What is the fail rate for Step 2?

The fail rate for USMLE Step 2 CK is very low, typically under 3% for US/Canadian medical students, with overall pass rates consistently above 90-97%, though this can fluctuate slightly year to year and varies for International Medical Graduates (IMGs). While a fail is not career-ending, it creates challenges for residency applications, with a failing score (or very low pass) potentially limiting access to competitive specialties, though Step 2 CK is now a crucial score for residency selection, as Step 1 is pass/fail.

What percent of students 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 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. 

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.

I Failed Step 2 CK - What Should I Do?

What is 50% correct on step 2?

Understanding Step 2 Percentiles

For instance: 50th percentile: Around 245. 75th percentile: Around 255. 90th percentile: Around 265.

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.

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.

Which NBME is hardest step 2?

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 UWorld self assessments accurate step 2?

Your score on UWorld questions may feel like a marker of your progress. However, your percentile on UWorld is not an accurate predictor of how you should expect to perform on Step 2 CK. As a reminder, UWorld is a learning resource, not a testing resource.

Is Step 2 doable in 6 months?

The preparation time for Step 2 CK varies based on individual learning pace, previous clinical experience, and personal commitments. On average, dedicating 3 to 6 months of consistent study is recommended. Quality over quantity is key; focus on understanding and applying concepts rather than sheer hours spent studying.

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.

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.

How difficult is USMLE Step 2?

USMLE Step 2 (CK) is challenging due to its length (9 hours, 320 questions) and focus on applying clinical knowledge, diagnosis, and management with noisy, vague questions, but many find it less difficult than Step 1 because it's more clinically relevant and relies on information fresh from rotations, though personal experiences vary greatly. Success hinges on mastering diagnostic guidelines, ethics, and differentiating between key information (signal) and distractors (noise) in long vignettes, with some students finding the breadth of knowledge harder and others finding the logic of Step 1 more 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 percent correct is a 240 on step 2 USMLE?

An examinee with a Step 2 CK score of 240 is at the 24th percentile. The 24th percentile means that 24% of the Step 2 CK first-takers from LCME-accredited US/Canadian medical schools in the three-year cohort described previously scored lower than 240.

What 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. 

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.

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. 

Does step 2 score matter for residency?

In a 2024 survey of residency program directors conducted by the National Resident Matching Program, a medical student's Step 2 score—which has taken on increased importance since the Step 1 exam went pass-fail in 2022—was the fourth most frequently considered factor in determining which applicants to interview.

How important is Step 2 for IMGs?

IMGs can and do match with strong Step 2 scores.

A standout Step 2 CK score can be particularly important for international graduates, as it helps demonstrate readiness for U.S. clinical practice.

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.

Is Step 3 similar to step 2?

While Step 2 CK focuses on clinical science principles and patient-centred skills in a supervised setting, Step 3 extends this assessment to applying knowledge in independent patient care situations. Multiple Choice Questions: Both exams include multiple-choice questions (MCQs) as part of their assessment.