ArticleJournal of general internal medicine2022
The Impact of Internal Medicine Clerkship Characteristics and NBME Subject Exams on USMLE Step 2 Clinical Knowledge Exam Performance.
Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Shelf help: what powers medical student subject exam performance in the United States.Medical education online · 2026Review
- From prediction to advising: a multi model approach using NBME subject examinations to inform step 2 CK performance.Medical education online · 2026Article
- Review
- Longitudinal relationships between Korean medical students' academic performance in medical knowledge and clinical performance examinations: a retrospective longitudinal study.Journal of educational evaluation for health professions · 2025Article
- Socioeconomic factors and test preparation strategies are related to success on the USMLE Step 2 clinical knowledge (CK) exam: a single-institution study.BMC medical education · 2024Article
- Consequence in Competency-Based Education: Individualize, but Do Not Compromise.Journal of general internal medicine · 2022Article
- Predicting Step 2 CK Performance Using Automated Feature Selection and Nested Cross-Validation.Journal of medical education and curricular developmentArticle
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Authors and funding
36 authors.
Funding
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Abstract
backgroundResidency program directors will likely emphasize the United States Medical Licensing Exam (USMLE) Step 2 clinical knowledge (CK) exam more during residency application given the recent USMLE Step 1 transition to pass/fail scoring. We examined how internal medicine clerkship characteristics and NBME subject exam scores affect USMLE Step 2 CK performance.
designThe authors used univariable and multivariable generalized estimating equations to determine associations between Step 2 CK performance and internal medicine clerkship characteristics and NBME subject exams. The sample had 21,280 examinees' first Step 2 CK scores for analysis.
resultsOn multivariable analysis, Step 1 performance (standardized β = 0.45, p < .001) and NBME medicine subject exam performance (standardized β = 0.40, p < .001) accounted for approximately 60% of the variance in Step 2 CK performance. Students who completed the internal medicine clerkship last in the academic year scored lower on Step 2 CK (M
conclusionDespite similarities between NBME subject exams and Step 2 CK, the authors did not identify improved Step 2 CK performance for students who had more NBME subject exams. The lack of association of Step 2 CK performance with many internal medicine clerkship characteristics and more NBME subject exams has implications for future clerkship structure and summative assessment. The improved Step 2 CK performance in students that completed their internal medicine clerkship earlier warrants further study given the anticipated increase in emphasis on Step 2 CK.
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