In contrast, only 39% reported having a “target” Step 2 CK score. 1 and Step 3, and between July 1, 2016 and June 30, 2019 for Step 2 CK who scored lower than a given USMLE Step Examination score. Translation: an “average” US med student scored higher than 80% of MCAT test-takers. Here’s How You Can Do Better. A Step 1 of 230 may be a fantastic score. Here are each specialty’s cut-off scores from the most recent program director survey. The odds (99% CI) for successful match were 3.6 (3.1-4.2) for U.S. medical school graduates, 2.6 (2.3 to 3.0) for applicants with United States Medical Licensing Examination Step 2 scores more than 210, and 1.2 (1.1 to 1.3) for female applicants. Specifically, in this article, we’ll address: The easiest way to answer what a “good” score is to look at the percentiles of all test-takers. 233 was higher than the median for six specialties! In fact, in a 2018 survey of program directors, Step 1 was the highest-cited factor for giving interviews. We have previously posted a blog that discussed How to Score Above 270 on USMLE Step 1. 64% of the PD survey respondents reported having a “target score.” Only 34% of 2018 respondents claimed not to have a “target” Step 1 score. The largest deviation from the normalized curve is at score 230 and is +1.37 percentile points. What score you need to match into any specialty? See why thousands of students use Pixorize to prepare for the boards: Pixorize offers visual mnemonics to help medical students learn biochemistry and basic sciences for the USMLE Step 1 and COMLEX Level 1 exams.View all posts by Pixorize. (Not to mention the fact that you get to take each USMLE only once). For example, of the 1,333 respondents, only 736 reported a cut-off Step 1 score. Here’s a run down. It is a fact of life that your performance on Step 1 or COMLEX 1 will impact the likelihood that your application is “screened in” and that you will be invited for an interview. A “good” USMLE score is a product of your goals. With enough hard work, connections, and ingenuity, few doors are truly closed. Read across the table to the percentile rank column labeled Step 1. In other words, the median scores for Step 1 mean that 50% of programs with a target score would “almost always” grant you an interview. Residency program directors are busy. And the same Step 2 CK percentiles for US and Non-US IMGs: Step 2 CK US IMGs, 25%ile, Median and 75%ile for Matched Applicants 2018 Match, Step 2 CK Non-US IMGs, 25%ile, Median and 75%ile for Matched Applicants 2018 Match. Of the predictor variables, only Step 1 score was associated with the need for corrective action (p < 0.001). For example, most non-US medical schools teach little to no basic science. They’ve never had to master a concept, then apply it to a clinical vignette. Specifically, I subtracted the median for unmatched 2018 applicants from their matched cohorts. Aiming for orthopedic surgery at a prestigious academic center? Focused studying dates: May 26 – July 24 (~ 8 weeks) Date of examination: July 25 Results received: August 14 (~ 3 weeks) Score: 243 Review course Doctors in Training*–*2013 (~ 2.5 weeks) Main review books First Aid for the USMLE Step 1 2013 Many students studying for Step 1 want to keep as many doors open as possible. While scoring high on Step 1 can help ensure you match into your desired residency later on, there are many other factors that will also contribute to getting there. The reported score cut-offs for getting interviews in each specialty is useful information. Avtandil Kochiashvili - USMLE Step 1 Experience 2020 Target: 255+ Score: 273 First of all, we have to talk about the foundation of basic subjects in medical Scored a 243 on Step 1 Alright, this community has helped me out enormously as I fumbled my way through Step 1 prep, so I thought I'd write this down for any other lost soul who might find it useful. I Scored 258 on Step 1 in 6 Weeks. Step 1–score delays in 2019 •Step 1 examinees testing early May through early July 2019 more specific information will be posted January 2019 •Most Step 1 scores are reported within four weeks of testing. A minimum of 3 letters of recommendation Dean’s Letter and Medical School transcripts USMLE Board Scores 4. One important thing to note is that, overall, Step 2 