USMLE Scoring

Once students have completed Steps 1, 2, or 3 of the USMLE, their scores are electronically transmitted to the NBME for scoring. The first step of the scoring process entails converting the number of correct answers into two equivalent scores. The first score is a three-digit scaled score and the second is a two-digit scaled score. Three-digit scores will fall between 140 and 260 with the mean score being between 200 and 220. Two-digit scores are based on the three-digit score. The two-digit score is calculated in such a way that a score of 75 always corresponds to the minimum passing score. This scoring method applies to all parts of the USMLE except for Step 2 CS.

Step 2 of the USMLE contains two parts: Step 2 CK and Step 2 CS. Step 2 CS is assessed as either a pass or fail score. There is no numerical value assigned to this part of the test.

Score reports will reveal the specific scores earned on each part of the test as well as indicate whether the student has passed or failed. These reports are sent to the student and to medical licensing authorities.

USMLE Scoring Students should be aware of the manner in which the test will be scored before starting the examination. The test is divided into blocks, and each block must be at least started for the student to receive a score. For example, if a student completes blocks 1 and 3 but does not attempt block 2, the score report will indicate an "incomplete examination." If a student does not attempt any questions on the examination, this will not appear on their transcript. For Steps 1, 2 CK, and 3, students may choose to have their scores calculated and reported even if the test was incomplete. In such cases, all items left blank will be counted as incorrect. In order to have an incomplete test scored, the student must contact the NBME within 45 days of receiving their "incomplete examination" notification.

For Step 2 CS, any cases overlooked by the student will be disregarded when determining a passed or failed attempt. Students who purposely or accidentally take a portion of the test for which they are not eligible will not be allowed to receive a score. In the case that ineligibility is discovered after a score has been reported, the score will be revoked.