« Previous Page: 1 of 8 Next »

Announcements Stay up to date.  Click here to subscribe to the Announcements RSS Feed


Review of USMLE Step 3 minimum passing performance

Posted: September 03, 2019

The USMLE Management Committee is scheduled to review the minimum passing score for the USMLE Step 3 examination at its meeting on December 4-5, 2019. The Management Committee includes physicians drawn from medical education and licensing as well as members of the public.

The committee establishes and monitors Step 3 performance and completes an in-depth review of the minimum passing standard for each USMLE Step or its component every three to four years.

For the 2019 Step 3 review, information from multiple sources will be considered, including:

  • Results of content-based standard setting exercises conducted with three independent groups of physicians in 2019;
  • Results of surveys of various groups (e.g., state licensing representatives, medical school faculty, samples of examinees) concerning the appropriateness of current pass/fail standards for Step examinations;
  • Trends in examinee performance; and
  • Measurement precision near the cut score.

If the Committee determines that a change to the minimum passing score is appropriate, the new recommended minimum passing score will become effective for all examinees who take a Step 3 examination on or after January 1, 2020. The decision of the Committee will be posted at the USMLE website.


Possible changes to USMLE scores – continuing the discussion

Posted: October 08, 2019

A podcast featuring two members of the Invitational Conference on USMLE Scoring (InCUS) planning committee, Dr. Michael Barone, Vice President of Licensure Programs for NBME, and Dave Johnson, Senior Vice President, Assessment Services for the Federation of State Medical Boards, is now available. They discuss themes from the public comments, upcoming improvements to USMLE, and insight into the vision for the program.

You can listen to the podcast here.


Computer-assisted scoring coming to Step 2 CS

Posted: September 26, 2019

The United States Medical Licensing Exam (USMLE) program is committed to applying the best available technology and the most current assessment practices to ensure accuracy and validity for all its examination programs. Beginning October 2019, computer-assisted scoring technology will be used to score patient notes created by examinees for the USMLE Step 2 Clinical Skills (CS) examination.

The use of computer-assisted scoring will not change the cost of the exam, nor the timing with which examinees receive their scores. The computer-assisted scoring program is based on the scoring rubrics developed by experienced physician note raters. For cases in which computer-assisted scoring is used, notes with machine scores below the 50th percentile in performance will also be scored by physician patient note raters. The machine scores and physician scores will then be averaged to produce the examinee’s score on the patient note portion of the Step 2 CS exam.

Much consideration has gone into the implementation of computer-assisted scoring. Most importantly, the crucial role of clinical judgment in the evaluation of Step 2 CS performances will be preserved. Second, the examinee experience will not be adversely affected. The expert judgment of physicians will be used on an ongoing basis for the development of patient note scoring guidelines and in the training of the computer-based scoring system.

Click here for FAQs related to computer-assisted scoring. To read more about NBME’s work with natural language processing, see a recent article in Academic Medicine here.


« Previous Page: 1 of 8 Next »