The NBME has begun a comprehensive review of the USMLE. These include revising its relationship to ACGME competencies and its role as a licensing exam, not an aptitude test. In about 3-4 years changes will begin to be implemented, and we should expect to see the impact in 5-6 years.
This includes a substantial debate on how to alter/whether to eliminate Step 1, and how to evaluate competencies besides knowledge, for which assessment tools are underdeveloped and less well validated. Many other questions are open to debate.
This is very REAL and is happening NOW.
Latest News:
http://www.usmle.org/General_Information/review.html
VOICE YOUR THOUGHTS:
http://comprev.usmle.org/