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Understanding Score Trends in Clinical Science Subject Exams: A Longitudinal Study
Francis O'Donnell1, Irina Grabovsky1, Annie Kochersberger1
1NBME, Philadelphia, PA USA.
Medical Science Educator
|January 20, 2026
Summary
Medical school Subject Exam scores remained stable during the COVID-19 pandemic. While some minor disruptions occurred, there were no significant, sustained score decreases across specialties.
Area of Science:
- Medical Education
- Academic Performance Analysis
- Pandemic Impact Studies
Background:
- Clinical Science Subject Exams are crucial assessments for medical students.
- Exam performance data from 2018-2019 to 2020-2021 provide insights into educational trends.
- The COVID-19 pandemic introduced unprecedented challenges to medical education and assessments.
Purpose of the Study:
- To analyze trends in Clinical Science Subject Exam performance.
- To assess the impact of the COVID-19 pandemic on medical student exam scores.
- To identify score patterns across various medical specialties.
Main Methods:
- Descriptive statistics and data visualization were employed.
- Multilevel models were used to analyze performance data.
- Exam data from 36,791 to 54,770 examinees across seven specialties were analyzed.
Main Results:
- In 2018-2019, scores generally increased as the academic year progressed.
- Average scores in Spring 2020 and 2021 showed minor variations, with the largest differences around two points.
- No major, sustained score decreases were observed during the pandemic.
Conclusions:
- Medical school exam performance demonstrated relative stability throughout the 2018-2021 academic years.
- Small, intermittent score disruptions occurred post-March 2020, attributed to pandemic-related factors.
- Overall exam performance remained resilient despite the challenges posed by the COVID-19 pandemic.
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