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actually,
this is how it works. they send out requests to US faculty all over the country. the ones that want to write for USMLE go to Penn for an intensive question writing boot camp. then they submit questions, which over the course of 2 years is modified and passed through several committees. THEN you see it on the exam. over various stages of its development, the question is put into the experimental portion of USMLEs.
this info was told to me by not one, but two writers for the step1.
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But remember that, even when those who move you be kings or men of power, your soul is in your keeping alone. When you stand before God you cannot say "but I was told by others to do thus" or that "virtue was not convenient at the time." This will not suffice. Remember that.
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