I. Background -Step 1 is the first in a series of medical licensing exams for student physicians in the United States -2019, Journal of Academic Medicine, group of medical students talked about the toxic Step 1 environment that develops during the preclinical years of medicine (https://journals.lww.com/academicmedicine/Fulltext/2019/03000/Student_Perspectives_on_the__Step_1_Climate__in.9.aspx) -A few days ago,