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New score report format – USMLE Step 3 examination

Posted: October 03, 2018
Updated: October 23, 2018

The USMLE Step 3 examination score report has been redesigned to reflect both advances in the underlying science of assessment and changes to the USMLE program over time.  Examinees testing on or after October 1, 2018 will receive score reports in the new format.

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 3 performance, and information about the allocation of items across each content area.

You can view the new score report here [Understanding Your Step 3 Score Report]. 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.

The new examinee score report format will be implemented for Step 1 and Step 2 Clinical Knowledge (CK) examinations in early 2019. A new score report format for the Step 2 Clinical Skills (CS) examination is under development.

Questions or comments? Please send here.


USMLE Step 1 and Step 2 CK content changes scheduled for mid-2020

Posted: November 05, 2019

Beginning in mid-2020, the Step 1 and Step 2 Clinical Knowledge (CK) examinations will include an increased number of questions assessing communication skills, system-based practice and patient safety, and legal/ethical skills and professionalism. The length of the testing days for Step 1 and Step 2 CK will not change.

Decisions about the balance of content on USMLE examinations are the responsibility of two groups: the USMLE Composite Committee and USMLE Management Committee. Both are composed of educators, practicing physicians, members with experience on state medical licensure boards, and public members. These committees approved the increase in the number of test items assessing the important competencies listed above. 

Timetable:

  • Beginning in May 2020, Step 1 will include additional questions assessing communication skills.
  • Beginning in June/July 2020, Step 2 Clinical Knowledge will include additional questions on systems-based practice, patient safety, legal/ethical issues, and professionalism.
  • No changes to the Step 3 examination are planned during this timeframe. 

Sample test items illustrating assessment of communications skills, systems-based practice and patient safety, and legal/ethical skills and professionalism are provided in the Step 1 Content Description and General Information booklet (pp. 7-11) and in the Step 2 Clinical Knowledge Content Description and General Information booklet (pp. 8-11).

The practice materials available on USMLE.org will be updated in early 2020 to reflect these changes in the distribution of exam content across content categories on Step 1 and Step 2 CK.


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.


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