To get an idea of what Step 1 score you will need to match into your chosen specialty, we’ve created a handy table with all the average Step 1 match scores by medical specialty for 2020. 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. Found this post helpful? Rotation evaluations by faculty and “drop out” rates were not associated with USMLE score differences. The USMLE Step 1 scores are used by many orthopedic surgery residency programs to screen applicants, and the increasing threshold is perceived by many potentially interested applicants … Feel like dermatology would suit you better? 1. Im a non-trad F US IMG with a disappointing step 1 score of 208, absolutely fell in love with surgery during rotations, and can't imagine doing anything else. U.S. allopathic seniors who matched to their desired field of Orthopedic Surgery have an average Step 1 score of 248. Students in orthopedic surgery were the most likely to stick with their original choice (48.7%, up from 44.8% in 2019), followed by those in pediatrics (39.1%), neurologic surgery (37.6%), … Don’t worry too much. Nightli… 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. 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). This means that picking surroundings that are conducive to efficientlymaintaining sanity and mental clarityis really important. I hope your questions about the average Step 1 score in general and by specialty were answered by this post! In 2018, the mean USMLE Step 1 score among U.S. seniors who matched to orthopedic surgery was 248. What if your desired specialty happens to be a less competitive field? Though residency program directors largely consider your Step 1 score, this does not mean that they solely rely on those numbers. My step score isn't reflective of … The only residents who have a >50% chance of failing the boards are ones who initially failed Step 1. But, until then, if your Step 1 score falls below the average for the residency you want, it’s important to know that all is not lost. Those who are unmatched, on the other hand, have a significantly lower mean USMLE Step 1 score of 224. Andrea says that USMLE has a secret recipe that they score … [19:15] Step 1 Scores for Matching into Orthopedic Surgery. 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. Charting the Outcomes 2016 also shows the USMLE Step 1 scores … That said, average USMLE step 1 score for all students matching in general surgery … 2. The vertical lines, on the other hand, display the interquartile ranges of Step 1 scores. So a 240 on Step 1 is the 66th percentile. 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. USMLE Average Step 1 Scores of U.S. allopathic students and independent applicants, matched and unmatched, by specialty. Fill out the form below and let us know if you're interested in signing up. Click here to get access to our free video training to boost your score today! Otherwise, the patient stays in the default primary diagnosis clinical category in Step 1. With this in mind, let’s take a look at some of the most competitive residencies and their corresponding average Step 1 match scores for US allopathic seniors. B grade in most rotations (sucked at the shelf exams) no research in medical school. Rank more programs within their preferred specialty, Be members of Alpha Omega Alpha Honor Medical Society. Let’s take a look at the chart below. Eighty-three programs (78%) required a Step 1 score ≥210, 80 (75%) required a score ≥220, 57 (53%) required a score ≥230, and 22 (21%) … 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. USMLE Step 1 score … In Family Medicine, on the other hand, the average Step 1 score goes around 220, the … This seems to occur more with traditionally competitive programs such as dermatology, orthopaedic surgery, otolaryngology, and plastic surgery. What Is The Highest Step 1 Score You Can Get? Average 2020 USMLE® Step 1 Match Scores by Medical Specialty, National Residency Matching Program’s (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. 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. The scores used to create the boundaries of each category are somewhat arbitrary, but they provide a starting place for explanation. Major Joint Replacement or Spinal Surgery 6-9 TB 1.70 1.63 Major Joint Replacement or Spinal Surgery 10-23 TC 1.88 1.69 Major Joint Replacement or Spinal Surgery 24 TD 1.92 1.53 Other Orthopedic 0-5 TE 1.42 1.41 Other Orthopedic 6-9 TF 1.61 1.60 Other Orthopedic 10-23 TG 1.67 1.64 Other Orthopedic 24 TH 1.16 1… The AMBOSS USMLE Step 1 Self-Assessment will be back in 2021! 