Careers in Medicine CiM Home / Explore Options / Licensing Exams Licensing Exams The importance of board scores How important are board scores, and how are they used in the residency application and interview process? The USMLE Learn about the steps and how your score will impact your specialty and residency decisions. Overview of the COMLEX-USA An introduction to the components of all three levels, how they're scored, and possible changes to the exam. Taking the COMLEX or USMLE Which test(s) should I take? Scoring higher on USMLE Step 1 than Step 2 I scored 5 points lower on my Step 2 than my Step 1. How will a lower Step 2 score affect my residency application?