USMLE Step Exam Failures

Authorizing Body:

Student Performance Review Committee

Author:

Robert Noiva, Ph.D.

Date Issued:

August 1, 2011

Last Update:

September 17, 2018

Rationale:

To ensure that all students pass the USMLE Step 1 and Step 2 licensing exams prior to graduation.

Scope and Applicability:

All students enrolled in the School of Medicine.

Standard Practice Guideline:

In order to be licensed to practice medicine in the United States, all physicians must pass the United States Medical Licensing Exam (USMLE), Step 1, Step 2 Clinical Knowledge (CK), Step 2 Clinical Skills (CS) and Step 3. Graduation from OUWB School of Medicine requires students to receive passing scores for Step 1, Step 2 CK and Step 2 CS.

Procedures:

USMLE Step 1

First Attempt

Students notified of a first time USMLE Step 1 failure after beginning an M3 year clerkship, will be allowed to complete the clerkship in progress.

Students may, in consultation with the Associate Dean for Undergraduate Clinical Education or the Associate or Assistant Dean for Student Affairs, elect to withdraw from the clerkship in which they are enrolled at the time of notification of the failure. A grade of “W” will appear on the student’s transcript. Students who withdraw from a clerkship due to a Step 1 failure will be required to repeat the entire clerkship.

Students will not be allowed to begin another clerkship until they have retaken the USMLE Step 1 exam.

The Associate or Assistant Dean for Student Affairs and the Associate Dean for Undergraduate Clinical Education will coordinate necessary scheduling changes. Students must take the second attempt at the Step 1 exam by November 30th of the current academic year.

Second Attempt

Students who fail to achieve a passing score on a second attempt on the USMLE Step 1 exam will be immediately withdrawn from their current clerkship and will not be permitted to participate in any additional clerkships until they obtain a passing score on the USMLE Step 1 exam. A grade of “W” will appear on the student’s transcript. Students who are withdrawn from a clerkship due to a USMLE Step 1 exam failure will be required to repeat the entire clerkship.

Third Attempt

Students who fail to achieve a passing score a third attempt of the USMLE Step 1 exam will be referred to the SPRC for action.

USMLE Step II CK & CS

First Attempt

Students who do not achieve a passing score on either component of the USMLE Step 2 exam will be allowed to complete the clerkship in progress.

Students will not be allowed to begin another clinical experience until they have retaken the failed component of the USMLE Step II exam.

The Associate or Assistant Dean for Student Affairs and the Associate Dean for Undergraduate Clinical Education will coordinate necessary scheduling changes.

Second Attempt

Students failing to achieve a passing score on a second attempt on a component of the USMLE Step 2 exam will be referred to the Student Performance Review Committee (SPRC) for action.

Third Attempt

Students who do not achieve a passing score on a third attempt on a component of the USMLE Step 2 exam will be referred to the Student Performance Review Committee (SPRC) for action.

Related Policies and Guidelines:

Satisfactory Academic Progress Guidelines
Student Performance Review Committee Guidelines