Reviewed by:
Jonathan Preminger
Former Admissions Committee Member, Hofstra-Northwell School of Medicine
Reviewed: 3/19/24
Are you familiar with the average Step 2 scores by specialty? Let’s get into it.
Wondering what it takes to achieve a solid USMLE score? Look no further. In this guide, we'll explore the intricacies of USMLE scores, providing valuable insights into what constitutes success on this critical exam.
Let's break down everything from percentile rankings to what different score ranges mean. Whether you're just starting your preparation or aiming to improve your current score, we've got you covered.
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Specialties With the Highest & Lowest Step 2 CK Scores
Plastic surgery and dermatology typically have median Step 2 CK scores exceeding 250, while family medicine, pathology, and psychiatry tend to have median scores around 230. Let’s take a closer look.
Step 2 CK Percentiles & Average Test Scores
Specialties with the highest Step 2 CK scores tend to include competitive fields such as plastic surgery and dermatology, where median scores typically exceed 250. On the other hand, specialties with the lowest Step 2 CK scores tend to include family medicine, pathology, and psychiatry, with median scores typically hovering around 230, give or take a few points.
In terms of Step 2 CK percentiles and average test scores, the average scores usually fall within the range of 245 to 247. For Step 3, students often receive mean scores between 227 and 228. These variations in mean scores also translate to differences in percentiles. To achieve a score around the 75th percentile for Step 1, you would generally need a score above 245.
Specialties With the Highest & Lowest Step 1 Scores
The specialties with the highest Step 1 scores include plastic surgery, ENT, dermatology, neurosurgery, and orthopedic surgery. These fields demand high scores, with plastic surgery leading at 251, closely followed by ENT at 250, and the rest tied at 248. They're competitive because there aren't many spots available, attracting applicants with stellar academic records.
On the flip side, specialties like neurology, PM&R, pediatrics, psychiatry, and family medicine tend to have lower Step 1 score averages. For instance, neurology averages 233, while family medicine is at the bottom with 225. These areas generally draw applicants with different priorities, like clinical experience and interpersonal skills.
But remember, Step 1 recently switched to a pass/fail system. So while it used to be a big deal, now other things matter more, like Step 2 CK scores, clinical experience, and research. But competition is still fierce because there are more applicants than spots available. So, it's about more than just test scores when it comes to getting into residency programs.
What Is the Mean Score for Step 2?
The mean score for Step 2 of the USMLE is 245, with the passing score at 209.
Does the Step 2 Percentile Matter?
Yes, your USMLE Step 2 percentile does matter. It can influence your chances of matching with your preferred residency program.
What Is the Minimum Passing Score for Step 2 CK?
The minimum passing score for Step 2 CK of the USMLE is 209.
What Is the Average Step 2 CK Score of Applicants Matching to their Preferred Specialty?
Below are the average Step 2 CK scores of applicants who successfully matched to their preferred specialties.
Specialty |
Average Step 2 CK Score |
Anesthesiology |
248 |
Child Neurology |
247 |
Dermatology |
257 |
Diagnostic Radiology |
253 |
Emergency Medicine |
247 |
Family Medicine |
241 |
General Surgery |
250 |
Internal Medicine |
249 |
Internal Medicine/Pediatrics |
250 |
Interventional Radiology |
253 |
Neurological Surgery |
252 |
Neurology |
246 |
Obstetrics and Gynecology |
249 |
Orthopaedic Surgery |
256 |
Otolaryngology |
257 |
Pathology |
245 |
Pediatrics |
245 |
Physical Medicine and Rehabilitation |
242 |
Plastic Surgery |
257 |
Psychiatry |
242 |
Radiation Oncology |
249 |
Vascular Surgery |
250 |
What Step 2 CK Score Is Necessary for Securing Residency Interviews?
To ensure you secure residency interviews, aim for a Step 2 CK score above 255. Similarly, for Step 3, target a score above 235. While Step 1 is now pass/fail, scoring in or above the 75th percentile on Step 2 CK and Step 3 can boost your chances of landing your preferred residency spot.
Average Step 2 Score Based on Specialty
In 2022, plastic surgery, dermatology, and ENT topped the list of medical specialties with the highest average step 2 score based on specialty, all tied at an impressive 257.
