SCORING AND SCORE REPORTING
EXAMINATION RESULTS AND SCORING
For up-to-date information on minimum passing scores, examination performance data, and general scoring
methodology, please visit the
USMLE website
.
SCORE REPORTING
Score Availability
Results for computer-based examinations (Step 1, Step 2 CK, and Step 3) are typically available three to four weeks
after your test date. However, release of results may take longer for various reasons. When selecting your test
date and inquiring about results, you should allow at least eight weeks to receive notification that your score
report is available. For Step 2 CS results, you should refer to the
Step 2 CS Score Reporting Schedule
. For
more specific information about potential scoring delays, please visit the Announcements section of the
USMLE
website
.
When your score is available, you will receive an e-mail notification from your registration entity. Your score
report will remain available on your registration entity’s website for approximately 120 days from the date of
the e-mail notification. After the score report is removed from the website, your scores will only be provided
to you in the form of an official transcript, for a fee, through your registration entity. Visit the USMLE
website
for more details, including how to request a transcript for you or for a third party.
Reporting to Third Parties
The NBME reports the results of the USMLE to LCME- and AOA-accredited medical school programs for their
students and graduates. For Step 1, Step 2 CK, and Step 2 CS, if you do not want your results reported to
your medical school, you must send a signed request to the
NBME
, which must be received at least 10
business days before your scheduled test date. For Step 3, you must indicate your reporting preference on
your application.
The ECFMG may provide the results of the USMLE to international medical schools for their students
and graduates. For Step 1, Step 2 CK, and Step 2 CS, if you do not want your results reported to your medical
school, you must submit a request for each examination administration, via the
ECFMG website
, at least 10
business days before your scheduled test date.
Examination data (including performance information and recorded patient encounters) from
USMLE examinations may be used by the USMLE program or made available to third parties
for research and other purposes in the legitimate interests of the USMLE program. In such instances,
the data will be confidential, and individual examinees will not be identified. If you do not wish your
exmination data to be made available for such purposes, you must advise the
USMLE Secretariat
in writing
no later than 30 days before your administration.
Incomplete Scores
If you do not open every block of your Step 1, Step 2 CK, or Step 3 examination, your examination may not be
scored and the attempt may be reported as an "incomplete" on your USMLE transcript.
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REGISTRATION
ENTITY
TO REQUEST A SCORE RECHECK, VISIT:
NBME
http://examinee.nbme.org/interactive
ECFMG
http://www.ecfmg.org/forms/steprchk.pdf
FSMB
http://www.fsmb.org/licensure/usmle-step-3/cost-and-fees
For Step 1, Step 2 CK, and Step 3, when a request for a score recheck is received, the original response record is
retrieved and rescored using a system that is outside of the normal processing routine. The rechecked score is
then compared with the original score.
For Step 2 CS, the ratings received from the standardized patients and from the Physician Note raters are
retrieved, resummed, and reconverted into final scores to verify the accuracy of the original outcome. Encounters
and patient notes are not re-rated and videos are not rereviewed during the recheck.
SCORE VALIDITY
The performance of examinees is monitored and may be analyzed to detect aberrancies that raise questions about
the validity of scores. The USMLE program reserves the right to cancel scores that are at or above the passing level
if the USMLE program has a good faith basis for questioning whether they represent a valid measure of knowledge
or competence as sampled by the examination. Questions about score validity may result from irregular behavior
(please refer to the Irregular Behavior section of this BOI on pages 24-25) or other factors. If there are questions
related to the validity of your score, your score report may be delayed, or any further reporting or verification of
such scores may be withheld, pending completion of further review and/or investigation. You will have an
opportunity to provide information that you consider relevant.
After review and analysis of all available information, scores will either be classified as valid and will be reported,
or scores will be canceled and will not appear on your record. If scores are canceled, you will be advised of the
options for retaking the examination. Anyone who has received a report of scores that are later canceled will be
notified.
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2018 Bulletin of Information
SCORING AND SCORE REPORTING
For Step 2 CS, if you leave the test early or otherwise fail to carry out one or more of the cases, your performance
may be assessed on those cases you completed. If, based on the performance of the completed cases, a pass/fail
determination cannot be made, the attempt may be recorded as an incomplete on your USMLE transcript.
To avoid misinterpretation and to protect your privacy, the USMLE program does not provide scores or outcomes by
telephone, e-mail, or fax to anyone. Additionally, the scoring process is not expedited or accelerated for any
individual or group.
SCORE RECHECKS
For all Steps and Step Components, a change in your score or in your pass/fail outcome based on a recheck is an
extremely remote possibility. A rigorous process is used, including a double scoring method involving independent
scoring systems, to ensure accurate results; to date, the score recheck process has not resulted in a score change.
