Medical students described a negative academic climate to which they said USMLE Step 1 was contributing, a climate increasingly addled with competition over matching into subspecialties.
![](https://www.enttoday.org/wp-content/uploads/2019/04/ENT_0419_pg13c.png)
Medical students described a negative academic climate to which they said USMLE Step 1 was contributing, a climate increasingly addled with competition over matching into subspecialties.