Table 4.
Association Between Individual Covariates and Scoring Between 200–230 vs 231–250 on the USMLE Step 1 Examinationa
| Covariates | Scored 200–230 (N = 2241), n (%) | Scored 231–250 (N = 1569), n (%) | OR (95% CI) | P Value |
| Race/Ethnicity | ||||
| White | 1367 (85.2) | 1107 (93.5) | REF | < .001 |
| Black | 237 (14.8) | 77 (6.5) | 0.40 (0.31–0.53) | |
| White | 1367 (80.5) | 1107 (83.4) | REF | .035 |
| Asian | 332 (19.5) | 220 (16.6) | 0.82 (0.68–0.99) | |
| White | 1367 (66.0) | 1107 (75.2) | REF | < .001 |
| Non-White | 705 (34.0) | 366 (24.9) | 0.64 (0.55–0.74) | |
| Non-Hispanic or Latino | 1915 (87.1) | 1413 (91.9) | REF | < .001 |
| Hispanic or Latino | 283 (12.9) | 125 (8.1) | 0.60 (0.48–0.75) | |
| Gender | ||||
| Male | 381 (17.2) | 223 (14.3) | REF | .019 |
| Female | 1841 (82.9) | 1334 (85.7) | 1.24 (1.03–1.48) | |
| Received honors during third-year OB-GYN clerkship | 1054 (48.7) | 992 (65.0) | 1.95 (1.71–2.24) | < .001 |
| Couples matched | 180 (8.1) | 177 (11.4) | 1.45 (1.16–1.80) | < .001 |
| Number of applications sent | ||||
| 1–30 | 821 (53.7) | 610 (56.5) | REF | .16 |
| More than 30 | 708 (46.3) | 470 (43.5) | 0.89 (0.76–1.05) | |
| Number of interview invites received | ||||
| 1–10 | 754 (37.0) | 304 (21.0) | REF | < .001 |
| More than 10 | 1285 (63.0) | 1146 (79.0) | 2.21 (1.89–2.58) | |
| Number of interviews attended | ||||
| 1–10 | 390 (37.0) | 141 (27.3) | REF | < .001 |
| More than 10 | 665 (63.0) | 376 (72.7) | 1.56 (1.24–1.97) | |
| Matching choice | ||||
| Matched in my top 5 choices | 1895 (87.2) | 1313 (85.5) | REF | .13 |
| Matched below my top 5 choices | 278 (12.8) | 223 (14.5) | 1.16 (0.96–1.40) | |
| Matched in my top 10 choices | 2116 (97.4) | 1473 (95.9) | REF | .042 |
| Matched below my top 10 choices | 57 (2.6) | 63 (4.1) | 1.59 (1.10–2.29) | |
Abbreviations: USMLE, United States Medical Licensing Examination; OB-GYN, obstetrics and gynecology.
Note: Values reported as N (% of respondents to an individual survey item). Odds ratios refer to the likelihood of a resident respondent reporting to have scored between 231–250 on the USMLE Step 1.
a
This analysis includes only the 3810 respondents who answered this particular survey question and excludes the 1284 respondents who did not answer the question regarding USMLE Step 1 scores.