RESEARCH LIBRARY

Diagnosis: Volume 10, Issue 1, Pages 54-60

This op-ed discusses the advantages of leveraging natural language processing (NLP) in the assessment of clinical reasoning. It also provides an overview of INCITE, the Intelligent Clinical Text Evaluator, a scalable NLP-based computer-assisted scoring system that was developed to measure clinical reasoning ability as assessed in the written documentation portion of the now-discontinued USMLE Step 2 Clinical Skills examination. 

Academic Medicine: Volume 97 - Issue 11S - Page S176

As Step 1 begins to transition to pass/fail, it is interesting to consider the impact of score goal on wellness. This study examines the relationship between goal score, gender, and students’ self-reported anxiety, stress, and overall distress immediately following their completion of Step 1.

Journal of Graduate Medical Education: Volume 14, Issue 3, Pages 353-354

Letter to the editor.

Teaching and Learning in Medicine: Volume 33 - Issue 4 - p 366-381

CSE scores for students from eight schools that moved Step 1 after core clerkships between 2012 and 2016 were analyzed in a pre-post format. Hierarchical linear modeling was used to quantify the effect of the curriculum on CSE performance. Additional analysis determined if clerkship order impacted clinical subject exam performance and whether the curriculum change resulted in more students scoring in the lowest percentiles before and after the curricular change.

Academic Medicine: July 2019 - Volume 94 - Issue 7 - p 926-927

A response to concerns regarding potential bias in the implementation of machine learning (ML) to scoring of the United States Medical Licensing Examination Step 2 Clinical Skills (CS) patient notes (PN).

Academic Medicine: March 2019 - Volume 94 - Issue 3 - p 314-316

The United States Medical Licensing Examination Step 2 Clinical Skills (CS) exam uses physician raters to evaluate patient notes written by examinees. In this Invited Commentary, the authors describe the ways in which the Step 2 CS exam could benefit from adopting a computer-assisted scoring approach that combines physician raters’ judgments with computer-generated scores based on natural language processing (NLP).

Journal of Medical Regulation (2018) 104 (2): 51–57

There have been a number of important stakeholder opinions critical of the Step 2 Clinical Skills Examination (CS) in the United States Medical Licensing Examination (USMLE) licensure sequence. The Resident Program Director (RPD) Awareness survey was convened to gauge perceptions of current and potential Step 2 CS use, attitudes towards the importance of residents' clinical skills, and awareness of a medical student petition against Step 2 CS. This was a cross-sectional survey which resulted in 205 responses from a representative sampling of RPDs across various specialties, regions and program sizes.