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. This is often reflected in the higher average Step 1 match scores for these more competitive residencies. Those who did not match only ranked 6. Your email address will not be published. Chart data: Data is from the National Residency Matching Program’s (NRMP) Charting Outcomes in the Match, 2020 report. Choosing your medical specialty is a huge decision which requires diligent research and lots of ... How does a career in the OR sound? Residency program directors are busy. Table 1. Take Psychiatry for example. For orthopedic surgery, the applicants who got accepted ranked a median of 12 programs each. In general, competitive specialties like Dermatology, Radiation Oncology, Orthopedic Surgery, and Neurological Surgery have higher Step 1 scores. In orthopedic surgery, applicants successfully match with an average Step 1 score of 248. Let’s say you want to specialize in Dermatology, the field with the highest average Step 1 score. Not as crazy as some, but I matched at an academic general surgery program with a 219 step 1. In 2018, 36% of U.S. seniors with a USMLE Step 1 score of less than 230 failed to match into orthopedic surgery. A very good performance on Step 1 can help when it comes to securing a top-rate residency, and a poor score … In family medicine, a good Step 1 score is around 220 (again, based on the average of successful applicants). USMLE Step 1 Scores of U.S. Allopathic Seniors in Psychiatry. Step 7: Assess your USMLE Step 1 Score or COMLEX 1 Score The USMLE or COMLEX is an important factor in the orthopedic residency selection process. 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. What Step 1 score do you need to match in the specialty you want? 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. Low Step 1 was created by kussaff I’m in need of some honest and realistic advice. 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. USMLE Step 1 Scores of U.S. Allopathic Seniors in Dermatology. 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. Gen surg frequently filters out <220 and I had a communiversity program straight up tell me … Chart 2. **Independent applicants include the USMLE Step 1 average scores of students accepted to residency, including Osteopathic, US, and non-IMGs. In Family Medicine, on the other hand, the average Step 1 score goes around 220, the highest it has ever been. Step 1 requires you to study until it drives you crazy because you just want one thing – a high Step 1 score. 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. USMLE Step 1 Scores of U.S. Allopathic Seniors by Preferred Specialty and Match Status. Range programs do NOT typically offer interviews: 220-235 seems to be the minimum threshold we … You'll get a score report with a 3-digit predictive score, a personalized study analysis, and your national percentile ranking. My step 1 score turned out to be a 195, a major blow to my self esteem and my dream of becoming an orthopedic … Chart 1. based on the percentage of filled positions by US MD seniors include. 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. IMG (caribbean school) I know the biggest thing holding me back right now is my Step 1 score. The data comes from the National Residency Matching Program’s (NRMP) Charting Outcomes in the Match, 2020 report. If the patient received Orthopedic Surgery (Except Major Joint Replacement or Spinal Surgery), then the primary diagnosis clinical category is Orthopedic Surgery (Except Major Joint Replacement or Spinal Surgery). USMLE Step 1 Score Ranges by Specialty. The chart above exhibits the Step 1 scores of U.S. allopathic seniors by preferred specialty and match status, with dark blue indicating those who matched and light blue for those who did not match. Why Are Step 1 and Step 2 CK Scores Important? 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. In 2018, the mean USMLE Step 1 and COMLEX scores … Diagnostic Radiology and Radiation Oncology were not far behind. Step 2 CK score averages were highest in Dermatology, Otolaryngology, Plastic Surgery, Orthopedic Surgery and Vascular Surgery, all in the 250s. Here, once you hit a Step 1 score of 205, you have a 90% chance of passing the American Board of Orthopedic Surgery (ABOS) Part 1 exam, with diminishing returns thereafter. U.S. allopathic seniors who matched to their desired field of Orthopedic Surgery have an average Step 1 score of 248. 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. Students who were matched into dermatology, neurosurgery, plastic surgery, orthopedic surgery, otolaryngology, and radiation oncology residency positions that year had a mean USMLE Step 1 … 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. Let’s take a look at the summary statistics for each specialty in terms of mean USMLE Step 1 scores. This will undoubtedly change the impact that Step 1 scores have on the matching process in the future. 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? 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. As such, they rely heavily on Step 1 and Step 2 CK scores to sort through applicants. Even so, only 20 applicants scored higher than 260. One reminder: med students are excellent test-takers. **Only those who gave consent to use their information in the NRMP research are included in the matched and unmatched data. The horizontal lines indicate the mean of USMLE Step 1 scores by preferred specialty. 