New Changes to USMLE Step 1 - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > USMLE News

USMLE News Interesting USMLE News and Events useful for the USMLE Student

News Tools Search this News Display Modes
New Changes to USMLE Step 1
by Sabio 04-21-2010, 08:11 PM

The CRU committee (Comprehensive Review of USMLE; a committee formed by NBME, FSMB, and ECFMG) has announced today that changes to USMLE Step 1 are coming starting May 15 2010.

As we anticipated previously the new reduction of items from 48 to 46 questions per block does not come free. It is at the expense of longer clinical vignettes.

Exam takers will continue facing the same block time and perhaps even longer despite the reduction in the total number of items. That of course depends on how many questions will be converted from the classical non-clinical style to the new clinical vignette format.

The announcement came today stated this "non-clinical presentations will be reduced" note that they did not say "will be removed" which means we may still some of these but to a lesser extent.

What does it mean?
A pure non-clinical basic question is like asking us what is the most common cause of UTI in women. Period
While in the new clinical vignette you'll have a case scenario (often prolonged) detailing a women presenting with signs and symptoms indicative of a UTI infection and then the question sentence will be the same, i.e., what is the most likely causative agent in this patient.

In essence, this does not seem to change the way we are building our basic knowledge. We still need to know the factoid (E. coli is the most common cause of UTI in women) however, added this time, we need to know how do women with UTI clinically present.

In a separate announcement they also mentioned that "decrease the number of items that require only recall of isolated facts" which basically revolves around the same issue.

Here's the link to the full announcement published today April 21, 2010.
Reply With Quote Quick reply to this message
Views 10252 Comments 2

Total Comments 2


Old 04-26-2010
Steps History: ---
Posts: 5
Threads: 1
Reputation: 13
We have known for a while that the questions would be written to accomodate not just recall but comprehension and clinical presentations, that is why we have built our program around how to answer these types of questions correctly. Our students are reporting scores in the 99 percentile - because after working with us they now know how to approach the questions and find the key points that help them pick the right answer. If you happen to read this post you will get a discount to our May 17th step 1 program. Email us and remember to put the discount code KJ05 in the email to get the discount. We only have a few seats left - we keep the programs under 20 students.
Reply With Quote Quick reply to this message
Old 08-09-2010
Steps History: CK+CS
Posts: 138
Threads: 28
Reputation: 88
wow...things are getting tougher
Reply With Quote Quick reply to this message
Old 09-19-2012
Steps History: Step 1 Only
Posts: 69
Threads: 26
any changes to step 1 2012?


Can someone tell me if there are any major changes to step 1 2012 exams?Also, I know that the step 2 cs has changed but what are those changes? Thanks
Reply With Quote Quick reply to this message


Quick Reply

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Please enter a password for your user account. Note that passwords are case-sensitive.
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Where you live. Leave blank if you don't want to tell.


Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.

News Tools Search this News
Search this News:

Advanced Search
Display Modes

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)