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USMLE Step 1 and Step 2 CK: Increase in number of items in existing content categories scheduled for mid-2020

Posted: November 05, 2019

The current Step 1 and Step 2 Clinical Knowledge (CK) examinations include questions assessing systems-based practice and patient safety, communication skills, and legal/ethical skills and professionalism. Beginning in mid-2020, the Step 1 and Step 2 Clinical Knowledge (CK) examinations will include an increased number of questions assessing communication skills, system-based practice and patient safety, and legal/ethical skills and professionalism. The length of the testing days for Step 1 and Step 2 CK will not change.

Decisions about the balance of content on USMLE examinations are the responsibility of two groups: the USMLE Composite Committee and USMLE Management Committee. Both are composed of educators, practicing physicians, members with experience on state medical licensure boards, and public members. These committees approved the increase in the number of test items assessing the important competencies listed above. 

Timetable:

  • Beginning in May 2020, Step 1 will include additional questions assessing communication skills.
  • Beginning in June/July 2020, Step 2 Clinical Knowledge will include additional questions on systems-based practice, patient safety, legal/ethical issues, and professionalism.
  • No changes to the Step 3 examination are planned during this timeframe. 

Sample test items illustrating assessment of communications skills, systems-based practice and patient safety, and legal/ethical skills and professionalism are provided in the Step 1 Content Description and General Information booklet (pp. 7-11) and in the Step 2 Clinical Knowledge Content Description and General Information booklet (pp. 8-11).

The practice materials available on USMLE.org will be updated in early 2020 to reflect these changes in the distribution of exam content across content categories on Step 1 and Step 2 CK.


Step 1 – Delay in score reporting

Posted: January 13, 2020

If you need to receive Step 1 scores before July 8, 2020 it is recommended that you take the exam no later than May 3, 2020

 Most Step 1 scores are reported within four weeks of testing. However, because of necessary annual modifications to the test item pool, there will be a delay in reporting for some examinees who test beginning the week of May 4, 2020. 

The target date for reporting Step 1 scores for most examinees testing the week of May 4, 2020 through mid-June will be Wednesday, July 8, 2020. For examinees whose circumstances require that they receive Step 1 scores before July 8, 2020, it is recommended that they take Step 1 no later than May 3, 2020.


Step 2 CS testing appointment arrival time to change in 2020

Posted: December 16, 2019

 Effective January 3, 2020, the arrival time for Step 2 Clinical Skills (CS) testing appointments will be 15 minutes earlier than in 2019, due to additional security check-in procedures at the testing centers.  During check-in, test center staff will scan examinees with a handheld or walk-through device designed to detect prohibited items.

New arrival times at all CSEC centers
  • AM Sessions:   7:30 AM
  • PM Sessions:   2:30 PM
If you are currently scheduled to take Step 2 CS on or after January 3, 2020, please log in to the Step 2 CS Calendar & Scheduling system to print your confirmation notice with the updated arrival time. 

Please note that you must comply with all security procedures for entry into the exam. 
For more information on examination day and testing procedures, please refer to the USMLE Bulletin of Information.

If you have questions, please contact your registration entity, either the Educational Commission for Foreign Medical Graduates (ECFMG) at info@ecfmg.org, or the National Board of Medical Examiners (NBME) at webmail@nbme.org.


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