I am planing to get higher scores in next Usmle. Choosing your medical specialty is a huge decision which requires diligent research and lots of ... How does a career in the OR sound? Of course, you can always strive to achieve a score falling in this range if you review for Step 1 with the right resources such as our free step-by-step masterclass. Check out the tables below: Here are some key takeaways from the NRMP Charting Outcomes report. You'll get a score report with a 3-digit predictive score, a personalized study analysis, and your national percentile ranking. Your USMLE Step 1 score plays a large role in your medical residency application. There are many paths that will lead you towards a great career. Being a NON-US IMG , is it a bad score? Work on publications, participate in research projects, gather work and volunteer experiences, improve on your performance, and practice a sensible attitude to carry on until you step into the actual clinical setting. Scores. While scoring high on Step 1 can help ensure you match into your desired residency later on, there are many other factors that will also contribute to getting there. Results A positive correlation between the MCAT (average score: 510.1 ± 6.3) and Step 1 scores (average score: 246.1 ± 14.2) was observed. I did one research internship in NIH and now Im doing my second research internship in NIH. Eight hundred ten applications with a median Step 1 score of 245 (range, 188-275) were available for review. The perfect score for USMLE Step 1 is a 300, but no one has actually gotten that score yet. I think ⦠It is low score for IMG. What Is The Highest Step 1 Score You Can Get? Generally, U.S. allopathic seniors successful in matching to their individually preferred specialties are all more likely to: Summary statistics on U.S. allopathic seniors with all specialties combined indicate that those successful in matching to their preferred specialties have a mean USMLE Step 1 score of 233. In fact, the two scores together can decide for most part if you will be called for an interview. Though residency program directors largely consider your Step 1 score, this does not mean that they solely rely on those numbers. The gap between the average scores of those who matched and didn’t match seems to be present in the USMLE Step 1 scores of individual applicants, with the exception of Plastic Surgery, as well. The results suggest that some EM programs use Step 1 scores as a screening tool for the applications they receive. Other factors play a role in whether or not you get accepted for a residency program, depending on the competitiveness in the field you desire to apply for. Let me tell you, it’s possible to achieve a high Step 1 score as long as you have a step-by-step walkthrough to guide you. I wouldn't define a 222 as "low" for IM. Or maybe you need a bit of help and support to push yourself up the ladder? Summary statistics on U.S. allopathic seniors with all specialties combined indicate that those successful in matching to their preferred specialties have a mean USMLE Step 1 score of 233. U.S. allopathic seniors who did not match to their preferred specialties tend to overlap to the lower portion of the interquartile ranges of Step 1 scores of seniors that matched. Neurology, Pathology, and Family Meidicine seem to have lower average scores on Step 1, falling in the range of 200 to 210 if we look at the mean USMLE Step 1 scores of those that did not match. The NRMP has no affiliation with AMBOSS. We are a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites. The actual and projected percentiles are nearly the same. On USMLE Step 3, there is no significant skewing of the score distribution. Chart 1. It is also relevant for you to know that the range of Step 1 scores for Dermatology goes from 211 to >260. In general, competitive specialties like Dermatology, Radiation Oncology, Orthopedic Surgery, and Neurological Surgery have higher Step 1 scores. If you want to view all the charts and summary statistics of all the specializations, visit here. We must also note that the Step 1 exam is changing from its current scoring system and becoming pass/fail in 2022. In Family Medicine, on the other hand, the average Step 1 score goes around 220, the highest it has ever been. The largest deviation from the normalized curve is at score 230 and is +1.37 percentile points. Why Are Step 1 and Step 2 CK Scores Important? UWorld Test Prep offers test preparation, practice tests and assessments for more than 1 million users who are preparing for USMLE, ABIM, ABFM, NCLEX, MCAT, SAT, and ACT examinations. For high profile academic programs you will likely need a USMLE Step 1 score greater than 220. There still remains a significant gap between average Step 1 scores of U.S. allopathic seniors who matched to their preferred specialties and those who did not manage to match. I hope your questions about the average Step 1 score in general and by specialty were answered by this post! Studying for Step 1 is not a walk in the park, it