In the prior episode we learned that there is no evidence that time-limited testing improves test validity and that, in fact, there is ample research showing that it makes tests less valid and less equitable. In this episode we discuss how, despite the data, the NBME denies accommodations on the USMLE exams to over half of medical students who have a documented learning disability and are approved for accommodations at their medical school (e.g., extra time). We talk with a leading medical educator about a national survey she and her colleagues conducted to assess the scope and impact on medical schools and their students. And we conclude with a discussion about how the NBME could make the test fair and valid for everyone.
“Tough Love” is Not the Answer: A critique of NEJM reporting on student/trainee grievances and educator discontent
What a James Baldwin story can teach doctors and patients about care amidst suffering
How confronting racist ideas I didn’t realize I had is shaping me as a physician and a person
About me being racist: A conversation that follows an apology
How effects of racism were mistaken for “race” in clinical algorithms: What clinicians should know
Drug testing at time of birth: How physicians are co-opted into harming families while thinking they are doing the right thing
Directly and Covertly Observing Care: How it Can Transform Medical Education and Improve Clinical Practice
Why it's time to remove time limits on tests, like the USMLE exams
Running the Gauntlet: My Journey into Medicine with a Learning Disability
Why are doctors turning to ChatGPT for help relating to patients?
Prescription Opioid Reductions and Suicide: What Should Caring Physicians Do in the Face of Uncertainty?
My patient’s in shackles: Can we take these off?
From medical student mistreatment to burnout: How can we change the culture?
Medical Student Mistreatment: A Wicked Problem
Uncommon wisdom from a family physician and medical educator
Challenging Questions to Help Physicians Reflect, Grow, and Find More Joy Practicing Medicine
Organic Chemistry and the Questionable Ways We Select and Train Physicians
Contextualizing Care in a Nutshell (and a New Study)
Medical Gaslighting: Why Are We A--holes?
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