In recent years there has been growing concern about the potential negative impact of USMLE Step 1 scores being used as determinants as to who is invited to interview for residency positions, a step taken as the number of applications for each residency program became unmanageable.  Concerns included the medical students focusing more on Step 1 study versus the curriculum of the medical school, and the general learning environment of Step 1 “frenzy” amongst the students.  The announcement by the National Board of Medical Examiners in February 2020 that USMLE Step 1 is going to a pass/fail scoring system in 2021 was both applauded and condemned by medical educators and students.  The president and immediate past-president of the Alliance of Clinical Education, the organization of medical school clerkship director organizations from Pediatrics, Internal Medicine, Family Medicine, Ob/Gyn, Neurology, Psychiatry, Surgery and Emergency Medicine will discuss the impact of USMLE Step 1 not having a numerical score, including the concern that with USMLE Step 2 CK remaining scored, are we just shifting the concerns to a different time in the life of a medical student.