How did a multiple-choice question test of basic science with only peripheral relevance to actual patient care become the king of medical education and residency selection - and then collapse under the force of its own weight?

This is a version of a presentation I gave in January 2021 to a group of residency program directors and academic physicians in a highly-competitive subspecialty. I was one of four speakers; my job was to set the stage for the others to discuss practical strategies for applicant evaluation in a post-Step 1 world.

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For a longer, more detailed discussion of USMLE Step 1 history, check out this Grand Rounds-length talk:

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For more on why I came to believe that a pass/fail Step 1 was necessary, check out the video below or the collection of essays at the Sheriff of Sodium site.

Step 1 Mania: The Case for #USMLEPassFail

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#USMLEPassFail Topic Collection

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