USMLE Score Reports and Transcripts: How They Work

USMLE results are released as a score report that only you receive, and anything sent to programs or other organizations goes through an official transcript. For IMGs, the registering organization changed in January 2026, so which organization emails you and handles transcripts is now FSMB in most cases. This page explains timing, what the report contains, and how transcripts work, using USMLE's published pages.

When do you get results? #

USMLE states that results for computer-based exams (Step 1, Step 2 CK, Step 3) are typically available within four weeks of the test date, but delays are possible, and that you should plan for at least eight weeks before expecting notification that your score report is available.

• Scores are not expedited for anyone.
• They are not released by phone, email or fax.
• USMLE Common Questions says scores are released on Wednesdays, and the organization that registered you will email you when yours is available. If you have not received the notification within eight weeks of your test date, contact USMLE.

Who sends it and where do you see it? #

The organization that registered you emails you when your report is available. Since January 2026, that is FSMB for IMGs. See the service transition announcement. Older advice that says to look in MyIntealth describes the previous process.

USMLE says the report stays on the registering organization's website for about 365 days from the notification email. After that, your scores are available only through an official transcript, for a fee.

What a score report contains #

According to USMLE's score reporting page:

• Step 1: reported as pass/fail only for exams taken on or after January 26, 2022.
• Step 2 CK and Step 3: reported on a three-digit scale. The Step 2 CK minimum passing score is currently 218 for exams on or after July 1, 2025. See what Step 2 CK scores mean.
• Step 3 case simulations: performance on the computer-based case simulations counts toward the Step 3 outcome.
• Sample reports: USMLE links sample passing and failing reports, and the exam results page explains how the pass/fail decision is made. USMLE also states that examinees typically need about 60 percent correct on multiple-choice items to pass, though the required percentage varies by Step and form.

If you fail, the report is where you find your performance feedback for planning a retake. See what to do after failing a Step and attempt limits.

Things that can complicate a result #

• Incomplete exams. If you do not open every block, the exam may not be scored and may appear as incomplete on your transcript.
• Multi-day testing. USMLE Common Questions says only the first day of testing appears on the score report and transcript when an exam spans multiple days.
• Irregular behavior. Findings of irregular behavior are included in score reports and transcripts, and can lead to cancellation of scores and other penalties.

Score reports versus transcripts #

USMLE states that the transcript also records whether you previously took former NBME Parts, FLEX or ECFMG CSA, and includes annotations on indeterminate scores, irregular behavior and some actions by licensing authorities. Exams you did not attend (no-shows) do not appear.

Sending your results to programs and boards #

• ERAS: follow the instructions from your application service. USMLE says it provides official source-certified data to both ERAS and ResidencyCAS. For IMGs, AAMC's IMG timeline describes ECFMG's role in processing USMLE transcript requests for programs you designate. Check the current process on AAMC's page and see the myERAS walkthrough.
• Licensing authorities: a medical licensing authority can request your transcript through FSMB at any time.
• Anyone else: USMLE says that to obtain your transcript or have it sent to a third party you contact FSMB and pay the associated fee. The pages we reviewed do not state the amount or turnaround time, so check the current page before you plan around it.

Rechecks and other requests #

USMLE has a separate score recheck process and page. Confirm the current steps with the registering organization before you request one, and check the fee, because IMG recheck handling moved to FSMB with the 2026 transition.

Planning around results #

1. Add a buffer of at least eight weeks between your exam and any date that depends on the result.
2. Download and save the report when it becomes available.
3. Order transcripts early enough for ERAS and other deadlines.
4. Do not share your score report with programs; use official channels.
5. Keep a record of every attempt, because your transcript will show them all.

For the exam-day side of the process, see exam day rules and checklist.