Evidence map›Paper›PMID 40144100›Full record

ArticleMedical science educator2025

A Medical Student Online Community: A Qualitative Analysis of Step 1 Subreddit Posts.

Michael R Kann, David Chen, Grace W Huang, Sangami Pugazenthi, Nichole G Zehnder

Abstract read
In one paragraph

Article in Medical science educator, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Michael R KannUniversity of Pittsburgh School of Medicine, Pittsburgh, PA USA.ORCID 0009-0000-6362-2083
David ChenDepartment of Medicine, Washington University School of Medicine, St. Louis, MO USA.
Grace W HuangDepartment of Medicine, Washington University School of Medicine, St. Louis, MO USA.
Sangami PugazenthiDepartment of Medicine, Washington University School of Medicine, St. Louis, MO USA.
Nichole G ZehnderDepartment of Medicine, Washington University School of Medicine, St. Louis, MO USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Reddit is a public discussion website parsed into "subreddits" centered around specific topics. Medical students often utilize the Step 1 subreddit to seek peer counsel regarding exam preparation. The aim of this study is to utilize the Step 1 subreddit to (1) qualitatively explore how students utilize this subreddit and (2) to capture the evolving landscape of thoughts and strategies employed since Step 1 score reporting shifted to pass/fail. Methods: The Reddit Application Programming Interface (API) was employed to collect Step 1 subreddit posts between January 26, 2022, and April 10, 2023. The top 500 ranked posts were analyzed using the grounded theory method for comprehensive thematic analysis. Results: Thematic analysis identified five themes: mental and emotional challenges, academically overwhelming, peer student advice, community support and appreciation, and navigating the pass/fail Step 1 landscape. During exam preparation, students commonly expressed emotions of stress, overwhelmed by the volume of content and the demanding preparation timeline. Students leveraged the Step 1 subreddit to gain advice from peers on selecting and effectively utilizing resources, crafting study schedules, and prioritizing content. The subreddit served as a source of support, where posters extended encouragement and empathy for which students expressed gratitude. Likewise, students were engaged in the process of assessing external guidance and adapting their study strategies to thrive in the Step 1 pass/fail environment. Conclusions: The analysis of the Step 1 subreddit revealed themes that provide a better understanding of how medical students leverage this forum and insights of educators may use to optimize student support.

Indexed as

Medical student communityOnline forumsRedditUSMLE Step 1

Identifiers

PMID40144100
PMCPMC11933497

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.