The Impact of a Pass/Fail USMLE Step 1 Exam on USMLE Step 2 Exam Study Time.

The transition of the United States Medical Licensing Examination (USMLE) Step 1 Exam to pass/fail in 2022 aimed to mitigate its influence on medical education. This single-institution comparative observational study explores the transition's impact on the USMLE Step 2 Exam (Step 2) preparation for over 750 students from 2017 to 2024. Findings indicate an increase in Step 2 study time before and after the transition (4.10 and 4.92 weeks, p < 0.001) along with a year-over-year rise from 2022 to 2024 (p < 0.001). Further research should assess the transition's impact on student performance and well-being. Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-025-02470-0.