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UPDATE - Review of USMLE Step 2 Clinical Skills minimum passing performance

Posted: January 24, 2017
Updated: April 19, 2017

Because severe winter weather resulted in cancellation and rescheduling of one of the standard setting panels that review test content for the USMLE Step 2 Clinical Skills (CS) examination, dates for the review by the USMLE Management Committee and for possible changes in the recommended minimum passing requirements to take effect have changed. Please see below for new dates.

The USMLE program recommends a minimum passing level for each Step examination. The USMLE Management Committee is responsible for establishing and monitoring these standards, and is asked to complete an in-depth review of standards for each examination every three to four years.

For the 2017 Step 2 Clinical Skills (CS) review, information from multiple sources will be considered, including:

  • Results of content-based standard setting exercises conducted with three groups of physicians who have not previously participated in USMLE test committees;
  • Results of surveys of various groups (e.g., samples of examinees, state licensing representatives, medical school faculty) concerning the appropriateness of current pass/fail standards for Step examinations;
  • Trends in examinee performance;
  • Score precision and its effect on the pass/fail outcome.

The USMLE Management Committee is scheduled to review the minimum passing requirements for the USMLE Step 2 CS examination at its July 29 - August 1 meeting (originally scheduled for May 2017).

If the Committee determines that a change is appropriate, the new recommended minimum passing requirements will become effective for all examinees who take a Step 2 CS examination on or after September 10, 2017 (originally July 16, 2017.)

The decision of the Committee will be posted on the USMLE website immediately following the July 29 - August 1 meeting.


Scheduling Reminder for Step 2 CS

Posted: January 29, 2016
Updated: December 13, 2018

Schedules at all test centers fill up quickly. If you try to schedule after August 1, you may find that there are no available testing appointments through the end of the year unless there are cancellations.

The graph below is an estimate of test appointment availability as of the date at the bottom of the graph. Please note that the graph does not indicate availability at any one location. Availability at the testing center you choose may differ.

Appointment availability changes frequently, so if you are unable to schedule an appointment during a particular time period, please continue to check the Step 2 CS scheduling website. Additional appointments may become available 60 days in advance of a test date.



More information is available in the Applying for the Test and Scheduling Your Test Date section of the Bulletin of Information.


Final diagnosis screen removed from Step 3 CCS cases

Posted: December 10, 2018

Step 3 examinees will no longer be asked to enter information regarding a final diagnosis before ending a computer-based case simulation (CCS) case. Most examinees who test on or after January 1, 2019 will not see the final diagnosis screen at the end of a CCS case. 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 6 weeks.

This change does not affect the scoring of the CCS cases in any way. Final diagnoses have never been used in scoring an examinee performance. 


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