CSP 2019 USMLE Step 1 Policy

The decision to defer the USMLE Step 1 deadline of April 28, 2019 should be made with careful thought and consultation with SOM support, including OSLER, Wellness, and Student Development.

Be mindful that in many cases an 8-week Rotation One deferral will have consequences that delay graduation. The implications of a delay may be greater if students are in a Community Health Scholars program (such as ACE-PC, SJVP, Rural PRIME and TEACH-MS), including potentially leaving the CHS program. Students in these programs should review potential implications with their respective program leadership.

Performance on the CBSE exams offered by the SOM is an important predictor for Step 1 performance, and students are required to take the CBSE exam both times it is offered. The School plans to offer the CBSE in December 2018 and February 2019.

Deferrals will be considered for academic reasons and will include review of academic performance and CBSE results.

Students will complete a one-page form detailing the rationale for the request and will obtain signatures from the relevant faculty and staff in the Office of Medical Education.

The number of slots available for Step 1 deferrals will be determined each year by the Associate Deans for Curriculum and Students in consultation with the clinical curriculum manager. After students apply to defer, their applications will be reviewed by an OME committee which includes the Associate Dean for Curriculum, the Associate Dean for Students, OSLER, the Director of Student Development, and the Vice Dean for Education; this committee will review available academic performance data in making their recommendation. Recommendations from the OME Committee will be submitted to the Committee on Student Promotions which will have final approval for all deferrals.

Students will be notified within two weeks of submission if their application was approved.

Rotation One Deferral (8-weeks)

  • Request Deadline: February 15, 2019
  • No Rotation One deferral requests will be considered after February 15, 2019
  • Take and complete Step 1 Deadline: Friday prior to Rotation 2 (June 30, 2019)
  • Curricular Impact:
    • Complete Transition to Clerkship (T2C) course
    • Begin Doctoring 3 during Deferral Period
    • Withdraw from Primary Care Continuity Clinic and 3rd Year Selective
    • Enroll in 8-week Family Medicine Clerkship
    • Deferred Clerkship to be placed in 4th year schedule by the SOM manager of clinical curriculum (subject to clerkship availability following the 2020 lottery)
    • A new clerkship schedule will be generated by the clinical curriculum manager
  • Student Resource Impact
    o Students who defer may either elect to PELP, or they may remain registered (and thereby receive financial aid) but only by participating in Directed Studies under the oversight of OSLER

Third Year Deferral

  • Request Deadline: 7 Days prior to T2C course (April 22, 2019)
  • Take and complete Step 1 Deadline: December 31, 2019
  • Curricular Impact:
    • PELP Leave for 3 quarters
    • Withdraw from all coursework; enroll in Directed Study Units during Spring Quarter; complete clinical refresher course prior to re-entry
  • Student Resource Impact:
    • Financial Aid is unavailable during PELP
    • Health Insurance is available at a cost
    • OSLER, Student Development and Wellness resources remain available to students
    • Students’ clinical skills may undergo attrition, and transition back into the clinical curriculum can be challenging

Students who fail to take and complete USMLE Step 1 exam by April 28, 2019 (or by June 30, 2019 if granted an 8-week deferral), will be in a full year deferral.

Students must have passed USMLE Step 1 exam within one year of completing the preclinical curriculum. If they do not complete this requirement, they will be referred to CSP who may recommend dismissal.