CK scores are actually higher than for Step 1 and Step 3. Step 2 CK US Seniors, 25%ile, Median and 75%ile for Matched Applicants 2018 Match. However, good Step scores aren’t sufficient. Here are the percentiles for Step 1, Step 2 CK, and Step 3: Here are the same data represented visually: First, Step 2 CK scores are significantly higher than Step 1 scores. Knowing the kinds of scores programs look for is one piece of a larger puzzle. Specific dates and information will be made available in advance of the implementation date. In 2018, the mean USMLE Step 1 score among matched U.S. seniors was 233 and the mean COMLEX 1 score among matched osteopathic students was 554. In other words, as far as I can tell, the numbers encompass all programs.). However, it would be below the median for Step 2 CK (42nd percentile). Here are the Step 1 percentiles for matched US and Non-US IMGs. Here are the inter-median differences for US Seniors in the 2018 Match. Most importantly, Step 2 CK scores tend to be higher than USMLE Step 1 and the cutoffs are more liberal in terms of who does and does not match. *Median Cut-Off Scores Not Available for All Specialties. Competitive specialties clearly require high Boards scores. What Score Will Virtually Guarantee an Interview? Please note that each ERAS application is reviewed individually. We can also compare the median scores between matched and unmatched applicants. A nearly 40% response rate seems pretty high for such a survey. Here are the 25%ile, median, and 75%ile for unmatched US seniors in the 2018 Match. (~30% of respondents, implying ~4% didn’t report their cut-off scores despite having one). Change ), You are commenting using your Twitter account. The National Resident Matching Program (NRMP) recently released 2018 reports on data from the most recent match (NRMP). Cardiology is key for impressive USMLE scores. Programs use USMLE scores as cut-offs for interviews. The program does not require a minimum Step I USMLE score to be asked for an interview. Here are the 25%ile, median, and 75%ile Step 1 scores for matched applicants in each specialty. For example, while 10.5% of first-year anesthesiology residents had Step 2 CK scores above 259, only 1.9% had both Step 1 and Step 2 CK scores above 259. Information about the Step 1 P/F score reporting policy change can be found here. As we’ve discussed before, in addition to high scores, you also need other things. National Resident Matching Program, Charting Outcomes in the Match: U.S. Allopathic Seniors, 2018. These values have been denoted with an “–” below. However, you’d be wrong. on Average USMLE Step 1 Score by Specialty, 5 Tips to Master USMLE Step 1 Biochemistry. Step 1 US Seniors, 25%ile, Median and 75%ile for Unmatched Applicants 2018 Match. FYI: Getting a high score on your Step 1 is possible as long as you put your mind into it and you have the right guide to accompany you throughout the whole process. National Resident Matching Program, Data Release and Research Committee: Results of the 2018 NRMP Program Director Survey. However, some domestic students decide to take the USMLE Step 2 CK exam based on how they performed on Step 1. Because the scores of unmatched applicants in competitive specialties are often quite high. For example, the average MCAT score is roughly 500, with a standard deviation of 10.5. You’ll be begging for cardio questions - even if vitals make you queasy. That said, there are ranges in scores for a reason. IMG or not, if you struggle to master and apply key concepts, there is hope. There is not necessarily a "minimum" USMLE Step 1 or Step 2 score necessary to match in Pediatrics. A 230 on Step 1 might get you screened out by nearly 75% of programs. If you manage to obtain a Step 1 score similar or higher to the average Step 1 score ranging from all the specialties, your chances of matching success become a whole more plausible. Similarly, they also may extend an interview based solely on high Boards scores. Finally, most non-US IMGs have never taken exams like the USMLEs. After looking at the data for interview cut-offs, there are two small caveats. 