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Does Step 1 scores matter anymore?

As of January 2022, the USMLE Step 1 Exam shifted from being scored to a simple pass/fail grading structure. Learn more about the potential effects of the shift, including the benefits, challenges, and potential changes to the medical residency matching process.
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Can you fail Step 1 and still match?

While a single failure doesn't necessarily negatively impact your chances of being accepted, it's the time you lose that really matters. It takes a tremendous amount of time and effort to prepare for Step 1, and if you fail, you'll have to go through that process all over again.
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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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Is Step 1 pass fail now?

The daylong exam — usually taken at the end of second year of medical school or the start of the third — assesses the ability to understand and apply foundational concepts related to health, disease, and treatment options. On Jan. 26, Step 1 will become a pass-fail exam.
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What matters for residency now that Step 1 is pass fail?

In response to the change in Step 1 to pass/fail, IMGs may want to consider taking Step 2 CK and Step 3 prior to applying to residency. As mentioned above, many IMGs try to take Step 1 and Step 2 CK so that they will have both scores available for their transcript when applying to residency.
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USMLE Step 1 and Step 2CK Scores by Specialty | Are Your Scores High Enough?

Does Step 1 score matter for residency?

2022 Changes to USMLE

2022 brought one of the biggest changes yet: Step 1 is now pass/fail. The decision to make Step 1 pass/fail was made in part to lessen the emphasis on USMLE® scores in residency selection, so that students will be considered holistically for placements.
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How many IMGS take Step 1?

In 2022, 29,039 US and Canadians medical students and graduates took USMLE Step 1. 91% passed. 24,956 international medical students and graduates took USMLE step 1.
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How common is it to 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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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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How many questions can you get wrong on Step 1 and still pass?

However, examinees typically must answer approximately 60% of items correctly to achieve a passing score.
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Is 60 on UWorld good?

58-60% is OK, a good sign is being consistently above the average scores. The Uworld package I bought came with 2 assessment exams. I took the first about 1.5 weeks before my scheduled test date. Keep in mind that I had completed all of the Qbank questions by that time.
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What is considered a low Step 1 score?

Scores in the range of 194 to 215 are considered low and as a result, it may be more difficult to match. Match data suggests that scores below 200 on Step 1 will likely limit a student's match possibilities. Students in this range should strongly consider applying to a broad range of less competitive training programs.
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Is Step 1 actually hard?

The United States Medical Licensing Examination (USMLE) Step 1 is widely considered one of the most difficult exams in higher education. This intensive one-day exam covers a huge breadth of topics and has high stakes for medical students' futures.
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How many med students fail Step 1?

Failed USMLE Step 1? Failing USMLE Step 1 is not uncommon. 2022 NBME performance data show that the passing rate for 1st time test takers with a US or Canadian MD degree was 93%; with a US or Canadian DO degree was 89%; and for non-US or Canadian degrees was 74%.
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Does everyone get the same questions on Step 1?

Although nobody gets the exact same set of questions, your grade will be based on the sum of the averages for each question. So if test-takers got, on average, 75% of the questions you got correct, and you get 75% correct, then you will have an average score (or about 232).
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Can I study Step 1 and 2 together?

In terms of a study plan, as mentioned previously, there are two main options: Studying for both exams simultaneously (~6-10 weeks). Studying for them sequentially.
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Can I pass Step 1 without studying?

Getting a passing score on Step 1 is no walk in the park for this reason. Students still need a strong pre-clinical foundation to build on and significant practice doing UWorld questions, reading First Aid, and building on their foundation to achieve even a passing score.
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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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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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Why are so many people failing Step 1?

It's common for students who fail to try to use every single Step 1 resource available. The level of understanding required for the USMLE is challenging to achieve and will require dedication and plenty of hard work. For example, using flashcards is a great study resource, but creating too many makes it useless.
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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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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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DO most med students pass Step 1?

USMLE Step 1 pass rates have decreased since

According to the AMA, 98% of DO and MD students passed the exam on their first try in 2020. In 2022, the USMLE Step 1 pass rate for first-time takers was 93% in the United States.
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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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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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