Performance in the internal medicine clerkship was rated as the most influential while neurology and psychiatry performances were rated as less influential. Professionalism was rated as the most important component and noteworthy characteristics among the least important in the decision-making process. Slightly less than half agreed or strongly agreed that they trust the information to be an accurate representation of applicants, though slightly more than half agree that the MSPE will become more influential once USMLE Step 1 becomes pass/fail. Approximately 1/3 of end-users stated that the MSPE is very or extremely influential in their initial screening process. Usage of the MSPE varied among specialties. Eight percent of all programs (364/4675) responded to the survey, with most respondents being program directors. Of the 28 specialties surveyed, at least one response was received from 26 (93%). ![]() The final survey was distributed to residency programs across 28 specialties in 2020 via the main contact on the ACGME listserv. ![]() A survey instrument including quantitative and qualitative measures was developed and piloted. To understand the perspective and usage of the MSPE across multiple medical specialties now and in anticipation of the planned changes in USMLE Step 1 score-reporting. The Medical Student Performance Evaluation (MSPE) is an important tool of communication used by program directors to make decisions in the residency application process.
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