Do NBMEs underpredict step 2?

Yes, NBME practice exams for USMLE Step 2 CK are generally considered to underpredict actual scores, with many students reporting significantly higher scores on the real exam than predicted by their final NBMEs, though some sources suggest they are quite accurate, emphasizing score ranges and individual variation rather than systematic bias. While older forms might have had clearer underprediction trends, current consensus points to score fluctuations and the importance of your average performance across several forms, though UWorld Self-Assessments (UWSA2) are often seen as better predictors.

Which NBMEs for step 2 are most predictive?

Among the most trusted Step 2 resources are the NBME practice tests, with forms 11 and 13 being perceived by students as the most predictive NBME for Step 2 CK.

What score is 75% correct on step 2?

Getting 75% correct on Step 2, especially on practice tests like NBMEs or UWorld, usually translates to a strong score in the mid-to-high 240s or even into the mid-250s, placing you well above average and competitive for many specialties, though top-tier competitive fields might require even higher scores (around 255-270+). A 75th percentile score means you scored better than 75% of test-takers, indicating solid performance and often helping balance a weaker Step 1 or improving residency options. 

Which NBME for step 2 is hardest?

NBME 9 and 12 are known to be the hardest, maybe not because of true difficulty but , especially for 9, there are some poorly written questions. People tend to score slightly lower on these forms.

Are NBMEs predictive for Step 2 on Reddit?

They're predictive because Step 2 is scaled, not because every test has the same mix of topics. NBME forms and the real exam both sit on the same blueprint and both use item response theory with equating.

"Exactly how accurate are the NBMEs in predicting my real USMLE score?"

How much do NBMEs underpredict step 2?

Second, note that the Step 2 CK NBMEs likely underpredict one's score. The lower range is 233, only three points below the predicted score. However, the upper bound is 261, 15 points higher than estimated.

Which NBMEs are most important?

For Step 1, the most important NBMEs are the newer forms (28, 29, 30, 31), especially NBME 30, considered highly predictive, alongside the UWorld Self-Assessments (UWSAs), with UWSA 2 being strongly correlated with the actual score. For Step 2 CK, the newest NBME forms (9-11) and the CMS Forms (Clinical Mastery Series) are crucial for assessing specific clinical areas and predicting performance. 

How to get 270+ on step 2?

To get a 270+ on USMLE Step 2 CK, you need a strong foundation from clerkships, master question banks like UWorld and Amboss through active learning and detailed review, use high-yield resources like Divine Intervention podcasts, take frequent NBME practice exams and CMS forms, focus on clinical reasoning over rote memorization, and develop a consistent, burnout-free study schedule, often around 4-6 weeks of dedicated study after rotations. 

What score is 50% on step 2?

A 50% score on USMLE Step 2 (CK) usually translates to a score around 250, placing you at the 50th percentile, which is considered an average-to-good score but may be limiting for highly competitive specialties, though it's a passing score and often sufficient for many programs with strong applications. The actual percentile can vary slightly as more people take the test, but a score in the mid-240s to low-250s generally puts you around the 50th percentile. 

Has anyone ever gotten a 300 on Step 2?

The highest possible score for the USMLE Step 2 CK is 300, but no one has ever achieved a “perfect” score. A score around 280 would be considered a top Step 2 CK score.

How is step 2 curved?

Step 2 CK Scoring

Your raw score is converted into a scaled score, which reflects your performance compared to other test-takers. The score distribution follows a bell curve, meaning most students cluster around the average, while fewer students score at the extremes.

Do shelf scores correlate with step 2?

Results. The mean Step 2 CK score among the respondents (n = 213) was 254 ± 13. There was a strong positive correlation between Step 2 CK score and composite shelf scores (rho = 0.80, p < 0.01).

What percentile is 270 on Step2?

A USMLE Step 2 CK score of 270 is generally around the 95th to 99th percentile, placing you in the top tier of test-takers, considered exceptional and highly competitive for nearly all residency specialties, including the most demanding fields like Dermatology and Orthopedic Surgery, especially with Step 1 being pass/fail.
 

Is 242 a good step 2 score?

In terms of Step 2 CK percentiles and average test scores, the average scores usually fall within the range of 245 to 247. For Step 3, students often receive mean scores between 227 and 228. These variations in mean scores also translate to differences in percentiles.

Which NBME shelf is the hardest?

The hardest NBME shelf exams are generally considered to be Internal Medicine (IM) due to its vast scope, followed closely by Surgery, Pediatrics, and OB/GYN, often due to information overload or unique challenges like rare pediatric diseases or intense surgical rotations. However, difficulty is subjective and depends on individual strengths, with some finding Psychiatry or Family Medicine surprisingly tough.
 

Is 75 on IM shelf good?

Percentiles between the 55th and 75th typically fall into high pass territory and reflect above-average mastery. Percentiles above the 75th are considered excellent and are usually associated with honors designations if you're only considering the shelf.

Is NBME harder than in house?

NBME board exams are pretty difficult but they reflect step kind of. They're usually not quite as involved. Sometimes the questions are a little bit more straight forward but in house exams in-house exams are the academia wild wild west. There's a wonderful resource called first aid.

What score is 75% on step 2?

Getting 75% correct on Step 2, especially on practice tests like NBMEs or UWorld, usually translates to a strong score in the mid-to-high 240s or even into the mid-250s, placing you well above average and competitive for many specialties, though top-tier competitive fields might require even higher scores (around 255-270+). A 75th percentile score means you scored better than 75% of test-takers, indicating solid performance and often helping balance a weaker Step 1 or improving residency options. 

What's a good step 2 score in 2025?

What Is the Average USMLE Step 2 Score Range?

• 230 and below → Passing but below average; limits competitiveness in more selective specialties.
• 240–250 → Solidly within the average range; competitive for many core specialties.
• 255+ → Above average; strong candidate for competitive programs.

What is 60% on step 2?

To pass the Step 2 CK exam, you must answer at least 60% of the questions correctly, giving you a minimum score of 214. If you want a good chance of securing your desired residency placement, you should aim for a score of at least 245.

Are step 2 toys non-toxic?

Step2 products are manufactured from Polyethylene and/or Polypropylene plastics. Step2 products are third-party tested and are compliant with the CPSIA phthalate and heavy metal requirements per ASTM F-963 Toy Safety Standards as well as EN71 - Part 2 and 3 for UK chemical requirements.

Which step is the hardest in USMLE?

Step 2 had the highest passing rates for both US/Canadian students (98%) and non-US/Canadian test takers (88%). This data suggests that Step 1 was the hardest exam to pass. No matter which step you are preparing for, the USMLE exams are challenging.

Is Step 2 harder than shelf exams?

The difficulty also depends on your test-taking skills: If you thrive with focused studying, shelf exams might feel more manageable. If you like connecting concepts across specialties, Step 2 CK might be easier for you.