I posted this in r/medical school but I think this sub would probably have more informed thoughts since you guys are actually getting paid lol.
Barring IMG’s, people who care about step 1 being graded want the stratification to get into “competitive specialties” or prestigious institutions ie make more $$$$$.
There’s nothing wrong with this, however the specialties that make the most, have fewer residency spots, making high step 1 scores be the entrance barrier.
We NEED more funding to increase residency spots because patients shouldn’t need to wait months to see dermatologists, urologist and insert other highly competitive highly paid specialty anyway.
Also also the gap between the highest paid and lowest paid specialties, while justified a little by training and difficulty of practice, is mostly determined by how insurance deems what is worth paying for. Or if you completely avoid taking insurance at all (I’m looking at you cash only derms and plastic surgeons).
We NEED other “less competitive” specialties to pay more somehow, and need to get rid of the elitism of how good of a student/doctor you are based on what field you go into, so students can stop chasing cash and prestige. And do what they actually fucking like to do, and not look down on each other.
Tldr; the system of med school and the match is fucked and neither scored boards or pass fail is really fixing the core issue of physician compensation gaps and # residency spots
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