November 29, 2021

USMLE Step 1 Transition to Pass/Fail Only Score Reporting

Score reporting for the United States Medical Licensing Examination^® (USMLE^®) Step 1 exam will transition from a numeric score and pass/fail outcome to pass/fail only for exams taken on or after January 26, 2022. The USMLE program views this change as an important first step toward facilitating broader, system-wide changes to improve the transition from undergraduate to graduate medical education.

Dates for USMLE Step 1 Transition to Pass/Fail Only

Transition Begins with Exams Taken on or after January 26, 2022

To receive a numeric score, examinees must take their exam on or before January 25, 2022*

Step 1 Exams

Test on or before Jan. 25, 2022

Test on or after Jan. 26, 2022

Score Reports

Numeric score and pass/fail outcome

Pass/fail outcome only

Transcripts**

Numeric score and pass/fail outcome

Pass/fail outcome only

Performance Data***

Numeric score and pass/fail outcome

Pass/fail outcome only

* For multi-day exams, the date of the first day of testing will determine score reporting.
**Includes transcripts produced by the National Board of Medical Examiners^® (NBME^®), ECFMG, the Federation of State Medical Boards (FSMB), and through the Electronic Residency Application Service^® (ERAS^®).
***For eligible international medical schools that receive information on the performance of their students/graduates on USMLE Step 1 and Step 2 through the ECFMG Medical School Web Portal (EMSWP) Performance Data service.

For additional information on this change, including samples of what your students and graduates who test on or after January 26, 2022, will see on Score Reports, visit the USMLE website.