All physicians practicing medicine in the United States are required to pass a series of standardized board exams known as the United States Medical Licensing Exams (USMLE), which consists of the Step 1, Step 2 Clinical Knowledge (CK), and Step 3 exams. Prior to January 26 of this year, all three exam grades were reported as a numeric score in addition to the designation pass or fail. Since January 26th, the USMLE and its sponsors, the National Board of Medical Examiners (NBME) and the Federation of State Medical Boards (FSMB), have decided to forego a numeric grade for the Step 1 exam, making the score designated only as pass or fail.
The reason for the change? According to Kevin Jubbal, founder of Med School Insiders, the change occurred to Excellerate the well-being of medical students and decrease the stress and anxiety of students surrounding the exam. According to the 2018 National Resident Matching Program’s Program Director Survey, the USMLE Step 1 score was the number one factor used when deciding which candidate to offer an interview for residency training (post-graduate training that occurs for each medical specialty immediately after graduating medical school). This test, often taken between the second and third years of medical school, aims to confirm minimal competency for licensure by testing fundamentals of the basic clinical sciences that are taught in the pre-clinical years of medical school. It is of no surprise that many medical students would often obsess over getting the highest score possible in order to join the career of their choice after medical school graduation.
Has the change to pass/fail of the USMLE Step 1 done what it was intended to do- namely decrease stress and anxiety in medical students? According to the 2021 National Resident Matching Program’s Program Director Survey, 94% of residency programs require a numeric score on the USMLE Step 2 CK exam before offering interviews to candidates. According to another study, many residency programs now consider the USMLE Step 2 CK as the primary factor when considering which medical students to offer interviews for residency training. The stress and anxiety many medical students feel has simply shifted from the Step 1 exam to the Step 2 CK exam. In other words, the USMLE Step 2 CK exam is the new Step 1, when considering medical student well-being and mental health.
According to a study in JAMA Network Open, 50% of medical students are experiencing burnout. Although there has been much attention given to the crisis surrounding the dramatic rise of physician burnout since the Covid-19 pandemic, much less focus has been given to burnout in medical students, the future caregivers and first responders that will care for you and your loved ones. How can we expect future physicians to master clinical medicine and care for the ill when they cannot even care for themselves?
Equally troubling to the detrimental effects of well-being are the racial and ethnic disparities the USMLE brings to underrepresented medical student candidates for residency. According to data from an article in Academic Medicine, Black and Latino medical students are more likely to score lower and/or fail all three USMLE exams when compared to White students. The reason- downstream effect of decades of systemic racism whereby they are provided fewer resources and opportunities to succeed and excel in academics. Consequently, it is much more difficult for underrepresented minorities to receive interview offers in the specialty of their choice when graduating medical school when compared to White students.
The USMLE, NBME, and FSMB have a real opportunity to promote medical student and physician well-being as well as racial equity by addressing scoring on physician licensing exams. Just as they made the Step 1 pass/fail, they must make all USMLE exams pass/fail. This would undoubtedly reduce the enormous stress and anxiety medical students face during their arduous years in school. Furthermore, underrepresented students will perhaps have a fairer shot at pursuing their dream specialties after graduating. Standardized tests are merely one metric and measure for success. Eliminating numeric scores on the USMLE will force residency programs to make a more holistic review of prospective candidates.
Some medical schools are already doing this for medical school admissions. At the University of Maryland School of Medicine, the admissions committee performs holistic screening deemphasizing standardized tests scores, offers unconscious bias training for interviewers, and blinds interviewers to standardized scores; to name a few initiatives. Residency programs throughout the country should follow suit when considering future trainees in their programs. The USMLE, NBME, and FSMB as well as the hundreds of medical training programs throughout the country must start taking care of medical students, who we will all rely upon to take care of us.
Links to annotated files are included next to the corresponding exam below. Detailed solutions are provided directly in the files for National exam Parts 2 and 3.
Detailed solutions are provided directly in the files for National exam Parts 2 and 3.