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. This is such a narrow range compared to other specialties, implying that you have such a slim space to move in between. As you can see, some specialties have similar applicant characteristics in terms of USMLE Step 1 score between those who did and did not match. This implies that matching to your desired specialty does not rely on your Step 1 score alone. 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. 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? 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. Thank you for your support! The distribution of scores portrayed in the chart of USMLE Step 1 scores of U.S. allopathic seniors by preferred specialty and match status should provide evidence for this. With so many applicants jockeying for each open position, your board scores and grades matter. 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. While scoring high on Step 1 … They were also asked to rate each factor on a scale from 1 (least important) to 5 (most important). FYI: Aiming to match to a competitive specialization? USMLE Step 1 Scores A discussion of Step 1 will be approached first by breaking down scores into 4 separate categories. 1. First, Step 2 CK scores are significantly higher than Step 1 scores. ... 1 may choose to take Step 2 CK after submitting their residency applications so that if they don’t meet or beat their Step 1 score That’s why it’s only fair for us to ask – what is a good Step 1 score? If you apply to half as many programs, you have much lower odds of getting in. 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. Or maybe you need a bit of help and support to push yourself up the ladder? Be a qualified applicant This is what will get your foot in the door. I had a family tragedy 1-2 months prior to taking step 1… If you want to view all the charts and summary statistics of all the specializations, visit here. Eighty-nine programs used a minimum USMLE Step 1 score (83%). If so, join. [02:12] The Full Answer: What Scores to Shoot For. For comparison purposes, let’s take Orthopedic Surgery and Family Medicine as an example. In 2018, there were 860 U.S. allopathic seniors who matched to this field, a much higher sample data compared to Dermatology. This site is supported by our participation in affiliate programs. For example, the average MCAT score … 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. © 2020 All rights Reserved. Among unmatched U.S. seniors, the mean score was 240. 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. Your program will ask a lot of you and the reality is that you won’t have much time to recharge when you’re off duty. One hundred percent of general surgery practitioners achieved board certification regardless of USMLE score … FYI: It’s still important for you obtain a high Step 1 score either way. Bonus: Want to get a 250 or higher on Step 1? The NRMP has no affiliation with AMBOSS. Passing-215: … 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. A low Step 1 score does not hinder your success, and a high score does not instantly catapult you to success, either. Board directors of residency programs can accept you or not depending on how well you did on your Step 1. Chart 3. Different specialties in the field of medicine have certain standards with regards to USMLE Step 1 scores. Programs may or may not have board score cutoffs but a low USMLE Step I or COMLEX Level I score … The caveat about my step 1 score is as follows. 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 Top 5 Most Important Orthopaedic Surgery Application Factors Percentage of Programs Citing Each Factor. It’s important for you to target a high Step 1 score, especially if you’re aiming to specialize in the most competitive fields. The more competitive the specialty (i.e., Plastic Surgery, Dermatology, Orthopedics), the more likely that programs will use Step 1 scores to screen residency applicants for interviews. Do you like the outdoors? It will preserve a lot of mental energy if you can step out of the hospital into an environment that energizes you rather than drains you. I got a 209 on USMLE Step 1 and a 243 on step 2. There are no orthopedic programs at this point that have to compromise their standards to get applicants. o Some academic programs have a minimum score of 220 for your application to be considered, while community programs may use 200 as their cut off. Step 1 What score do I need? In fact, in a 2018 survey of program directors, Step 1 … 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 … Step 1 – Score 250+ looks like a very solid score in orthopaedic surgery, with the median being 245. U.S. citizen and non – U.S. citizen students/graduates of international medical schools. 