 32.7% considered both candidates to be equal and 16.3% chose the individual with an attempt.PDs were asked to choose between two candidates with a similar profile but with a different CS status. On average, PDs weighted the importance of having Step 2 CS completed on residency applications as a 6 out of 10.
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