USMLE Examination Result and Scoring

SCORE REPORTING – Score Availability

Results for computer-based examinations (Steps 1, 2 CK, and 3) are typically available within three to four weeks after your test date. However, delays are possible for various reasons. In 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 Step 2 CS results, you should refer to the Step 2 CS Schedule for Reporting Results.

When your score is available, you will receive an email notification from your registration entity; follow the instructions to access your password-protected score report. Your score report will remain available for approximately 120 days from the date of the email notification. After the score report is removed from the website, your scores will only be provided to you in the form of an official transcript, for a fee, via your registration entity. Visit the USMLE website for more details, including how to request a transcript for you or for a third party.

Reporting to Third Parties

The NBME reports the results of the USMLE to LCME- and AOA- accredited medical school programs for their students and graduates. For Step 1, Step 2 CK, and Step 2 CS, if you do not want your results reported to your medical school, you must send a signed request to the NBME, which must be received at least two weeks before your scheduled test date. For Step 3, you must indicate your reporting preference on your application.

The ECFMG may provide the results of the USMLE to international medical schools for their students and graduates. For Step 1, Step 2 CK, and Step 2 CS, if you do not want your results reported to your medical school, you must submit a request for each examination administration, via the ECFMG website, at least 10 days before your scheduled test date.

Incomplete Scores

In order to receive a score on Step 1, Step 2 CK, and Step 3, you must open every block of the examination. If you do not open every block, your examination will not be scored and the attempt will be reported as an incomplete on your USMLE transcript.

For Step 2 CS, if you leave the test early, or otherwise fail to carry out one or more of the cases, your performance may be assessed on those cases you completed. If, based on the performance of the completed cases, a pass/fail determination cannot be made, the attempt may be recorded as an incomplete on your USMLE transcript.

To avoid misinterpretation and to protect your privacy, the USMLE program does not provide scores or outcomes by telephone, email, or fax to anyone. Additionally, the scoring process is not expedited or accelerated for any individual or group.


For all Steps and Step Components, a change in your score or in your pass/fail outcome based on a recheck is an extremely remote possibility. A rigorous process is used, including a double scoring process involving independent scoring systems, to ensure accurate results – to date, the score recheck process has not resulted in a score change. However, a recheck will be performed if you submit a written request and service fee to the entity that registered you for the examination. Your registration entity must receive the request no later than 90 days after your result was released to you.


For Step 1, Step 2 CK, and Step 3, 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 rechecked score is then compared with the original score.

For Step 2 CS, the ratings received from the standardized patients and from the physician note raters are retrieved, re-summed, and reconverted into final scores to verify the accuracy of the original outcome. Encounters and patient notes are not re-rated and videos are not re-reviewed during the recheck.


The performance of examinees is monitored and may be analyzed to detect aberrancies that raise questions about the validity of scores. The USMLE program reserves the right to cancel scores that are at or above the passing level if the USMLE program has a good faith basis for questioning whether they represent a valid measure of knowledge or competence as sampled by the examination. Questions about score validity may result from irregular behavior (please refer to the Irregular Behavior section of this Bulletin on pages 24-25) or other factors. If there are questions related to the validity of your score, your score report may be delayed, or any further reporting or verification of such scores may be withheld, pending completion of further review and/or investigation. You will have an opportunity to provide information that you consider relevant.

After review and analysis of all available information, scores will either be classified as valid and will be reported, or scores will be canceled and will not appear on your record. If scores are canceled, you will be advised of the options for retaking the examination. Anyone who has received a report of scores that are later canceled will be notified.


Anomalous performance and/or unusual testing history may impact your access to the USMLE. If your performance raises concerns about your readiness to test or your motivation to pass, the USMLE program reserves the right to restrict your future access to its examinations and/or impose conditions upon future access. Do not test if you are unable or unready to test on your scheduled test date.

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

IMPORTANT: Taking a Step examination to familiarize yourself with the examination format, or for any reason other than to pass, is prohibited and may limit your future access to the USMLE.

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