No change in the number of items in test content categories on the Step 1 examination will be implemented until at least September 2020. We will announce the roll-out of these changes at least 6 weeks prior to implementation.
Prior to the pandemic, USMLE had announced plans to introduce additional questions assessing communications skills in the Step 1 exam. This change will be delayed. When it is introduced, notice will be provided well in advance of implementation.
It is important to note that communications is not a new content area for Step 1. When the change occurs, examinees can anticipate a small increase in the number of communication questions, but are not expected to be familiar with a new content area.