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March 6, 2020

The USMLE Step 1 Decision: An Opportunity for Medical Education and Training

Author Affiliations
  • 1Federation of State Medical Boards, Euless, Texas
  • 2National Board of Medical Examiners, Philadelphia, Pennsylvania
  • 3Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
JAMA. 2020;323(20):2017-2018. doi:10.1001/jama.2020.3198

The announcement by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME), on February 12, 2020, to change score reporting of Step 1 of the United States Medical Licensing Examination (USMLE) from a 3-digit numerical score to pass/fail followed years of debate; more than 2 years of active discussion; comprehensive input from various groups including medical students, international medical graduates (IMGs), residents, medical school faculty and administrators, residency program directors, state medical boards, and members of the public; and review of many direct and indirect suggestions.