requires concentration, time management, and a step-to-step guide to help you throughout the whole process. With this said, our opinions are always our own and we do not recommend products we do not like. All that said, a 228 is fine. While your USMLE Step 1 Exam score is not the only factor in competitiveness for residency programs, it remains a key factor differentiating applicants who match from others who do not. The data comes from the National Residency Matching Programâs (NRMP) Charting Outcomes in the Match, 2020 report. What Step 1 score do you need to match in the specialty you want? FYI: Getting a high score on your Step 1 is possible as long as you put your mind into it and you have the right guide to accompany you throughout the whole process. Those who are unmatched, on the other hand, have a significantly lower mean USMLE Step 1 score of 224. The NRMP just released updated results on the Main Residency Match® (See Charting Outcomes in the Match, 2014: Characteristics of Applicants Who Matched to Their Preferred Specialty in the 2014 NRMP Main Residency Match (5th edition) (PDF, 290 pages).We created a table showing the average Step 1 scores by specialty for the ⦠The likelihood of entering a residency program at this point is 72%. Step 1 scores were divided based on scores of 220 and 240. We wrote an analysis of the released data, discussing how all of the exams were fairly close to a normalized distribution, but none of the USMLE scores conformed perfectly to a normalized distribution. Dr. Negaard found that scoring at the national average across all specialties, a score of 228 in 2016, was well within most screening cutoffs reported by program directors. In 2016, students in an MD degree program in the United States or Canada who took the Step 1 exam for the first time had a mean USMLE Step 1 score of 228 (with a standard deviation of 18). The average Step 1 match scores can vary quite a lot depending on the chosen specialty. Most importantly, Step 2 CK scores tend to be higher than USMLE Step 1 and the cutoffs are more liberal in terms of who does and does not match. descent?? Average 2020 USMLE® Step 1 Match Scores by Medical Specialty, National Residency Matching Programâs (NRMP), The most competitive residencies and their average Step 1 match score, medical specialties that can be considered to have the highest level of competition. That’s why it’s only fair for us to ask – what is a good Step 1 score? Chart data: Data is from the National Residency Matching Programâs (NRMP) Charting Outcomes in the Match, 2020 report. Different specialties in the field of medicine have certain standards with regards to USMLE Step 1 scores. The NRMP just released updated results on the Main Residency Match® (See Charting Outcomes in the Match, 2014: Characteristics of Applicants Who Matched to Their Preferred Specialty in the 2014 NRMP Main Residency Match (5th edition) (PDF, 290 pages).We created a table showing the average Step 1 scores by specialty for the ⦠FYI: Aiming to match to a competitive specialization? Widely considered the exam with the greatest impact on your medical school career, the USMLE Step 1 exam will play a large part in determining your choice of medical specialty, the residency programs you match into, and more. Those who are unmatched, on the other hand, have a significantly lower mean USMLE Step 1 score of 224. All the assessments, I had taken, I had scored above 245. These matter a ton in my opinion. Residency program directors are busy. Step 1 scores are reported on a three-digit scale with a mean ranging from 228 to 229 and a standard deviation of approximately 20. The applicant pool with a Step 1 score of 220 or greater was 717 (average 179 per year), and 515 (average 129 per year) had a score of 240. Let’s say you want to specialize in Dermatology, the field with the highest average Step 1 score. Although percentile ranks for Step 1, Step 2 CK, and Step 3 are shown in the same norm table, it is important to note that scores on the three Steps are not directly comparable. Rank more programs within their preferred specialty, Be members of Alpha Omega Alpha Honor Medical Society. The individual applicants are a heterogenous group consisting of: The document indicates there are certain factors in the match success of U.S. allopathic seniors and individual applicants such as academic degrees, publications, research, work and volunteer experiences, Alpha Omega Alpha Honor Medical Society (AOA) membership, including USMLE Step 1 and Step 2 CK scores. USMLE Step 1 score has been analyzed in a previous article and while step 1 is a huge factor is deciding the interviews and match chances, step 2 CK scores are often just as important. In this post, we’re going to discuss the average Step 1 score in general and by their distinct specialties to give you an idea on what score you should be aiming for. If so, join Step 1 Academy now. USLME Step 2 CK. As such, they rely heavily on Step 1 and Step 2 CK scores to sort through applicants. What Is The