Guidelines for use of USMLE Step Scores for Residency selection decisions

When comparing examinee performance, it is generally appropriate to consider Step examination scores in conjunction with other criteria such as course grades and faculty evaluations, rather than using test scores as the sole basis for decisions. Test scores should be viewed as approximate rather than exact measures of medical knowledge. Small differences in Step examination scores alone should not be used to as the basis for selection decisions about examinees, and scores that are relatively old may not accurately reflect current knowledge and ability.