The potential for the first-level medical licensure exams in the U.S. DPPs should be considered as a target for reform as medical educators attempt to prevent student suffering and enhance their well-being. ConclusionsĭPPs are currently experienced by many students as a period of personal and social deprivation, which may be worsened by perceived financial stress more than the amount of money they spend on preparation materials.
#Usmle practice test cost professional
Themes from student descriptions of how DPPs for first-level exams influenced them included (1) opportunity for synthesis of medical knowledge, (2) exercise of endurance and self-discipline required for professional practice, (3) dissonance among exam preparation resource content, formal curriculum, and professional values, (4) isolation, deprivation, and anguish from competing for the highest possible score, and (5) effects on well-being after DPPs. Greater perceived financial strain was associated with worsening 11 outcomes, with reported amount spent associated with worsening 2 outcomes. A total of 25% reported paying for preparation materials strained their finances. Most reported 9 outcomes worsened, including overall quality of life (72%), feeling burned out (77%), and personal anxiety (81%). Most reported 2 outcomes improved: medical knowledge base (95%) and confidence in ability to care for patients (56%). A total of 62 (20%) reported experiencing a significant life event that impacted their ability to study during their DPPs. DPPs lasted a median of 7 weeks (IQR 6–8 weeks), and students spent 70 h/week (IQR 56–80 h/week) studying. ResultsĪ total of 314/750 (42%) students completed surveys. Open-ended responses on DPPs’ influence underwent thematic analysis. Survey items assessed DPP characteristics, cost of resources, and perceived financial strain as predictors for 18 outcomes measured by items with Likert-type response options. medical schools after each school’s respective DPP for USMLE Step 1 or COMLEX Level 1 in 2019. This was a cross-sectional survey sent electronically to all second-year students at four U.S. This study characterized students’ physical, intellectual, emotional, and social well-being during DPPs. It is widely assumed that student well-being is harmed during DPPs, but evidence is limited. medical students engage in a 4–8 week period of intense preparation for their first-level licensure exams, termed a “dedicated preparation period” (DPP).
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