USMLE Step 2 CK FAQ
The most common questions about the exam — answered clearly.
Frequently Asked Questions
How important is Step 2 CK after Step 1 went pass/fail?
Critical — it's now the primary numeric score residency programs use to rank applicants, especially for competitive specialties.
When should I take Step 2 CK?
Most students take it during M3 (after core clerkships) or early M4. Earlier is better if applying to competitive specialties.
What score should I aim for?
≥240 is competitive for most specialties; ≥250 for dermatology, plastic surgery, orthopedics; 230 is solid for primary care and family medicine.
Best resources?
UWorld Qbank, NBME practice exams, Online MedEd or Boards & Beyond Step 2 lectures, and Step 2 Secrets or Master the Boards.
How is Step 2 CK different from Step 1?
Step 1 was basic sciences; Step 2 CK is clinical reasoning. Vignettes are longer, focus on next steps in management, prognosis, and communication.