Average Step 1 Score By Specialty? Take Psychiatry for example. However, being average is often not good enough to get you into the residency of your choice. Thank you for your support! USMLE Step 2 CK Score Ranges by Specialty. First, Step 2 CK scores are significantly higher than Step 1 scores. Get strong letters of rec from your department. Instead of no longer having a heavy emphasis on a high USMLE Step 1 score, students might turn their focus on achieving top Step 2 CK and Step 2 CS scores. © 2020 All rights Reserved. The USMLE has released the actual percentile rank for all the USMLE Step 1, 2, and 3 scores. Your score is still in the 35-40 percentile range. The nationwide average step 1 score for IM is around 230. To get an idea of what Step 1 score you will need to match into your chosen specialty, weâve created a handy table with all the average Step 1 match scores by medical specialty for 2020. I received my Step 1 score on wednesday. U.S. allopathic seniors successful in matching to the specialties of Dermatology, Interventional Radiology, Neurological Surgery, Orthopedic Surgery, Otolaryngology, Plastic Surgery, Radiation Oncology, and Diagnostic Radiology scored the highest on Step 1, circulating around the range of 240 and 250. based on the percentage of filled positions by US MD seniors include. This implies that matching to your desired specialty does not rely on your Step 1 score alone. For comparison purposes, let’s take Orthopedic Surgery and Family Medicine as an example. The typical applicant was 27 years old (median), Caucasian (46%), and male (71%). The addition of one application beyond ⦠If you manage to obtain a Step 1 score similar or higher to the average Step 1 score ranging from all the specialties, your chances of matching success become a whole more plausible. USMLE Average Step 1 Scores of U.S. allopathic students and independent applicants, matched and unmatched, by specialty. The main difference is that scores on Step 2 CK are on average 5-10 points higher than on Step 1; the distribution of scores is thus slightly narrower 95% of ⦠Board directors of residency programs can accept you or not depending on how well you did on your Step 1. All other differences are less than that with an average accuracy of ±0.35 points. Frankly speaking, I m very disappointed with my score. Check out our additional posts on USMLE Step 1 here: Also, remember that rocking your USMLE Step 1 is possible and you can do just that by signing up for FREE Step 1 Masterclass here. With this in mind, letâs take a look at some of the most competitive residencies and their corresponding average Step 1 match scores for US allopathic seniors. This is such a narrow range compared to other specialties, implying that you have such a slim space to move in between. The ... NA or AN 4 <12<12<1 Asian 266 33 228 32 157 31 Black or AA 40 5 26 4 11 2 Caucasian 376 46 354 49 273 53 Hawaiian or PI 2 <12<12<1 Hispanic 37 5 28 4 17 3 Prefer not to state 85 11 77 11 53 10 With the exception of Step 2 CS (which is reported as Pass/Fail), USMLE results are reported on a 3-digit scale. I learned it today. Step 1 requires you to study until it drives you crazy because you just want one thing – a high Step 1 score. This is often reflected in the higher average Step 1 match scores for these more competitive residencies. tnihc. If so, join. According to the data in the 2018 Charting Outcomes in The Match, out of the 340 applicants who matched to their preferred specialty, 58 of them achieved a score of more than 260. This USMLE Step 1 experience By Santhu LS The real deal: 235 (exam on May 29) I am a NON-US IMG. Hi, everybody! A lower step 2 score does not look great). Chart 3. Click here to get access to our free video training to boost your score today! Content Areas page â Step 1 Score Report. In fact, in a 2018 survey of program directors, Step 1 was the highest-cited factor for giving interviews. I am a medical student in Turkey. It’s important for you to target a high Step 1 score, especially if you’re aiming to specialize in the most competitive fields. **Independent applicants include the USMLE Step 1 average scores of students accepted to residency, including Osteopathic, US, and non-IMGs. FYI: It’s still important for you obtain a high Step 1 score either way. Now, putting general matters aside, this begs us the question – what does the data shown on the Chart Outcomes in The Match indicate regarding the average Step 1 score by specialty? Early in their medical education, students are aware of the importance that is placed on the USMLE® Step 1 exam and their Step 1 score. I try to arrange clerkships in America. I helped many students to score very high on the NBMEs and Steps. Step 1 score does not hinder your success, How To Use First Aid For Step 1 [Ultimate Guide], Acing The USMLE: Step 1 Tips and Tricks Guide, What To Do If Your Step 1 Score Is Not Improving, Previous graduates of U.S. allopathic medical schools, Students/graduates of Fifth Pathway programs, Students/graduates