However, a recheck will be performed if you submit a written request and service fee to your registration entity.
Your registration entity must receive the request no later than 90 days after your result was released to you.
ANOMALOUS PERFORMANCE
Anomalous performance and/or unusual testing history may impact your access to the USMLE. If your
performance raises concerns about your readiness to test or your motivation to pass, the USMLE program reserves
the right to restrict your future access to its examinations and/or to impose conditions on future access. Do not
test if you are not able or not ready on your scheduled test date.
IMPORTANT__You_must_pass_all_three_subcomponents_of_Step_2_CS_(ICE,_CIS,_SEP)_in_a_single_administration_to_obtain_the'>IMPORTANT
You must pass all three subcomponents of Step 2 CS (ICE, CIS, SEP) in a single administration to obtain the
overall designation of passing on Step 2 CS.
IMPORTANT
Taking a Step examination to familiarize yourself with the examination format, or for any reason other than to
pass, is prohibited and may limit your future access to the USMLE.
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2018 Bulletin of Information
SCORING AND SCORE REPORTING
IRREGULAR BEHAVIOR
IRREGULAR BEHAVIOR DEFINED
Irregular behavior includes any action by applicants, examinees, potential applicants, or others that could
compromise the validity, integrity, or security of the USMLE examination process.
IMPORTANT
If you have information that an examinee or other person or entity has, or may have, compromised the security of the
USMLE or intended to do so, please contact the
USMLE
or call your registration entity immediately
.
EXAMPLES OF IRREGULAR BEHAVIOR
Specific examples of conduct that may be deemed to be irregular behavior include, but are not limited to, the
following:
seeking, providing, and/or obtaining unauthorized access to examination materials
providing false information or making false statements on or in connection with application forms,
scheduling permits, or other USMLE-related documents
taking or attempting to take an examination for which you are not eligible
taking an examination for someone else or engaging someone to take an examination for you
seeking, providing, or obtaining unauthorized assistance during the examination or attempting to do so
making notes of any kind while in the secure areas of the test center, except on the writing materials
provided at the test center for this purpose
failing to adhere to any USMLE policy, procedure, or rule, including instructions of the test center staff
verbal or physical harassment of test center staff or other examination staff, or other disruptive or
unprofessional behavior during the registration, scheduling, or examination process
possessing any unauthorized materials, including, but not limited to, photographic equipment,
communication or recording devices, fitness and tracking monitors, and cell phones, in the secure testing
areas
altering or misrepresenting examination scores or outcomes
unauthorized reproduction by any means, including, but not limited to, reconstruction
through memorization and/or dissemination of copyrighted examination materials by any means,
including the Internet
communicating or attempting to communicate about specific test items, cases, and/or answers with
another examinee, potential examinee, or formal or informal test preparation group at any time before,
during, or after an examination
failure to cooperate fully in any investigation of a violation of the USMLE rules
IMPORTANT
Test preparation courses and materials are available from individuals and companies not associated with the USMLE. It is
unlawful for any test preparation service or program to use, disclose, distribute, or solicit content from recent test takers,
or to otherwise provide access to questions or answers from actual USMLE examinations. If there is evidence that you
enrolled in, participated in, or used any test preparation program or service that distributes, provides access to, or uses
the USMLE questions or answers, or provides a forum for others to share such information, your registration and/or
testing may be canceled, your scores on the USMLE may be withheld or canceled, and you may be subject to further
sanctions.
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2018 Bulletin of Information
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2018 Bulletin of Information
IRREGULAR BEHAVIOR
IRREGULAR BEHAVIOR – INVESTIGATION PROCESS
If the USMLE program receives information suggesting that an individual has engaged in irregular behavior
the USMLE program will conduct an investigation. During this time, anyone alleged to have engaged in such
activity will be prohibited from registering for additional exams; previously unreleased scores, if any, may be
withheld; and pending examination appointments will be canceled. If the evidence suggests that the alleged
irregular behavior affects score validity, the score will also be reviewed as described in the Scoring and Score
Reporting section of this BOI (pages 21-23).
If you are the subject of a USMLE investigation, you will be advised of the matter and will have an opportunity
to provide information that you consider relevant. Individuals who are the subject of an investigation
must cooperate fully with the investigation, including providing all requested documentation and answering
truthfully all questions posed during investigative interviews conducted on behalf of the USMLE program. If
requested, individuals who are the subject of our investigation shall provide a signed release authorizing the
USMLE program to obtain information and records from educational institutions and other third parties. Failing
to cooperate with an investigation or providing misleading or untruthful information in the course of an
investigation will constitute irregular behavior that may be the basis of separate proceedings or other actions
by the USMLE program.