Detailed Breakdown of Scores by Specialty
Here's a deep dive into the average Step 1 and Step 2 CK scores, along with research-related metrics, for various specialties among both US seniors and International Medical Graduates (IMGs) from the 2022 Match data.
US Seniors: Average Step 1, Step 2 CK Scores by Specialty (2022 Match)
Specialty |
Step 1, US Senior (Unmatched) |
Step 2, US Senior (Matched) |
Step 2, US Senior (Unmatched) |
Anesthesiology |
237 |
221 |
248 |
Child Neurology |
234 |
214 |
247 |
Dermatology |
248 |
244 |
257 |
Diagnostic Radiology |
245 |
233 |
253 |
Emergency Medicine |
234 |
219 |
247 |
Family Medicine |
225 |
211 |
241 |
General Surgery |
237 |
225 |
250 |
Internal Medicine |
237 |
218 |
249 |
Internal Medicine/Pediatrics |
236 |
217 |
250 |
Interventional Radiology |
245 |
238 |
253 |
Neurological Surgery |
248 |
238 |
252 |
Specialty |
Step 1, US Senior (Unmatched) |
Step 2, US Senior (Matched) |
Step 2, US Senior (Unmatched) |
Neurology |
233 |
217 |
246 |
Obstetrics and Gynecology |
234 |
225 |
249 |
Orthopaedic Surgery |
248 |
241 |
256 |
Otolaryngology |
250 |
243 |
257 |
Pathology |
233 |
226 |
245 |
Pediatrics |
230 |
209 |
245 |
Physical Medicine and Rehabilitation |
230 |
220 |
242 |
Plastic Surgery |
251 |
240 |
257 |
Psychiatry |
228 |
219 |
242 |
Radiation Oncology |
240 |
209 |
249 |
Vascular Surgery |
241 |
238 |
250 |
US Seniors: Average Abstracts, Presentations, and Publications by Specialty (2022 Match)
Specialty |
Mean Number of Abstracts, Presentations, and Publications, US Senior (Unmatched) |
Anesthesiology |
6.6 |
Child Neurology |
7.4 |
Dermatology |
20.9 |
Diagnostic Radiology |
8 |
Emergency Medicine |
5.1 |
Family Medicine |
4.1 |
General Surgery |
8.6 |
Internal Medicine |
6.9 |
Internal Medicine/Pediatrics |
6.5 |
Interventional Radiology |
12.2 |
Neurological Surgery |
25.5 |
Neurology |
7.8 |
Obstetrics and Gynecology |
6.8 |
Orthopaedic Surgery |
16.5 |
Otolaryngology |
17.2 |
Pathology |
8.5 |
Pediatrics |
5.6 |
Physical Medicine and Rehabilitation |
6.2 |
Plastic Surgery |
28.4 |
Psychiatry |
6.2 |
Radiation Oncology |
13.3 |
Vascular Surgery |
12.4 |
IMGs: Average Step 1 Scores by Specialty (2022 Match)
Specialty |
Step 1, US IMG (Unmatched) |
Step 1, Non-US IMG (Matched) |
Step 1, Non-US IMG (Unmatched) |
Anesthesiology |
233 |
226 |
234 |
Child Neurology |
227 |
215 |
228 |
Dermatology |
N/A |
N/A |
251 |
Diagnostic Radiology |
241 |
231 |
247 |
Emergency Medicine |
227 |
213 |
231 |
Family Medicine |
211 |
207 |
219 |
General Surgery |
236 |
225 |
238 |
Internal Medicine |
225 |
212 |
238 |
Internal Medicine/Pediatrics |
220 |
215 |
230 |
Interventional Radiology |
261 |
240 |
250 |
Neurological Surgery |
N/A |
217 |
246 |
Specialty |
Mean Number of Abstracts, Presentations, and Publications, US Senior (Unmatched) |
Anesthesiology |
6.6 |
Child Neurology |
7.4 |
Dermatology |
20.9 |
Diagnostic Radiology |
8 |
Emergency Medicine |
5.1 |
Family Medicine |
4.1 |
General Surgery |
8.6 |
Internal Medicine |
6.9 |
Internal Medicine/Pediatrics |
6.5 |
Interventional Radiology |
12.2 |
Neurological Surgery |
25.5 |
Neurology |
7.8 |
Obstetrics and Gynecology |
