How many people fail Step 2 CK?

While the Step 2 CK pass rate is generally high (around 96-97% for U.S./Canadian grads), thousands still fail, with recent data showing about 2% of U.S. MD, 4% of DO, and 11% of International Medical Graduates (IMGs) failing on their first attempt, totaling around 2,835 students in 2023-2024, significantly impacting residency plans.

What percentage of people fail step 2?

With Step 1 being pass/fail, Step 2 CK has become the primary USMLE score that residency programs use to evaluate applicants. In 2023-2024, approximately 2,835 students failed Step 2 CK on their first attempt—2% of US MD students, 4% of DO students, and 11% of IMGs.

Is it hard to fail step 2?

Both exams require approximately 60% correctly scored responses to pass. Pass rate is 8% higher for Step 2 than for Step 1 for US MD test-takers. So, for that pool, it is objectively less difficult.

What score is 60% correct on step 2?

A 60% correct on USMLE Step 2 CK, which equals a score of around 218 (the new passing score as of July 2025), means you've met the minimum competency requirement, but to be competitive for residency, you generally need a much higher score, with averages often in the mid-240s to 250s, depending on the specialty, with higher scores like 245 (around 37th percentile) or 255 (around 60th percentile) being good targets for competitiveness, as residency programs look for scores well above the passing threshold.
 

Has anyone gotten 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.

I Failed Step 2 CK - What Should I Do?

Is 240 a bad step 2 score?

To pass the Step 2 CK exam, you have to score 218 out of 300. What qualifies as a “good” score depends on many factors: what specialty you're applying for, what program you're applying to, if you're applying to a community or an academic institution, etc. Generally, a “good” Step 2 CK score is between 240 and 260.

How many times can you fail USMLE Step 2?

Retaking Failed Examinations

You may not take the same Step more than three times within a 12-month period. Your fourth attempt must be at least 12 months after your first attempt at that examination and at least six (6) months after your most recent attempt at that examination. This includes incomplete attempts.

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.

What is the 7 year rule for USMLE?

The USMLE 7-year rule, primarily for International Medical Graduates (IMGs) seeking ECFMG Certification, mandates completing all required USMLE Steps (1, 2 CK/CS, and eventually 3) within seven years of passing the first exam; failure to do so invalidates earlier scores, requiring retakes, though waivers or extensions may be granted for documented issues like PhD programs, severe illness, or certain military service. Most U.S. medical licensing boards also enforce this timeframe for state licensure, starting from the first successful Step pass. 

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. 

What is the average Step 2 CK score 2025?

Another year, another increase USMLE Step 2 CK performance. Check out how much the score distribution has shifted over time. In the 2024-2025 academic year, the mean Step 2 CK score was 250. (And oh yeah, the passing standard was increased in July from 214–>218.)

What is the 32 hour rule in medical school?

The "32-hour rule" in medical school admissions refers to a policy where some medical schools focus on an applicant's GPA from their most recent 32 credit hours, often in science courses, instead of their entire undergraduate GPA, benefiting students with a strong upward trend or a solid post-baccalaureate performance. Schools like Wayne State University and LSU Health New Orleans use variations of this to give more weight to recent academic efforts, allowing strong performance in later coursework or post-bacc programs to shine. 

Do residencies see your shelf scores?

Even though residency programs don't see your shelf exam scores directly, they still matter because they influence your transcript and dean's letter (MSPE). Additionally, honors designations (if your school has them) in core clerkships can enhance your application, especially in competitive specialties.

Is USMLE Step 2 CK hard?

USMLE STEP 2 CK is challenging, but entirely beatable with the right mindset and plan. Here's the short version of what works: Stick to UWorld + High-Yield Files. Study actively and review strategically.

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 is the 3 toughest exam in the world?

The three toughest exams globally often cited for their extreme difficulty, low pass rates, and high stakes are China's Gaokao (National College Entrance Exam) for its sheer scale and competitiveness, India's UPSC Civil Services Exam for its life-altering potential and minuscule selection, and India's IIT-JEE Advanced (Joint Entrance Exam) for its rigorous engineering entrance criteria, alongside prestigious UK fellowships like the All Souls Prize Exam, with difficulty varying by individual and goals. 

Is step 2 or 3 harder?

It is a misconception that STEP 3 is harder (likely because it requires more content from A Level Further Mathematics) but the grade boundaries are set based on the cohort's performance, so a harder paper simply corresponds to lower grade boundaries.

Is 3 months enough for USMLE Step 2?

For most medical students, 4-6 weeks of dedicated study time is sufficient to prepare for USMLE Step 2 CK. In fact, taking more than 8 weeks to study for a USMLE exam is generally not recommended.

How hard is it to score 240 on Step 2?

According to the NBME's performance data, most students fall between 240–250 on Step 2 CK. While that's considered a strong performance, the average score depends on the year and the competitiveness of applicants.

What are the odds of failing step 2?

Pass rates for Step 2 CK remain high despite the increased standard, with 98% of US MD first-time test-takers and 89% of international medical graduates successfully passing.

Can you start residency without step 2?

Do I need to have my USMLE Step 2 CK score to apply for a residency? A. No. Most programs do not require USMLE Step 2 CK at the time of application or interview.

What are common Step 2 mistakes?

In this guide, I will discuss common mistakes students make while studying for Step 2 CK and how to avoid them.

• Using too many resources. ...
• Not approaching questions systematically. ...
• Not trusting your gut. ...
• Not preparing for test day conditions. ...
• Not taking care of yourself.

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.