A good score is one that is (a) passing and (b) passing, a fact that
the USMLE apparently realized because rumor has it they are going to
make the exams pass/fail in the near future. For now, keep in mind
that the national average (which has been rising, probably through
artificial means) has been around 215 in 1997-98. The cut-off for a
"good" score once was 200 (when 200 was set as the statistical mean,
or 50th percentile score). Now, though, "good" scores start around
215 and go up from there. And yes, it is sad but true that some
residency programs use USMLE Step I scores as a preliminary cut-off
point for sending out secondary applications and/or interview
requests. Generally the programs that do this tend to be the more
competitive ones - surgery, orthopedics, ENT, neurosurgery, etc.
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