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NBME Subject Examination
Some of the following information has been abstracted from NBME publications.
Purpose. The exam provides objective information about the student's knowledge in internal medicine. It is used by almost all U.S. medical schools for end-of-clerkship assessment.
Content. Unfortunately, little specific information is available. The exam is designed by an NBME committee using the content outline of the USMLE Step II exam as a guide. In general, the examination is divided among all the major subspecialties of internal medicine. There is some coverage of dermatology and neurology as well. The NBME Clinical Science: Medicine site has specific information regarding the range and distribution of subject matter questions on the exam.
Format. Approximately 110 multiple-choice items are included. Item formats include single best answer and extended matching (up to 26 lettered choices).
Performance Criteria. The minimum passing score using the NBME Equated Percent Correct score is 61 among students at the same stage of training. (Currently the passing score is 61, but is susceptible to change.) Raw scores reported by the NBME will be converted to scores ranging from 0-100. Please see your campus Clerkship Coordinator to view this table.
Remediation. Students who fail the exam but pass all other criteria for the clerkship will be allowed to retake the exam at a time mutually agreeable to the student, the clerkship coordinator, and the Dean's Office. Students who fail the exam a second time, but who have passed all the other criteria, may be allowed a third attempt at the discretion of the Clerkship Evaluation Committee. Any student failing the exam for a third time will be required to repeat the entire clerkship. Remediation for students who fail multiple criteria will be at the discretion of the Clerkship Evaluation Committee. Students who achieve an NBME Equated Percent Correct score equal to or greater than 61 on a remediation exam will earn 75 points for the purpose of grade calculation.