What Step 2 score is needed for emergency medicine?

For Emergency Medicine (EM), a competitive USMLE Step 2 CK score is generally considered to be 240-259, with an average for matched US MD seniors around 247-248, though scores above 260 are very competitive and lower scores can still be successful depending on the rest of your application (like strong EM rotations/SLOEs, research, and dedication).

What is a good step 2 score for emergency medicine?

The right target depends on your career goals. Here's a simplified guide: Primary Care (Family, Pediatrics, Internal Medicine) → 230–240 can be enough, though higher is always better. Mid-Competitive Specialties (Emergency Medicine, OB-GYN, Anesthesiology) → Aim for 240–250.

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 specialty has the lowest Step 2 score?

First up with the lowest average Step 2 score is family medicine at 244. Family medicine is a specialty that continuously has the lowest Step 2 score of all specialties. That said, note that the current 244, based on 2024 data, is an increase from 241 in 2022 and 238 in 2020.

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. 

USMLE Step 2 CK Score Needed for Residency📊 (By Specialty)

Is a 60% good on UWorld?

A 60% on UWorld is generally considered okay or borderline on a first pass, especially since UWorld is known for being difficult and is a learning tool, not just an assessment; focus on consistently reviewing incorrect answers and improving, as scores often rise significantly on a second pass, with many successful test-takers achieving 70%+ later, while scores in the 50s might be more concerning, but the ultimate gauge of readiness comes from NBME assessments after finishing the question bank.
 

Is 240 a bad step 2 score?

USMLE Step 1 is reported as pass/fail, but you will receive numerical scores for Step 2 CK and Step 3. A good USMLE Step 2 CK score is between 240-260, with 256 or higher being competitive for first-choice residency programs.

How many people fail USMLE 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.

What is the average Step 2 score for matched applicants?

Breaking down MD Step 2 scores

Across all physician specialties, the average Step 2 score for matched applicants from U.S. MD-granting medical schools was 250, according to a 2024 report on characteristics of matched applicants.

What's a good step 2 score in 2025?

A "good" Step 2 CK score percentile depends entirely on your specialty goals and career objectives. For most medical students, a score above the national median of 250 is considered good, while scores above 260 (75th USMLE percentile) are considered very good to excellent.

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.

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.

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. 

Does step 2 score matter for residency?

Yes, your USMLE Step 2 percentile does matter. It can influence your chances of matching with your preferred residency program.

Is EM hard to match into?

Statistics on the Emergency Medicine Match

As of the most recent NRMP data, emergency medicine had a total of 2,813 applicants and 2,921 spots. This equates to 0.96 applicants per position. Of the 1,564 U.S. MD seniors who applied, 30 did not match.

What is the USMLE Step 2 score for emergency medicine?

Emergency Medicine: ~246. OB/GYN: ~245. Internal Medicine: ~245.

How many questions do you need to get right to pass step 2?

This means you need to answer about 60% of USMLE Step 2 questions correctly to pass.

What is an elite step 2 score?

While a score of 245 generally places you at the 37th percentile, and is enough for some specialties, aiming for a score closer to the 75th percentile (around 260) is recommended.

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. 

How many times can you retake USMLE step 2?

Attempt Limit

The total number of attempts allowed per Step is four (4). Examinees who have attempted any USMLE Step (including Step 2 CS) four or more times and have not passed are ineligible to apply for USMLE Steps.

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.

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 the average Step 2 score for Yale?

While we don't use an absolute cutoff, the average Step 2 score of viable applicants is 260. I generally hold off on inviting candidates who haven't submitted scores yet (if you're a medical student reading this, please take Step 2 before applying to residency).