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Do residencies see failed Step 1?

Residencies have full access to how many times you've taken your Step exams, and admissions committees consider failing Step 1 to be a major red flag.
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Can I match with a failed Step 1?

Yes. I failed Step 1 twice and matched. I know multiple people who had failed a Step and still made it. That being said, a lot of factors determine if you will match successfully.
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Can residencies see Step 1 scores?

Historically, Step 1 scores have been a critical component of residency applications, representing one of the few metrics standardized across all applicants independent of the school they attended.
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Is failing Step 1 the end of the world?

Whether it's a pass-fail or three-digit-score exam, you need to prepare to do your best on the USMLE Step 1. Failed exams end up on your score transcript. This isn't to say failure is the end of the world, but if you pass on your first try, you'll be prepared to take the USMLE Step 2 which is still numerically scored.
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How many people actually fail Step 1?

Additionally, the: Step 1 pass rate amongst MD students dropped from 95% in 2021 to 91% in 2022. The overall passing rate fell from 88% in 2021 to 82% in 2022.
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USMLE FAIL: FAILED STEP 1 - CAN I STILL GET INTO RESIDENCY?

How will Step 1 pass fail affect residency?

One hope with the pass/fail transition is that it will force residency programs to take on a more holistic application review process instead of using score cutoffs. But this is just wishful thinking. What you have to remember is that residency programs receive far more applications than they have residency spots.
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Is Step 1 the hardest exam ever?

Traditionally, Step 1 has been thought of as both the most difficult and most important USMLE Step exam. There are several reasons for this. Firstly, this exam is the first in the series, and students taking it will have had less experience with the types of questions that the USMLE asks.
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Do I have to report a failed Step 1?

If you've failed USMLE Step 1, you should contact your medical school if you haven't already. Each program has different policies and next steps for students who need to retake Step 1. You might need to meet with an administrator at your medical school.
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What is a 196 on Step 1?

For more information about scores, view Scores Common Questions. * USMLE Step 1 score reporting is reported as pass/fail only for exams taken on or after January 26, 2022. On the three-digit score scale, the passing standard is 196.
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What happens if you fail Step 1 twice?

Yes! You are allowed to take the USMLE Step 1 exam up to four times, including incomplete attempts. You can attempt Step 1 a maximum of three times within a 12-month period. Your fourth attempt and any subsequent attempts must be at least 12 months after your initial attempt.
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Do residencies see grades?

Many residency programs look carefully at 3rd-year clerkship grades because they can be a surrogate marker of a student's work ethic and ability to work well in a team environment.
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Does Step 1 scores matter anymore?

All scores for Step 1 exams taken on or before January 25, 2022 will continue to be reported as a numeric score and pass/fail outcome on all USMLE transcripts. If a Step 1 exam on a transcript was taken on or after January 26, 2022, only a pass/fail outcome will be reported.
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Is Pass Fail Step 1 harder?

Changing from a numerical score to pass/fail result is expected to decrease the pressure and anxiety students have associated with this test. The test itself will not become more difficult.
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Why did I fail Step 1?

Commonly, students who fail Step 1 have tried to use all the Step 1 resources available, but haven't used the 2 primary resources thoroughly (namely, First Aid and UWorld). An additional primary resource should also be flash cards to help with that spaced repetition learning.
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Can an IMG match after failing Step 1?

Yes. I failed Step 1 twice and matched. I know multiple people who had failed a Step and still made it. That being said, a lot of factors determine if you will match successfully.
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Is 60% enough to pass Step 1?

USMLE Step 1 Passing Score

Unlike the other USMLE exams, Step 1 is reported as pass/fail only, so you will not receive a numerical score. According to the USMLE program, examinees must correctly answer approximately 60 percent of items to pass each USMLE Step.
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What is an impressive Step 1 score?

Prior to starting your dedicated study time, make sure to do some research and figure out if your goal range matches the expectations of your chosen specialty. Generally speaking, however, a USMLE® Step 1 score between 230 and 245 was considered a good and a score between 245 and 255 was considered very good.
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Which NBME is the most predictive for Step 1?

Many students ask, “Which is the most important NBME?” or “How do I decide which NBMEs to take?” Based on informal student reporting, NBME 28 and UWSA 2 are the most correlated with Step 1 performance.
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What percentage of med students fail Step 1?

For first time MD testers, pass rate decreased from 96% in 2021 to 93% in 2022, only a 3% drop.
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Which country has the highest USMLE pass rate?

Currently, it's the country of Nepal that has the highest pass rate of all the countries in the world. 21.2% of those who take the USMLE who are from Nepal pass. It's China, however, that has the highest total number of USMLE passers. The US and Canada also have large numbers of USMLE successful pass rates.
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How long after failing Step 1 can you retake?

1. What are the rules regarding retakes? You may take the same examination no more than three times within a 12-month period. Your fourth attempt must be at least 12 months after your first attempt at that exam and at least six months after your most recent attempt at that exam.
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Is the real Step 1 easier than UWorld?

The frequently updated content ensures you learn and master the most relevant material that helps confront your individual USMLE Step 1 strengths and weaknesses. UWorld may be harder than Step 1, with some questions above the actual test's difficulty level.
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Which is the toughest exam in world?

Gaokao exam of China which has the duration of 2 days holds the title of the toughest exam in the world followed by IIT JEE Advanced, Civil Services Exam (CSE), GATE, and GRE.
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How long should I study for Step 1 pass fail?

A dedicated four-to-six weeks of study is ideal. If you struggle with a few exam topics and want to dedicate more time to diligently prepare, do it. However, make sure you implement regular breaks to prevent burnout and overall frustration. The USMLE is a long exam, so you should prepare well in advance for it.
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