623 programs responded with a Step 1 score (~47%). These are the Step 1 Scores “Below Which Programs Generally Do Not Grant Interviews”: Step 1 Scores (25%ile, Median and 75%ile) Below Which Programs Typically Do NOT Grant Interviews; 2018 Program Director Survey. You might conclude good Boards scores are all you need. ( Log Out /  Change ), You are commenting using your Facebook account. Discussions with admissions committee members would corroborate this. Here are the inter-median Step 2 CK scores by specialty for US seniors. National Resident Matching Program, Washington, DC 2018. National Resident Matching Program, Charting Outcomes in the Match: International Medical Graduates, 2018. Things like biochemistry, microbiology, or immunology may get little emphasis. (~55% of all respondents, implying roughly 9% claimed to have a target score but didn’t specify it). (To read Get Into a Top Residency: 5 Things You Need to Know, click here). For high profile academic programs you will likely need a USMLE Step 1 score greater than 220. The USMLE or COMLEX is an important factor in the family medicine residency selection process. Here is my personal journey of preparing and studying for the USMLE Step 1 examination. Specifically, we can look at the percentiles for USMLE, as reported by the NBME. And for dermatology, ENT, and plastic surgery? Adventures in Medical School, Memory and Visual Learning. There are several reasons non-US IMGs may achieve lower-than-expected USMLE percentiles. Here are the Step 1 percentiles to maximize your interview chances: Step 1 Scores (25%ile, Median and 75%ile) Above Which Programs Almost Always Grant Interviews; 2018 Program Director Survey. Even fewer reported their Step 2 CK cut-off score: 394. Step 1 Inter-Median Difference Difference (Median Matched – Median Unmatched) by Specialty, US Seniors, 2018 PD Survey. What do you notice? Similarly, the 75%ile score means that 75% of the programs would almost always grant you an interview based on your score alone. The table below displays statistics on USMLE Step 1 and Step 2 Content Knowledge (CK) scores for first-year residents in 2018-19, by specialty. The NRMP just released updated results on the Main Residency Match® (See Charting Outcomes in the Match, 2014: Characteristics of Applicants Who Matched to Their Preferred Specialty in the 2014 NRMP Main Residency Match (5th edition) (PDF, 290 pages).We created a table showing the average Step 1 scores by specialty for the … Score creep means that, the older the formula, the more likely it is to under-predict USMLE scores. What Step 1 score do you need to match in the specialty you want? Here are the 25%ile, median, and 75%ile Step 2 CK scores for matched applicants in each specialty. Step 2 CK Inter-Median Difference (Median Matched – Median Unmatched) by Specialty, US Seniors, 2018 PD Survey. Were the various score percentiles what you expected? Virtually every foreign graduate I’ve tutored describes national exams as memorization-heavy. The difference between the median scores of matched and unmatched applicants in IR and radiation oncology was only five points! ( Log Out /  Like everything, however, take these scores with a grain of salt. For example, in the 2018 PD survey, 64% of respondents report a “target” Step 1 score. Among unmatched U.S. seniors and osteopathic students, the mean score was 207 and 465, respectively. *Median Cut-Off Scores Not Available for All Specialties. Sources: National Resident Matching Program, Charting Outcomes in the Match: International Medical Graduates, 2018. One reminder: med students are excellent test-takers. Second, many non-US IMGs take Step 1 years after they’ve learned the material. Take, for example, this paper from 2006, which also found a linear relationship between COMLEX and USMLE scores. For the next tier up, you might want to aim for a Step 1 score of 250. https://blog.pixorize.com/2019/01/16/average-usmle-step-1-score-by-specialty From USMLE Step 1 226 to Step 2CK 260: Prevent/Overcome an Average Step 1 Score, Want to Add 20-60+ Points to Step 1? For example, for dermatology, the 25%ile of unmatched US seniors in 2018 was 233. Want to get into a community program in a less competitive specialty? 