usmle 2009 istatisikleri.girenlerin çoğu kazanıyor heralde:)

2009 USMLE Performance Data
As published in the 2009 NBME Annual Report,
Copyright 2010 by the National Board of Medical Examiners®
USMLE Administration, Minimum Passing Scores, and Performance
Continuous test administration of the USMLE is available to all examinees. For Step 1, Step 2 Clinical Knowledge (CK), and Step 3, which are the computer-based testing (CBT) components of the USMLE program, test scheduling and delivery are provided by Prometric. These CBT examinations are currently administered at more than 345 US/Canadian Prometric test centers and approximately 110 international Prometric test centers. Additional test centers are located at six medical schools in the United States. The Step 1 and Step 2 CK examinations are administered worldwide; the Step 3 examination is administered only in the United States.

Step 2 Clinical Skills (CS) is a standardized patient (SP) examination. Scheduling and test delivery for Step 2 CS is provided by the Clinical Skills Evaluation Collaboration (CSEC). There are five CSEC centers.

For each of the Step examinations, once the registration process is completed, applicants make their own appointment to take the examination at a location and time most convenient to their schedule. Examination results are processed continuously, and scores are reported weekly. Most examinees taking the computer-based Step examinations receive their scores approximately three to four weeks after their test date. For Step 2 CS, examinees receive their results in approximately eight weeks but this length of time may vary for some individuals because of the scoring and quality assurance steps associated with this component of USMLE. The schedule for reporting Step 2 CS results is published on the USMLE website. Individual score reports are made available to examinees via a secure website.

A pass or fail result is provided, as a USMLE recommendation, for each examinee. Passing results are based on achievement of specified levels of proficiency established prior to administration of examinations. Statistical procedures are employed to insure that for each Step, the level of proficiency required to pass remains uniform across forms of the examination. As noted in the USMLE Bulletin of Information and at the USMLE website, the score required to meet the recommended level of proficiency is reviewed periodically and may be adjusted without prior notice. Notice of adjustments is posted on the Internet at the USMLE website.

In reviewing standards for USMLE examinations, the USMLE Step Committees employ information gathered from a number of sources including standard setting surveys. These surveys, which seek opinions on the appropriateness of current USMLE pass/fail standards for each of the Steps, are sent to random samples of examinees, directors of basic and clinical science courses and clinical clerkships, associate deans for academic and student affairs, directors and chief residents from residency programs, members of USMLE test material development committees, executive directors and presidents of all state medical boards, and members of the NBME board and the FSMB Board of Directors.

In addition to surveys, USMLE Step Committees consider the results of content review by standard setting panels. These panels typically consist of physicians who are not otherwise involved in the USMLE program. These panels review the content of the Step examinations and, through a series of exercises, provide data that reflect their opinions on minimally acceptable levels of performance.

Step 1
Details on the performance of examinees taking Step 1 in 2008 and 2009 are provided in Table 1. Data for 2009 are based upon examinees whose results were reported through February 10, 2010. Approximately 17,500 and 18,000 first-time takers from US and Canadian medical schools that grant the MD degree were tested in 2008 and 2009, respectively. First-time takers from non-US/Canadian medical schools numbered 14,889 and 14,055 for the same years. The pass rates for first-time takers from MD-granting US and Canadian medical schools were 94% for both years. Because failing examinees generally retake Step 1, the ultimate passing rate across test administrations is expected to increase to approximately 99% for this same group.

TABLE 1 - 2008-2009 STEP 1 ADMINISTRATIONS
Number Tested and Percent Passing
2008 2009*
#Tested %Passing #Tested %Passing
Examinees from US/Canadian Schools that Grant
MD Degree 18,855 92% 19,499 92%
1st Takers 17,494 94% 18,003 94%
Repeaters** 1,361 61% 1,496 65%
DO Degree 1,661 80% 1,863 80%
1st Takers 1,605 81% 1,808 81%
Repeaters** 56 46% 55 49%
Total US/Canadian 20,516 91% 21,362 91%
Examinees from Non-US/Canadian Schools
1st Takers 14,889 73% 14,055 73%
Repeaters** 5,534 37% 4,881 36%
Total non-US/Canadian 20,423 63% 18,936 63%
* Represents data for examinees tested in 2009 and reported through February 10, 2010.
** 'Repeaters' represents examinations given, not number of different examinees.


Step 1 Standard Setting
Performance standards for Step 1 were reviewed in 2009. In addition to the survey described above, standard setting exercises were conducted using three panels of physicians. The 28 panelists were selected to represent a range of medical schools and medical specialties. In addition, panelists had a broad range of roles, such as course and clerkship directors, program directors, department chairs, and practitioners; a range of gender and ethnic groups were also included. Each panel met for two days. Panelists saw a subset of items appearing on the multiple-choice question (MCQ) component of the Step 1 exam while engaging in a modified version of the Angoff standard-setting procedure. As a result of their review, a tentative minimum passing performance level was identified, representing the opinion of the panelists on the required mastery of examination content for medical licensure purposes. The results were provided to the Step 1 Committee for consideration.

At its December 2009 meeting, the Step 1 Committee considered the results of the surveys and the standard setting exercises, as well as data on recent trends in examinee performance and on the relationship of score precision to the pass/fail decision. As a result of its review, the Committee decided to raise the three-digit score recommended to pass Step 1 from 185 to 188. The new minimum passing score was applied to Step 1 examinations for which the first day of testing was on or after January 1, 2010.

