USMLE Exam Pattern 2020
USMLE Exam Pattern 2020 - The USMLE 2020 exam pattern of a particular step of the exam is different from another step. It is because each USMLE step has been designed to evaluate a different skill set and ability. For example, Step 1 assesses the candidates understanding of and ability to apply important concepts of basic sciences to the practice of medicine, whereas Step 2 CS evaluates the applicant's ability to gather information from patients and perform physical examinations. The applicant therefore needs to differentiate the USMLE exam pattern 2020 for the step they are appearing in. By consulting the exam pattern of USMLE 2020, the applicant will get to know in detail the purpose of each step, disciplines covered, exam format and also test length.
The USMLE 2020 is a three step examination for earning a license to practice medicine in the US. Step 1 and Step 2, which has two components - Clinical Skills (CS) and Clinical Knowledge (CK), can be taken in any sequence. But Step 3 can be taken only after completion of Step 1 and 2 (both components).
Where to take USMLE steps:
USMLE Step 1 and Step 2 CK can be taken at Prometric centres across the world
Step 2 CS and step 3 has to be taken at in designated centres in the USA
USMLE Exam Pattern 2020
Step and purpose
understanding of and ability to apply important concepts of the basic sciences to the practice of medicine, with special emphasis on principles and mechanisms underlying health, disease, and modes of therapy
Around 280 MCQs, divided into seven 60-minute blocks
Computer-based test administered at Prometric test centers across the world
Single day test
Tests examinee’s ability to apply medical knowledge, skills, and understanding of clinical science essential for the provision of patient care under supervision, with an emphasis on health promotion and disease Prevention
Clinical Knowledge (CK)
Around 318 MCQs, divided into eight 60-minute blocks
Computer-based test administered at Prometric test centers.
The Clinical Skills examination is a separate and the second component of STEP 2. It tests the examinee’s ability to gather information from patients, perform physical examinations, and communicate their findings to patients and colleagues by using standardized patients.
Clinical Skills (CS)
12 patient cases: 15 minutes for each patient encounter plus 10 minutes to record each patient
Administered at six test centers
in the US: Atlanta, Chicago, Houston, Los Angeles, and Philadelphia (2)
Has three subcomponents:
Communication and Interpersonal Skills (CIS), Integrated Clinical Encounter (ICE), and Spoken English Proficiency (SEP).
Assesses the ability of the examinee to apply medical knowledge and understanding of biomedical and clinical science essential to carry out unsupervised practice of medicine, while
emphasising on patient management in ambulatory settings.
Day 1: FOUNDATIONS OF
(FIP) assesses the examinee’s
knowledge of basic medical and
scientific principles essential for
effective health care
Day 2: ADVANCED CLINICAL
MEDICINE (ACM) assesses the
examinee’s ability to apply comprehensive knowledge of health and disease in the context of patient management and the evolving manifestation of disease over time
Day 1 FIP:
Approximately 232 MCQs, divided into six 60-minute blocks.
Computer based test administered at Prometric test centers in the US
Day 2 ACM:
Approximately 180 MCQs, divided into six 45-minute blocks
Thirteen computer-based case simulations (CCS). Each simulation is allotted a maximum of 10 or 20 minutes of real time
Computer based test, administered at Prometric test centers in the US
Disciplines covered in USMLE Step 1
Biostatistics and epidemiology
The exam pattern of USMLE step 1 also includes the following inter-disciplines:
Molecular and cell biology
Disciplines covered in USMLE Step 2
Skin & Subcutaneous Tissue
Blood & Lymphoreticular Systems
Nervous System & Special Senses
USMLE Scores 2020
USMLE results are reported on a 3-digit scale, except for Step 2 CS which is simply reported as pass or fail. The candidate would have to score the prescribed minimum cutoff mark in the respective Step or Step Component to qualify in the exam.
The minimum passing USMLE 2020 scores are as follows:
Minimum Scores Required
Step 2 CK
Note: The result of Step 2 CS is reported as pass/fail. Consequently, no score is released.