In recent weeks, public debate has broken out about whether we need to reform this exam process in the US, following the publication of a commentary by a group of medical students on Step 1. The first two sets, Step 1 and Step 2, are completed during medical school and are marathon tests that last up to nine hours. In the US, aspiring doctors are required to pass three sets of national board examinations, commonly known as the “Step” exams, before they are licensed to practise. This board examination is increasingly career defining and, as a result, all consuming. I forgot to engage in basic human activities, such as eating or relaxing.” This medical student’s account of studying for the United States Medical Licensing Exam Step 1 will be familiar to many American medical students and doctors. “I erupted from a void disassociated from reality. Pranav Reddy and Kunal Sindhu call for change The US’s Step 1 exam is increasingly career defining, driving many medical students to adopt punishing routines while studying for it.
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