Scores & Transcripts

student taking notes

Examination Results and Scoring 

The USMLE program provides a recommended pass or fail outcome on all Step examinations. Recommended performance standards for the USMLE are based on a specified level of proficiency. As a result, no predetermined percentage of examinees will pass or fail the examination. The recommended minimum passing level is reviewed periodically and may be adjusted at any time. Notice of such review and any adjustments will be posted at the USMLE website.  

On the examinations containing multiple-choice items, the percentages of correctly answered items required to pass varies by Step and from form to form within each Step. However, examinees typically must answer approximately 60 percent of items correctly to achieve a passing score. 

For Step 3, your performance on the case simulations will affect your Step 3 score and could affect whether you pass or fail. The proportional contribution of the score on the case simulations is no greater than the amount of time you are given to complete the case simulations. 

 View Quick Facts about Scores and Score Reporting  

Understanding Your USMLE Score Report 

Please note: The interactive score report below is a sample Step 3 report, but can be used to understand Step 1, Step 2 Clinical Knowledge (CK), and Step 3 score reports. Samples of the content areas that appear in Step 1 and Step 2 CK score reports are also provided


USMLE results are reported on a 3-digit scale.

The current minimum passing scores are:

Step 1:  194 
Step 2 CK:  209 
Step 3:  198 

Examination data from USMLE examinations may be used by the USMLE program or made available to third parties for research and other purposes that are disclosed to or authorized by you, as appropriate, at the time any data is collected. In such instances, the data will be confidential, and individual examinees will not be identifiable in any publication. If you do not wish your examination data to be made available for such purposes, you must advise the USMLE Secretariat in writing no later than 30 days before your administration. 

For more information about scores, view Scores Frequently Asked Questions (FAQs)

What’s Included on Your Transcript? 

Your USMLE transcript includes the following: 

  • your name and other personal identification information, including your date of birth; 
  • your complete examination history of all Steps and Step Components that you took; 
  • your history of any examinations for which no results were reported; 
  • indication of whether you have previously taken the former NBME Parts I, II, or III, Federation Licensing Examination (FLEX), or ECFMG Clinical Skills Assessment (CSA); 
  • annotation(s) and information documenting classification of any scores as indeterminate (see Score Validity and Irregular Behavior); 
  • annotation(s) and information documenting any irregular behavior (see Score Validity and Irregular Behavior); and 
  • annotation(s) of any actions taken against you by medical licensing authorities or other credentialing entities that have been reported to the FSMB Board Action Databank. 

Note: Graphical performance profiles, which are included on your original score reports, are not included in your USMLE transcript. 

To obtain your USMLE transcript or have it sent to a third party, you must contact the ECFMG, FSMB, or NBME depending on which examinations you have taken and where you want your transcript sent. 

Contact the FSMB if you want your transcript sent to a medical licensing authority at any time. If you have not registered for or taken Step 3 and want your transcript sent to anyone other than a medical licensing authority, submit the request to the last entity that registered you.

Requesting a Transcript of USMLE Scores

To obtain your USMLE transcript or have it sent to a third party, you must contact the ECFMG, FSMB, or NBME and pay the associated fee. Which entity you contact depends on which Steps you have taken and where you want your transcript sent. Use the table below to determine which entity you should contact based on your specific details and needs.


Step(s)/Component(s) Taken 

Recipient of Transcript 


One or more USMLE Steps 

Medical licensing authority 


All three USMLE Steps; or Step 1 and Step 2 CK and CS (if required), only when registered for or after taking Step 3 

Any recipient 


Step 1 and/or Step 2 CK and/or CS only, registered by ECFMG 

Any recipient other than a medical licensing authority 


Step 1 and/or Step 2 CK and/or CS only, registered by NBME 

Any recipient other than a medical licensing authority 


Quick Links

Examination Performance Data

Every year, the NBME publishes performance data for each of the exams. You can view excerpts of performance data here. 

 Score Interpretation Guidelines

USMLE Score Interpretation Guidelines provide score interpretation information for Step 1, Step 2 CK and Step 3 examinations.