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Examinees should be prepared to type the patient note if they anticipate taking a Step 2 CS examination beginning mid-2011. A simulation of the computerized patient note program, which examinees may use to practice typing the patient note, is available on the USMLE website. Examples of typed patient notes will be added to the website; please check back for updates.
The effective date for this requirement has not yet been determined. Examinees are advised to monitor the USMLE website for updates.
This temporary fee waiver was intended to give examinees flexibility in scheduling examinations during the influenza outbreak. Since that time, the USMLE program has continued to monitor the situation for any significant changes in the course of the pandemic that might warrant further action in order to protect the health of our examinees, staff and the general public. Recent updates from the Centers for Disease Control and Prevention (http://www.cdc.gov/H1N1FLU/) and the World Health Organization (http://www.who.int/en/) indicate that the overall incidence of novel H1N1 influenza has declined in almost every region in the world. Flu activity is relatively low at this time. The USMLE program has reviewed this information and agreed to discontinue the temporary fee waiver for eligibility period extensions. Therefore, applications for eligibility period extensions received after May 31, 2010 will require payment of the eligibility period extension fee. In addition, examinees will be subject to the eligibility period extension restrictions in place prior to April 2009 (i.e., examinees will be permitted only one, 3-month eligibility period extension, contiguous with the original eligibility period). The fee and restrictions apply to both already registered examinees as well as examinees who will register in the future. If you have any questions, please contact the organization with whom you registered or will register: ECFMG (215) 386-5900 info@ecfmg.org FSMB (817) 868-4041 usmle@fsmb.org NBME (215) 590-9700 usmlereg@nbme.org If you are experiencing flu-like symptoms or believe you may have been recently exposed to an influenza patient, you should reschedule your examination.
At its December 2009 meeting, the Step 1 Committee conducted such a review for USMLE Step 1. During the meeting, the Step 1 Committee considered information from multiple sources, including: 1) results of content-based standard setting exercises conducted with three independent groups of physicians in 2009; 2) results of surveys of various groups (e.g., state licensing representatives, medical school faculty, samples of examinees) concerning the appropriateness of current pass/fail standards for Step examinations; 3) trends in examinee performance; and 4) score precision and its effect on the pass/fail decision.
As a result of its review, the Step 1 Committee decided to raise the three-digit score recommended to pass Step 1 from 185 to 188. The new minimum passing score will be applied to Step 1 examinations for which the first day of testing is on or after January 1, 2010.
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