Educational commission for foreign medical graduates

Examination Results 

Minimum Passing Scores

 | 

Scoring

 | 

Reporting of Scores

 | Score Rechecks | 

USMLE Transcripts

 | 

CSA 

Performance History

 | 

Validity of Scores

  

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. However, a request for a recheck will be honored if you submit a 

Request for 

Recheck of USMLE

®

 Step 1, Step 2 CK, or Step 2 CS Score (Form 265)

 and the fee for this service to ECFMG. 

Form 265 is available in the Resources section of the ECFMG website and from ECFMG, upon request. Your 

request must be received at ECFMG no later than 90 days after your score report release date. 

For Step 1/Step 2 CK, standard quality assurance procedures ensure that the scores reported for you accurately 

reflect the responses recorded by the computer. When a request for score recheck is received, your 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 your original score. 

For Step 2 CS, score rechecks first involve retrieval of the ratings you received from the standardized patients and 

from the physician note raters. These values are then resummed and reconverted into final scores in order to 

confirm that the reported pass/fail outcome was accurate. There is no rerating of your encounters or of your 

patient notes; videos of encounters are not reviewed. Videos are used for general quality control and for training 

purposes and are retained only for a limited period of time. 

Patient notes are carefully reviewed, in some instances by multiple physicians, before scores are released. As part 

of the quality control procedures for initial scoring, examinees who fail Step 2 CS solely on the basis of the 

Integrated Clinical Encounter subcomponent and who are performing at a level that is near the minimum passing 

point have their patient notes rated by multiple physician note raters. Therefore, patient notes are not reviewed 

again when a recheck is requested. 

 

 

Last updated: September 15, 2011 

 

Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

 

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Examination Results 

Minimum Passing Scores

 | 

Scoring

 | 

Reporting of Scores

 | 

Score Rechecks

 | USMLE Transcripts | 

CSA 

Performance History

 | 

Validity of Scores

  

USMLE Transcripts 

To request an official USMLE transcript, you must contact the appropriate registration entity. You must contact the 

Federation of State Medical Boards if you are registered for or have taken Step 3 and/or you want to send your 

transcript to a medical licensing authority. In all other cases, submit your transcript request to ECFMG by sending 

a completed 

Request for Official USMLE

®

 Transcript (Form 172)

 and the appropriate fee to ECFMG. Form 172 

and additional information are available in the Resources section of the ECFMG website and from ECFMG, upon 

request. You can use 

OASIS

 to check whether your USMLE transcript has been sent. For a description of the 

information provided in USMLE transcripts, see Official USMLE Transcripts and Providing Scores to Third Parties 

in the 

USMLE Bulletin of Information

. 

Important Note: Graphical performance profiles, which are included in your original score reports, are 

not included in your USMLE transcript. 

If you apply to residency programs through the 

Electronic Residency Application Service (ERAS)

, you may 

request electronic transmittal of your USMLE transcript to these programs. For additional information, refer to the 

ERAS applicant information

 available in the ERAS Support Services section of the ECFMG website. Information 

on the status of requests for electronic transmittal of USMLE transcripts via ERAS is not available through OASIS. 

If the program does not participate in ERAS, you must submit a transcript request and pay the required fee. 

Important Note: The USMLE program has begun the process of limiting the reporting of scores on the 

two-digit scale. Visit the 

USMLE website

 for more information. 

 

 

Last updated: September 15, 2011 

 

Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

 

71

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Examination Results 

Minimum Passing Scores

 | 

Scoring

 | 

Reporting of Scores

 | 

Score Rechecks

 | 

USMLE Transcripts

 | CSA 

Performance History | 

Validity of Scores

  

CSA Performance History 

If you took the former ECFMG CSA, your USMLE transcript will indicate only that you have CSA examination 

history. It will not provide any additional information on your attempt(s) on the CSA. To request official copies of 

your CSA performance history, you must complete a 

Request for an Official ECFMG

®

 CSA

®

 History Chart (Form 

297)

 and submit it to ECFMG with the appropriate fee. Form 297 is available in the Resources section of the 

ECFMG website and from ECFMG, upon request. For each attempt on the ECFMG CSA, the Official ECFMG 

CSA History Chart includes the month and year of the administration and the result of your performance. For 

additional information, refer to the instructions that accompany Form 297. 

 

 

Last updated: September 15, 2011 

 

Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

 

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