INTRODUCTION Sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME), the United States Medical Licensing Examination (USMLE) functions as the standardized examination for assessing medical students. Composed of three examinations, or steps, the USMLE must be passed to receive medical licensure from state and territorial medical boards in the United States . Similarly, the National Board Dental Examination (NBDE) from the American Dental Association (ADA) qualitatively evaluates dental students  and satisfies the written examination requirement for licensure by state dentistry boards . Institutionally, medical and dental school educators use USMLE and NBDE scores to comparatively evaluate the strengths and weaknesses of their curricula [4-8]. On an individual level, higher scores on the USMLE correlate to higher scores and passage of medical specialty board examinations [9-14], higher clinical performance ratings [15-20], and preferred residency attainment [6,21-25].