Step 2 CK
Details on the performance of examinees taking Step 2 CK in the 2007-2008 and 2008-2009 academic years are provided in Table 2A. First-time takers from US and Canadian medical schools granting the MD degree numbered approximately 16,500 in the 2007-2008 academic year and 17,100 in 2008-2009. First-time takers from non-US/Canadian medical schools numbered 12,847 and 11,868, respectively. The pass rates for firsttime takers from MD-granting US and Canadian medical schools were 96% and 97% for the academic years. As noted with Step 1, given the opportunity for this same group to repeat the examination, the ultimate Step 2 CK passing rate across test administrations is expected to increase to approximately 99% for this same group.

TABLE 2A - 2007-2009 STEP 2 CK ADMINISTRATIONS
Number Tested and Percent Passing
2007-2008* 2008-2009*
#Tested %Passing #Tested %Passing
Examinees from US/Canadian Schools that Grant
MD Degree 17,440 94% 17,842 96%
1st Takers 16,499 96% 17,060 97%
Repeaters** 941 69% 782 72%
DO Degree 701 87% 829 90%
1st Takers 672 87% 806 90%
Repeaters** 29 72% 23 78%
Total US/Canadian 18,141 94% 18,671 95%
Examinees from Non-US/Canadian Schools
1st Takers 12,847 81% 11,868 83%
Repeaters** 3,320 51% 2,865 54%
Total non-US/Canadian 16,167 74% 14,733 78%
* Data for Step 2 CK are provided for examinees tested during the period of July 1 to June 30.
** 'Repeaters' represents examinations given, not number of different examinees.


Step 2 CS
Details on the numbers and overall performance of examinees taking Step 2 CS in the 2007-2008 and 2008-2009 academic years are provided in Table 2B. First-time takers from US and Canadian medical schools granting the MD degree numbered 16,715 for 2007-2008 and 17,054 for 2008-2009, with passing rates of 97% for both years. First-time takers from non-US/Canadian medical schools numbered 13,787 and 13,181 during these two periods. The respective passing rates for this group were 72% and 73%.

Examinees taking Step 2 CS must pass three separate subcomponents in order to record an overall pass on Step 2 CS. The three sub-components are: Integrated Clinical Encounter (ICE), Communication and Interpersonal Skills (CIS), and Spoken English Proficiency (SEP). For the US/Canadian and the non-US/Canadian medical school groups separately, Table 2C provides first-taker passing rates on each of the CS sub-components.

TABLE 2B - 2007-2009 STEP 2 CS ADMINISTRATIONS
Number Tested and Percent Passing
2007-2008* 2008-2009*
#Tested %Passing #Tested %Passing
Examinees from US/Canadian Schools that Grant
MD Degree 17,302 97% 17,586 97%
1st Takers 16,715 97% 17,054 97%
Repeaters** 587 92% 532 89%
DO Degree 48 88% 51 88%
1st Takers 47 87% 47 92%
Repeaters** 1 † 4 †
Total US/Canadian 17,350 97% 17,637 97%
Examinees from Non-US/Canadian Schools
1st Takers 13,787 72% 13,181 73%
Repeaters** 3,436 64% 3,836 64%
Total non-US/Canadian 17,223 70% 17,017 71%
* Data for Step 2 CS are provided for examinees tested during the period of July 1 to June 30.
**'Repeaters' represents examinations given, not number of different examinees.
† Performance data not reported for categories containing fewer than 5 examinees.

TABLE 2C - 2007-2009 STEP 2 CS ADMINISTRATIONS*
First Taker Passing Rates** for Subcomponents: Integrated Clinical Encounter (ICE),
Communication and Interpersonal Skills (CIS), Spoken English Proficiency (SEP)
2007-2008 2008-2009
ICE CIS SEP ICE CIS SEP
All US/Canadian Schools 98 99 >99 98 99 >99
All Non-US/Canadian Schools 86 81 92 84 84 94
* Data for Step 2 CS are provided for examinees tested during the period of July 1 to June 30.
** '>99' is used to signify those passing rates that would otherwise round up to 100%.


Step 3
Details on the performance of examinees taking Step 3 in 2008 and 2009 are provided in Table 3. Data for 2009 are based upon examinees whose results were reported through February 10, 2010. First-time takers who were graduates of MD-granting schools in the US and Canada numbered 17,245 in 2008 and 17,170 in 2009. First-time takers who were graduates of non-US/Canadian medical schools numbered 9,376 and 9,117, respectively for the same years. The passing rates for first-time takers who were graduates of MD-granting US and Canadian medical schools were 95% in 2008 and 94% in 2009. Like Step 1 and Step 2 CK, the ultimate Step 3 passing rate, accounting for repeat attempts, is expected to increase to approximately 99% for this same group.

TABLE 3 - 2008-2009 STEP 3 ADMINISTRATIONS
Number Tested and Percent Passing
2008 2009*
#Tested %Passing #Tested %Passing
Examinees from US/Canadian Schools that Grant
MD Degree 18,241 94% 18,361 93%
1st Takers 17,245 95% 17,170 94%
Repeaters** 996 67% 1,191 72%
DO Degree 21 90% 25 96%
1st Takers 19 95% 23 100%
Repeaters** 2 † 2 †
Total US/Canadian 18,262 94% 18,386 93%
Examinees from Non-US/Canadian Schools
1st Takers 9,376 78% 9,117 79%
Repeaters** 3,293 54% 3,154 58%
Total non-US/Canadian 12,669 71% 12,271 73%
* Represents data for examinees tested in 2009 and reported through February 10, 2010.
** 'Repeaters' represents examinations given, not number of different examinees.
† Performance data not reported for categories containing fewer than 5 examinees.