Evidence map›Paper›PMID 41555906›Full record

ArticleMedical science educator2025

Strategies for Success: Assessing Student Perspectives on the Impact of Step 1 Pass/Fail.

Michaela J Derby, Callie Olson, Pasquale Manzerra, Lori A Hansen

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

4 authors.

Michaela J DerbyUSD Sanford School of Medicine, Vermillion, SD USA.ORCID 0009-0000-6715-8687
Callie OlsonUSD Sanford School of Medicine, Vermillion, SD USA.
Pasquale ManzerraUSD Sanford School of Medicine, Vermillion, SD USA.
Lori A HansenUSD Sanford School of Medicine, Vermillion, SD USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The United States Medical Licensing Examination Step 1 Exam became pass/fail in January 2022 with an objective of reducing the test-taking pressure for medical students. The impact of Step 1 pass/fail on student experiences and outcomes is unknown. We responded by surveying the classes of 2024 and 2025 with five Likert-scale questions to assess the impact of curriculum, mental health, and academic advising/preparation on the Step 1 pass/fail experience. We surveyed students' experiences with counseling services, advising about mental health, weekly quizzes, completing pre-clerkship curriculum in 1.5 years, the order in which our pre-clerkship courses were completed, and time dedicated to study for Step 1. Students were surveyed on their experience with peer guidance/advice, student panels, and advising for exam readiness. Open-response questions assessed individualized preparation. Results demonstrate that students are facing adversity in mental health that may be mitigated with frequent academic advisor meetings, increased access to mental health counselors, and reduced isolation. Students desire more National Board of Medical Examiners test preparation. Results also indicate that the pre-clerkship curriculum may benefit from supplemental student-led Step 1 preparation and structured peer mentoring for Step 1. Our results may benefit other schools looking to implement change and improve their medical education with emphasis on those anticipating moving to a 1.5-year curriculum. If needed, medical schools may consider soliciting a similar survey to assess their own medical education's impact on students with Step 1 now being pass/fail. Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-025-02434-4.

Indexed as

Academic advisingCurriculumMental healthPass/FailStep examStudent

Identifiers

PMID41555906
PMCPMC12812120

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.