Update on planned changes to USMLE Step 3 examination
Posted: April 11, 2012
The USMLE Composite Committee and USMLE parent organizations (the National Board of Medical Examiners and the Federation of State Medical Boards) recently approved plans to change the structure of USMLE. Step 3 will be the first examination impacted, with changes to this examination to occur no earlier than 2014.
The plans call for the division of Step 3 into two separate exams, each one day in length, focusing on different sets of competencies. The proposed examinations will continue to be administered by computer using multiple choice questions and computer simulations. The two examinations will be scored separately and examinees will be expected to pass each.
The first exam is expected to focus on whether an examinee possesses the knowledge essential to the independent practice of medicine, including a comprehensive knowledge of both foundational science and clinical medicine. The second exam will assess an examinee’s ability to apply knowledge in the context of patient management, including demonstration of comprehensive knowledge of health and disease, and their impact on patients. The second exam will also require a demonstration of evidence-based medicine and quantitative reasoning skills important to patient care and to life-long learning. Specific information about these changes will be provided well in advance of implementation.
New testing formats that focus on competencies not currently addressed by the Step 3 examination may also be introduced. If new testing formats are to be introduced, announcements will be made and sample material provided in advance of their introduction in the live examinations.
The change to Step 3 will occur no sooner than 2014. After experience is gained with implementation of the Step 3 changes, the Composite Committee and USMLE parent organizations will consider possible modifications to Steps 1 and 2 CK.
As new information becomes available it will be posted to the USMLE website.
Updated abbreviation list for Step 2 CS patient notes
Posted: November 03, 2014
Examinees complete a patient note after each patient encounter in the Step 2 Clinical Skills (CS) examination. A list of common abbreviations that may be used in the notes is included in the Step 2 Clinical Skills Content Description and General Information booklet, and is posted at each computer station at all Clinical Skills Evaluation Collaboration (CSEC) test centers.
The Step 2 Clinical Skills Content Description and General Information booklet now includes an updated version of the abbreviation list; this version will be posted at test centers beginning November 3, 2014.
Changes to the list are minor. Examinees should be aware that this is not a complete list of all acceptable abbreviations, but rather represents the types of common abbreviations that may be used on the patient note. Patient notes are rated by licensed, board-certified physicians with experience in medical education, who will understand common medical abbreviations. However, an examinee who is in doubt about the correct abbreviation to use should write out the word or phrase.
USMLE Score Interpretation Guidelines
Posted: October 30, 2014
USMLE Score Interpretation Guidelines (SIG) have been posted to the USMLE website. Topics include:
- Description of Examinations
- Understanding Your Score
- Recent Means and Standard Deviations (SDs)
- Norm Table
- Passing Scores
- Precision of Scores
- Guidelines for Use of USMLE Step Scores for Selection Decisions
The means and SDs and the norm table will be updated annually. Because percentile ranks depend on the cohort of examinees, you should always use the most recent norm table available on the USMLE website to obtain percentile ranks.
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