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Overcomplicating The Obvious For The Sake Of Academic Publication!

academic publication

Recently I came across an academic publication in the JACR, my favorite radiology journal, called Factors Influential in the Selection of Radiology Residents in the Post-Step 1 World: A Discrete Choice Experiment. I had to look at it for a couple of reasons. First of all, I’ve written about the topic before in an article called USMLE Step 1 New Pass/Fail Grading-Winners and Losers From A Program Director’s Perspective!My article espoused most of the JACR article’s ideas. And I wrote this article over 1.5 years before this new “academic” JACR article existed! (without even a citation of my publication!). Therefore, the topic was very relevant to my interests. 

Second, I was curious about if the conclusions would match up with my own. And, to answer the second question, they certainly did. As I summarized in my blog, this article also concluded that medical school prestige would gain outsized influences. Moreover, just like my article, they said that Step 2 scores would partly fill the gap left by the loss of Step I scores. (1)

Overcomplicating And “Academicizing” For The Sake Of Academic Publication

Nevertheless, having looked at the article for a few minutes, I found it more amusing how complicated they made this “study” to come up with simple logical, rational conclusions that any program director would make if you asked them. I mean, they got into “discrete choice experiments,” randomizing how faculty would answer when presented with different application situations. Simple surveys would have done the same trick. Now, I am a firm believer in evidence-based medicine to further science. But, this article is the perfect example of taking old information out there on the web (my own!) and overly complicating and “academicizing” what should be a simple logical thought process to create an “academic” paper out of it. If you will, this is another example of publishing for publishing’s sake merely to add to your credentials.

Is Your Article Genuinely Adding To Radiology Body of Literature?

Unfortunately, this type of intrigue happens all the time in academic radiology and medicine in general. So, if you genuinely want to add to the science and practice of radiology, think about the ideas and hypothesis that you are about to research. Are they original, or have other folks written about them? Will your paper serve a specific objective, or will it just add to the body of documents out there? And, finally, don’t try to complicate the issues when you can achieve the same goal in a much simpler way!

 

 

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Now USMLE Step I Is Pass-Fail, What Do I Need To Do?

pass-fail

Question About Pass-Fail Step I USMLE:

Hello,

I’m going to be starting medical school this coming August and was interested in DR. Still, with Step 1 becoming Pass-Fail, I am not sure how to strengthen my application to Radiology Residencies. Do program directors value research/community research more than other metrics? Step 2 will likely become the new objective score by which program directors may filter applicants. I was looking for any other advice you might have for applying to a Radiology Residency once Step 1 becomes Pass/Fail. 

Thank you!


Answer:

First of all, I will direct you to my article on this topic called USMLE Step 1 New Pass/Fail Grading-Winners and Losers From A Program Director’s Perspective! – RadsResident

That should give you a bit of background on what I think will happen over the next few years. But, in your particular case, for a typical applicant from a regular U.S. Medical School, the most important criteria for acceptance to a program is and will continue to be the dean’s letter. So, anything that you can do to boost your performance in medical school will help the most.

As you have alluded to, the USMLE step II will continue to be important as long as there is a significant correlation between testing scores and the core examination. So, programs will most likely continue to use USMLE step II scores because they will most likely have some relationship with test-taking abilities. That will ensure that the residents in the program are more likely to pass the core exam. (Not that I like either the USMLE or the core exams in particular!)

Once you have taken these factors out of the equation, research becomes essential. Why? Because it shows that you are interested in radiology and took the time to complete a project to prove it. And, then all the other tangible and intangible factors play a role in our decision for acceptance (recommendations, other extracurriculars, interviews). And lastly, the personal statement is the least powerful of the admissions criteria.

The bottom line: Other than the test criteria changing from USMLE I to II, I don’t see much else changing in the selection process at the current time.

Good luck!

Barry Julius, MD.