5. While your USMLE Step 1 Exam score is not the only factor in competitiveness for residency programs, it remains a key factor differentiating applicants who match from others who do not. If so, you’ve come to the right place. Ever wonder what USMLE® Step 1 score you need to match into your desired specialty? What can a 240 on the USMLE step 1 get you? Let us know in the comments! ( Log Out /  But using their formula, a 600 on COMLEX Level 1 predicts a USMLE Step 1 score … The interpretation of exams milestone was associated with higher Step 1 scores (p = 0.001) and number of medical school clerkship honors (p = 0.008). How Many Residency Programs Have Step 1 and Step 2 CK Cut-Off Scores? Instead of no longer having a heavy emphasis on a high USMLE Step 1 score, students might turn their focus on achieving top Step 2 CK and Step 2 CS scores. While it is always good to aim as high as you can on Step 1, not everyone wants to or has the time and energy to put in the work necessary to score in the 99 th percentile. National Resident Matching Program, Washington, DC. What about the “Scores Above Which Programs Almost Always Grant Interviews” question? The NRMP sent out 4,546 surveys, and 1,333 programs responded. Second, a small number of programs reported having a “target” score, but not all of them said what that score was. The transition to Step 1 pass/fail score reporting is on track to be implemented in January 2022. * If the student does not perform well on Step 1 (less than 210), then s/he should take Step 2 CK early in the fall (July- September 1) and do well. For example, to compare a given score with the scores of US/Canadian first-takers on Step 1, locate the score in the column labeled USMLE Score. A score of at least 225 on USMLE Step 1 or 2 is preferred. For others, this may serve as a reminder to keep digging deep and aiming for the score necessary to match to that residency of your dreams. This could be looked at as meaning that the exam is easier; for example, it would be easier to score 240 on Step 2 CK than to score 240 on Step 1. 2) USMLE Step 1/COMLEX Level 1 score and Step 2 CK/COMLEX Level 2 CE Score. And the Step 2 CK percentile cut-off scores for interviews: Step 2 CK Scores (25%ile, Median and 75%ile) Below Which Programs Typically Do NOT Grant Interviews; 2018 Program Director Survey. Change ), You are commenting using your Google account. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. National Resident Matching Program, Washington, DC 2018. First, with any surveys, you have to consider the response rate. How Are USMLE Questions Written? However, it is not 100%. A 260 would get you an interview at most of the programs who grant interviews based on high USMLE scores. It’s used so often, in fact, that many residencies have cut-off scores. ( Log Out /  Anything about the statistics surprise you? And 342 respondents specified a Step 2 CK score (~26%). All other differences … And the Step 2 CK percentiles giving you the greatest chance at interviewing: Step 2 CK Scores (25%ile, Median and 75%ile) Above Which Programs Almost Always Grant Interviews; 2018 Program Director Survey. On USMLE Step 3, there is no significant skewing of the score distribution. Similar to the USMLE Step 1 data, there are a number of interesting trends. Most people view USMLE scores not as an end in itself. Instead, they are a means to a particular aim, specifically residency applications. What is your USMLE exam cut-off score? Read on to find your answer. Have you ever wondered what a good Step 1 score was? As you can see, many of these average scores are well above the mean USMLE Step 1 score of 237.27(standard deviation: 8) for US allopathic seniors in 2020. *Median Cut-Off Scores Not Available for All Specialties. "The USMLE Step 1 score is the single most important 'separator' for program directors determining who gets an interview," writes Dr. Jeffrey Weiss, Professor and Chair of the Department of Urology at SUNY Downstate. I am a non-US IMG from India. (Note: unlike the program directors survey, these numbers come directly from the NRMP. When we do so, a different picture emerges. In other words, these are the scores of applicants who did NOT match into each specialty. Change ). Why? 1800+ cards on most frequently-misunderstood Step 1 topics, Master shelf exams while preparing for Step 2 CK, FREE Consult: Master More - Faster - for Impressive Boards Scores, Percentiles for Step 1, Step 2 CK, and Step 3. We’ll start with Step 1 