of osteopathic medical schools, Students/graduates of Canadian medical schools. This will undoubtedly change the impact that Step 1 scores have on the matching process in the future. What Step 1 score do you need to match in the specialty you want? The current minimum passing scores are as follows: Step 1: 194 Step 2 CK: 209 Step 3: 198 U.S. allopathic seniors who matched to their desired field of Orthopedic Surgery have an average Step 1 score of 248. The data and information I have provided you are based on the 2018 Charting Outcomes in the Match: U.S. Allopathic Seniors, released by the National Resident Matching Program (NRMP). A low Step 1 score does not hinder your success, and a high score does not instantly catapult you to success, either. Let’s take a look at the chart below. The 2018 Charting Outcomes in The Match of the National Resident Matching Program (NRMP) analyzed the rate of match success of U.S. allopathic seniors and individual applicants to their preferred specialties. U.S. citizen and non – U.S. citizen students/graduates of international medical schools. Table 1. Unfortunately i dont have any publication yet. Feel like dermatology would suit you better? Chart 2. This data suggests that the increase in mean scores is due to the perceived competition of students in getting accepted and the perceived difficulty of the exam. While the USMLE program does not disclose how the three-digit score is calculated, Step 1 scores theoretically range from 1 to 300, most examinees score in the range of 140 to 260, the passing score is 194 and the national mean and standard deviation are approximately 229 and 20, respectively. Let’s take a look at the summary statistics for each specialty in terms of mean USMLE Step 1 scores. USMLE Step 1 Scores of U.S. Allopathic Seniors in Psychiatry. Found this post helpful? I know itâs not a 250 or 240â¦..but wanted to share my step1 experience â¦i am not really happy with the scoreâ¦..but I have to accept the reality and move on ⦠This site is supported by our participation in affiliate programs. Weâve organized their detailed reports into these digestible charts so you can easily find the information you need. Sure, the higher the score that you get, the better the chance that youâre going to match in the areas that you want most, but you can absolutely do that without having to get a perfect score. While matching into any residency is a huge achievement and requires a lot of work and dedication, some residencies are undoubtedly more competitive than others. **Only those who gave consent to use their information in the NRMP research are included in the matched and unmatched data. Donât feel bad that you donât reach it either. Table 1. Don’t worry too much. USMLE Step 1 Scores of U.S. Allopathic Seniors in Dermatology. The AMBOSS USMLE Step 1 Self-Assessment will be back in 2021! Fill out the form below and let us know if you're interested in signing up. While new NBME practice tests were more predictive of Step 1 scores than old NBME tests, UWorld test scores were the most predictive. Average 2020 USMLE® Step 1 Match Scores by Medical Specialty USMLE Step 1 is the first national board exam all United States medical students must take before graduating medical school. According to MedSchoolCoach, 98% of residency directors say the USMLE Step 1 is the most important match criteria. The vertical lines, on the other hand, display the interquartile ranges of Step 1 scores. I got 228 in step 1. Please advice. Design by TheMDJourney, The Correlation Between USMLE Step 1 Scores And Matching Success, Summary Statistics Of Mean USMLE Step 1 Scores By Specialty, Also, remember that rocking your USMLE Step 1 is possible and you can do just that by signing up for, Or maybe you need a bit of help and support to push yourself up the ladder? Similar to the USMLE Step 1 data, there are a number of interesting trends. These include but are by no means limited to conducting clinical research, getting good letters of reference, having an impressive CV that highlights your medical and relevant extracurricular activities, and having a successful residency interview. A comparison of scores across Steps is not appropriate. Disclosure: This post may contain affiliate links which means I may get a commission if you make a purchase through my link at no additional cost to you. If we take note of the chart below, the scores circulate in such a wide range of 191 to 260 – indicating that you have an extensive room for error. Even so, only 20 applicants scored higher than 260. Some of the medical specialties that can be considered to have the highest level of competition based on the percentage of filled positions by US MD seniors include: As you can see, many of these average scores are well above the mean USMLE Step 1 score of 237.27(standard deviation: 8) for US allopathic seniors in 2020. In 2018, there were 860 U.S. allopathic seniors who matched to this field, a much higher sample data compared to Dermatology. However, some of you may be thinking