6.8 |
Orthopaedic Surgery |
16.5 |
Otolaryngology |
17.2 |
Pathology |
8.5 |
Pediatrics |
5.6 |
Physical Medicine and Rehabilitation |
6.2 |
Plastic Surgery |
28.4 |
Psychiatry |
6.2 |
Radiation Oncology |
13.3 |
Vascular Surgery |
12.4 |
IMGs: Average Step 2 CK Scores by Specialty (2022 Match)
Specialty |
Step 2, Non-US IMG (Matched) |
Step 2, Non-US IMG (Unmatched) |
Step 1, Non-US IMG (Unmatched) |
Anesthesiology |
240 |
236 |
243 |
Child Neurology |
234 |
225 |
239 |
Dermatology |
N/S |
N/A |
252 |
Diagnostic Radiology |
247 |
239 |
250 |
Emergency Medicine |
238 |
225 |
240 |
Family Medicine |
225 |
219 |
231 |
General Surgery |
246 |
234 |
247 |
Internal Medicine |
235 |
222 |
245 |
Internal Medicine/Pediatrics |
229 |
231 |
243 |
Interventional Radiology |
270 |
244 |
246 |
Neurological Surgery |
N/A |
228 |
247 |
Specialty |
Step 2, US IMG (Unmatched) |
Step 2, Non-US IMG (Matched) |
Step 2, Non-US IMG (Unmatched) |
Neurology |
235 |
225 |
245 |
Obstetrics and Gynecology |
243 |
232 |
243 |
Orthopaedic Surgery |
255 |
241 |
249 |
Otolaryngology |
N/A |
N/A |
N/A |
Pathology |
228 |
221 |
238 |
Pediatrics |
233 |
221 |
240 |
Physical Medicine and Rehabilitation |
227 |
229 |
237 |
Plastic Surgery |
232 |
244 |
240 |
Psychiatry |
228 |
222 |
236 |
Radiation Oncology |
N/A |
N/A |
240 |
Vascular Surgery |
- |
- |
251 |
Step 1 vs. Step 2 Scores & Test Averages
Take a look at how Step 1 and Step 2 scores stack up against each other, along with their respective test averages, across different medical specialties.
Specialty |
Step 1 Score |
Step 2 CK Score |
Step 1 Average |
Step 2 CK Average |
Anesthesiology |
1348 |
1454 |
230.6 |
240.0 |
Child Neurology |
123 |
122 |
227.3 |
238.8 |
Emergency Medicine |
1759 |
2008 |
232.5 |
244.5 |
Family Medicine |
2481 |
2886 |
216.7 |
230.5 |
Internal Medicine (preliminary) |
1977 |
2114 |
236.2 |
243.6 |
Internal Medicine (categorical) |
5483 |
6489 |
231.8 |
240.8 |
Internal Medicine/Pediatrics |
330 |
353 |
231.4 |
244.0 |
Specialty |
Step 1 Score |
Step 2 CK Score |
Step 1 Average |
Step 2 CK Average |
Neurological Surgery |
214 |
218 |
243.3 |
244.5 |
Neurology |
650 |
695 |
229.6 |
238.7 |
Obstetrics and Gynecology |
1123 |
1234 |
227.9 |
242.7 |
Orthopaedic Surgery |
723 |
733 |
245.5 |
252.3 |
Otolaryngology |
304 |
311 |
246.8 |
252.6 |
Pathology: Anatomic and Clinical |
518 |
552 |
227.3 |
233.8 |
Pediatrics |
2418 |
2596 |
227.2 |
240.7 |
Specialty |
Step 1 Score |
Step 2 CK Score |
Step 1 Average |
Step 2 CK Average |
Physical Medicine and Rehabilitation |
275 |
277 |
223.8 |
235.5 |
Plastic Surgery: Integrated |
159 |
162 |
246.1 |
251.1 |
Psychiatry |
1286 |
1365 |
220.5 |
232.5 |
Surgery: General (preliminary) |
1060 |
1173 |
232.0 |
239.3 |
Surgery: General (categorical) |
1076 |
1173 |
235.0 |
246.5 |
Thoracic Surgery: Integrated |
39 |
39 |
242.3 |
246.2 |
Transitional Year |
927 |
1005 |
238.8 |
244.9 |
Vascular Surgery: Integrated |
62 |
64 |
235.2 |
246.5 |
Side-by-Side Comparison of Step 2 Score Percentiles with Step 1, Step 2 CK, and Step 3
Here's a side-by-side comparison of Step 2 score percentiles with Step 1, Step 2 CK, and Step 3.
