Table 1. This data suggests that the increase in mean scores is due to the perceived competition of students in getting accepted and the perceived difficulty of the exam. A very good performance on Step 1 can help when it comes to securing a top-rate residency, and a poor score … Programs do NOT typically offer interviews in the 200-205 range. Welcome mass general internal medicine residency step score the Dartmouth Internal Medicine Residency website! An average or below-average Step 1 score may limit some interview offers. Different specialties in the field of medicine have certain standards with regards to USMLE Step 1 scores. The more competitive the specialty (i.e., Plastic Surgery, Dermatology, Orthopedics), the more likely that programs will use Step 1 scores to screen residency applicants for interviews. In fact, in a 2018 survey of program directors, Step 1 was the highest-cited factor for giving interviews. According to MedSchoolCoach, 98% of residency directors say the USMLE Step 1 is the most important match criteria. Your Step 1 score will not make or break your chance to match at an EM residency. As you would observe, the average Step 1 score increases per year. The 2018 Program Director’s Survey indicated that 70% of internal medicine programs have a “target score” they like to see applicants earn on Step 1. The probability of the Match for non-US IMGs with such a score is 42%. Step 1 and Step 2 Scores: Step 1 – Score . Average Step 1 Scores of US/Canadian Step 1 Takers From 2016-2018. Why Are Step 1 and Step 2 CK Scores Important? USMLE Step 1 score (95%) USMLE Step 2 CK score (90%) MSPE (85%) Any failed attempt in USMLE (81%) Class ranking/quartile (76%) Average Importance Rating for Each Factor (scale of 1 to 5) Flagged by NRMP (4.9) Any failed attempt in USMLE (4.6) The Top 5 Most Important internal medicine Application Factors Percentage of Programs Citing Each Factor. 225+ is a good score to expect an interview in Internal Medicine, with the median being 230 for those who are almost always offered interviews. The passing score is 194, and the national mean is 229. A strong score will not be the sole factor in obtaining interview offers from EM programs. While your USMLE Step 1 Exam score is not the only factor in competitiveness for residency programs, it remains a key factor differentiating applicants who match from others who do not. Residency program directors are busy. Average Step 1 scores vary widely based on specialty. As such, they rely heavily on Step 1 and Step 2 CK scores to sort through applicants. Pay has increased, but this was almost unheard of. By the same token, some programs automatically grant interviews for students with scores above a certain threshold. The average number for that cutoff is 215. According to the latest 2020 year Match report for IMGs(search “match data”), the probability of the Match for US IMGs with such a score is 55%. However, your Step 1 score appears to lose its importance in the overall final application. You may need to contact programs individually if you are in or below this range, to ask them to take a special look at your application. However, being average is often not good enough to get you into the residency of your choice. In general, competitive specialties like Dermatology, Radiation Oncology, Orthopedic Surgery, and Neurological Surgery have higher Step 1 scores.
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