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USMLE Step 1 scores and PGY-5 ABSITE performance are predictive of American Board of Surgery examination first-time pass rates

Published:October 31, 2022DOI:https://doi.org/10.1016/j.amjsurg.2022.10.050

      Highlights

      • USMLE Step 1 scores predictor of board passage rate.
      • USMLE Step 2 as predictor.
      • ABS first-time pass rate.
      • ABSITE performance correlates with first time pass rates of ABS board exams.

      Abstract

      Intro

      Standardized exams are utilized throughout a resident's career. With USMLE Step 1 score reports changing to pass/fail only, we sought to evaluate the relationships among USMLE Step 1 and 2, PGY-5 ABSITE, and ABS performance.

      Methods

      Retrospective analyses of PGY-5 USMLE Step 1 and Step 2 scores, ABSITE percentile ranks, and ABS QE and CE first-time pass rates of graduates from 2010 to 2019 were performed.

      Results

      PGY-5 residents scoring ≤ 20th percentile on ABSITE during their PGY-5 year were more likely to have lower USMLE Step 1 scores, but not Step 2 scores, and have a lower ABS first pass rate. Lower Step and ABSITE scores together were associated with lower ABS first pass rate.

      Conclusion

      As USMLE Step 1 is now a pass/fail examination, programs may need to utilize other information to select residency candidates and structure educational activities differently within their programs.
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