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In Reply to Deng and Wesevich, to Carmody and Rajasekaran, and to Concejo et al

Katsufrakis, Peter J. MD, MBA; Chaudhry, Humayun J. DO, MS

doi: 10.1097/ACM.0000000000002757
Letters to the Editor
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President and CEO, National Board of Medical Examiners, Philadelphia, Pennsylvania; pkatsufrakis@nbme.org.

President and CEO, Federation of State Medical Boards, Euless, Texas.

Disclosures: P. Katsufrakis is president and CEO of the National Board of Medical Examiners. H. Chaudhry is president and CEO of the Federation of State Medical Boards.

We thank the three groups of authors for their comments and their support of our call to advance the conversation around the issues raised in our Invited Commentary.1 We appreciate the addition Deng and Wesevich make in furthering everyone’s understanding by citing some of the literature relating United States Medical Licensing Examination (USMLE) Step 1 performance to various measures used in residency. Our intent was to highlight varying interpretations of “residency success” and not to diminish the importance of this body of literature.

Carmody and Rajasekaran perceive our commentary as a defense of the status quo. In actuality, as we expressed in our commentary, we are committed to “thoughtful and broad consideration of stakeholders and their concerns, informed by the best evidence available … [in order] to maximize the potential for improvement and minimize the risk of unintended adverse consequences.” To further this goal, we convened the Invitational Conference on USMLE Scoring (InCUS) on March 11–12, 2019, which was very helpful in enabling a better understanding of the issues. Goals of the conference and the call for public comment appear at https://www.usmle.org/inCus.

We agree with Concejo and colleagues that additional research could further elucidate the relationship between Step 1 scores and clinical performance. In addition to the studies Deng and Wesevich cite, we offer an annotated literature review prepared for the InCUS at https://www.usmle.org/inCus/#additional. There appears to be universal recognition that the transition from medical school to residency training could be improved. We support this goal and collaborative efforts toward progress on this important issue.

Peter J. Katsufrakis, MD, MBA

President and CEO, National Board of Medical Examiners, Philadelphia, Pennsylvania; pkatsufrakis@nbme.org.

Humayun J. Chaudhry, DO, MS

President and CEO, Federation of State Medical Boards, Euless, Texas.

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Reference

1. Katsufrakis PJ, Chaudhry HJ. Improving residency selection requires close study and better understanding of stakeholder needs. Acad Med. 2019;94:305–308.
© 2019 by the Association of American Medical Colleges