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What percentile is a 242 Step 1 score?

A 242 on the USMLE Step 1 score typically falls in the 25th to 50th percentile (around 30-50th percentile range), meaning it's a strong passing score but may be below average for highly competitive residencies, placing you solidly for most programs, though potentially requiring other strong application factors for top-tier specialties like dermatology or orthopedics.
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What is a 75% on Step 1?

A 75% on USMLE Step 1 usually refers to a high performance level, often meaning you scored better than 75% of other test-takers (75th percentile) or got around 75% of questions correct on practice exams, indicating a very high chance of passing, as a ~65% correct on NBMEs often predicts passing. While Step 1 is now pass/fail, historically, a score in the 75th percentile (around 240-250+ on the old scale) was considered strong for residency applications, and 70-75% on practice NBMEs suggests near-certain success on the actual exam.
 
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Is 243 a good Step 1 score?

To achieve a score around the 75th percentile for Step 1, you would generally need a score above 245.
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Is 240 a good step score?

Anything between 240-260 is still fine, but not really ``impressive,'' given that's where half of all test takers live. So maybe not so much for top programs. Below 240, down to 214, is passing, but objectively not ``impressive,'' given that it places you squarely in the bottom quarter of all test takers.
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Is 60% enough to pass Step 1?

Yes, around 60% correct is generally considered the approximate pass mark for USMLE Step 1, though the exact percentage varies with each exam form, and the score is reported as Pass/Fail, not a number, so consistently scoring higher (like 65-70%) on practice exams (NBMEs) is recommended for a comfortable pass. The official passing score (around 196 before 2022, now just "Pass") isn't a fixed number of questions, as some are experimental, but aiming for about 60% on practice tests is a good benchmark, with 70%+ being a safer target for a strong pass. 
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USMLE Step 1 and Step 2CK Scores by Specialty | Are Your Scores High Enough?

What is a 50th percentile Step 1 score?

250-259 (50th-75th percentile) – Solid score, but you may need other strong application components for highly competitive specialties. 240-249 (25th-50th percentile) – Still a comfortably passing score but could limit options for competitive programs.
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What is an average Step 1 score?

Least competitive residencies

For less competitive residencies, the mean USMLE® Step 1 scores were between 221 and 237. The mean USMLE® Step 1 score for IMGs for the most competitive residencies in 2020 was between 239 and 246. For less competitive residencies, the mean USMLE® Step 1 score was between 211 and 237.
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How important is Step 1 for residency?

In the 2021 National Residency Matching Program (NRMP) survey of residency program directors, 86.2% of program directors listed the USMLE Step 1 score as an important factor in deciding which applicants to interview.
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What is a good UWorld percentage Step 1?

What is a good UWorld Step 1 QBank score or percentage? Historically, a 40% UWorld Step 1 QBank score has been correlated with a passing score on the USMLE Step 1. With the exam's recent transition to pass/fail scoring, we now consider a passing UWorld Step 1 QBank score to be 45% to 50%.
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What is considered a high USMLE score?

A good USMLE Step 2 CK score is between 240 and 260. However, what qualifies as a “good” score ultimately depends on the residency program you are applying to. If you want to match to your first-choice program, you should aim for a score at or above 260.
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What is a 90% chance of passing Step 1?

A 90% chance of passing USMLE Step 1, often from an NBME practice test, means that for every 100 people with that score, 90 pass, but 10 still fail, so it's a strong indicator but not a guarantee, highlighting the need to focus on weak areas identified in the report, especially for Step 1's new pass/fail format where recent pass rates hover around 90-92%.
 
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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. 
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Is 242 a good step 3 score?

What's a Good Step 3 Score? Any score above 230 is considered good. Mean scores usually rest slightly below 230. Scores above 240 are considered excellent because a score of 240 puts you in the 79th percentile of all test takers.
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Is Step 1 the hardest exam ever?

While USMLE Step 1 is notoriously difficult, often considered the hardest among medical licensing exams due to its vast knowledge base and high stakes, calling it the absolute "hardest in the world" is subjective; exams like China's Gaokao are also cited for extreme pressure, but Step 1's challenge lies in consolidating foundational medical science before clinical focus in later steps. Many students find it uniquely stressful as a major hurdle in becoming a doctor, testing broad concepts and clinical reasoning.
 
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What is the top 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. 
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How common is it to fail Step 1?

While most people pass USMLE Step 1, failure rates have increased, especially since the scoring change to pass/fail in 2022, with overall pass rates for first-time test-takers dropping, and international medical graduates (IMGs) and repeat test-takers facing significantly lower odds, though the exact number varies yearly, with thousands failing in recent years (e.g., over 11,000 in 2023). For MD students, first-time pass rates were around 90-93% in 2022-2023, compared to 82-83% for DO students and ~72% for IMGs in 2023, with repeaters seeing even lower success.
 
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Is 240 a good Step 1 score?

But what about that magical 240? “240” is the number so many of us have somehow come to establish as the score that, if achieved, will prevent us from automatically being blacklisted by certain residency programs. Only the top ~30% of exam takers realize the goal of a 240+ on test day.
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Does Step 1 give you a percentile?

A high Step 1 percentile indicates strong mastery of foundational medical sciences and places you ahead of many peers. While Step 1 is now pass/fail, a strong percentile ranking can still be valuable for self-assessment and confidence as you approach Step 2 and prepare for residency applications.
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Do residency programs see your Step 1 score?

Does a Pass on Step 1 Affect Your Residency Chances? Now that Step 1 is pass/fail, residency programs can't compare students based on Step 1 scores anymore. Instead, they focus on other factors: Step 2 CK scores: This is now the most critical numerical exam result.
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Does 75th percentile mean 75%?

Yes, the 75th percentile means that 75% of the data points fall at or below that specific value, indicating that 75% of the group scored lower and 25% scored higher. It's a common point of confusion with percentage, but the percentile shows relative standing within a group, not a raw percentage score.
 
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How many people get a raw 50 study score?

A raw study score of 50 means that you performed in the top 0.3% of students enrolled in the subject.
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What percent should one score in USMLE Step 1 to pass?

However, examinees typically must answer approximately 60% of questions correctly to achieve a passing score.
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