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Step 2 CS cases – common presenting signs and symptoms

Posted: September 10, 2017

A list of common presenting signs and symptoms that Step 2 Clinical Skills (CS) examinees may expect to see during their examination has been posted to the USMLE website. These are examples only, and the list does not represent all possible presenting signs and symptoms that may be encountered.

The Step 2 Clinical Skills Content Description and General Information booklet has been revised to include this list.

Examinees will encounter a broad spectrum of cases reflecting common and important symptoms and diagnoses, as well as patients with a variety of backgrounds. The criteria used to create individual examinations focus primarily on presenting symptoms and conditions. On any examination day, the set of cases will differ from the combination presented the day before or the following day, but each set of cases has a comparable degree of difficulty.

Presentation categories include, but are not limited to, cardiovascular, constitutional, gastrointestinal, genitourinary, musculoskeletal, neurological, psychiatric, respiratory, and women's health. Examinees will see cases from some, but not all, of these categories. The selection of cases is also guided by specifications relating to acuity, age, gender, and type of physical findings.

The USMLE program continually reviews its examinations to ensure their content is relevant to the practice of medicine. As practice guidelines evolve or are introduced, the content on USMLE is reviewed and modified as needed.


Step 1 – Delay in score reporting

Posted: January 18, 2019

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 5, 2019.

The target date for reporting Step 1 scores for most examinees testing the week of May 5 through mid-June will be Wednesday, July 10, 2019. For examinees whose circumstances require that they receive Step 1 scores before July 10, 2019, it is recommended that they take Step 1 no later than May 4, 2019.

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 six weeks. Please note that scores on new and old exam forms will be comparable.


New score report format – USMLE Step 1 and Step 2 CK examinations

Posted: January 16, 2019

A redesigned version of the USMLE Step 3 examination score was implemented for examinees testing on or after October 1, 2018. The new format is now being implemented for the Step 1 and Step 2 CK examinations. Examinees taking Step 1 and Step 2 CK on or after January 15, 2019 will receive the new score report.

The redesigned report features a chart showing an examinee’s performance compared with recent first-time takers from US and Canadian medical schools, the examinee’s performance in individual content areas relative to their overall Step examination performance, and information about the allocation of items across each content area.

You can view the new score report here. Click on the comment boxes for explanatory/informational text. FAQs about the score report are also available.

The USMLE program solicited feedback on the new design from a number of stakeholders, including examinees, medical school faculty, and residency program directors.

A new score report format for the Step 2 Clinical Skills (CS) examination is under development.

Questions or comments? Please send here.


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