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Research article
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Evaluation of a course to prepare international students for the United States Medical Licensing Examination step 2 clinical skills exam
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Rachel B. Levine
, Andrew P. Levy
, Robert Lubin, Sarah Halevi, Rebeca Rios, Danelle Cayea - J Educ Eval Health Prof. 2017;14:25. Published online October 24, 2017
- DOI: https://doi.org/10.3352/jeehp.2017.14.25
- 29,614 View
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- 4 Web of Science
- 4 Crossref
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Abstract
PDF - Purpose
United States (US) and Canadian citizens attending medical school abroad often desire to return to the US for residency, and therefore must pass US licensing exams. We describe a 2-day United States Medical Licensing Examination (USMLE) step 2 clinical skills (CS) preparation course for students in the Technion American Medical School program (Haifa, Israel) between 2012 and 2016.
Methods
Students completed pre- and post-course questionnaires. The paired t-test was used to measure students’ perceptions of knowledge, preparation, confidence, and competence in CS pre- and post-course. To test for differences by gender or country of birth, analysis of variance was used. We compared USMLE step 2 CS pass rates between the 5 years prior to the course and the 5 years during which the course was offered.
Results
Ninety students took the course between 2012 and 2016. Course evaluations began in 2013. Seventy-three students agreed to participate in the evaluation, and 64 completed the pre- and post-course surveys. Of the 64 students, 58% were US-born and 53% were male. Students reported statistically significant improvements in confidence and competence in all areas. No differences were found by gender or country of origin. The average pass rate for the 5 years prior to the course was 82%, and the average pass rate for the 5 years of the course was 89%.
Conclusion
A CS course delivered at an international medical school may help to close the gap between the pass rates of US and international medical graduates on a high-stakes licensing exam. More experience is needed to determine if this model is replicable. -
Citations
Citations to this article as recorded by
- Cultural Considerations in the Formal Process of Simulation Curriculum Adaptation: A Scoping Review
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Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare.2023;[Epub] CrossRef - Immigrant Neurologists in the United States
Abhimanyu Mahajan, Zachary London, Andrew M. Southerland, Jaffar Khan, Erica A. Schuyler
Neurology.2021; 96(8): 378. CrossRef - Three Decades Later: A Scoping Review of the Literature Related to the United States Medical Licensing Examination
Hanin Rashid, Kristen M. Coppola, Robert Lebeau
Academic Medicine.2020; 95(11S): S114. CrossRef - Improving Passage Rate on USMLE Step 2 Clinical Skills: Results from a Pilot Program
Michael S. Ryan, Melissa Bradner, Fidelma Rigby, Bennett Lee, Elizabeth Waterhouse, Catherine Grossman
Medical Science Educator.2019; 29(3): 709. CrossRef
- Cultural Considerations in the Formal Process of Simulation Curriculum Adaptation: A Scoping Review
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