Council on Curriculum

United States Medical Licensing Examination Step 1 / Step 2 CK Policies


USMLE Step I or II Formal Review Program

 

 

USMLE Step 1 General Requirements
  1. Students are not allowed to withhold their USMLE Step 1 score results from the School of Medicine.
  2. A passing score on USMLE Step 1 is required for promotion to Year 6.
  3. A passing Step 1 score determined by USMLE is required for graduation from the School of Medicine.
  4. Students must show readiness to sit for USMLE Step 1 by achieving ≥ 67 score on the CBSE exam. (See Council on Curriculum policy on Criteria, Deadlines, and Preparation for Taking USMLE Step 1.)
  5. BA/MD and MD students will have a USMLE Step 1 deadline of 28 months, ending September 30, following the start date of Human Structure Function IV. (This deadline also applies to Oral Surgery/MD students who matriculated prior to June 2010.) (See Council on Curriculum policy on Criteria, Deadlines, and Preparation for Taking USMLE Step 1 for exceptions.)
  6. Failure to pass USMLE Step 1 in one year, beginning the day after the deadline set forth above, fulfills criteria for separation.
  7. A maximum of three attempts, time permitting, to pass USMLE Step 1 are allowed. Failure to pass Step 1 in three attempts fulfills criteria for separation.
  8. BA/MD students have a maximum of eight years from their matriculation date as a student at the School of Medicine to complete the required curriculum to achieve the M.D. degree.
  9. MD students, as well as Oral Surgery/MD students who matriculated prior to June 2010, have a maximum of 6 years from their matriculation date as a student at the School of Medicine to complete the required curriculum to achieve the M.D. degree.
Criteria, Deadlines, & Preparation for Taking USMLE Step 1
  1. Criteria for taking the USMLE Step 1 examination:
    1. BA/MD and MD students must have officially promoted to Year 4 and successfully completed (achieved a passing grade in) the Year 4 courses listed below:
      • MED 9472: Behavioral Science
      • MED 9408: Pharmacology
      • MED 9401: Docent Rotation-Year IV OR MED 9471: Family Medicine
      • Students must also have taken the following course: MED 9482: Patient, Physician, Society I
    2. All students must have shown readiness for Step 1 through the CBSE, as set forth by the USMLE Step 1 Preparation and Registration Policy. (See section immediately below).
    3. Students must currently be enrolled in the UMKC School of Medicine to be eligible to sit for the USMLE Step 1 examination.
  2. Preparation and Registration for CBSE and USMLE Step 1

