East Carolina University
 
The Brody School of Medicine
Office of Student Affairs


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USMLE Step Policies
 
 
USMLE Step 1
  1. Requirements: Medical students are required to pass Step 1 of the United States Medical Licensing Exam prior to their promotion to the third year of medical school.  Students are required to take Step 1 prior to beginning their third year curriculum.  Students will be permitted a maximum of three attempts to pass Step 1.  Students must be enrolled in the School of Medicine in order to register for and take Step 1.
  2. Registration Deadlines and Testing Dates (see Figure 1)
    1. It is suggested that second year students complete application for Step 1 as early as January of the M2 year in order to schedule a test date by the end of June.  Step 1 must be taken prior to the start of third year coursework.  (Exceptions may be granted upon written petition to the Dean of Student Affairs.)
    2. Students unsuccessful in their first attempt at Step 1 will complete the first M3 clerkship block.  Students are expected to complete a Step 1 application in sufficient time to request a second test date on or before October 15 in order to ensure a test date by the conclusion of the second M3 clerkship block.  Students will be required to enroll in Clinical Correlations Seminar* during the second M3 course block. Students receiving a passing score on Step 1 will receive the earned letter grade from the first clerkship, a passing grade for Clinical Correlations Seminar, and continue in their medical education.  Students failing to achieve a passing score on the second attempt of Step 1 will receive a “W” for the first clerkship, an “F” grade for the Clinical Correlations Seminar, and will be withdrawn from the third M3 course block.
    3. Academic performance of the students unsuccessful in their second attempt at Step 1 will be reviewed by the M3 Student Review and Promotions Committee who may recommend that a student be allowed to remediate Clinical Correlations Seminar** during the subsequent spring semester.  Students are expected to complete a Step 1 application in sufficient time to request a Step 1 test date on or before April 15 in order to ensure a test date and score reporting prior to the first M3 clerkship block of the next academic year.  Students successfully remediating Clinical Correlations Seminar by passing Step 1 on their third attempt will begin their third year course work with first M3 course block.  Failure to successfully remediate Clinical Correlations Seminar (failure of Step 1) will result in a recommendation for dismissal from the M3 Student Review and Promotions Committee in accordance with the Student Grading and Promotions Policy.
* This course comprises 6-7 weeks of individually designed M1 and M2 curriculum review, with interval assessments of content concluding with USMLE Step 1 as the course exam.

** This course comprises approximately 4 months of individually designed review of the M1 and M2 curriculum, interval assessments of content, and academic skills testing concluding with USMLE Step 1 as the course exam.

  1. Registration Deadlines and Testing Dates for Students in Academic Difficulty (see Figure 2)
    1. Students remediating M2 course work during the summer following their M2 curriculum year will take Step 1 prior to the start of their first clinical clerkship (Usually by the end of August).  Students will begin clerkships in the second M3 clerkship block.
    2. Students unsuccessful in their first attempt at Step 1 are expected to complete an application in sufficient time to request a second test date on or before December 15 in order to ensure a test date by the conclusion of the third M3 clerkship block.  Students will be required to enroll in Clinical Correlations Seminar* during the third M3 clerkship block.  Students receiving a passing score on their second attempt of Step 1 will receive the earned letter grade from their first clerkship, a passing grade for Clinical Correlations Seminar, and continue in their medical education, however, these students will be required to complete an M4 selective during May of their M4 year.  The diploma date will be consistent with a summer school graduation. Students failing to achieve a passing grade score on Step 1 will receive a “W” grade for the first clerkship, a an ”F” grade for the Clinical Correlations Seminar, and will be withdrawn from the fourth M3 course block.
    3. The academic performance of students unsuccessful in their second attempt at Step 1 will be reviewed by the M3 Student Review and Promotions Committee who may recommend that a student be allowed to remediate Clinical Correlations Seminar** during the spring semester. This course comprises approximately 4 months of individually designed review of the M1 and M2 curriculum concluding with USMLE Step 1 as the course exam.  Students are expected to complete a Step 1 application in sufficient time to request a Step 1 test date on or before April/May 15 in order to ensure a test date and score reporting prior to the first M3 clerkship block of the next academic year.  Students successfully remediating Clinical Correlations Seminar by passing Step 1 will begin their third year course work with the first M3 clerkship block.  Failure to successfully remediate Clinical Correlations Seminar (failure of Step 1) will result in a recommendation for the dismissal from the M3 Student Review and Promotions Committee in accordance with the Student Grading and Promotions Policy.
Exceptions to this implementation timeline must be addressed to the Assistant Dean for Student Affairs.
 
