When will the weeding out ever end???

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Southall, England

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No - step 1 weeds out the unworthy and the goof offs. Actually North Dakota does care and is difficult place to get residencies.

most states will not allow licensure after 3 fails. step 1 is not clinically relevant, BUT, it is relevant in that it shows you understand the basics from which you will learn clinical judgement. personally, i agree with others...3 fails should tell you something. we are not talking about a job designing leggos for little kids. we are talking about peoples lives, in your hands. 3 fails? time to move on.

some medical students failed the Step 1 with 74 for 3 times. I think it is his/her bad luck rather than being smart.

Several states do not have any restrictions on passing these exams.
There is web site where you could find all the infos but i can't remmeber the site.
IF someone might able to post that web site for u.

peace
Lincoln's "Failures"?

Below is one version of the so-called "Lincoln failures" list, shown in bold type. It's often used to inspire people to overcome life's difficulties with Lincoln as a model. Then look at the right column with other facts from Lincoln's pre-presidential life. History professor Lucas Morel compiled this comparison from the Chronology in Selected Speeches and Writings/Lincoln by Don E. Fehrenbacher, ed., 1992.
YEARFAILURES or SETBACKSSUCCESSES
1832Lost job
Defeated for state legislatureElected company captain of Illinois militia in Black Hawk War
1833Failed in business Appointed postmaster of New Salem, Illinois
Appointed deputy surveyor of Sangamon County
1834 Elected to Illinois state legislature
1835Sweetheart died
1836Had nervous breakdownRe-elected to Illinois state legislature (running first in his district)
Received license to practice law in Illinois state courts
1837 Led Whig delegation in moving Illinois state capital from Vandalia to Springfield
Became law partner of John T. Stuart
1838Defeated for SpeakerNominated for Illinois House Speaker by Whig caucus
Re-elected to Illinois House (running first in his district)
Served as Whig floor leader
1839 Chosen presidential elector by first Whig convention
Admitted to practice law in U.S. Circuit Court
1840 Argues first case before Illinois Supreme Court
Re-elected to Illinois state legislature
1841 Established new law practice with Stephen T. Logan1
1842 Admitted to practice law in U.S. District Court
1843Defeated for nomination for Congress
1844 Established own law practice with William H. Herndon as junior partner
1846 Elected to Congress
1848Lost renomination (Chose not to run for Congress, abiding by rule of rotation among Whigs.)
1849Rejected for land officer Admitted to practice law in U.S. Supreme Court
Declined appointment as secretary and then as governor of Oregon Territory
1854Defeated for U.S. Senate Elected to Illinois state legislature (but declined seat to run for U.S. Senate)
1856Defeated for nomination for Vice President
1858Again defeated for U.S. Senate
1860 Elected President

I have to agree with this - Three attempts shows you are lacking certain mental skills sets. These can be developed - however after the first failed attempt the person - would normally find out why the failed attempt occured and then learn how to fix it. If you are unable to fix it on #2 or were just south of the mark then a 3 attempt would be in order. However, after three attempts - you are missing critical pieces of knowledge/and/or do not have the skills set, mental maturity, memory desired by the states to be an MD. If you want to be in medicine then become an RN, PA or tech.

Only a few states have rules regarding failing Step 1 three times

What if someone failed Step 1 three times but passed Step 2/3 on the first attempt? Obviously they know what their doing. If Step 1 is so important, why would most practicing physicians (myself included) fail it if we took it right now?

not true, most if not ALL STATES have some requirement for maximum attempts. for most of them, more than 3 strikes and you're out. only a few allow 5 failed attempts, i'm pretty sure.

__________________
M.D., PGY-1
Internal Medicine / future interests - Infectious Diseases Fellowship

Nope, you're wrong.

I was recently researching state requirements for taking Step 3 and read a lot of bylaws. Off the top of my head: Minnesota, Missouri, Oklahoma (will license you once you become board-certified), Texas (will allow a 4th attempt on one Step test if the others are passed within 3 attempts), Alaska, Idaho and Georgia require Step 1 to be passed within 3 attempts. Most states do require Step 3 to be passed within 3 attempts. If you don't, they make you do another year of residency before you can take it again.

First off, theres a lot of states that say "no limit" as to the attempts for licensure requirements. there may be only 3 or 4 states as someone said earlier. But Texas now only requires 3 attempts and after that you are out. theres no such thing as fourth attempt on one of the steps and then rest within 3 attempts. So i think there are a lot of states that one can apply to and still get a decent residency. for licensure they have the same requirements on most of the states, "no limit". World is great and huge. its not the end of the world. if you can't get into one state, hey theres more than 40 states, apply someplace else. If one can pass step1; no matter on 1st attempt or 10th attempt; we all know how step1 is; so after passing step1, it shows that you know your basic science PERIOD. well, if you pass on 1st attempt, you may be smart; but as far as the material goes; everyone would be on the same page. there may be people who are book smart, but when it comes to clinicals, they are ZERO. i know someone who is a booksmart, and when doing a surgery rotation, he was dumb as >>>. Medicine is not 1 2 3 4......But then of course don't expect EM/Surgery right. anyway, either IM/FM/psychiatry are pretty much allright to go into. I persoanlly think if you pass step1/step2/3; then theres a place for you someplace in medicine,
PEACE>>>>>>>><<<<<<<<<

Texas actually does have a rule where you can take one Step 4 times provided the other 2 Steps are passed within 3 attempts....I read it the other night in their by-laws.

I don't think failing Step 1 a few times is a big deal....but failing Step 2/3 is a big deal because Step 2/3 is real-life medicine, not mumbo-jumbo ** like Step 1 is.