The USMLE Committee for Individualized Review (CIR) meets periodically to review cases involving allegations of irregular behavior by applicants and/or examinees. At its recent meetings, the CIR heard multiple cases involving a range of alleged irregular behavior, including the following:

• Supplying inaccurate information in connection with the application process
• Altering or misrepresenting examination scores, including providing counterfeit score reports, to third parties
• Impersonating an examinee
• Engaging someone to take the exam in one’s place
• Possessing unauthorized materials in the secure testing area
• Making notes on something other than the erasable boards provided for that purpose
• Failing to follow test center instructions, including writing past the ‘end patient note’ announcement during Step 2 CS

When the CIR found conduct was irregular behavior, it imposed sanctions that in some cases included annotating the individual’s USMLE record with the finding, barring the individuals from access to USMLE for periods up to five years and reporting the finding of irregular behavior to the disciplinary data bank of the Federation of State Medical Boards.

Source: USMLE Official Website