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Change in minimum passing requirements for Step 2 CK

Posted: June 02, 2014

This announcement describes a change in the Step 2 Clinical Knowledge (CK) examination minimum passing score that will affect examinees testing on or after July 1, 2014.

As stated in the USMLE Bulletin of Information and as explained in a previous posting to the USMLE website, the minimum passing score for each USMLE Step examination is reviewed periodically and may be adjusted at any time.

At its May 2014 meeting, the USMLE Management Committee conducted a review of the Step 2 CK examination minimum passing score. During the meeting, the Committee considered information from multiple sources, including:

  • Recommendations from independent groups of physicians who participated in content-based standard-setting activities in 2014;
  • Results of surveys of various groups (e.g., state licensing representatives, medical school faculty, examinees) concerning the appropriateness of current passing requirements for the Step 2 CK examination;
  • Data on trends in examinee performance;
  • Data on precision of pass/fail classifications.

As a result of its review, the Management Committee decided to raise the recommended Step 2 CK minimum passing score from 203 to 209.

This change will be applied to Step 2 CK examinees testing on or after July 1, 2014.


UPDATE - USMLE Step 1 and Step 2 CK Practice Sessions

Posted: March 23, 2015

Three new user-adjustable display features were piloted in USMLE Step 1 and Step 2 Clinical Knowledge (CK) Practice Sessions delivered at Prometric Test Centers beginning November 3, 2014:

  • Reverse color (color inversion)
  • Text magnification
  • Image magnification

The first 500 examinees who scheduled an appointment for a Practice Session with the new display features were offered a $40 discount applied to their fee.

The pilot has ended, and the discount is no longer in effect.

Examinees who take a Step 1 or Step 2 CK Practice Session may see the new display features, but should be aware that the display features are NOT currently available on live USMLE administrations or in practice materials available on the USMLE website.

When the new user-adjustable display features become available for use in USMLE Step examinations and the online practice materials, examinees will be notified.


Step 1 – Delay in score reporting and change in number of test items

Posted: March 18, 2015

Most score reporting of Step 1 results occurs within four weeks of testing.  However, because of necessary modifications to the test item pool, there will be a delay in reporting for some examinees who test beginning the week of May 11th.

The target date for reporting Step 1 scores for most examinees testing the week of May 11th through late June will be Wednesday, July 8, 2015.  For examinees whose circumstances require that they receive Step 1 scores before July 8, it is recommended that they take Step 1 no later than Friday, May 8, 2015.

During this time period (starting the week of May 11th), a transition will occur in the number of items in current forms of the Step 1 examination.  The change will be from a total of 322 items to 308 items. Although the transition will occur quickly at many test centers, there may be some locations where the changes take slightly longer to complete. The overall transition period will likely last approximately 6 weeks. Please note the following:

• Scores on new and old forms will be comparable; the decrease in the number of items per form will be accounted for in scoring the examination results.
• The length of the examination day will remain unchanged. The test day will continue to be divided into seven 60-minute blocks, administered in one seven-hour testing session.
• The number of items per block will decrease from 46 to 44. There will be a total of 308 items on each examination.


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