What UWorld score to pass Step 1?

For USMLE Step 1, which is pass/fail, a UWorld score isn't a definitive predictor, but consistently hitting 65-70% or higher, especially on timed blocks, suggests readiness; however, many pass with lower initial scores (40-50%) by focusing on learning from mistakes, as UWorld is a learning tool, not just a test. Aim for consistent improvement and use UWorld's Self-Assessments (UWSA) and NBME exams for better readiness indicators, with passing NBMEs often requiring >60-70%.

Is 70% on UWorld bad?

No, 70% on UWorld is generally not bad; it's considered a solid, above-average score, especially on a first pass, indicating you're in good shape for exams like the NCLEX, where averages around this mark often predict high pass rates, though the key is learning from mistakes, not just the score itself.
 

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. 

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.
 

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.
 

NBME/UWorld Practice Test Score Correlations to USMLE Step 1 Exam (Score 259)

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%.
 

Is UWorld enough for Step 1?

Based on internal and independent data, there's a notable correlation between completing UWorld Step 1 questions and improving your Step 1 score. While finishing our QBank once is enough to pass Step 1 for many students, we suggest reviewing it twice for the best results.

What does 48th rank mean on UWorld?

The rank is a way for the system to tell you where you fall in terms of performance as compared to the overall median of 48th. The 48th is the cumulation of the scores for all the students who are using Uworld as their study material. At 33rd rank, you are currently below the median rank.

Is 85% on UWorld good?

Because UWorld questions are significantly more difficult than the AAMC, you will likely score much worse on them. I've often seen differences of 10-20% among my students. So take your UWorld scores with a grain of salt. I consider any score above 75% on UWorld to be very good.

How common is failing 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.
 

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. 

Is Step 1 the hardest test?

Yes, USMLE Step 1 is widely considered the hardest USMLE exam due to its sheer volume of foundational science knowledge, extensive content, and high-stakes nature (historically), testing everything from first two years of med school, though its difficulty is subjective and Step 2/3 also present unique challenges, but Step 1's breadth makes it a significant hurdle.
 

How much of UWorld should I finish?

If you can get through ~60-70% of Uearth while reviewing well, that's more than enough.

How accurate is the UWorld predictor?

The Accuracy of UWorld Self Assessment

According to UWorld, their Self Assessment is highly accurate, with a correlation coefficient of 0.85 between the Self Assessment score and the actual NCLEX score. This means that the Self Assessment is a strong predictor of how well you will perform on the NCLEX.

Is one pass of UWorld enough?

Common mistakes include: Completing one pass: You should complete two passes of UWorld before your test date. Start your second pass at the beginning of your chosen study period to ensure you have enough time.

Is 68% good on UWorld?

68% Average on UWorld and a High Chance of Passing.

Is 70% average on UWorld good?

Yes, a 70% average on UWorld is generally considered very good and puts you in a strong position for passing exams like the NCLEX, indicating you're learning well, especially since UWorld is designed to be challenging and serves as a learning tool, not just a test. A score of 70% or higher often correlates with a high probability of success on the actual exam, but focusing on weak areas identified through your incorrect answers is key to maximizing your readiness.
 

How accurate are UWorld self-assessments?

Alongside the NBME®'s practice exams, our USMLE self-assessments are considered by students to be the most helpful at gauging exam readiness. Our test forms are highly representative of the real exam, offer accurate score predictions, and deliver detailed score reports to help with remediation.

What is considered passing on UWorld?

If this is your first assessment before you start studying I would say you're in an okay place. UWorld is great because they have rationale to help you learn the information. I would always just shoot for over a 65% on the assessments because that puts you in the pass/very likely on the assessment.

What's a good percentile rank on UWorld?

For students who purchase a UWorld NCLEX subscription independently, a good UWorld QBank score is determined by their percentile rank (p-rank) compared to other test-takers. Students should aim for a p-rank at or above the 50th percentile across all subject areas to maximize their chances of passing the NCLEX.

What is 58 percentile on UWorld?

The 47th percentile (around the peak) is the average (where most people lie) and you're on the 58th percentile, which is above average. It means you are doing well compared to the average. It goes below average, near average, average, above average, to high performers. It is just the way the bell curve is.

Is it okay to not finish all of UWorld?

It is not important to finish or even use Uworld to get a spectacular score. I scored a 515 without Uworld. The priority was to clarify the personal traps, how to spot them in new questions. Have a plan to overcome them.

Is UWorld worth it at Usmle?

Summary. Both UWorld and AMBOSS are outstanding tools for USMLE preparation.