If it is determined that you engaged in irregular behavior, information regarding this determination will become
part of your permanent USMLE history. Your score report (if applicable) and USMLE transcript will contain a
notation of the finding of irregular behavior. The USMLE program will provide information about
the irregular behavior to third parties that receive or have received your USMLE transcript and may also
report to other legitimately interested entities, as determined by the USMLE program. You may be barred
from taking future examinations and/or special administrative procedures or conditions may be
implemented for your future examinations. The USMLE program also reserves the right to take such
action when information regarding irregular behavior on predecessor examinations suggests that
such actions may be appropriate to ensure the security of the USMLE.
COMMUNICATING WITH THE USMLE PROGRAM
APPLICATION AND REGISTRATION INQUIRIES
Contact the appropriate registration entity (see below) for information on how to apply for the USMLE, obtain
application materials, and receive information on the status of your application and scheduling permit.
EXAMINATION
TYPE OF APPLICANT
REGISTRATION ENTITY AND
CONTACT
STEPS 1, 2 CK, AND 2 CS
Students and graduates of medical
school programs in the US or Canada
accredited by the LCME or students
and graduates of medical schools in
the US accredited by the AOA
NBME
3750 Market Street
Philadelphia, PA 19104-3102
Website:
http://www.nbme.org
Telephone: (215) 590-9700
Fax: (215) 590-9460
E-mail:
webmail@nbme.org
STEPS 1, 2 CK, AND 2 CS
Students and graduates of medical
schools outside the US and Canada
ECFMG
3624 Market Street
Philadelphia, PA 19104-2685
Website:
http://www.ecfmg.org
Telephone: (215) 386-5900
Fax: (215) 386-9196
E-mail:
info@ecfmg.org
STEP 3
All medical school graduates who
have passed Step 1 and Step 2 (CK
and CS)
FSMB
Assessment Services
400 Fuller Wiser Road
Euless, TX 76039-3856
Website:
http://www.fsmb.org
Telephone: (817) 868-4041
Fax: (817) 868-4098
E-mail:
usmle@fsmb.org
SCHEDULING AND TEST CENTER INQUIRIES
For Steps 1, 2 CK, and 3, your scheduling permit includes instructions on how to contact
Prometric
to schedule
your appointment to test. Inquiries about your appointment, such as a request to reschedule an appointment
within your eligibility period, must be directed to Prometric. Visit the
Prometric website
for information on test
center locations.
To schedule an appointment for Step 2 CS, follow the instructions provided on your scheduling permit. To check
test center availability and to schedule or reschedule an appointment, visit the
USMLE website
.
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2018 Bulletin of Information
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2018 Bulletin of Information
COMMUNICATING WITH THE USMLE PROGRAM
If you receive a scheduling permit but experience a problem scheduling your appointment that
Prometric
or
CSEC scheduling staff are unable to resolve, you may contact your registration entity.
TEST ADMINISTRATION INQUIRIES
For questions and concerns about your administration, contact the NBME Test Administration office.
Attention: Test Administration
National Board of Medical Examiners
3750 Market Street
Philadelphia, PA 19104-3102
Telephone: (215) 590-9700
Fax: (215) 590-9457
E-mail:
testadmin@nbme.org
SECURITY CONCERNS
USMLE encourages you to provide information about cheating and other activities of which you are aware that
may compromise the security and integrity of the USMLE. Please visit the
USMLE website
to report such
information.
GENERAL INQUIRIES
Complete information about the USMLE is available on the USMLE website. General inquiries regarding the
USMLE or inquiries for the USMLE Secretariat may be directed to:
Attention: USMLE Secretariat
3750 Market Street
Philadelphia, PA 19104-3102
Telephone: (215) 590-9700
E-mail:
webmail@nbme.org
LIST OF ABBREVIATIONS
ACM
Advanced Clinical Medicine
ADA
Americans with Disabilities Act
AOA
American Osteopathic Association
CCS
Computer-based Case Simulations
CIN
Candidate Identification Number
CK
Clinical Knowledge
CS
Clinical Skills
CSEC
Clinical Skills Evaluation Collaboration
ECFMG
Educational Commission for Foreign Medical Graduates
FLEX
Federation Licensing Examination
FSMB
Federation of State Medical Boards
FIP
Foundations of Independent Practice
LCME
Liaison Committee on Medical Education
NBME
National Board of Medical Examiners
PIE
Personal Item Exception
USMLE
United States Medical Licensing Examination
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2018 Bulletin of Information
Document Outline - OVERVIEW
- ELIGIBILITY FOR THE USMLE
- APPLYING FOR THE TEST AND SCHEDULING YOUR TEST DATE
- EXAMINATION DAY AND TESTING
- SCORING AND SCORE REPORTING
- IRREGULAR BEHAVIOR
- COMMUNICATING WITH THE USMLE PROGRAM
- Blank Page
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