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Final diagnosis screen removed from Step 3 CCS cases

Posted: December 10, 2018
Updated: January 11, 2019

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. 


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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