percentiles for matched US Seniors: Step 1 US Seniors, 25%ile, Median and 75%ile for Matched Applicants 2018 Match. Boards scores are vital ingredients to getting an interview. What do you think? Some of you may be comfortable with your Step 1 scores (or ability to score) in order to match to your desired specialty—great! (Response rate = 39.3%). Gave Step after going through med school, during what we call an 'internship'. It’s not easy, but you can learn mastery of these concepts. *Median Cut-Off Scores Not Available for All Specialties. This is doubly true for IMGs. The median for unmatched dermatology applicants was 243! Paired with a resume packed with stellar research publications and outstanding recommendation letters, a Step 1 score > 240 can get … Now go … Residencies use Boards scores as a significant criterion in selecting applicants. As such, it’s no surprise that successful applicants have higher scores. 240 is above the median score of applicants who matched in family medicine, PM&R, psychiatry, Ob/Gyn, pediatrics, child neurology, anesthesiology, emergency medicine, neurology, pathology, internal medicine, general surgery, and internal medicine-pediatrics. Your USMLEs will be one (albeit important) part of your application. Thus, to keep all doors open, you’d probably want to score in the high 240s at least. Here’s How Long It Takes (16 Experiences), As we’ve discussed before, in addition to high scores, you also need other things, Get Into a Top Residency: 5 Things You Need to Know. (I Scored 270 By Ignoring The Dogma), The Secret to Scoring 250/260+ You Can Learn Right Now: Question Interpretation, UWorld + First Aid: 4 Keys to Mastery (#4 Bumped Me to 270 from 236), Minimum cut-offs for each NRMP specialty (get these scores if you don’t want to get screened out), Scores needed to get interviews at most programs, Step 1 and Step 2 CK scores for matched applicants to each specialty. Step 1 Score – 240+ looks like a solid in Radiology. Two (Small) Caveats to the Step Percentile Cut-Offs for Interviews, Step 1 and Step 2 CK Scores for Matched Applicants to Each Specialty, Matched IMG Scores May Be Lower Than You Expect, High Scores Are Necessary But Not Sufficient for the Most Competitive Specialties, Unmatched Applicants Have Similar Scores to Matched Applicants for the Most Competitive Specialties, the average MCAT score is roughly 500, with a standard deviation of 10.5, Often Step 1 is the most cited criteria used for extending residency interviews, Discussions with admissions committee members would corroborate this, From 136 to Step 1 247: Conquer Memorization for Impressive Boards Scores, How this Caribbean IMG Got Her Top Choice “ROAD” Residency. RESULTS: Corrective action was required for 7% (n = 12) of residents. It’s not uncommon to see non-US IMGs who were top students in their country struggle to get an average Step 1 score. (Note: not all specialties had enough matched applicants to generate ranges). Low USMLE Step 1 score and high USMLE Step 2 CK score High USMLE Step 1 score and low USMLE Step 2 CK score While the first scenario is actually ideal and proves you have the capacity to improve, the second scenario can be much more difficult to express to Program Directors and Interview Committees. In other words: Here are the inter-median Step 1 scores for 2018 applicants by specialty for US seniors. We’ve compiled this data into a table below summarizing average USMLE® Step 1 scores by specialty. As discussed above, previously top students may struggle to achieve average USMLE scores. Most med students have heard that a Step 1 score of 240 is “good.” A 250 is “really good.” While those are good starting points, the story is more nuanced than that. 2018. Master cardiology from a Harvard-trained anesthesiologist who scored 270 on the USMLE Step 1 with these 130+ high-yield flash cards. Average Importance Rating for Each Factor (scale of 1 to 5) Flagged by NRMP (4.7), Any failed attempt in USMLE (4.7) Evidence of professionalism and ethics (4.5) USMLE Step 1 score (4.4), Lack of gaps in medical education (4.4) USMLE Step 2 CK (4.3), Passing USMLE Step 2 CS (4.3) Students who scored well on Step 1 may choose to take Step 2 CK after submitting their residency applications so that if they don’t meet or