National Board of Medical Examiners

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National Board of Medical Examiners Performance Profile Name: Test Date: 4/26/2017 Assessment Score: 450 The material presented in this self-assessment is provided by the National Board of Medical Examiners (NBME ) for educational purposes only. The CBSSA is not intended to predict a participant s performance on USMLE. Rather, the CBSSA is designed to serve as a tool to determine areas of relative strength and weakness in the basic sciences. The score you received, indicated above in the top right hand corner, ranges from 10 to 800. It is scaled to have a mean of 500 and a standard deviation of 100 in a reference group of USMLE Step 1 first-takers from accredited U.S. medical schools. The Performance Profile is provided to aid in self-assessment. The shaded region defines a borderline level of performance for each content area. Performance bands indicate areas of relative strength and weakness. Some bands are wider than others. The width of a performance band reflects the precision of measurement: narrower bands indicate greater precision. An asterisk indicates that your performance band extends beyond the displayed portion of the scale. Small differences in the location of bands should not be over-interpreted. If two bands overlap, performance in the associated areas should be interpreted as similar. Because CBSSA is designed to be integrative, many items contribute to more than one content area. Thus, caution should be used when interpreting differences in performance across content areas. While not all content areas are included in every form, overall content coverage is comparable in the various forms of CBSSA. Additional information concerning the topics covered in each content area can be found in the USMLE Step 1 Content Description and Sample Test Materials (www.usmle.org).

National Board of Medical Examiners Self-Assessment Services Score Interpretation Guide This guide will help you interpret the Assessment Score you received on your CBSSA Performance Profile. While the CBSSA is provided by the NBME for educational purposes only and is not intended to predict performance on Step 1, NBME research demonstrates that under certain circumstances there is a moderate relationship between performance on CBSSA and subsequent Step 1[1][2]. Step 1 scores are reported on a three-digit scale with a mean ranging from 228 to 229 and a standard deviation of approximately 20. CBSSA scores are scaled to have a mean of 500 and a standard deviation of 100. Both means are based on the performance of USMLE Step 1 first-time examinees from accredited US medical schools. The following information is provided in response to user requests to translate the CBSSA score scale to the USMLE score scale. The NBME does not warrant that any individual performance on CBSSA will predict performance on USMLE Step 1 and cautions users of CBSSA against making any predictive inferences. In the following table, locate your CBSSA score and find the approximate corresponding Step 1 score in the adjacent column. (For example, if your CBSSA score is 390, it approximates a Step 1 three-digit score of 205.) The level of proficiency required to pass USMLE Step examinations is reviewed periodically and may be adjusted at any time. Visit the USMLE website at www.usmle.org for the most current information about the level of proficiency required to pass Step 1. On the Performance Profile: MK Medical Knowledge; PC Patient Care; PBLI Practice-based Learning and Improvement.

CBSSA Score Approximate Step 1 Three-Digit Score CBSSA Score Approximate Step 1 Three-Digit Score 800 290 400 207 790 288 390 205 780 286 380 203 770 284 370 200 760 282 360 198 750 280 350 196 740 277 340 194 730 275 330 192 720 273 320 190 710 271 310 188 700 269 300 186 690 267 290 184 680 265 280 182 670 263 270 180 660 261 260 178 650 259 250 175 640 257 240 173 630 255 230 171 620 252 220 169 610 250 210 167 600 248 200 165 590 246 190 163 580 244 180 161 570 242 170 159 560 240 160 157 550 238 150 155 540 236 140 153 530 234 130 150 520 232 120 148 510 230 110 146 500 228 100 144 490 225 90 142 480 223 80 140 470 221 70 138 460 219 60 136 450 217 50 134 440 215 40 132 430 213 30 130 420 211 20 128 410 209 10 < 128 November 2016 [1] Using the NBME Self-Assessments to Project Performance on USMLE Step 1 and Step 2: Impact of Test Administration Conditions, Academic Medicine, Vol. 79, No. 10/ October Supplement 2004