    1. Dates for CBSE and USMLE Step 1 will be set by Student Affairs and the Associate Dean for Curriculum in planning the Year 4 curriculum for students. The student’s CBSE date and Step 1 target date cannot be rescheduled without petitioning the Council on Curriculum.
    2. The CBSE will be administered monthly. All CBSE administrations will be provided in the computer testing center and are paid for by the school. The CBSE will be administered only at the School of Medicine.
    3. All students must adhere to the posted sign-up deadlines for CBSE as set by the Department of Medical Education Support Services. Students are responsible for ensuring that they are signed up for the correct test date.
    4. In order to sit for CBSE, a student must meet all criteria for promotion to Year 4 and must have a cumulative science GPA of 2.80 or better.
    5. Minimum CBSE performance to register and sit for USMLE Step 1:
      1. Students who score 67 or above on the CBSE are automatically cleared to register and sit for USMLE Step 1. (A CBSE score of 67 predicts a Step 1 score of between 190 and 195.)
        1. A student, who has shown readiness through the CBSE to sit for Step 1, cannot postpone any required clerkship that is scheduled after the student’s assigned USMLE Step 1 target examination date.
      2. Students who score between 62-66 will be eligible to register only for USMLE Step 1 but may not sit until they have achieved a score of 67 or better on their second CBSE. Students who score between 62-66 do not have to show readiness to sit for their second CBSE.
      3. Students who score below 62 may not register for USMLE Step 1.
        1. A student scoring below 62 on their first attempt at CBSE must wait a minimum of 30 days after receiving the score before sitting for a second attempt. The student must also show readiness in order to register for the second CBSE. The exact criteria for readiness will be determined by the Associate Dean for Curriculum.
    6. Students failing to reach the required CBSE score of 67 after two attempts must show readiness to sit for Step 1 by non-NBME criteria approved by the Associate Dean for Curriculum.
    7. Failure to appear at a student’s scheduled CBSE will result in a letter of unprofessional behavior placed in the student’s file. In consultation with the Education Team Coordinator, the student must reschedule another CBSE on OASIS and must notify the ETC and the Assistant Proctor of the Department of Medical Education Support Services of the rescheduled date.
  3. Deadline for taking USMLE Step 1 examination:
    1. BA/MD and MD students will have a Step 1 deadline of 28 months, ending September 30, following the start date of Human Structure Function IV.
    2. Alterations to a student’s schedule (e.g., repeating courses) will not change a student’s Step 1 deadline, with the following exceptions:
      1. If a student has not completed the Year 4 courses listed above (Criteria Section 1) by the September 30 deadline, then the last day of the month in which the student completes those courses, plus one additional study month, becomes the student’s Step 1 deadline.
      2. If a student takes a Medical Leave of Absence (approved by the Council on Evaluation), the student’s Step 1 deadline will be extended by the number of months on approved Medical Leave.
    3. Failure to take USMLE Step 1 by the above deadlines will place a student on immediate Administrative Leave of Absence. A student may petition the Council on Curriculum for an exception to this Administrative Leave in order to enroll in a Not-For-Credit study month if both of the following criteria are met:
      1. The Associate Dean for Curriculum has certified the student’s readiness to sit for Step 1.
      2. The student has a documented, confirmed date to sit for Step 1 during the month immediately following the deadline set forth above.
    4. A student may return from Administrative Leave of Absence in order to sit for Step 1 upon meeting the following criteria:
      1. The Associate Dean for Curriculum has certified the student’s readiness to sit for Step 1.
      2. The student has a documented, confirmed date to sit for Step 1 during the month of his/her return.The student’s curriculum upon return will be determined by the Associate Dean for Curriculum.
    5. If a student does not sit for Step 1 by his/her deadline, that student may not begin or continue in any required two-month rotations until the student has sat for Step 1 or has secured an examination date within the first week of the clerkship.
Step 1 Failure Policy
  1. Advising Procedure for Students Failing USMLE Step 1
    1. The student is referred to the Associate Dean of Student Affairs for advice and may be referred to appropriate support service for counseling.
    2. The student must then meet as soon as possible with the Associate Dean for Curriculum and his/her ETC to design an appropriate Step 1 preparation program. The exact criteria for readiness will be determined by the Associate Dean for Curriculum.
    3. When readiness criteria are met, the student will be cleared by the Associate Dean for Curriculum to retake the exam.
  2. Curriculum Policies for Students Failing USMLE Step 1
    1. Failure on First Attempt of USMLE Step 1:
      1. One-Month Clerkship
        1. Students receiving “notification of failure” while enrolled in a one-month clerkship will be allowed to complete the clerkship.
      2. Two-Month Clerkship
        1. Students receiving “notification of failure” in the first month of a two-month clerkship will be allowed to complete only the first month. Withdrawal from the second month of two-month clerkship is mandatory. “Incomplete” will be issued until the second month is satisfactorily completed. The second month of this split two-month clerkship must be completed within twelve months after the completion of the first month or the student must re-enroll in the entire two-month clerkship to receive credit.
        2. Students receiving “notification of failure” in the second month of a two-month clerkship will be allowed to complete the clerkship.
      3. Enrollment in two-month rotations will not be permitted until successful completion of USMLE Step 1.
      4. Curriculum schedules while preparing to sit for a second Step 1 exam may only include the following:
        1. Independent Study Month (policy allows for 3 study months for credit)
        2. Vacation
        3. Not-for-Credit study months (a maximum of 2 are allowed for preparation to re-take Step 1). NOTE: Not-for-Credit study months will not count toward the required 38 medicine months and may affect the student’s graduation date.
        4. Leave of Absence, if allotted study months (for-credit and not-for-credit) and vacation have already been used. NOTE: A student may not sit for Step 1 while on Leave of Absence. In order to return from LOA, the student must show readiness and be approved by the Associate Dean for Curriculum. During the month in which the student returns from LOA, he/she must enroll in one of the courses listed below.
      5. While awaiting results on a second Step 1 attempt, students may only enroll in the following one-month courses:
        • MED 9570 Preceptorship
        • MED 9471 Family Medicine
        • MED 9571 Psychiatry
        • Humanities course
        • Clinical/Research electives
        • No required two-month clerkships may be taken.
    2. Failure on Second Attempt of USMLE Step 1
      1. Students will be placed on an administrative leave of absence after a second failure on USMLE Step 1. They will remain on administrative leave of absence until readiness for a third attempt at Step 1 has been verified by the Associate Dean for Curriculum.
      2. Students will be placed on Step 1 probation after failure to successfully pass USMLE Step 1 on the second attempt.
      3. While awaiting results on a third attempt at Step 1, students may only enroll in clinical/research electives. No required rotations may be taken.
    3. Failure After Third Attempt
      1. A student who fails on the third attempt at Step 1 meets criteria for separation from the School of Medicine.
      2. Students will automatically be placed on an administrative leave of absence after a third failure on USMLE Step 1 and will remain on administrative leave of absence until the student’s status in the program has been determined.
USMLE Step 2 Clinical Knowledge (CK) General Requirements
  1. Students must be enrolled in School of Medicine coursework in order to sit for USMLE examinations. Students are not permitted to take an examination while on leave of absence.
  2. Students must pass the USMLE Step 2 CK examination within 3 attempts (time permitting). Students earning a third-attempt failing score on any USMLE examination meet criteria for separation (dismissal) from the program and will be placed on immediate administrative leave. Graduation and deadline criteria are not suspended in order to permit three attempts on an examination.
  3. Students are not permitted to take USMLE Step 2 CK until they have successfully demonstrated readiness to the Council on Curriculum.
  4. Students on track to graduate in May of Year 6 must sit for the USMLE Step 2 Clinical Knowledge examination by December 31 of Year 6. Failure to take the examination by this deadline may have consequences for participation in the National Resident Matching Program (NRMP). If a student has not taken both parts of Step 2 by January 31 of Year 6, the School of Medicine may notify the NRMP that s/he may not graduate on time. Further, in compliance with NRMP rules, the School of Medicine may withdraw that student’s application from the Main match for residency by the rank order deadline. Students graduating in August or December of Year 6 must have passing Step 2 CK scores submitted to the Council on Evaluation prior to graduation.
  5. Failure to pass USMLE examinations in the first attempt may result in a revised or extended curriculum.
  6. Students earning a second-attempt failing score on any USMLE examination will be placed on probation.
  7. Students are not permitted to withhold USMLE score results from the School of Medicine.
  8. Passing scores on all USMLE examinations must be received by the Council on Evaluation by April 30 prior to May commencement ceremonies of Year 6 for any student to be automatically eligible to participate in those ceremonies.

