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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.


Coronavirus (COVID-19) 3/27/2020 update: Prometric closures

Posted: March 17, 2020
Updated: March 27, 2020

Prometric announced on March 17 that test centers in the United States and Canada will be closed for a period of 30 days, starting March 18.

In response, the USMLE program is extending eligibility periods this week, beginning with those that expire in March. All eligibility periods for examinees who currently have a scheduling period with an unexpired eligibility period ending in 2020 will be extended to have an end date of December 2020, regardless of the country in which they are testing.

Extensions will be processed in order of expiration date, with all extension processing expected to be completed by the week of April 13th. Examinees will receive a notification and new scheduling permit when their eligibility extension has been processed. Examinees will need to use the new permit once received.

Extending the eligibility period will not impact already scheduled appointments. No fees will be charged for these eligibility extensions. Eligibility periods will be extended automatically, requiring no action from examinees.

If you have questions, we again kindly ask you to wait for our next announcement before contacting your registration entity. 
This will allow us more time to plan a solution for all examinees impacted by the closures. Please continue to check the USMLE website and our social media for updates. 

If you are scheduled to take a USMLE examination in a region outside the United States and Canada, please check the Prometric website for the most current list of test center closures before going to the test center on your scheduled test day.

Thank you for your patience, cooperation, and understanding during this challenging time.


USMLE Step 2 Clinical Skills (CS) testing temporarily suspended beginning Monday, March 16, 2020

Posted: March 13, 2020

The USMLE program is closely monitoring the guidance of the World Health Organization and the Centers for Disease Control and Prevention regarding the spread of the novel Coronavirus and its associated disease, COVID-19.  We are aware that examinees are scheduled to take USMLE Step 2 Clinical Skills (CS) and of the importance of the examination to their future goals and obligations.  However, given the unique, human-to-human delivery mode of this exam, it is important to take the following precautionary steps to protect the health of examinees and test center staff.

Upcoming CSEC Test Center Closures
All CSEC test centers will be closed starting Monday, March 16, 2020.  We hope to resume operations of all centers on Monday April 13, 2020.  Given the fluid nature of this situation, please be aware these dates are subject to change. Please monitor www.usmle.org for updates.

Reopening of Test Centers  
If your testing appointment is canceled as a result of the temporary closure, you will be contacted by a Clinical Skills Evaluation Collaboration (CSEC) staff member who will assist you with rescheduling your appointment.

Once the test centers resume operations, we will open additional testing appointments to help meet increased, time-sensitive testing demands.  Updates to the Step 2 CS scheduling and score reporting calendar will be posted to the USMLE website. 

We appreciate your patience and understanding as we work together through this challenging time.  The USMLE program is actively working with other organizations in medical education and medical regulation to provide the least possible amount of disruption to examinees during this unprecedented situation. 

Our goals are to protect the health of all examinees and center staff while doing our best to provide each examinee a testing appointment that meets their needs.


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