Unlike the old system where 194 was the minimum passing score, the USMLE now sets a . You either pass or fail. The exam is scaled, but the result is binary. You do not need to wait for a score report to celebrate—you just need to see the word "Pass."

To pass the USMLE Step 1, candidates must achieve a minimum scaled score of 194. However, most medical schools and residency programs require a score significantly higher than the minimum passing threshold.

reporting system, though it remains one of the most demanding hurdles in medical training. Exam Structure & Format Currently, the test consists of approximately 280 multiple-choice questions Current Format (Until May 14, 2026): Seven 60-minute blocks with up to 40 questions each. Future Format (After May 14, 2026): Fourteen 30-minute blocks with up to 20 questions each. Break Time:

Do not sacrifice Step 2 CK preparation to pass Step 1. The knowledge you build for Step 1 (pathophysiology, pharmacology) is the foundation for Step 2. If you do well on Step 1 prep, Step 2 becomes much easier.