If you are unable to keep your scheduled testing appointment, you should cancel your appointment as soon as
possible to avoid a rescheduling fee, regardless of whether you are ready to reschedule.
Last updated: September 15, 2011
Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.
55
Preparing for Examination
Format of the Exams |
Orientation and Practice Materials
|
NBME Self-Assessments
|
Step 1/Step 2 CK Practice
Session at a Prometric Test Center
Format of the Exams
Step 1 and Step 2 CK are each one-day, multiple-choice exams that are administered by computer. Each exam
consists of multiple-choice questions divided into 60-minute blocks. The Step 1 testing session lasts approximately
eight hours. The Step 2 CK testing session lasts approximately nine hours.
Step 2 CS is a one-day exam that consists of 12 simulated patient cases. The Step 2 CS testing session lasts
approximately eight hours.
For detailed information on test lengths and formats, see Preparing for the Test in the
USMLE Bulletin of
Information
. You should also review the orientation materials and run the sample test materials available on the
USMLE website
.
Important Note: The Comprehensive Review of USMLE (CRU) was initiated in 2004. The goal of this
review was to determine if the mission and purpose of USMLE were effectively and efficiently
supported by the current design, structure, and format of USMLE. This review resulted in proposed
changes. In 2009, the proposed changes were approved by the USMLE sponsoring organizations,
FSMB and NBME.
Planning, research, and development efforts have been underway for the last three years. Initial
modifications are being introduced into the upcoming exams. Regular updates on the CRU process are
posted to the
USMLE website
.
Changes resulting from CRU are planned for all USMLE Steps and Step Components. These changes
may affect both content and item formats. As changes are implemented, the orientation and practice
materials available on the USMLE website may be updated to reflect these changes. If you plan to take
USMLE examinations, you should monitor the
USMLE
and
ECFMG
websites for the latest information
on changes related to CRU.
Last updated: September 15, 2011
Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.
56
Preparing for Examination
Format of the Exams
| Orientation and Practice Materials |
NBME Self-Assessments
|
Step 1/Step 2 CK Practice
Session at a Prometric Test Center
Orientation and Practice Materials
Orientation and practice materials for all Steps and Step Components are available on the
USMLE website
.
The sample Step 1/Step 2 CK test materials will help you become familiar with the types of questions and exam
software that you will encounter on the date of your exam. It is recommended that you practice with the exam
software before taking the exam. You should also review the additional information on examination content and
test formats available on the
USMLE website
.
For Step 2 CS, the materials include the Step 2 Clinical Skills (CS) Content Description and General Information
booklet, a simulation of the computerized patient note-taking program that you will use to type your post-encounter
patient notes, and an orientation video.
Important Note: There are no test preparation courses affiliated with or sanctioned by the USMLE
program. Information on such courses is not available from ECFMG, FSMB, NBME, USMLE
Secretariat, or medical licensing authorities. Test preparation courses and materials are available from
individuals and companies not associated with USMLE. It is unlawful for any test preparation service
or program to use, disclose, distribute, or otherwise provide access to questions or answers from
actual USMLE exams. If you are involved with any enterprise that disseminates USMLE content, you
should be aware of the consequences to you, regardless of whether your exposure to USMLE content
was advertent or inadvertent. If there is evidence that you enrolled, participated in, or used any
test preparation program or service that distributes, provides access to, or uses 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.
Last updated: September 15, 2011
Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.
57
Preparing for Examination
Format of the Exams
|
Orientation and Practice Materials
| NBME Self-Assessments |
Step 1/Step 2 CK Practice
Session at a Prometric Test Center
NBME Self-Assessments
The NBME offers web-based self-assessments to help medical students and graduates evaluate their readiness
for computer-based Steps and Step Components (Step 1, Step 2 CK, and Step 3).
The Comprehensive Basic Science Self-Assessment (CBSSA), which is built to the same content
specifications as Step 1, covers material in basic science medical education courses. There are six unique
CBSSA forms available, each featuring 200 multiple-choice questions divided into four sections.
The Comprehensive Clinical Science Self-Assessment (CCSSA), which is built to the same content
specifications as Step 2 CK, covers material in core clinical clerkships. There are four unique CCSSA forms
available, each featuring 184 multiple-choice questions divided into four sections.
A self-assessment built to the same content specifications as the multiple-choice component of Step 3 is also
available.
NBME research demonstrates that under certain circumstances there is a moderate relationship between
performance on the CBSSA and CCSSA and subsequent Step 1 or Step 2 CK exams. Medical students and
graduates may find these self-assessments to be valuable tools as they prepare for USMLE Step 1 and Step 2
CK.
All questions have appeared previously in the USMLE, and no questions are duplicated across forms. Users can
choose to take the self-assessments under two timing conditions: standard USMLE pacing or self-pacing.
Users receive immediate performance feedback in the form of a performance profile showing content areas of
strength and weakness. For the CBSSA (Step 1) and CCSSA (Step 2 CK), feedback also includes a table that
“translates” the self-assessment score to an approximate score on the USMLE scale. An expanded feedback
option is available for four CBSSA forms and one CCSSA form. Expanded feedback includes information on
incorrect items and the opportunity to review them, as well as longitudinal performance profiles for recently
completed self-assessments.
The self-assessments are available for $50.00 per form for standard forms and $60.00 per form for expanded
feedback forms.
For complete information, to view a sample assessment, or to purchase an assessment, access the
NBME Self-
Assessment Services website
.
Last updated: September 15, 2011
Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.
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