Since Step 1 became Pass/Fail in 2022, Step 2 CK scores have become even more critical for IMGs and Caribbean graduates competing for residency spots. A strong Step 2 CK score is now essential.
The USMLE Step 1 Pass/Fail change aimed to reduce student burnout, but for IMGs, it shifted the burden to Step 2 CK as a key differentiator in residency applications.
Pass Step 1 → Maximize Step 2 CK
Timeline: 18-24 months · Cost: $3,000–$8,000 in preparation
Is a 250+ on Step 2 CK necessary for IMGs?
For competitive specialties, yes. For primary care specialties, a score in the 230s with strong USCE and LOR can still be competitive. Target score depends heavily on your specialty choice.
How PhysicianOS Can Help
PhysicianOS USMLE Match Pack includes Step 1 prep + Step 2 CK maximization strategy for IMGs.
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