Here’s a fun fact:

In terms of *relative* performance, an examinee who scored a 219 on USMLE Step 1 in 1993 is equivalent to one who scored a 250 today.

(thread)
Back in 1993, you scored a 219, and the world was your oyster.

Today things are a little different.

Know how many U.S. medical students matched into otolaryngology in 2018 with a USMLE Step 1 score <220? Eight.

Dermatology? Seven.

Interventional radiology? A big fat ZERO.
But here’s the thing:

In terms of *absolute* performance, today’s examinee with a 219 is exactly equivalent in knowledge to one who scored 219 twenty-five years ago.

The USMLE has never undergone a “recentering” like the SAT. Today’s test takers just get more questions right.
The rise in Step 2 CK scores has been even more dramatic.

An AVERAGE test-taker today would have been just below the 99th percentile if they’d taken the test in the early 1990s.
Want to know where I’m going with this? Then stay tuned.

(This thread is mainly in response to some DMs I’ve received. But I’m going to have a piece on my website later this week with more on #scorecreep and how we *should* think about USMLE scores.)
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