USMLE Step 2 Clinical Knowledge
  1. Requirements: Effective beginning with the 2000-2001 academic year, all medical students are required to pass Step 2CK of the United States Medical Licensing Exam to be approved for graduation. All medical students must take USMLE Step 2CK for the first time by September 30th of the academic year in which they begin their fourth year of the medical curriculum (enrollment in M-4 Selectives).  Students will be permitted a maximum of three attempts to pass Step 2CK. Beginning with the 2004-2005 academic year, all medical students are required to pass Step 2CS as a requirement for graduation.  Students will be permitted a maximum of three attempts to pass Step 2CS. Students must be enrolled in the Brody School of Medicine in order to register for and take Step 2CK AND STEP 2CS.
  2. Registration Deadlines and Testing Dates FOR USMLE STEP2CK
    1. Medical students are required to complete applications for Step 2CK during the third year in sufficient time to request test dates on or before September 30th.
    2. Students who do not achieve a passing score on their first attempt at USMLE Step 2 CK will be required to enroll in a Clinical Correlations Individually Designed Elective (IDE) for 4 weeks and are expected to complete a Step 2CK application in time to request a second test date on or before January 30th of the academic year.  The Clinical Correlations IDE can be enrolled in as an independent elective or concurrently with another elective during the same 4-week period.  To pass this elective, students must achieve a passing score on the second take of USMLE Step 2CK.
    3. Students failing to achieve a passing score in their second attempt at Step 2CK will receive a grade of “F” in the Clinical Correlations IDE.  The remediation for this “F” grade will be re-enrollment in the Clinical Correlations IDE and retake of USMLE Step 2CK.  Medical students who did not achieve a passing score on the 1st and 2nd take of the USMLE Step 2CK are required to complete applications for Step 2CK in time to have a passing score by April 30th of the academic year.
    4. Students who successfully remediate the “F” in the Clinical Correlations IDE (pass USMLE Step 2CK) will be considered for graduation in May provided that their USMLE Step 2CK scores are received prior to graduation.  Students receiving a passing score after the May graduation will be considered for a second semester summer school diploma date.
    5. Medical students who do not achieve a passing score on the third take of USMLE Step 2CK , will receive an “F” for the Clinical Correlations IDE remediation.  The M4 Student Review and Promotions Committee will recommend dismissal in accordance with the Student Grading and Promotions Policy that a second “F” in a course, for which a student already received a grade of “F” will be grounds for automatic dismissal.
  3. Registration Deadlines and Testing Dates – USMLE STEP 2CS (Clinical Skills)
    1. Medical students are required to complete application for Step 2CS during the third year in sufficient time to have a passing score by April 30th of their graduation year.
    2. It is recommended that students complete the entire 3rd year clerkship experience prior to sitting for USMLE Step 2CS.
    3. Students who do not achieve a passing score on their first attempt of Step 2CS will be allowed two subsequent attempts.  Medical students who do not achieve a passing score on the 3rd take of USMLE Step 2CS may be recommended for dismissal.
    4. Students who successfully complete USMLE Step 2 CS prior to the April 30th deadline will be considered for graduation in May. Students receiving a passing score after the May graduation date will be considered for a second semester summer school diploma date.
Exceptions may be granted upon written petition to the Assistant Dean for Student Affairs.
 
USMLE Step 2 Clinical Skills
  1. Registration. Deadlines and testing dates - USMLE Step 2 Clinical Skills (CS)
    1. Medical students are required to complete application for Step 2CS during the third year in sufficient time to have a passing score by April 30th of their graduation Year.
    2. It is recommended that students complete the entire 3rd year clerkship experience prior to sitting for USMLE Step 2 CS.
    3. Students who do not achieve a passing score on their first attempt of Step 2CS will be allowed two subsequent attempts. Medical students who do not achieve a passing score on the 3rd take of USMLE Step 2CS may be recommended for dismissal.
    4. Students who successfully complete USMLE Step 2CS prior to the April 30th deadline will be considered for graduation in May. Students receiving a passing score after the May graduation date will be considered for a Second Summer Semester School diploma date.

Exceptions may be granted upon written petition to the Assistant Dean for Student Affairs.