USMLE Examination Requirements

 

Overview

Medical students at the WSUSOM are required to:

  • Pass USMLE Step 1 after completion of Year 2 coursework and prior to promotion to Year 3
  • Pass USMLE Step 2CK prior to being granted the MD degree
  • Pass USMLE Step 2CS prior to being granted the MD degree

School of Medicine deadlines supersede the end dates of a student’s USMLE eligibility period, which may extend past the School’s deadline. The fact that the School certifies your eligibility to take the exam does not imply an extension to a deadline.

 

National Board of Medical Examiners (NBME) Guidelines

The National Board of Medical Examiners (NBME) sets the passing scores required for each of the USMLE examinations and can change at any time. In addition, the timing, frequency, and location of all USMLE examinations is determined the NBME. Students are responsible for knowing all NBME regulations for taking Step examinations. For example, the NBME states that it may take up to 6 weeks from the time of the examination until a score is posted. Students should plan according to the published reporting schedule when facing School of Medicine deadlines.   For Step 1 also note that there is always a delay in reporting scores for examinations taken from the middle of May through the end of June.

The NBME has established limits on the number of examinations per year, the time between examinations, and the total time to complete all steps of the licensing examinations. Refer to the NBME website for their current polices: www.usmle.org/bulletin

 

USMLE Step 1

Policy for Requirements to be eligible to take USMLE Step 1 Examination

Successful completion of the United States Medical Licensure Exam (USMLE) Step 1 is a requirement for graduation from the Medical Doctor (MD) program.  In accordance with the Wayne State University School of Medicine (WSUSOM) promotions policy, successful completion of USMLE Step 1 must occur before a student can be promoted to year 3.

The Medical Education Program has set forth a dedicated USMLE Step 1 study period for all students. Before a student can sit for the USMLE Step 1 exam, the following requirements must be met by the student:

  • Develop and submit a dedicated Step 1 study plan to the Step 1 Prep Blackboard course page.
  • Complete a WSUSOM administered Comprehensive Basic Science Exam (CBSE) by posted deadline.
  • Complete a WSUSOM proctored Comprehensive Basic Science Self-Assessment (CBSSA) at an approved testing site by posted deadline.

In addition, in support of student success, those students that have been identified by the medical education program over the dedicated step 1 study period to be at significantly increased risk for exam failure will be required to engage during the dedicated Step 1 study period in enhanced study prep programming.

 

Guidelines to complete Policy Requirements to be eligible to take USMLE Step 1 Exam:

Development of Step 1 Study Plan

  • Students are strongly encouraged to attend a Step 1 Study Plan workshop offered by the Office of Learning and Teaching (OLT) to learn about the best practices to create an optimized study plan.
  • To support the creation of an effective Step 1 Study Plan, rubrics and instructional videos will be posted on the Step 1 Blackboard course page.
  • The required submission of the Step 1 Study Plan will be reviewed by OLT Learning Skills Specialists and individual formative feedback will be provided to each student.

 

Completion of Required WSUSOM Administered CBSE

  • CBSE scores are not a factor in determining students’ final grades for the M2 year.
  • CBSE scores are used to:
    • provide formative feedback for students as they prioritize disciplines / subjects to study during their dedicated study period as reflected in their Step 1 study schedule
    • indicate students who will require an enhanced (mandatory) program of study preparation based upon significantly decreased CBSE score

 

Completion of Required WSUSOM Proctored CBSSA

  • A proctored CBSSA exam will be administered by the SOM Testing Department. Please check here https://www.med.wayne.edu/ume-assessment-medical-education-research/ for dates and times. Students are expected to plan accordingly to meet this requirement.  Any examination not administered at WSUSOM must have prior approval, arrangement, and coordination by WSUSOM department of Testing.
  • This exam should be completed 7-10 days before your scheduled USMLE Step 1 date.
    • Students whose final CBSSA score is predictive of a 200 USMLE Step 1 Score or greater are required to take Step 1 by the posted deadline.
    • Students whose final CBSSA score predictive of less than a 200 USMLE Step 1 Score will be required to delay sitting for Step 1.
      • Students whose final CBSSA score is predictive of less scoring than a 200 USMLE Step 1 Score are required to reschedule their USMLE Step 1 exam.

 

Enhanced Programming during dedicated study period for Students at Risk of USMLE Step 1 Failure

Students identified as being at high risk for low Step 1 performance at the beginning of the dedicated study period, either by significantly decreased CBSE score or by other risk factors, will be required to engage in a mandatory enhanced program over the dedicated Step1 study period.

This enhanced programming is specifically designed to remediate deficiencies so that students can successfully prepare for the USMLE Step 1 exam over the normal dedicated time period and to prevent students from having to delay.

These students will be required to complete the following requirements:

  • Submit a CBSE informed Study Schedule via Blackboard within first two weeks
  • Schedule interdisciplinary and/or individual meetings with members of the academic advising team (i.e. WSUSOM Counselor, Prime Step 1 Program Director (Dr. Moore), Peer tutor, and Learning Skills Specialist (OLT/ODI)) as appropriate. These sessions are designed to develop an individualized enhanced study plan. Each session must be signed off by the appropriate faculty/staff member
  • At risk students are required to take one or more self-administered Step 1 practice tests (Comprehensive Basic Science Self-Assessment (CBSSA)), to assess their progress during dedicated prep period
  • During the dedicated study period , students will have ongoing access to individual consultations with Counselors, Tutors , and Learning Skills Specialist as indicated

 

Policy for USMLE Step 1 Delay

Students whose final proctored CBSSA score predictive of less than a 200 USMLE Step 1 Score; students that have failed course work and are taking summer re-exams and other students that have been identified by the medical education program as being at significant risk for failure for USMLE Step 1 will be required to delay sitting for USMLE Step 1 for a 2 month period. The Medical Education program reserves the right to change any student delaying USMLE Step 1 to a different clinical campus and/or schedule block.

