There is a widely held perception that being able to complete a test quickly is an indication of mastery when compared with those who need more time. As a result, it is often difficult to obtain accommodations on high stakes examinations, including the USMLE exams. Many students who request extra time because of a disability are denied accommodations and many other students who need it aren't eligible (e.g., English is a second language) or are inhibited from applying (e.g., Veterans, students from certain cultural backgrounds). But what does the evidence show? In this episode we interview an expert on the topic about a paper she authored titled Four Empirically Based Reasons Not to Administer Time-Limited Tests. The implications are profound because this is a problem we can fix, significantly improving high stakes assessment, equity, and inclusivity.
“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
"Dire Consequences": When students do not receive appropriate accommodations on the USMLE examinations
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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