Score |
Step 1 Percentile |
Step 2 CK Percentile |
Step 3 Percentile |
300 |
100 |
100 |
100 |
295 |
100 |
100 |
100 |
290 |
100 |
100 |
100 |
285 |
100 |
100 |
100 |
280 |
100 |
100 |
100 |
275 |
100 |
99 |
100 |
270 |
100 |
96 |
100 |
265 |
98 |
91 |
100 |
260 |
95 |
82 |
99 |
255 |
90 |
71 |
98 |
Score |
Step 1 Percentile |
Step 2 CK Percentile |
Step 3 Percentile |
82 |
59 |
95 |
100 |
245 |
72 |
46 |
89 |
240 |
62 |
35 |
81 |
235 |
52 |
25 |
71 |
230 |
43 |
17 |
58 |
225 |
34 |
12 |
45 |
220 |
26 |
7 |
32 |
215 |
19 |
4 |
22 |
210 |
14 |
3 |
13 |
205 |
10 |
1 |
8 |
Score |
Step 1 Percentile |
Step 2 CK Percentile |
Step 3 Percentile |
200 |
7 |
1 |
4 |
195 |
4 |
0 |
2 |
190 |
3 |
0 |
1 |
185 |
2 |
0 |
0 |
180 |
1 |
0 |
0 |
175 |
1 |
0 |
0 |
170 |
1 |
0 |
0 |
165 and below |
0 |
0 |
0 |
210 |
14 |
3 |
13 |
205 |
10 |
1 |
8 |
Optimal Timing for Taking Step 2
It's best to take Step 2 CK shortly after finishing your clinical rotations. This way, the knowledge and skills you gained during your rotations are still fresh, making it easier to answer test questions.
The scenarios you encountered during rotations are similar to those in Step 2 CK, which helps with exam preparation. Waiting too long after rotations could lead to forgetting important information or losing touch with clinical reasoning, which might affect your performance.
So, scheduling Step 2 CK soon after rotations ensures you're well-prepared and improves your chances of success.
Release Schedule for Step 2 Scores
Step 2 scores usually come out within two to four weeks after your test date. But keep in mind, sometimes there can be delays due to different reasons.
To play it safe and not stress about waiting, it's smart to expect your results around eight weeks after you take the test. This way, you're prepared for any possible hold-ups and can plan accordingly for when you'll get your scores.
Is Preparation for Step 2 CK Necessary?
Preparing for Step 2 CK is crucial. This exam tests your clinical knowledge and readiness for real-world medical practice.
It's important to use a variety of study materials, like online question banks and review courses, and create a study plan that fits your learning style and schedule. Putting in the effort now will help you succeed on the exam and in your future medical career.
With dedicated preparation, including resources like our USMLE tutoring, you're poised to excel on the exam and pave the way for a successful medical career!
Do You Have a Well-Structured Study Plan for Step 2 CK?
Having a well-structured study plan for Step 2 CK is crucial. Tailoring it to fit your learning style and study schedule is key. This approach not only helps manage time effectively but also prevents last-minute cramming, ultimately reducing stress during preparation.
FAQs
Curious about the average Step 2 scores by specialty? Let's address some common questions in our FAQs section.
1. What Is Considered a Good Step 1 Score?
A good Step 1 score typically falls within the range of 230 to 250, but the definition of "good" varies by specialty and program competitiveness.
2. How Do Step 1 Percentile Rankings Affect Residency Applications?
Higher percentiles indicate stronger performance relative to other test-takers, but residency programs also consider other factors like clinical experience and research.
3. What Score Do I Need to Match Into My Desired Specialty?
The score needed varies by specialty and program competitiveness, but generally, a score above the national average for your specialty improves your chances.
4. How Does Step 1 Becoming Pass/Fail Impact Residency Applications?
Step 1's transition to pass/fail shifts focus to other application components like Step 2 CK scores, clinical evaluations, and research experience.
Final Thoughts
To sum up, knowing the score trends across different specialties is key for medical students planning their residency paths. Whether aiming high for competitive fields like plastic surgery or focusing on solid Step 2 CK prep, understanding these dynamics is vital. It's all about informed planning and dedication to pave the way for residency success.