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As stated before, the USMLE program provides an accurate testing including a parallel scoring method involving independent scoring systems. Please remember: reproducing and/or disseminating examination material by any means (including reconstruction from memory) is considered irregular behavior by USMLE. If you are found to have engaged in irregular behavior, your score report will include this finding, and you may be barred from taking USMLE in the future.

Important Note about Exam Security: Please help maintain the integrity of USMLE by reporting suspected security violations. If you observed irregular behavior during your exam administration or while preparing for your exam, report a tip anonymously through “STOPit” app.

If you wish to express concern regarding events that occurred during the exam, please send a written description of your experience to testadmin@nbme.org.

Thank you for participating in the United States Medical Licensing Examination.

Examination Results and Scoring

The USMLE program provides a recommended pass or fail outcome on all Step examinations. Recommended performance standards for the USMLE are based on a specified level of proficiency. As a result, no predetermined percentage of examinees will pass or fail the examination. The recommended minimum passing level is reviewed periodically and may be adjusted at any time. Notice of such review and any adjustments will be posted on the USMLE website. The percentages of correctly answered items required to pass varies by Step and from form to form within each Step. However, examinees typically must answer approximately 60 percent of items correctly to achieve a passing score.

For Step 3, your performance on the case simulations will affect your Step 3 score and could affect whether you pass or fail. The proportional contribution of the score on the case simulations is no greater than the amount of time you are given to complete the case simulations.

For up-to-date information on minimum passing scores, examination performance data, and general scoring methodology, please visit the USMLE website.

Score Availability

Results are typically available two to four weeks after your test date. However, a number of factors may delay score reporting. When selecting your test date and inquiring about results, you should allow at least eight weeks to receive notification that your score report is available. For more specific information about potential scoring delays, please visit the Announcements section on the home page of the USMLE website.

When your score is available, you will receive an email notification from the organization that registered you for your examination. Your score report will remain available on the website of the organization that registered you for your examination for approximately 365 days from the date of the email notification. After the score report is removed from the website, your scores will be provided to you only in the form of an official transcript, for a fee.

Incomplete Scores

If you do not open every block of your examination, your examination may not be scored, and the attempt may be reported as incomplete on your USMLE transcript. For Step 3, if you take Day 1 but do not take Day 2, the exam may be reported as Incomplete.

Score Rechecks

For all Steps, a highly rigorous process is used to ensure the accuracy of scores, including a parallel scoring method involving independent scoring systems. Therefore, a change in your score or in your pass/fail outcome based on a recheck is an extremely remote possibility. To date, the score recheck process has not resulted in a score change.

The score recheck process does not include a manual review of the questions or your answers. When a request for a score recheck is received, the original response record is retrieved and rescored using a system that is outside of the normal processing routine. The score calculated during the recheck is then compared with the original score. You will be advised in writing whether the original score (if applicable) and/or pass/fail outcome was deemed accurate. No additional information will be provided in the letter.

If you wish to request a score recheck, submit a request and service fee to the organization that registered you for your examination. Your request must be received no later than 90 days after your result was released to you.

  *Taking a Step examination to familiarize yourself with the examination format, or for any reason other than to pass, is prohibited and may result in restrictions on your future access to the USMLE.