Students required to delay for two months must complete the following additional requirements:

  • Be enrolled in a required 2-month Extended Step 1 Prep Course and will be required to successfully complete the course.
  • Submit a second step 1 Study Plan that is informed by the CBSE performance profile within the first two weeks of their dedicated Step 1 study period.
  • Schedule interdisciplinary and/or individual meetings with a member of the academic advising team (i.e. WSUSOM Counselor, Prime Step 1 Program Director (Dr. Moore) Peer tutor, Learning Skills Specialist (OLT/ODI)) as appropriate. These sessions must be signed off by the appropriate faculty / staff member and are designed to develop an enhanced study plan for the dedicated study period.
  • Complete 1 or more self-administered Step 1 practice tests (CBSSA), to assess progress during the dedicated step 1 study period.
  • Complete a final CBSSA exam at the end of the delay period.
  • Students whose final proctored CBSSA score is predictive of a 200 USMLE Step 1 Score or above will be required to sit for the USMLE Step 1 exam.
  • Students whose final proctored CBSSA score is predictive of less than a 200 USMLE Step 1 Score at the end of the two month delay will be required to delay for the remainder of the academic year, during which time they will participate in required additional programming designed to optimize their performance both on Step 1 and their M3 clerkship year.

 

 

Guidelines for Policy Requirements for Students Delaying USMLE Step 1 for 2 Months

Resources for Dedicated Step 1 Study Period

During the two-month dedicated study period, students will have access to general resources as well as access to individual consultations with their WSUSOM Counselors, Tutors, and Learning Skills Specialists (resources permitting).

Students are expected to:

  • Submit a proctored CBSSA informed Study Schedule via Blackboard within first two weeks
  • Take one or more self-administered Step 1 practice tests (Comprehensive Basic Science Self-Assessment (CBSSA), to assess their progress during dedicated prep period

 

Extended Step 1 Prep Program

  • Participation in Extended Step 1 Prep Program is required of all students subjected to 2 month delay secondary to receiving a proctored CBSSA score that is predictive of less than a 200 USMLE Step 1 Score.
  • These students are required to participate in the following sessions:
    • Extended Step 1 Orientation
    • Prime STEP Intense Prep Sessions
    • Proctored CBSSA Sessions
    • Year 3 Orientation / Hospital Orientation
    • Individual Sessions with University Counselor and OLT / ODI Learning Skills Specialist
  • Students whose final Extended Step 1 Prep Program proctored CBSSA is predictive of a 200 USMLE Step 1 Score or greater are required to take Step 1.
  • Students whose final Extended Step 1 Prep Program proctored CBSSA at the end of the two month delay is predictive of less than a 200 USMLE Step 1 Score will be required to delay for the remainder of the academic year, during which time they will participate in required additional programming designed to optimize their performance both on Step 1 and their M3 clerkship year.

 

Policy for USMLE Step 1 Required 1 Year Delay

Students whose final proctored CBSSA score is predictive of a less than a 200 USMLE Step 1 Score at the end of the two month delay will be required to delay for the remainder of the academic year, during which time they will participate in required additional programming designed to optimize their performance both on Step 1 and their M3 clerkship year.

The Medical Education program reserves the right to change any student delaying USMLE Step 1 to a different clinical campus and/or schedule block.

 

 

USMLE Step 2

Starting July 1, 2016, all students will be registered for the Step 2 Preparation course. This self-directed learning course is a one-hour credit hour satisfactory/unsatisfactory course that will help provide students with additional structure and medical school resources while preparing for the exam. This course will be administered through the Office of Learning and Teaching.

 

USMLE Step 2CK (Clinical Knowledge)

All senior students must take Step 2CK by the end of December in the academic year they expect to graduate, and post a passing score by May 1. Students who have not taken the exam by the end of December will be contacted by the Assistant Dean for Clinical Education to discuss noncompliance. Students without a passing score by May 1 will be removed from the list of students participating in graduation. If a student has obtained a residency position, the student must contact the program and notify them of their delay in starting their residency program on July 1.

Students must post a passing score by the date the medical degree is conferred or will be placed on administrative leave. The deadline for students posting a passing score is May 1 of the academic year following the academic year in which the first attempt was made or they will be dismissed. The clock/deadline for a student begins once they begin Year 4 coursework. Students who then choose to decelerate Year 4 coursework do not change the final deadline for passing the Step 2 exams if either Step 2CK or Step 2CS has been taken.

USMLE Step 2CS (Clinical Skills)

All senior students must take Step 2CS no later than the end of October, and post a passing score by May 1. Students who have not taken the exam by the end of October will be contacted by the Assistant Dean for Clinical Science to discuss noncompliance. Students without a passing score by May 1 will be removed from the list of students participating in graduation. If a student has obtained a residency position, they must contact the program and notify them of their delay in starting their residency program on July 1.

Students must post a passing score by the date the medical degree is conferred or they will be placed on administrative leave. The deadline for students posting a passing score is May 1 of the academic year following the academic year in which the first attempt was made or they will be dismissed. The clock/deadline for a student begins once they begin Year 4 coursework. Students who then choose to decelerate Year 4 coursework do not change the final deadline for passing the Step 2 exams if either Step 2CK or Step 2CS has been taken.

 

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