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Change in Minimum Passing Requirements for Step 2 CK and CS
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06.21.07 (1 year ago)
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Change in Minimum Passing Requirements for
Step 2 Clinical Knowledge and Clinical Skills
Date Posted: June 20, 2007
As stated in the USMLE
[bleep] of Information and as explained in a previous posting to the USMLE
website, the level of proficiency required to meet the recommended minimum passing level for each USMLE
Step examination is reviewed periodically and may be adjusted at any time. Notice of such review and any adjustments are posted at the USMLE
website.
At its June 2007 meeting, the Step 2 Committee conducted such a review for both USMLE
Step 2 Clinical Knowledge (CK) and Clinical Skills (CS). During the meeting, the Step 2 Committee considered information from multiple sources, including: 1) recommendations from independent groups of physicians who have participated in content-based standard-setting activities in 2007; 2) 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; 3) trends in examinee performance; and 4) score precision and its effect on the pass/fail decision. The results of the review are listed below. Because there are no reported scores for Step 2 CS, the decisions of the Step 2 Committee for that component of Step 2 are reflected in terms of potential impact on examinees using data from recent administrations.
Step 2 CK
The Step 2 Committee decided to raise the three-digit score recommended to pass Step 2 CK from 182 to 184. The new minimum passing score will be applied to Step 2 CK examinations for which the first day of testing is on or after July 1, 2007.
Step 2 CS
The Step 2 Committee decided to increase the performance levels required to receive a passing outcome on two of the three Step 2 CS subcomponents: Communication and Interpersonal Skills (CIS) and Spoken English Proficiency (SEP). There will be no change to minimum passing requirements for the Integrated Clinical Encounter (ICE) subcomponent of Step 2 CS. If these increases in the performance levels required to pass were applied to a recent group of first-time examinees, the overall passing rate for examinees from US schools would have decreased less than one percent and the overall passing rate for examinees from international medical schools would have decreased approximately eight percent. The new passing requirements will be applied to Step 2 CS examinations for which the first day of testing is on or after July 15, 2007.
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