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USMLE Step 3
Scoring

Scoring of the multiple-choice sections is based on the total number of questions answered correctly. Scoring of the CCS is based on the actions taken, their sequencing and timing, and whether the patient was subjected to unnecessary testing or therapy or placed at serious risk as a result of your action or failure to act.

The USMLE Step 3 is scored and reported on two-digit and three-digit scales. Your score report will also include a pass/fail designation, as well as a graphical performance profile. The new minimum passing score for Step 3 is 187. This is based on a standardized scale where the mean is defined as 200 and the standard deviation is 20 points. To achieve a passing score, you typically need to answer between 55% and 65% of the questions correctly (the percentage required to pass can vary based on difficulty of your individual test "form"). It is anticipated that, at least initially, performance on the CCS cases will count for LESS than its percentage of testing time (i.e., less than 25%).

With the new computer exam, you should receive your score within 2-4 weeks of your test date. This did not occur for the first group of Step 3 test-takers (Nov '99-Spring '00), as the USMLE needed to accumulate sufficient data before they could release the first set of scores. Those candidates had to wait as long as 6 months to receive their results. Also, please keep in mind that Step 3 is administered through the individual state medical boards and that score reporting procedures can vary by state.

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