Each Step has an official content outline that lists what is tested and in what proportions. It is the best single document for planning your study because it comes from the exam's authors. This page explains how to read it.
What the outlines contain
- Systems and processes: the share of questions on each body system and on topics like biostatistics, ethics and development.
- Disciplines (Step 1) or clinical sciences (Step 2 CK): for example pathology and physiology on Step 1, medicine and pediatrics on Step 2 CK.
- Competencies: the physician tasks a question assesses, such as diagnosis or pharmacotherapy.
USMLE notes that questions are classified under one of several major areas, that each question assesses one competency, and that percentages are subject to change at any time.
A simple way to use it
- Download the outline for your Step from usmle.org (links below).
- List the largest areas and rate your confidence in each from 1 to 5.
- Spend more time where a big area meets low confidence.
- Re-check each month, using QBank reports from UWorld or AMBOSS to update your ratings.