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Updated information materials for the Step 2 CK examination are now available

Posted: July 25, 2014
Updated: July 29, 2014

Updated information materials for the Step 2 Clinical Knowledge (CK) examination have been posted to the USMLE website. They include:


• USMLE Step 2 CK Sample Test Questions booklet (PDF)
 USMLE Step 2 CK Content Description and General Information booklet (PDF)
• Tutorial and practice test questions for multiple-choice items

Updates to the information materials include information regarding test specifications for the Step 2 CK examination that correspond to the organization of content areas in the USMLE Content Outline for all USMLE examinations, as well as test specifications that correspond to the organization of content areas in the USMLE Physician Task/Competencies outline. All USMLE examinations published in 2014 are being constructed using the classification systems in these two documents. Each Step exam will continue to have test specifications specific to that Step. Each Step exam will emphasize certain parts of both the content and task/competencies outline, and no single examination will include questions on all topics in the content outline.

Please note that changes to the Step 2 CK exam in 2014 resulting from use of the new outlines are minor, and the examination content will be similar to content on previous examinations. One change to note, however, is that the downloadable Step 2 CK practice test questions now include a multi-media item assessing recognition of breath sounds, similar in format to items assessing heart sounds.

The previous Step 2 CK content outline will remain available on the USMLE website for reference.


USMLE Physician Tasks/Competencies

Posted: July 10, 2014

USMLE Physician Tasks/Competencies, a publication that provides a common organization of competencies and tasks assessed in USMLE examinations, is now available.

The outline comprises seven major sections:

  • Medical Knowledge/Scientific Concepts
  • Patient Care: Diagnosis
  • Patient Care: Management
  • Communication and Interpersonal Skills
  • Professionalism, including Legal and Ethical Issues
  • Systems-based Practice, including Patient Safety
  • Practice-based Learning

While this outline is common to all USMLE examinations, each Step will continue to have test specifications specific to that Step and will emphasize certain parts of the outline.

The USMLE Step 3 Content Description and General Information booklet contains a description of physician tasks/competencies covered in the restructured Step 3 examination for examinees taking the Step 3 examination on or after November 3, 2014. An updated USMLE Step 2 CK Content Description and General Information booklet containing a description of physician tasks/competencies covered in that examination will be available in July 2014.

USMLE Physician Tasks/Competencies is useful for understanding competencies assessed by multiple-choice question (MCQ) formats such as Step 1, Step 2 Clinical Knowledge, and the MCQ portion of Step 3. The outline will be updated as work to identify competencies covered by non-MCQ exam formats progresses.


Practice materials and other information for examinees taking the restructured Step 3 examination on or after November 3, 2014

Posted: July 10, 2014

Practice and informational materials for the restructured Step 3 examination have been posted to the USMLE website. Examinees who plan to take a Step 3 examination on or after November 3, 2014 should read the materials and practice with the sample items and cases. The materials include:

A summary of changes resulting from the restructuring of the Step 3 examination is also available.
Practice and informational materials for examinees taking the current Step 3 examination, which will be administered through September 30, 2014, will remain available on the USMLE website until early October, 2014.


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