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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 and Step 2 CK – score delays in 2020

Posted: September 04, 2019

Most Step 1 and Step 2 Clinical Knowledge (CK) scores are reported within four weeks of testing. However, because of necessary annual modifications to the test item pools, delays occur for examinees who test at certain times of the year.

Please be aware that examinees testing during the following dates may experience delays in score reporting:

  • Step 1 examinees testing early May through early July 2020 - more specific information will be posted January 2020
  • Step 2 CK examinees testing late June through late August 2020 - more specific information will be posted March 2020

Why is this important to know?

If you need to receive a score before a certain date, plan to take that exam before the projected score delay windows to avoid missing deadlines.


Review of USMLE Step 3 minimum passing performance

Posted: September 03, 2019

The USMLE Management Committee is scheduled to review the minimum passing score for the USMLE Step 3 examination at its meeting on December 4-5, 2019. The Management Committee includes physicians drawn from medical education and licensing as well as members of the public.

The committee establishes and monitors Step 3 performance and completes an in-depth review of the minimum passing standard for each USMLE Step or its component every three to four years.

For the 2019 Step 3 review, information from multiple sources will be considered, including:

  • Results of content-based standard setting exercises conducted with three independent groups of physicians in 2019;
  • Results of surveys of various groups (e.g., state licensing representatives, medical school faculty, samples of examinees) concerning the appropriateness of current pass/fail standards for Step examinations;
  • Trends in examinee performance; and
  • Measurement precision near the cut score.

If the Committee determines that a change to the minimum passing score is appropriate, the new recommended minimum passing score will become effective for all examinees who take a Step 3 examination on or after January 1, 2020. The decision of the Committee will be posted at the USMLE website.


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