Student USMLE step 1 preparation and performance

Chi Zhang, Abby Rauchwarger, Cynthia Toth, Mark O'connell

Research output: Contribution to journalReview articlepeer-review

18 Scopus citations


Objectives: Many medical students take commercial preparation courses to prepare for the USMLE Step 1. This investigation examined the relationships among Step 1 performance, preparation method, and academic achievement in medical school. Method: A survey was conducted on 148 junior students at a medical school in July 2000 regarding their preparation methods for Step 1. Additional data was collected on student Step 1 scores, attendance record on preparation courses, and course grades in medical school. Results: One hundred students (68%) responded to the survey including 32 preparation course participants. Course participants had significantly lower Step 1 scores and second-year GPAs than those of the non-participants (p < 0.05). However, the effect of preparation method was not significant by using ANCOVA when the second-year GPA was used as a covariate (p = 0.71). Conclusion: Performance on Step 1 is related to academic performance in medical school and not the type of preparation methods.

Original languageEnglish (US)
Pages (from-to)291-297
Number of pages7
JournalAdvances in Health Sciences Education
Issue number4
StatePublished - Dec 22 2004


  • academic performance
  • medical curriculum
  • medical education
  • medical student
  • preparation courses
  • undergraduate
  • USMLE Step 1

ASJC Scopus subject areas

  • Nursing(all)
  • Education


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