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USMLE Step 2 CK Average Scores by Specialty 2026
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Updated August 2026
Table of Contents
Introduction
The United States Medical Licensing Examination (USMLE) plays a crucial role in the residency match process. Historically, both Step 1 and Step 2 CK scores have been key determinants of an applicant’s competitiveness for various specialties. However, recent changes—particularly the transition of Step 1 to a pass/fail grading system—have shifted the focus more towards Step 2 CK scores.
This article provides updated average Step 2 CK scores by specialty, offering insights and guidance for medical students navigating the competitive landscape of residency applications.
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Understanding USMLE Scoring
The USMLE is a three-step examination for medical licensure in the United States. Step 1 assesses basic medical sciences, while Step 2 CK evaluates clinical knowledge and application.
Recent Changes in USMLE Scoring
Step 1 Pass/Fail: As of 2022, Step 1 no longer provides a numerical score, making Step 2 CK scores more critical in residency applications.
Greater Emphasis on Step 2 CK: With Step 1 now pass/fail, residency programs are increasingly relying on Step 2 CK scores to assess applicants’ medical knowledge and preparedness.
These changes have made it essential for students to aim for strong Step 2 CK scores, especially for competitive specialties.
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Average USMLE Step 2 CK Scores by Specialty
Each specialty has a different level of competitiveness, often reflected in the average Step 2 CK scores of matched applicants. Below is a general overview of average Step 2 CK scores for various specialties (NRMP Charting Outcomes):
Median USMLE Step 2CK Scores of Matched Applicants
| Specialty | U.S. MD Seniors | U.S. DO Seniors | U.S. IMGs | Non-U.S. IMGs |
|---|---|---|---|---|
| Otolaryngology | 261 | 252 | N/A | N/A |
| Thoracic Surgery (Integrated) | 260 | N/A | N/A | N/A |
| Orthopaedic Surgery | 259 | 256 | N/A | N/A |
| Plastic Surgery (Integrated) | 259 | N/A | N/A | N/A |
| Dermatology | 258 | 255 | 246 | N/A |
| Radiology-Diagnostic | 257 | 254 | 247 | 250 |
| Neurological Surgery | 256 | 247 | N/A | 254 |
| Vascular Surgery (Integrated) | 256 | 248 | N/A | N/A |
| Anesthesiology | 255 | 251 | 250 | 255 |
| Internal Medicine/Pediatrics | 255 | 250 | 237 | 252 |
| Interventional Radiology (Integrated) | 255 | 247 | N/A | 260 |
| Surgery-General | 255 | 251 | 244 | 256 |
| Internal Medicine | 254 | 245 | 237 | 251 |
| Obstetrics and Gynecology | 253 | 247 | 242 | 242 |
| Neurology | 252 | 246 | 237 | 252 |
| Child Neurology | 251 | 247 | 232 | 238 |
| Physical Medicine and Rehabilitation | 251 | 247 | 236 | 240 |
| Radiation Oncology | 251 | 244 | N/A | 249 |
| Emergency Medicine | 249 | 245 | 234 | 243 |
| Pediatrics | 249 | 245 | 236 | 240 |
| Pathology-Anatomic and Clinical | 247 | 245 | 238 | 244 |
| Psychiatry | 247 | 244 | 235 | 241 |
| Family Medicine | 244 | 244 | 229 | 230 |
The 2026 NRMP report no longer includes Step 1 scores, as the exam has been pass/fail for several years. We have therefore removed this data from our blog.
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Factors Influencing Specialty Competitiveness
Beyond USMLE scores, residency programs take a holistic approach to evaluating applicants. Key factors include:
Research Experience: Publications and presentations can boost competitiveness, especially in specialties like dermatology and orthopedic surgery. Learn more about How to Write and Publish a Medical Research Paper.
Clinical Rotations & Letters of Recommendation: Strong clinical performance and solid letters of recommendation from faculty members play a crucial role. Check out How to Get Strong Letters of Recommendation for Residency.
Extracurricular Activities & Leadership: Involvement in medical organizations, volunteer work, and leadership roles can make an applicant stand out.
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Strategies to Improve Your USMLE Step 2 CK Score
To maximize your Step 2 CK score, consider the following strategies:
- Use High-Yield Study Resources: Resources like UWorld, NBME practice exams, and First Aid for Step 2 CK are essential for high performance. See our guide on Best Resources for USMLE Step 2 CK.
- Time Management: Create a structured study plan that allows sufficient time for content review, practice questions, and self-assessments.
🎥 Watch this video: “USMLE STEP 2 CK in 3 months” a roadmap covering the best resources and strategy for your Step 2 prep.
3. Self-Assessment & Practice Exams: Take multiple self-assessment exams (e.g., UWorld self-assessments, NBME practice tests) to track progress and adjust study strategies accordingly.
Conclusion
As residency competitiveness evolves, medical students must adapt by focusing on factors that strengthen their applications. With Step 1 now pass/fail, excelling in Step 2 CK is more important than ever. A strategic approach to studying and a well-rounded application will maximize your chances of matching into your desired specialty.
We hope this blog helps you excel in your USMLE preparation!
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