 

Criteria and Preparation for Taking USMLE Step 2 Clinical Knowledge (CK)
  1. Criteria for taking the USMLE Step 2 CK examination
    1. All students must have successfully completed the following clerkships:
      1. MED 9501: Year 5 Docent Rotation
      2. MED 9503: Pediatrics
      3. MED 9505: General Surgery
      4. MED 9506: Obstetrics & Gynecology
    2. Students must show readiness to sit for USMLE Step 2 CK by achieving a qualifying score by applying the Step 2 CK readiness formula (click on the hyperlink to track your progress) on or before May 31 of Year 5 or upon completion of items listed above.
  1. Preparation and Registration for USMLE Step 2 CK
    1. Students who have achieved a qualifying score by applying the Step 2 CK readiness formula should register for and take the Step 2 CK exam as soon as possible.
    2. Students who have not achieved a qualifying score on the Step 2 CK readiness formula must show readiness by passing the Comprehensive Clinical Science Examination (CCSE) and complete the following:
      1. Meet with the Associate Dean of Curriculum and/or USMLE Counselor to determine curriculum changes and establish a readiness plan.
      2. Set a CCSE examination date with the Associate Dean of Curriculum and/or USMLE Counselor.
    3. A student scoring 74 or above on the CCSE is automatically cleared to register and sit for USMLE Step 2 CK.
      1. A student scoring below 74 on their first attempt must meet with the USMLE Counselor and show readiness in order to register for the second CCSE. The student may not schedule a date for USMLE Step 2 CK until they have received clearance from the Associate Dean for Curriculum. The student’s curriculum plan will be determined by the Associate Dean for Curriculum, and if time is permitted, the student may keep out-of-town electives. However, if there is not time permitted for the student to prepare and show readiness, they may have to cancel out-of-town electives.
      2. A student scoring 68-73 is permitted to schedule a second CCSE.
      3. A student scoring 67 or below is not permitted to schedule a second CCSE. The USMLE Counselor will review the student’s curriculum plan, elective placement and determine a second CCSE date.
      4. No more than two attempts are permitted on the CCSE examination
      5. Students failing to reach the required CCSE score of 74 after two attempts must show readiness to sit for Step 2 CK by criteria determined by the Associate Dean for Curriculum.
    4. Failure to appear for or an unexcused absence from a scheduled CCSE examination will result in a report of unprofessional behavior.

 

Step 2 Clinical Knowledge (CK) Failure Policy
  1. Policies for Students Failing USMLE Step 2 CK on First or Second Attempts
    1. The student must meet as soon as possible with the Associate Dean for Curriculum and/or USMLE Counselor and his/her ETC to alter their curriculum and determine criteria for readiness.
    2. When readiness criteria are met, the student must be cleared by the Associate Dean for Curriculum to retake the exam.
    3. Additionally, students will be placed on Step 2 CK probation after failure to successfully pass USMLE Step 2 CK on the second attempt, in accordance with Council on Evaluation policy.
  2. Failure After Third Attempt
    1. The student has met criteria for separation.
    2. Students will automatically be placed on an Administrative Leave of Absence and will remain on Administrative Leave of Absence until the student’s status in the program has been determined.