Residency

USMLE transitioning to pass/fail scoring for Step 1

Residency Program Insider, February 24, 2020

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Beginning in 2022, the United States Medical Licensing Examination (USMLE) program will change score reporting for Step 1 from its current three-digit numeric score to a pass/fail format, similar to the Step 2 Clinical Skills (CS) exam.

The Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME), the USMLE’s co-sponsors, cited the overemphasis on USMLE performance as a reason for changing Step 1 to the pass/fail system. Both organizations are in favor of facilitating system-wide changes to improve the transition from undergraduate to GME and the change to Step 1 score reporting is the first step toward that goal.

Pass/fail scoring for Step 1 will begin no earlier than January 1, 2022. More information will be released later this year. Meanwhile, Step 2 Clinical Knowledge (CK) and Step 3 will continue with numeric scores.

Source: USMLE



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