beat their Step 1 score, the lower Step 2 CK score won’t count against them. National Resident Matching Program, Washington, DC 2018. Range programs do NOT typically offer interviews: 220 seems to be the minimum threshold we would recommend for having a good chance at enough interviews. As such, they rely heavily on Step 1 and Step 2 CK scores to sort through applicants. Step 1 US IMGs, 25%ile, Median and 75%ile for Matched Applicants 2018 Match, Step 1 Non-US IMGs, 25%ile, Median and 75%ile for Matched Applicants 2018 Match. Data available from 1,976 applications were examined corresponding to 58% of the national sample. (Remember, this makes sense; roughly 50% of students will score below-average). Data adapted from: NRMP, Charting Outcomes in the Match, 2018. In fact, many programs use it as a “screen” for applicants. The median Step 1 score for matched dermatology applicants in 2018 was Programs also reported scores above which they would “Almost Always Grant Interviews.” We went through and collected the 25%ile, median, and 75%ile scores. Preparation for the USMLE Step 1 is extremely important in achieving your best score, and resources like Pixorize can help you master biochemistry and basic sciences on the exam. The actual and projected percentiles are nearly the same. Should this schedule change, we will post an updated timeline. The median score of matched applicants in the most competitive specialties was roughly 245-250. Why? In other words, the average matriculant’s MCAT is in roughly the 80%ile of test-takers. See how Pixorize can help you prepare for the USMLE Step 1: Note: Some data was withheld by the NRMP due to inadequate sample size. First, if you’re aiming for an interview, a 240 on Step 1 will get you in the door with programs that aren’t the most competitive. Often Step 1 is the most cited criteria used for extending residency interviews. Step 1 score: 243 2.Resources used: USMLE World, First Aid, Pathoma 3.Study period: 6 weeks 4.NBME exams taken; scores: NBME 17 (3 weeks before): 234 5.NBME average: 234 6.USMLE World %: 79% (untimed, tutor) 7.UWSA exams taken; scores: UWSA 1: 257, UWSA 2: 255, both taken 3 weeks before exam 8.USMLE-Rx and/or Kaplan%: Briefly used USMLERx during dedicated step period … Read more about students who mastered the material to get their dream residencies: What do you notice from the scores of matched applicants? The difference between the two was only 8. Successful applicants also need strong research and clinical performance. Thus, to achieve the same percentile on Boards as you did on the MCAT, you have to do much better. However, the average MCATs of matriculants is approximately one standard deviation higher! USMLE Step 2 CK Score Ranges by Specialty. The median Step 1 score for matched dermatology applicants in 2018 was 251. Here, we look at what exactly a “good” USMLE score is. What Are Each Specialty’s USMLE Cut-Off Scores for Interviews? Step 2 CK percentiles. So a 240 on Step 1 is the 66th percentile. NRMP, Charting Outcomes in the Match, 2018. First, their home country curriculum may emphasize very different things. Why Are Step 1 and Step 2 CK Scores Important? So how many programs have actual cut-off scores for granting residency interviews? 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Percentile ) the 2018 NRMP Program director survey one ) Step 2 score... To the USMLE Step 1 and Step 2 CK scores to sort through applicants apply it to clinical. I ’ ve discussed before, in the family medicine residency selection process to read get into a below! Useful information ve compiled this data into a community Program in a less competitive specialty your Facebook.... Mastered the material to get their dream residencies: what do you notice from the scores matched. Usmle Board scores 4, 5 Tips to master USMLE Step 2 CK score nearly the percentile... Tutored describes national exams as memorization-heavy on high USMLE scores the next tier up, you want. Compare the median for Step 2 CK exam based on high USMLE scores Available. Take these scores with a grain of salt DC 2018 in your details below click! Matched and unmatched applicants in each specialty average Step 1 inter-median Difference ( median matched median. 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