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Step 1

  • When did the policy change of reporting Step 1 as pass/fail only occur?

    January 26, 2022 was the effective date for the change. All Step 1 exams taken on or before January 25, 2022 received a numeric score and pass/fail outcome. All Step 1 exams taken on or after January 26, 2022 receive a pass/fail outcome only.

  • What information appears on USMLE transcripts since the transition to Step 1 pass/fail?

    All USMLE transcripts, including those submitted through the Electronic Residency Application Service® (ERAS®), will include the same information. A Step 1 exams taken since January 26, 2022 will appear on transcripts as a pass/fail outcome only, without a numeric score. A Step 1 exam taken on or before January 25, 2022 will appear on transcripts as a numeric score and a pass/fail.

  • How can I compete with others who have a numeric score when I have pass/fail?

    The primary purpose of USMLE is for licensure. The USMLE co-sponsors recognize that there are other uses for USMLE, such as residency selection, but an ideal system for evaluating candidates should be holistic. This system should feature various assessments of a candidate’s competencies and unique characteristics. In such a system, USMLE would serve as one objective measure and be weighted appropriately.