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Images in Step 2 Clinical Skills examination

Posted: March 22, 2016

Beginning May 22, 2016, USMLE Step 2 Clinical Skills examinees may see a case in which the standardized patient provides a digital image (for example, a photograph, x-ray, MRI, or CT) on a tablet computer. Examinees will be able to enlarge the image. During the pre-session orientation, examinees will have an opportunity to view a sample image on a tablet, and to practice enlarging the image.

Not all examinations will include a case with an image. Examinees will see a maximum of one case with an image per examination.


Scheduling Reminder for Step 2 CS

Posted: January 29, 2016
Updated: June 13, 2018

Schedules at all test centers fill up quickly. We strongly encourage examinees who plan to test in 2018 to complete scheduling as soon as possible. Based on scheduling trends, if you try to schedule after August 1, you may find that there are no available testing appointments through the end of the year unless there are cancellations.

The graph below is an estimate of test appointment availability as of the date at the bottom of the graph. Please note that the graph does not indicate availability at any one location. Availability at the testing center you choose may differ.

Appointment availability changes frequently, so if you are unable to schedule an appointment during a particular time period, please continue to check the Step 2 CS scheduling website. Additional appointments may become available 60 days in advance of a test date.



More information is available in the Applying for the Test and Scheduling Your Test Date section of the Bulletin of Information.


No change to minimum passing score for Step 2 CK

Posted: May 24, 2018

The USMLE Management Committee voted to maintain the currently recommended Step 2 CK (Clinical Knowledge) minimum passing score at their May 2018 meeting.

As explained in a previous posting to the USMLE website, the minimum passing score for each USMLE Step examination is reviewed periodically and may be adjusted at any time.

At its meeting, the USMLE Management Committee conducted a review of the Step 2 CK examination minimum passing score. During the meeting, the Committee considered information from multiple sources, including:

  • Recommendations from independent groups of physicians who participated in content-based standard-setting activities in 2018;
  • Results of surveys of various groups (e.g., state licensing representatives, medical school faculty, examinees) concerning the appropriateness of current passing requirements for the Step 2 CK examination;
  • Data on trends in examinee performance;
  • Data on precision of pass/fail classifications.

As a result of its review, the USMLE Management Committee voted to maintain the recommended minimum passing score of 209.


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