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Review of USMLE Step 3 Minimum Passing Performance

The USMLE Management Committee is scheduled to review the minimum passing score for the USMLE Step 3 examination at its meeting on December 4-5, 2019. The Management Committee includes physicians drawn from medical education and licensing as well as members of the public. The committee establishes and monitors Step 3 performance and completes an in-depth review of the minimum passing standard for each USMLE Step or its component every three to four years.
For the 2019 Step 3 review, information from multiple sources will be considered, including:
  • Results of content-based standard setting exercises conducted with three independent groups of physicians in 2019;
  • 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;
  • Trends in examinee performance; and
  • Measurement precision near the cut score.
If the Committee determines that a change to the minimum passing score is appropriate, the new recommended minimum passing score will become effective for all examinees who take a Step 3 examination on or after January 1, 2020. The decision of the Committee will be posted at the USMLE website.