United States Medical Licensing Examination Step 1 performance and graduation rates were analyzed for three classes of medical students at UTMB Health before and after implementing broad-based reforms in its education system. The changes in pipeline recruitment and preparation programs, instructional methods, assessment systems, academic support and board preparation were based on sound educational principles and best practices, according to the study’s researchers. The study’s authors are Steven A. Lieberman, Michael A. Ainsworth, Gregory K. Asimakis, Lauree Thomas, Lisa D. Cain, Melodee G. Mancuso, Jeffrey P. Rabek, Ni Zhang and Ann W. Frye.