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Step 1 – delay in score reporting

Posted: January 25, 2021
Updated: June 07, 2021

Most Step 1 scores are reported within 3-4 weeks of testing. However, because of necessary annual modifications to the test item pools, there will be a delay in reporting for some examinees who test beginning on or after the week of May 3, 2021

If you need to receive Step 1 scores before July 7, 2021, the USMLE program recommends that you take the exam before May 3, 2021

The target date for reporting Step 1 scores for most examinees testing the week of May 3, 2021 through mid-June 2021 will be Wednesday, July 7, 2021


Reminder: USMLE attempt limit changing soon

Posted: May 27, 2021

To protect the integrity of USMLE and more closely match the USMLE attempt limits imposed by state medical boards in the majority of states, effective July 1, 2021, the USMLE attempt limit policy will change, as previously announced. The change will reduce an examinee’s total number of allowable attempts from six (6) attempts to four (4) attempts per Step exam, including incomplete attempts.
The policy change is effective for applications submitted on or after July 1, 2021. After the implementation of this policy change, examinees who have attempted any USMLE Step (including Step 2 Clinical Skills) four (4) or more times and have not passed will be ineligible to apply for USMLE Steps. 
Examinees with four (4) or five (5) attempts at an exam who meet all eligibility requirements outlined in the USMLE Bulletin of Information may submit application(s) for USMLE through June 30, 2021 at 11:59 pm, Eastern Time, under the current attempt limit of six (6).
To learn more about this change, please review the FAQs on the USMLE website. If you have questions about how this change impacts you, please email the Office of the USMLE Secretariat at USMLESec@nbme.org.


Step 1 pass/fail score reporting implementation date

Posted: April 20, 2021

United States Medical Licensing Examination® (USMLE®) Step 1 score reporting will transition to pass/fail outcomes only for administrations on or after January 26, 2022.
Outcomes for Step 1 administrations occurring before January 26, 2022 will continue to include a three-digit score and pass/fail. Step 2 Clinical Knowledge and Step 3 examinations will continue to be reported as a three-digit score and pass/fail.

On February 12, 2020, the USMLE Program announced it would change Step 1 score reporting to a pass/fail outcome no earlier than January 1, 2022. In taking this action, the USMLE’s co-sponsors—the Federation of State Medical Boards (FSMB) and NBME®—considered the broad range of input received from the Invitational Conference on USMLE Scoring (InCUS), the subsequent InCUS report and its preliminary recommendations, and the extensive feedback and national conversation that preceded and followed the conference.

Additional information regarding the change to reporting Step 1 outcomes as pass/fail can be found here: https://www.usmle.org/incus/#decision.


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