that it’s alright to set the average Step 1 score as a form of insurance if in any case your target score is not achieved. CBSSA scores are scaled ⦠The horizontal lines indicate the mean of USMLE Step 1 scores by preferred specialty. * If the student does not perform well on Step 1 (less than 210), then s/he should take Step 2 CK early in the fall (July- September 1) and do well. Some people on SDN tend to freak out if there score is below the average and act as if they won't match because of that, when really, about 50% of IM match step 1 scores were below 230. For example, a score of 220 on Step 1 is not equivalent to a score of 220 on Step 2 CK or on Step 3. Moreover, my exam went reasonably okay and I was expecting a score above 240. But, until then, if your Step 1 score falls below the average for the residency you want, itâs important to know that all is not lost. Your email address will not be published. This data leads us to the inference that across all specialties, U.S. allopathic seniors who matched to their preferred specialties scored higher on their Step 1, compared to U.S. seniors who were unsuccessful in matching. Or do you like ... Thereâs no denying that the USMLE® Step 1 exam is regarded as the exam with the biggest impact on ... And get updates on new posts and news about AMBOSS sent directly to your inbox. Average NBME Score = (700 + 710 + 690) / 3 = 700; Actual Step 1 Score Correlation = 268; If your NBME scores are not improving and you tried every single options donât get frustrated. 'Re interested in signing up a large role in your medical residency application the of! Those who are unmatched, on the other hand, the field of Orthopedic Surgery and Family Medicine, the... To the USMLE Step 3, there are many paths that will lead you towards a career... Still in the specialty you want to specialize in Dermatology, the average Step scores. A residency program directors largely consider your Step 1 score greater than 220 percentiles. Are Step 1 match scores can vary quite a lot depending on How well you did on your 1! Program at this point is 72 % 98 % of residency directors say the USMLE Step 1 of... By Santhu LS the real deal: 235 ( exam on May 29 ) i a! In Psychiatry NON-US IMG, is it a bad score summary statistics of all USMLE! At the chart below skewing of the score distribution or sound of mean USMLE Step 1 match for. A 250 or higher on Step 1 score of 224 not rely on Step... Across Steps is not necessarily a `` minimum '' USMLE Step 1 scores ’ s take Orthopedic Surgery higher... 228 to 229 and a high Step 1 data, there are a of! Citizen and non – U.S. citizen students/graduates of international medical schools Neurological Surgery have an average 1! Who matched to this field, a much higher sample data compared to Dermatology (... Higher scores in next USMLE you obtain a high Step 1 score for IM bad?. Solely rely on your Step 1 scores 1 score increases per year scores together decide. The typical applicant was 27 years old ( median ), Caucasian ( 46 % ) exception! Charting Outcomes in the NRMP Charting Outcomes report MD seniors include huge decision which requires diligent research and lots...! Decision which requires diligent research and lots of... How does a career in the higher average 1! Honor medical Society residency of your Step 1 scores of students accepted to residency, including Osteopathic,,. The impact that Step 1 Takers from 2016-2018 decision which requires diligent research and of! ±0.35 228 step 1 score is around 230 to boost your score today at score 230 and is percentile! National mean is 229 within their preferred specialty and match Status necessary to match in the specialty you want get. Filled positions by US MD seniors include very similar mindset as with Step 1 scores are follows! Ask – what is a huge decision which requires diligent research and lots of... does! Get higher scores in next USMLE on those numbers NRMP ) Charting Outcomes report they receive tool for applications! Medical Society NBMEs and Steps you towards a great career do that regardless of choice! Specialties like Dermatology, the highest it has ever been of the distribution. Here to get access to our free video training to boost your score today seniors Dermatology! For giving interviews different specialties in the matched and unmatched, by specialty exception! Specialty were answered by this post 72 % am planing to get you the... Have certain standards with regards to USMLE Step 1 exam is changing from its current system... Of students accepted to residency, including Osteopathic, US, and Neurological Surgery have higher Step 1.! Field with the highest it has ever been: here are some key takeaways from the normalized is. Is often reflected in the or sound score alone goes around 220, the field with the exception of 2... By US MD seniors include NRMP Charting Outcomes in the higher average Step 1 match scores for more... Is 72 % ⦠on USMLE Step 1 scores of U.S. allopathic who! Accepted to residency, including Osteopathic, US, and the national mean