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Academic performance of students in an accelerated medical pathway

Bibliographic Data

ID15327902
AuthorsFei Chen (0000-0002-4500-2590, Department of Anesthesiology, University of North Carolina, Chapel Hill, NC, USA), Katherine A Jordan (0000-0003-3458-1512, Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC, USA), Winston Li (0000-0003-3925-2996, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC, USA), Yee Lam (Department of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA), Luigi Pascarella (0000-0001-8073-2030, Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, USA), Catherine L Coe (0000-0003-3851-0295, Department of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA, corresponding author)
Year2024
Volume29
Issue1
Pages2345444-2345444
Publication date2024-04-28
Open AccessYes
TypeARTICLE
VenueMedical Education Online (JOURNAL)
Journal identifiersISSN: 1087-2981 • E-ISSN: 1087-2981
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/10872981.2024.2345444
PMID38678447
OpenAlexW4395955170
LanguageEN
Citations received2
References cited9

Accelerated medical school curricula, such as three-year programs, have gained attention in recent years but studies evaluating their impact are still scarce. This study examines the Fully Integrated Readiness for Service Training (FIRST) program, a three-year accelerated pathway, to assess its impact on students' academic performance preparedness for residency. In this observational study, we compared the academic outcomes of FIRST program students to traditional four-year curriculum students from 2018 to 2023. We analyzed multiple metrics, including exam performance (United States Medical Licensing Examination Step scores, shelf exam scores, and pre-clinical course scores) and clinical performance scores during the application and individualization phases. Analysis of Variance was used to examine the effect of accelerated pathway program experience relative to traditional 4-year medical school curriculum on the learning outcomes. FIRST program students were on average 1.5 years younger upon graduation than their traditional peers. While FIRST program students scored slightly lower on Step 2 Clinical Knowledge (CK), they exhibited no significant differences in other exam scores or clinical performance relative to the traditional students. Notably, FIRST students achieved equivalent clinical performance ratings during critical clerkships and rotations. Our findings suggest that a three-year medical school curriculum can effectively prepare students for residency and produce graduates with comparable medical knowledge and clinical skills, offering potential benefits in terms of financial relief and personal well-being for medical students

Medical education · Innovations in Medical Education · Medicine · Pharmaceutical Practices and Patient Outcomes · Primary Care and Health Outcomes · Psychology

  • Accelerated 3-Year MD Programs in the United States

    Open Access•Joan Cangiarella, Alicia Gonzalez‐Flores et al.•Academic Medicine•2025

  • Medical Education in the United States and Reflections on Accelerated Pathways

    Open Access•Pascal James Imperato, Imperato Pj•Journal of Community Health•2026

  • Fully Integrated Readiness for Service Training (FIRST)

    Catherine L Coe, Hannah Baker et al.•Academic Medicine•2021

  • Accelerated 3-Year MD Pathway Programs

    Open Access•Shou Ling Leong, Colleen Gillespie et al.•Academic Medicine•2022

  • University of North Carolina School of Medicine

    Gary L Beck Dallaghan, Kurt O Gilliland et al.•Academic Medicine•2020

  • “The debt is suffocating to be honest”

    Open Access•William H Burr, William Burr et al.•SSM - Qualitative Research in…•2023

  • Comprehensive history of 3-year and accelerated US medical school programs

    Open Access•Christine C Schwartz, Aparna Ajjarapu et al.•Medical Education Online•2018

Citations per year2
Citation span2025 - 2026 (2)
Highly citedNo

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Open DOIOpen Access
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