Step 1 Process

Approved by the Educational Program Committee on February 1, 2017.

 

  1. Process for requiring a target NBME practice exam score of 200 prior to being released for the exam:Each year, the Educational Learning Specialist (ELS) in Student Affairs will meet with M3 students who were successful on Step 1 and develop a list of the most useful NBME practice exams for this purpose. That list of exams will be communicated to students entering the study period and they will be directed to reserve exams on that list as more effective self-assessments.* All students will, at a minimum, take one of the exams on that list no later than 2 weeks prior to their exam date and share the score electronically with the ELS in order to receive clearance to take the exam. All students are required to take an NBME practice exam from a specified list and score a minimum score of 200 prior to being approved by the school as ready to take Step 1.
    1. Students who do not share a NBME self-assessment score from one of the exams on the list will not be approved by the school to take Step 1.
    2. Students who do not score a minimum score of 200 two weeks prior to test date will be required to meet with the ELS to review study progress so far and set up another self-assessment target date.
    3. Students failing to meet the target score of 200 prior to their exam date will be required to delay their test date based on individualized recommendations made by the ELS.
    4. Students who are unable to meet a target score of 200 prior to the start of the third year will be required to take a remedial guided study elective and continue to take self-assessments at periodic intervals to reach the target score of 200.
    5. All students who are required to delay the start of their first M3 clerkships for remedial Step 1 study are required to attend the Transition to Clerkships course in the last week of June. An exception may be made on a case-by-case basis by the Associate Dean for Medical Student Affairs for students who are completing an intensive, out-of-town Step 1 preparatory course. If the course is missed for that reason, it must be remediated individually by the student prior to the start of clerkships.
    6. Students who are unable to reach the target score of 200 after 8 weeks of remedial study elective time will be required to take a leave of absence and continue to study for the exam. Release from leave of absence and being allowed to take Step 1 will only occur after review of the student’s progress and demonstration of mastery of the material at a level deemed sufficient by the Student Progress committee to lead to success on Step 1.
    7. Process related to placement of students in clerkship tracks: Student placement in clerkship tracks can proceed without alteration, as students who are required to take a remedial study elective or leave of absence to prepare for Step 1 will forgo the clerkship(s) corresponding to the length of time needed to prepare for Step 1. They will then reenter their clerkship schedule starting with the next clerkship that they are able to start on time and complete without interruption. Students with a delayed start who are notified of Step 1 failure have the option to complete the clerkship prior to taking additional leave to remediate Step 1 versus leaving the clerkship and taking additional leave to study for Step 1.

 

*For the class of 2019 the most useful NBME self-assessment exams are numbers 15, 16, 17, and 18.