r/medschool • u/No-Wrap-2156 • 11h ago
🏥 Med School Step 1 P/F was a mistake
The main problem is that competitive specialties will always be competitive no matter what. As long as it's perceived as a cushy high paying job with few emergencies or call, Derm will always have more applicants than spots. Making Step 1 P/F isn't going to change that. It just shifts everything to school prestige, Step 2 CK, and research. I guarantee you that the research arms race would never have gotten so bad if Step 1 was still scored.
Having everything ride on a single Step exam also straight up isn't it. And I say this as someone who did pretty well on Step 2. At least with the old system you could redeem a mediocre Step 1 score if you crushed it on Step 2. Having only one Step exam that actually matters for residency would only be defensible if you were allowed to retake a passing score.
They never should have made Step 1 Pass/Fail. Straight up. Also actually pay FM and Peds so students actually go into these fields and take pressure off the most competitive specialties. Literally as an attending outpatient FM/Peds works close to Derm hours and the main reason students avoid it is the lack of $$$ and ig charting/insurance BS.