Implementing PREview® Scores in 2027 Medical School Admissions
The Implementing PREview Scores in 2027 Medical School Admissions guide provides admissions officers and their committees with information about the development of the PREview exam and guidance for using scores in the admissions process.
The guide provides a detailed look at PREview exam design and scoring, as well as data about examinees and correlations between PREview scores and acceptance, progression, and nonacademic dismissal rates. This year's update also provides a new PREview scoring rubric to enhance score use, as well as information for adopting the exam and receiving scores. Posted June 2026.
PREview Score Performance Rubric
This PREview performance rubric is designed to help you understand how consistently examinees across PREview score ranges distinguish between effective and ineffective responses. The rubric describes general trends of examinee performance based on scoring patterns observed across thousands of test takers. Committees can use this rubric to understand how consistently an applicant shows effective judgement on the exam and how that may translate to real-life situations.
| Score Range | Performance Description1 | Score Pattern2 | Takeaway |
|---|---|---|---|
| High (7-9) | Reliably judges both what should be done and what should clearly be avoided in consistent alignment. | Obtains full credit on most items (about 75%) and only rarely (~ 5%) makes complete misjudgment, such as evaluating an effective action as ineffective or vice versa. | Likely demonstrates ability to apply professional judgment consistently and in strong alignment with expectations. |
| Med (4-6) | Often judges situations appropriately but sometimes misjudges the effectiveness of actions, showing moderate but some inconsistent alignment. | Often evaluates actions appropriately (obtaining full credit on about 67% of items) and occasionally (~ 1.5 times more than high-scorers) makes clear misjudgment, such as confusing effective and ineffective actions. | Potentially shows a developing ability to apply professional judgment with some inconsistency across situations. |
| Low (1-3) | Frequently misjudges which actions are clearly effective versus clearly ineffective, showing limited and inconsistent alignment. | Obtains full credit on about 50% of items and more frequently (~ 3 times more than high-scorers) makes clear misjudgment about whether actions are effective of ineffective. | May struggle to apply professional judgement consistently, with opportunity for growth in development. |
- Relative to alignment with medical educators', admissions officers', and student affairs officers' professional judgments.
- Score patterns are anchored on the midpoint of each score range.
Video Resources
Series: "Understanding the PREview Exam"
This two-part video series explains how the PREview exam assesses key professional skills, how it is developed and scored, and how exam scores can be used in medical school admissions.
"The PREview Exam: Recent Updates"
This 10-minute video summarizes how the PREview exam works and provides recent updates on test administration, school participation, and outcomes data. Posted January 2026.
"PREview in Practice: Understanding, Using, and Predicting Success in Medical School"
Watch admissions professionals at two medical schools discussing different ways PREview scores can be used in the admissions process.
Speakers: Christina Grabowski, PhD, University of Alabama at Birmingham Heersink School of Medicine; Shadi Aminololama-Shakeri, MD, University of California, Davis, School of Medicine; Yvette Perry, PhD, Medical School Consultant.
Date: Posted January 2026. Originally presented at Learn Serve Lead 2025: The AAMC Annual Meeting in November 2025.
"Using the AAMC PREview Exam in Medical School Admissions"
Watch admissions professionals at three medical schools who use the PREview exam discuss their experience using PREview scores in their admissions processes.
Speakers: Christina Grabowski, PhD, University of Alabama at Birmingham Heersink School of Medicine; Tracy Kedian, MD, University of Massachusetts T.H. Chan School of Medicine; Jennifer Handrop, MA, University of Utah Spencer Fox Eccles School of Medicine; Christian Essman, MS, Case Western Reserve University School of Medicine.
Date: Posted April 2025. Originally presented at Learn Serve Lead 2024: The AAMC Annual Meeting in November 2024.