Annual Report on the United States Medical Licensing Examination®
(USMLE®) to Medical Licensing Authorities in the United States
Prepared by the Federation of State Medical Boards of the United States, Inc.,
and the National Board of Medical Examiners®
October 2017
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Annual Report on USMLE to Medical Licensing Authorities in the U.S. | 2017
Table of Contents
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Executive Summary….……………………………………………………………………3
•
Introduction and Program Overview ……………………………………………………4
o
Mission
o
Governance
o
Eligibility
o
Content
o
Test administration
o
Test accommodations
o
Score reporting
o
Minimum passing scores
o
Score reliability
o
Score validity
•
USMLE Program news, 2015-2017 …………………………………………………….…9
•
USMLE Strategic Communication Outreach …………………………………………….14
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Key messaging
o
Examinee input
o
Social media
o
Video
o
Other elements under evaluation
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USMLE Enhancements ……...…………………………………………………………...16
o
Design review of Step 1 and Step 2 CK examinations
o
Investigating improvements to reporting of USMLE results to examinees and
medical schools
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New features in Step 2 CS patient note program
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Medical Licensing Authorities and the USMLE …………………………………………17
o
USMLE services to state medical boards
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State medical boards’ participation
in USMLE
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USMLE policies
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USMLE Data and Research ...…..………………………………………………………..19
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Aggregate performance data
o
Research agenda
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2016 publications
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Standard setting …………………………………………………………………………..20
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USMLE general procedures for standard setting
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Mandated data sources informing the judgment process
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Setting the standard
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Resources …. ……………………………………………………………………………22
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Websites
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Written materials
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Key contacts
•
Appendix
……………………………………………………………………………24
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USMLE 2016 aggregate data
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Annual Report on USMLE to Medical Licensing Authorities in the U.S. | 2017
Executive Summary
The
Annual Report on the United States Medical Licensing Examination (USMLE) to Medical Licensing
Authorities in the United States provides state medical boards with an overview of the USMLE, a joint
program of the Federation of State Medical Boards (FSMB) and the National Board of Medical
Examiners (NBME). In addition to general information about the examination, the report provides
updates on topics of specific interest to the boards, including program news, enhancements to
USMLE, performance data, an overview of the standard setting process, and a summary of state
medical boards’ interactions with the USMLE program. Links to key USMLE resources and articles,
and a summary of USMLE-related research and publications are also provided.
Over the next year, the USMLE program will enhance and increase communication efforts with
examinees and
other USMLE stakeholders, including state medical boards and the public. These
efforts will include implementation of a medical student and resident advisory panel and an increased
social media presence.
State medical boards' participation in the USMLE continues to be strong. In 2017, a total of 24
members and staff from 20 boards participated in the annual USMLE workshop
and on the state
board advisory panel to the USMLE. This is representative of the boards' long and storied
participation in the USMLE program, from writing test items and serving on examination committees,
to sitting on standard-setting panels and other workgroups. Since implementation of the USMLE in
1992, 202 members and staff from state medical boards have participated in the USMLE program in
some capacity. These individuals represent 58 different medical and osteopathic licensing boards
throughout the United States.