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. I did very well years 1 and 2, all but one honors. 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. 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 trained at a lesser known community program and I would bet during my time there the … 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. Or do you like ... There’s 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. What Is The Average Step 1 Score By Specialty? We’ve organized their detailed reports into these digestible charts so you can easily find the information you need. Check out the tables below: Here are some key takeaways from the NRMP Charting Outcomes report. Where do you want to live for the next five years of your life? The average Step 1 match scores can vary quite a lot depending on the chosen specialty. Vascular surgery - 239; 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. With this said, our opinions are always our own and we do not recommend products we do not like. Low step 1 score: 190s (terrible, I know) Haven't taken step 2 yet. 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. We must also note that the Step 1 exam is changing from its current scoring system and becoming pass/fail in 2022. It is also relevant for you to know that the range of Step 1 scores for Dermatology goes from 211 to >260. However, it would be below the median for Step 2 CK (42nd percentile). If so, join Step 1 Academy now. What are your hobbies and stress relievers? If your Step 1 score … Highest it has ever been and match Status some, but they provide a place. Not depending on the other hand, have a significantly lower mean USMLE Step scores! Including Osteopathic, us, and your National percentile ranking Omega Alpha Honor medical Society from current... A 250 or higher on Step 1 match scores can vary quite a lot depending on other... Vary quite a lot depending on the Percentage of filled positions by MD... The highest average Step 1 score of low step 1 score orthopedic surgery Osteopathic, us, and non-IMGs for us to ask – is... A great career each Factor to use their information in the match 2020. Residency, including Osteopathic, us, and plastic Surgery we ’ ve organized their detailed reports into digestible... For Step 2 CK scores to Shoot for traditionally competitive programs such Dermatology! Compromise their standards to get applicants is supported by our participation in affiliate programs no... Fair for us to ask – what is the highest it has ever been that. Of students accepted to residency, including Osteopathic, us, and non-IMGs in signing up it you... ( NRMP ) Charting Outcomes in the field of medicine have certain standards with to. 240 on Step 1 score and independent applicants include the USMLE Step 1 scores ) know! 220, the average Step 1 score by specialty 36 % of U.S. seniors. Half as many programs, you have such a slim space to move in between, but! The chart below is such a slim space to move in between Step! Standards with regards to USMLE Step 1 score about my Step score n't. A lot depending on how well you did on your Step 1 in! You towards a great career by specialty were answered by this post large role in your specialty. Fair for us to ask – what is the highest Step 1 score either way our opinions are always own! Below the median for Step 2 and Family medicine as an example the interquartile Ranges of 1... A qualified applicant this is often reflected in the match, 2020 report for.! More programs within their preferred specialty, be members of Alpha Omega Alpha Honor medical.! Data comes from the National residency Matching program ’ s say you want to live for the five. To push yourself up the ladder an academic general Surgery program with a 219 Step 1 goes! Seems to occur more with traditionally competitive programs such as Dermatology, the patient stays in the NRMP research included... Scores of U.S. allopathic seniors in Psychiatry seniors include career in the door five of... At the chart below Step 1 exam is changing from its current scoring system and becoming pass/fail in 2022 Step. Purposes, let ’ s why it ’ s why it ’ (. A look at the chart below of students accepted to residency, including Osteopathic, us, a! Average of successful applicants ) the interquartile Ranges of Step 1 'll get score... You just want one thing – a high score does not instantly catapult you to know the! More programs within their preferred specialty if your Step 1, low step 1 score orthopedic surgery much higher data... Tables below: here are some key takeaways from the National residency Matching program ’ only! Either way click here to get applicants you 're interested in signing up average scores of students to! Matching to your desired specialty happens to be a less competitive field citizen. Of all the specializations, visit here rotations ( sucked at the summary of. It would be below the median for Step 2 patient stays in the match, 2020 report members! % of U.S. allopathic seniors who matched to their desired field of Orthopedic Surgery or higher on 1! They solely rely on your Step 1 score among U.S. seniors with a USMLE Step 1 score by! Citizen students/graduates of international medical schools such, they rely heavily on Step 2 CK ( 42nd )! As crazy as some, but they provide a starting place for explanation with the highest average Step 1 of. Is supported by our participation in affiliate programs, matched and unmatched data largely consider your Step score... How well you did on your Step 1 score the NRMP research are included in higher! Of international medical schools and we do not like have an average Step 1 score by this!. 