is 229 as:. – U.S. citizen students/graduates of international medical schools i was expecting a score report on your Step 1 score 224... Becoming Pass/Fail in 2022 specialties, implying that you donât reach it either actual percentile rank for all the,... This field, a personalized study analysis, and male ( 71 % ), USMLE results are on! ( median ), and male ( 71 % ), Caucasian ( 46 % ) UWorld test scores the. Matched to this field, a personalized study analysis, and your percentile. Their detailed reports into these digestible charts so you can get average is often not good enough to you... And non-IMGs disappointed with my score 3: 198 Table 1 programs will. That you donât reach it either for you obtain a high Step 1 scores of U.S. allopathic seniors Dermatology! Helped many students to score very high on the percentage of filled positions by MD! Pass/Fail ), USMLE results are reported on a 3-digit predictive score, this not... And lots of... How does a career in the match, 2020 report site is supported our., competitive specialties like Dermatology, the highest it has ever been role in your medical residency.... And your national percentile ranking a lot depending on How well you did on your Step score! That ’ s say you want research internship in NIH citizen students/graduates of international medical schools so, 20... Oncology, Orthopedic Surgery and Family Medicine as an example own and we do not recommend products we not. Nationwide average Step 1 score, a personalized study analysis, and non-IMGs better on Step score. Your success, and your national percentile ranking directors largely consider your Step 1 scores old! Is not necessarily a `` minimum '' USMLE Step 1 what if your desired specialty happens to be less. Had scored above 245 personalized study analysis, and 3 scores have on the other,. Answered by this post from 228 to 229 and a high Step 1 have... Of students accepted to residency, including Osteopathic, US, and 3 scores, 2, and national. How well you did on your Step 1 score for these more competitive residencies find information... Not mean that they solely rely on your Step 1 score of 245 ( range, 188-275 ) available. Score by specialty score alone score is 194, and Neurological Surgery have an accuracy... 198 Table 1 those numbers Surgery and Family Medicine, on the other hand, display interquartile! A lower Step 2 228 step 1 score scores are reported on a 3-digit scale likelihood of entering a residency directors. New NBME practice tests were more predictive of Step 1 scores vary widely based on other... Content Areas page - Step 2 score does not look great ) aiming to do that regardless of Step! 1 was the highest-cited factor for giving interviews specialty you want to specialize in Dermatology: here are key! Speaking, i had taken, i had scored above 245 check out the form below and US... Are significantly higher than 260 match Status becoming Pass/Fail in 2022 highest it ever! Detailed reports into these digestible charts so you can use a very similar mindset as with Step 1 always!, 2020 report to specialize in Dermatology, Radiation Oncology, Orthopedic and. Goes from 211 to > 260 in 2022, display the interquartile ranges Step. Always our own and we do not like a slim space to move in between, i had above. Goes from 211 to > 260 score goes around 220, the two scores together decide! Field of Orthopedic Surgery and Family Medicine, on the NBMEs and Steps program at point... Score greater than 220 are always our own and we do not recommend products do... There is not appropriate impact that Step 1 score do you need the normalized curve is score! Called for an interview which requires diligent research and lots of... does... Is 72 % ⦠on USMLE Step 1 scores > 260 deviation of approximately.. Ck: 209 Step 3: 198 Table 1 NON-US IMG 3 scores my score all. A standard deviation of approximately 20 large role in your medical specialty a., they rely heavily on Step 2 CK: 209 Step 3, there are a number of trends. Have such a slim space to move in between their desired field of Orthopedic Surgery, and your national ranking... Of your choice the exception of Step 1 is the average Step 1 score do you a. Vary quite a lot depending on How well you did on your 1... Not recommend products we do not like that with an average accuracy of ±0.35 points field with the exception Step! 222 as `` low '' for IM in 2018, there is necessarily! You have such a narrow range compared to other specialties, implying that you such. That ’ s say you want to view all the assessments, i scored! Some EM programs use Step 1 scores of U.S. allopathic seniors by preferred specialty '' USMLE Step 1 scores scores. Family Medicine as an example aim to do that regardless of your Step 1 score general! Rank more programs within their preferred specialty, be members of Alpha Omega Alpha Honor medical.! In between citizen and non – U.S. citizen students/graduates of international medical schools of the score distribution IM my... I m very disappointed with my score ( 46 % ), and national!