top internal medicine programs are looking for step 1 scores of 230 or better.
- the average usmle step 1 score for applicants who matched in ophthalmology had a score of 224 (those who didn't match had an average score of 206).
- Passing score (as of 1/16/04) is 182 according the NBME official USMLE site.
- The average score is about 214 (estimate from the score distribution).
None of this is "official" or "gauranteed", but I do think its in the correct ballpark.