The following schedule has been designed and approved with the expectation that students must plan to take up to two examinations per day. Questions about this schedule or policy should be directed to email@example.com. (See below regarding classes that meet four days per week and common exam times for some classes.)
|Class Time||Examination Time|
|8:30 a.m.||M W F||Fri.||Dec. 9||9:00 a.m.|
|9:30 a.m.||M W F||Mon.||Dec. 12||1:30 p.m.|
|11:00 a.m.||M W F||Wed.||Dec. 14||9:00 a.m.|
|12:00 p.m.||M W F||Thurs.||Dec. 15||9:00 a.m.|
|1:00 p.m.||M W F||Wed.||Dec. 14||1:30 p.m.|
|2:00 p.m.||M W F||Tues.||Dec. 13||9:00 a.m.|
|3:00 p.m.||M W F||Mon.||Dec. 12||9:00 a.m.|
|4:00 p.m.||M W F||Thurs.||Dec. 15||6:30 p.m.|
|5:00 p.m.||M W F||Wed.||Dec. 14||6:30 p.m.|
|8:30, 8:35, 9:05, 9:30 a.m.||T T||Fri.||Dec. 9||6:30 p.m.|
|11:00 a.m.||T T||Tues.||Dec. 13||1:30 p.m.|
|12:00 p.m., 12:30 p.m.||T T||Thurs.||Dec. 15||1:30 p.m.|
|1:00, 2:00 p.m.||T T||Fri.||Dec. 9||1:30 p.m.|
|3:00, 4:00 p.m.||T T||Mon.||Dec. 12||6:30 p.m.|
|Monday Evenings||Tues.||Dec. 13||6:30 p.m.|
|Tuesday Evenings||Mon.||Dec. 12||6:30 p.m.|
|Wednesday Evenings||Thurs.||Dec. 15||6:30 p.m.|
|Thursday Evenings||Wed.||Dec. 14||6:30 p.m.|
|Monday & Wednesday Evenings||Tues.||Dec. 13||6:30 p.m.|
|Tuesday & Thursday Evenings||Mon.||Dec. 12||6:30 p.m.|
Examinations for subjects which have meetings in both the Monday/Wednesday/Friday (MWF) and Tuesday/Thursday (TT) sequences should be scheduled according to the sequence in which they have the greater number of times. If a class meets an equal number of times in each sequence, the examination should be scheduled according to the sequence which shows an earlier date or time in the examination schedule.
i.e., for MTWF or MWTHF courses, refer to the MWF examination time. For MTWTH of MTTHF courses, find both the MWF exam time and the TT exam time—your exam is scheduled for whichever date/time is earlier.
All sections of Accounting 203 and 204 have a common exam on Saturday, December 10, 9:00 a.m. All sections of Mathematics 171, 172, and 271 have a common exam on Saturday, December 10, 9:00 a.m.
All sections of Mathematics 270 will have a combined final exam, date and time TBA.
According to psychologist Dr Anna Colton, all young people are different both in the way they revise and show their stress.
Stress can manifest in many ways. For example, tearfulness, insomnia, a lack of appetite, or eating all the time. Alternatively, young people may show their stress by socialising too much or withdrawing from social activities altogether. To add to this, blind panic, which some young people experience when they are under pressure can result in inactivity - this can often be misinterpreted by parents as laziness.
DANCE students in Darlington have achieved excellent results in their ballet, tap and modern exams.
More than 50 youngsters who attend the Rachel V Harrison School of Dance, at St Mark's Church Hall, in North Road, passed their exams.
In the Royal Academy of Dance ballet exams, Charlotte Jones was highly commended, and Sarah Thompson, Rachel Ashford and Charlotte Dean were all commended at Grade Three.
In the pre-primary class, Ellie May, Rosie Passman, Katherine Holden and Holly Parsons were all successful.
In the Dance for Dance Teachers' Federation tap and modern pre-primary tap exams, Michelle Leonard was awarded honours, while Ellen Gowling, Chloe Turner, Iona Richings and Holly Parsons were all highly commended.
In the primary tap, Julia Bellamy was awarded a distinction, while Elizabeth McLean, Rebecca Ashley, Frances McFadden, Alice Daniel, Shannon Bradley, Laura Bainbridge, Olivia Robinson, Saffron Johnson, Bethany Walker and Rebecca Bain all gained honours.
In grade two tap, Judith Wilkinson gained a distinction, while Rachel Ashford, Sophie Daniel, Marianne Sanderson, Jessica Simpson, Amy Simpson, Grace Simpson, Alexandra Bellamy and Charlotte Dean all gained honours.
