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- Medical Student
it better be the three digit score...shoot.
It seems that the correlation of the three digit score with the two digit score varies every year. Please comment if you happen to know which score is more frequently looked at by PDs for residency selection.
I hate that two digit score. I've heard so many rumors about what that stupid thing means and it's importance. Why does this test have to be so vague about what it really tests?
The two digit score is used by state medical boards. All state medical boards require passage of the USMLE as part of the licensing process. Written into law in every state is that you must get a 75 to pass.
The USMLE regularly reviews the exams to set the pass rate. Rather than grade the exam differently, they move the pass rate up or down. In the last few years the pass level for both Step 1 and 2 has moved from 175 to 182.
When they do this, they adjust the 2 digit to 3 digit conversion. Therefore, in the past a 175 = 75 (and a 174=74=FAIL). Now, a 182=75=PASS and 181=74=FAIL.
The whole point is that when the USMLE changes their pass level, the two digit cutoff doesn't change so that the states don't have to change their laws.
Most importantly, the two digit score is not a percent nor a percentile.
This totally makes sense. Additionally, I would think that the two digit score is a good determinant of the value of your three digit score regardless of the period of time you took your exam. Lets assume that in 50 years from now, the passing score will be 235, which would be equavelant to just a 75. If you also claim that you scored 235, there is nothing special about it, however, when it's combined with the two digit score of 99, it certainly reveals its value for the time that the exam was taken.
Why would anyone care what how good our scores are 50 years from now? It's a test to compare you to your peers who should have taken it at the same time. As progdirector indicated, the two digit score is to satisfy some legal mumbo jumbo. Otherwise its completely worthless, because everyone who did mildly well has a 99.
A 99 is doing mildly well. 🙄
If you say so.

This totally makes sense. Additionally, I would think that the two digit score is a good determinant of the value of your three digit score regardless of the period of time you took your exam. Lets assume that in 50 years from now, the passing score will be 235, which would be equavelant to just a 75. If you also claim that you scored 235, there is nothing special about it, however, when it's combined with the two digit score of 99, it certainly reveals its value for the time that the exam was taken.