USMLE Blog
USMLE Step 1 and Step 2 CK
Average Scores by Specialty 2025
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Table of Contents
Introduction
The United States Medical Licensing Examination (USMLE) plays a crucial role in the residency match process. Historically, both Step 1 and Step 2 CK scores have been key determinants of an applicant’s competitiveness for various specialties. However, recent changes—particularly the transition of Step 1 to a pass/fail grading system—have shifted the focus more towards Step 2 CK scores.
This article provides updated average Step 2 CK scores by specialty, offering insights and guidance for medical students navigating the competitive landscape of residency applications.
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Understanding USMLE Scoring
The USMLE is a three-step examination for medical licensure in the United States. Step 1 assesses basic medical sciences, while Step 2 CK evaluates clinical knowledge and application.
Recent Changes in USMLE Scoring
Step 1 Pass/Fail: As of 2022, Step 1 no longer provides a numerical score, making Step 2 CK scores more critical in residency applications.
Greater Emphasis on Step 2 CK: With Step 1 now pass/fail, residency programs are increasingly relying on Step 2 CK scores to assess applicants’ medical knowledge and preparedness.
These changes have made it essential for students to aim for strong Step 2 CK scores, especially for competitive specialties.
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Average USMLE Step 2 CK Scores by Specialty
Each specialty has a different level of competitiveness, often reflected in the average Step 2 CK scores of matched applicants. Below is a general overview of average Step 2 CK scores for various specialties (NRMP Charting Outcomes):
Mean USMLE Step 2CK Scores of Matched Applicants
| Specialty | U.S. MD Seniors | U.S. DO Seniors | Non-U.S. IMGs | U.S. IMGs |
|---|---|---|---|---|
| Anesthesiology | 252 | 251 | 248 | 248 |
| Child Neurology | 248 | 244 | 247 | 239 |
| Dermatology | 257 | 250 | 256 | N/A |
| Diagnostic Radiology | 256 | 252 | 252 | 250 |
| Emergency Medicine | 248 | 242 | 239 | 235 |
| Family Medicine | 244 | 240 | 231 | 228 |
| General Surgery | 253 | 248 | 249 | 248 |
| Internal Medicine | 251 | 242 | 248 | 238 |
| Internal Medicine/Pediatrics | 253 | 241 | 246 | 237 |
| Interventional Radiology | 253 | 253 | 259 | 245 |
| Neurological Surgery | 255 | 256 | 246 | 252 |
| Neurology | 250 | 245 | 245 | 237 |
| Obstetrics and Gynecology | 252 | 245 | 251 | 242 |
| Orthopaedic Surgery | 257 | 251 | 247 | 243 |
| Otolaryngology | 256 | 248 | N/A | N/A |
| Pathology | 247 | 245 | 240 | 235 |
| Pediatrics | 247 | 241 | 240 | 233 |
| Physical Medicine and Rehabilitation | 248 | 241 | 242 | 239 |
| Plastic Surgery | 256 | N/A | 242 | 267 |
| Psychiatry | 246 | 240 | 240 | 231 |
| Radiation Oncology | 252 | N/A | 246 | N/A |
| Vascular Surgery | 253 | 247 | 245 | N/A |
Average USMLE Step 1 Scores by Specialty
The following information on the mean USMLE Step 1 scores of matched applicants is for informational purposes only. Since most applicants now have a pass/fail result for Step 1, it is unlikely that program directors will weigh this score in their assessment, even if it appears on your application. However, we have included this data in our blog because it was referenced in the NRMP’s 2024 Charting Outcomes report.
Mean USMLE Step 1 Scores of Matched Applicants
| Specialty | U.S. MD Seniors | U.S. DO Seniors | Non-US IMGs | U.S. IMGs |
|---|---|---|---|---|
| Anesthesiology | 234 | 223 | 239 | 232 |
| Diagnostic Radiology | 241 | 247 | 249 | 233 |
| Emergency Medicine | 224 | 231 | 226 | 215 |
| Family Medicine | 217 | 213 | 217 | 209 |
| General Surgery | 235 | 241 | 243 | 235 |
| Internal Medicine | 234 | 221 | 237 | 220 |
| Neurology | 231 | 210 | 234 | 217 |
| Obstetrics & Gynecology | 227 | 220 | 244 | 223 |
| Orthopaedic Surgery | 244 | 239 | 244 | 222 |
| Pediatrics | 224 | 226 | 226 | 212 |
| Psychiatry | 226 | 204 | 226 | 213 |
| Plastic Surgery | 247 | N/A | 238 | 252 |
These numbers provide a benchmark, but applicants should also consider additional factors such as clinical performance, research experience, and extracurricular activities.
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Factors Influencing Specialty Competitiveness
Beyond USMLE scores, residency programs take a holistic approach to evaluating applicants. Key factors include:
Research Experience: Publications and presentations can boost competitiveness, especially in specialties like dermatology and orthopedic surgery. Learn more about How to Write and Publish a Medical Research Paper.
Clinical Rotations & Letters of Recommendation: Strong clinical performance and solid letters of recommendation from faculty members play a crucial role. Check out How to Get Strong Letters of Recommendation for Residency.
Extracurricular Activities & Leadership: Involvement in medical organizations, volunteer work, and leadership roles can make an applicant stand out.
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Strategies to Improve Your USMLE Step 2 CK Score
To maximize your Step 2 CK score, consider the following strategies:
- Use High-Yield Study Resources: Resources like UWorld, NBME practice exams, and First Aid for Step 2 CK are essential for high performance. See our guide on Best Resources for USMLE Step 2 CK.
- Time Management: Create a structured study plan that allows sufficient time for content review, practice questions, and self-assessments.
🎥 Watch this video: “USMLE STEP 2 CK in 3 months” a roadmap covering the best resources and strategy for your Step 2 prep.
3. Self-Assessment & Practice Exams: Take multiple self-assessment exams (e.g., UWorld self-assessments, NBME practice tests) to track progress and adjust study strategies accordingly.
Conclusion
As residency competitiveness evolves, medical students must adapt by focusing on factors that strengthen their applications. With Step 1 now pass/fail, excelling in Step 2 CK is more important than ever. A strategic approach to studying and a well-rounded application will maximize your chances of matching into your desired specialty.
We hope this blog helps you excel in your USMLE preparation!
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Good Luck Everyone!
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