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USMLE Physician Tasks/Competencies

Posted: July 10, 2014

USMLE Physician Tasks/Competencies, a publication that provides a common organization of competencies and tasks assessed in USMLE examinations, is now available.

The outline comprises seven major sections:

  • Medical Knowledge/Scientific Concepts
  • Patient Care: Diagnosis
  • Patient Care: Management
  • Communication and Interpersonal Skills
  • Professionalism, including Legal and Ethical Issues
  • Systems-based Practice, including Patient Safety
  • Practice-based Learning

While this outline is common to all USMLE examinations, each Step will continue to have test specifications specific to that Step and will emphasize certain parts of the outline.

USMLE Physician Tasks/Competencies is useful for understanding competencies assessed by multiple-choice question (MCQ) formats such as Step 1, Step 2 Clinical Knowledge, and the MCQ portion of Step 3. The outline will be updated as work to identify competencies covered by non-MCQ exam formats progresses.


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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