In grade one modern, Rachel Ashford, Katie Rogers and Elizabeth Rudkin, Grace Simpson, Charlotte Dean, Jessica Simpson and Any Simpson all achieved honours and Samantha Oliver and Abbie Rogers were highly commended.
In the first shield modern, Imogen Hawthorne and Zoe Joanne Woodcock gained honours, and in the first shield tap Sophie Daniel was highly commended.
In gold medal tap, Lauren Beedle gained a distinction and Laura Ramsay and Marianne Sanderson were both highly commended.
At silver medal tap, Judith Wilkinson was highly commended, Nicola Jackson gained honours, and Grace Simpson achieved a pass mark.
In gold medal modern, Lauren Beedle gained a distinction, Laura Ramsay was highly commended.
SEOUL: South Korea closed its airspace to ensure silence and offered police escorts for tardy test takers as more than half a million students sat high-stakes college admission exams.
Seoul’s Education Ministry said 508,030 students were sitting the annual nine-hour test this year, the results of which are crucial for securing spots at top universities.
But the bevvy of anxious parents dropping off their children for the test – and visiting local temples to pray for success – highlights the broader significance of the exam, success in which is also seen as the key to lucrative careers and even marriage prospects.
The enormous pressure on students in South Korea’s ultra-competitive education system has been blamed for teenage depression and suicide rates that are among the highest in the world.
This year’s exam, locally known as “Suneung” – an abbreviation for College Scholastic Ability Test –marks the third year it has been held under Covid-19 restrictions.
Pandemic-linked measures continue to affect the students, who will have to bring their own water and lunch and be masked throughout the test.
Local police were called in to transport students running late to enter classrooms by a 8.10am deadline either on motor bikes or in police cars, as has happened in previous years.
Videos of the police rushing students to exam halls have been an annual ritual for domestic media. — AFP
This year, 73,846 candidates will write the national senior certificate exams in the Western Cape.
Arriving ahead of Monday’s English first paper, pupils at Sarepta High School stay they’ll do their best to achieve success.
"It's kind of stressful but at the end of the day, we'll just have to go through it and do our best," one pupil said.
"I'm feeling good. I've been waiting or it," another pupil said.
"I'm feeling a bit anxious..." a third pupil admitted.
Western Cape Education MEC David Maynier has urged pupils struggling to cope with exam stress to approach their teachers for help, or to contact the Safe Schools hotline on 0800 45 46 47 (toll free).
Of the total number of pupils who will sit down for their final school exam this year, 62,361 are full-time candidates and 11,485 are part-time candidates.]]>
Police escorts, flight bans as 508,030 S.Koreans sit key exam
Seoul's Education Ministry said 508,030 students were sitting the annual nine-hour test, the results of which are crucial for securing spots at top universities.
But the bevvy of anxious parents dropping off their children for the test - and visiting local temples to pray for success - highlights the broader significance of the exam, success in which is also seen as the key to lucrative careers and even marriage prospects.
The enormous pressure on students in South Korea's ultra-competitive education system has been blamed for teenage depression and suicide rates that are among the highest in the world.
The exam, locally known as "Suneung" - an abbreviation for College Scholastic Ability Test - marks the third year it has been held under COVID-19 restrictions.
Pandemic-linked measures continue to affect the students, who will have to bring their own water and lunch and be masked throughout the test, which kicked off at 8:40 am local time (23:40 GMT).
At lunchtime, students taking the exams will be given a three-sided screen to shield them from others as part of a pandemic-prevention measure, and they are banned from chatting or eating in groups.
Local police were called in to transport students running late to enter classrooms by a 8:10 am deadline either on motor bikes or in police cars, as has happened in previous years.
Videos of the police rushing students to exam halls have been an annual ritual for domestic media, though some local authorities banned the transport on motorcycles, citing safety issues.
At the Ewha Girls' Foreign Language High School in central Seoul, some test takers arrived holding hands with their visibly nervous parents.
One student got out of a police vehicle and rushed to her classroom, seemingly desperate to make it on time.
Among 2022's half a million exam takers, 2,400 have tested positive for COVID-19, according to the Education Ministry, and will sit their exams in specially designated test centers and medical facilities.