[2] Relationship Between Performance on the NBME Comprehensive Basic Sciences Self-Assessment and USMLE Step 1 for U.S. and Canadian Medical School Students. Academic Medicine. 85(10):S98-S101, October 2010. National Board of Medical Examiners Name: Test Date: 4/26/2017 Performance Profile Total Incorrect* % Marked Overall Assessment 36 36% Click on a category to view incorrect questions for that category. Detailed Analysis by Content Total Incorrect* Average Time per Question in Seconds % Marked Physician Task (MK): Applying Foundational Science Concepts 24 78.6 38.9% Physician Task (PC): Diagnosis 5 67.6 27.9% Physician Task (PC): Principles of Management 4 59.5 33.3% Physician Task (PBLI): Evidence-based Medicine 1 75.8 37.5% Discipline: Behavioral Sciences 4 53.6 27.8% Discipline: Biochemistry & Nutrition 5 86.9 42.3% Discipline: Genetics 1 76.7 45.5% Discipline: Gross Anatomy & Embryology 5 94.6 55% Discipline: Histology & Cell Biology 2 80.8 52% Discipline: Microbiology & Immunology 6 57.2 27.8% Discipline: Pathology 15 72 34.4% Discipline: Pharmacology 9 70.2 33.3% Discipline: Physiology 10 80.4 25.9% System: General Principles 9 73.7 41.9% System: Blood & Lymphoreticular and Immune Systems 3 66.3 23.5%

System: Behavioral Health & Nervous Systems/Special Senses 5 70.2 33.3% System: Musculoskeletal, Skin, & Subcutaneous Tissue 2 56.5 33.3% System: Cardiovascular System 3 88.6 50% System: Respiratory and Renal/Urinary Systems 2 90.6 27.8% System: Gastrointestinal System 2 83.2 42.9% System: Reproductive and Endocrine Systems 3 74.1 34.8% System: Multisystem Processes & Disorders 5 76.2 35.3% System: Biostatistics & Epidemiology/Population Health 1 75.8 37.5% *Because CBSSA is designed to be integrative, many items contribute to more than one score category. National Board of Medical Examiners Incorrect Question Example 2. This is a sample of an incorrect question review. A question having an incorrect answer will appear as it did during the exam, but with a red X to the left. The correct answer is highlighted in yellow. Your answer is indicated by the filled-in circle.

National Board of Medical Examiners Longitudinal Performance Profile History of Performance Across Multiple Completed Tests Name: Report Date: 4/26/2017 Take Test Date Timing Assessment Score 1 2/1/2017 Standard 220 2 4/26/2017 Standard 450 The material presented in this report is provided by the National Board of Medical Examiners (NBME ) for educational purposes only. The CBSSA is not intended to predict a participant s performance on USMLE. The CBSSA is designed to serve as a tool to determine areas of relative strength and weakness in the basic sciences. This report provides a history of your performance on the last six assessments you have completed, along with test date and timing information. The test date corresponds to the date you completed each assessment. The Assessment Score that you received on each completed test as indicated in the table above, ranges from 10 to 800. It is scaled to have a mean of 500 and a standard deviation of 100 in a reference group of USMLE Step 1 first-takers from accredited U.S. medical schools. A score interpretation guide has been included at the end of this report to help you interpret your Assessment Scores. The graphical performance profiles are provided to aid in self-assessment and are a compilation of profiles for up to the six most recently completed assessments started on or after November 21, 2016*. The performance profile graphs provide an indicator of your performance across multiple completed assessments for each content area. The shaded region defines a borderline level of performance for each content area. Performance bands indicate areas of relative strength and weakness. Some bands are wider than others. The width of a performance band reflects the precision of measurement: narrower bands indicate greater precision. A row of asterisks indicate that your performance band extends beyond the displayed portion of the scale. Small differences in the location of bands should not be over-interpreted. If two bands overlap, performance should be interpreted as similar. Because the CBSSA is designed to be integrative, many items contribute to more than one content area. Thus, caution should be used when interpreting differences in performance across content areas. While not all content areas are included in every form, overall content coverage is comparable in the various forms of CBSSA. Additional information concerning the topics covered in each content area can be found in the Step 1 Content Description and Sample Test Materials (www.usmle.org). * CBSSA exams started on or after November 21, 2016 cannot be longitudinally compared against those started before November 21, 2016

National Board of Medical Examiners Longitudinal Performance Profile History of Performance Profiles Across Multiple Completed Tests Name: Report Date: 4/26/2017 Performance Profile Bands L B (shaded area) H Lower Performance Borderline Performance Higher Performance