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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.


Possible changes to USMLE scores – continuing the discussion

Posted: October 08, 2019

A podcast featuring two members of the Invitational Conference on USMLE Scoring (InCUS) planning committee, Dr. Michael Barone, Vice President of Licensure Programs for NBME, and Dave Johnson, Senior Vice President, Assessment Services for the Federation of State Medical Boards, is now available. They discuss themes from the public comments, upcoming improvements to USMLE, and insight into the vision for the program.

You can listen to the podcast here.


Computer-assisted scoring coming to Step 2 CS

Posted: September 26, 2019

The United States Medical Licensing Exam (USMLE) program is committed to applying the best available technology and the most current assessment practices to ensure accuracy and validity for all its examination programs. Beginning October 2019, computer-assisted scoring technology will be used to score patient notes created by examinees for the USMLE Step 2 Clinical Skills (CS) examination.

The use of computer-assisted scoring will not change the cost of the exam, nor the timing with which examinees receive their scores. The computer-assisted scoring program is based on the scoring rubrics developed by experienced physician note raters. For cases in which computer-assisted scoring is used, notes with machine scores below the 50th percentile in performance will also be scored by physician patient note raters. The machine scores and physician scores will then be averaged to produce the examinee’s score on the patient note portion of the Step 2 CS exam.

Much consideration has gone into the implementation of computer-assisted scoring. Most importantly, the crucial role of clinical judgment in the evaluation of Step 2 CS performances will be preserved. Second, the examinee experience will not be adversely affected. The expert judgment of physicians will be used on an ongoing basis for the development of patient note scoring guidelines and in the training of the computer-based scoring system.

Click here for FAQs related to computer-assisted scoring. To read more about NBME’s work with natural language processing, see a recent article in Academic Medicine here.


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