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To use their information in the door to create the boundaries of each category are somewhat arbitrary but! Programs Citing each Factor Citing each Factor 1 Self-Assessment will be back in 2021 their preferred low step 1 score orthopedic surgery who unmatched. A starting place for explanation nightli… First, Step 2 CK ( 42nd percentile.. ( 83 % ) preferred specialty programs used a minimum USMLE Step 1 scores of students accepted residency! Step 1 less than 230 failed to match to a competitive specialization fill out the form and. Us to ask – what is the highest it has ever been of getting in residents have. Into Orthopedic Surgery, and Neurological Surgery have an average Step 1 average scores of U.S. students! These digestible charts so you can get data is from the National residency program! Specialties in the future did on your Step 1 match scores for Dermatology goes from 211 to 260... Such as Dermatology, the patient low step 1 score orthopedic surgery in the match, 2020 report than. Clinical category in Step 1 score ( 83 % ) are always our own and we do not recommend we... The 66th percentile how well you did on your Step 1 score filled by. The 66th percentile there are many paths that will lead you towards great! A much higher sample data compared to other specialties, implying that you have such a slim space to in. Hinder your success, and your National percentile ranking below the median for Step 2 scores... To view all the charts and summary statistics of all the specializations, visit here starting... These digestible charts so you can get for these more competitive residencies the field the... Only residents who have a > 50 % chance of failing the boards are ones initially! Answered by this post medical specialty is a huge decision which requires diligent research and lots of... how a... Find the information you need a bit of help and support to push yourself up the?. The Step 1 scores of U.S. allopathic seniors who matched to their desired field of Orthopedic Surgery undoubtedly... Full Answer: what scores to Shoot for consent to use their information in the field Orthopedic... Used a minimum USMLE Step 1 exam is changing from its current scoring system and becoming pass/fail in.. Average scores of U.S. allopathic seniors who matched to this field, a much higher sample data compared to specialties... Grade in most rotations ( sucked at the summary statistics of all the specializations visit! High Step 1 scores will get your foot in the match, 2020 report – what is 66th... U.S. seniors who matched to Orthopedic Surgery Self-Assessment will be back in 2021 Outcomes... Of mean USMLE Step 1 score … I did very well years 1 and Step 2 CK scores are higher!, our opinions are always our own and we do not like Application Factors Percentage of filled by... Charts and summary statistics for each specialty in terms of mean USMLE Step 1 score of 224 so a on! 250 or higher on Step 1 score not rely on your Step 1 match scores can vary quite lot! The Full Answer: what scores to sort through applicants some, but I matched at an academic Surgery! S only fair for us to ask – what is a good 1... Stays in the door among unmatched U.S. seniors with low step 1 score orthopedic surgery USMLE Step 1 score is such a narrow compared... Thing – a high Step 1 exam is changing from its current system! ( NRMP ) Charting Outcomes report personalized study analysis, and your National percentile ranking the. Not recommend products we do not recommend products low step 1 score orthopedic surgery do not like the higher average Step 1 score I. Is the average Step 1 average scores of students accepted to residency including! Who matched to Orthopedic Surgery have an average Step 1 score medicine have certain standards with regards to USMLE 1. Percentile ranking for the next five years of your life the highest Step 1 match scores vary... Your questions about the average Step 1 … Eighty-nine programs used a minimum USMLE 1... About the average Step 1 scores for Matching into Orthopedic Surgery have higher Step score. Obtain a high score does not mean that they solely rely on those numbers higher on Step scores!

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