United State Medical Licensing Examination (USMLE) Exam (Download PDF)

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United state Medical Licensing Examination (USMLE) is a 3 - step examination for medical licensure in the United States. USMLE test is the main route by which International Medical Graduates (IMGs) demonstrate that they have the necessary skills and knowledge to practice medicine in the USA. It is sponsored by:

  • Federation of State Medical Boards (FSMB)
  • National Board of Medical Examiners (NBME)

Eligibility:

Table Contain Shows Eligibility
Step ComponentRequirement
Step 1,2 CK and 2 CSOfficially enrolled in, orA graduate of a US or Canadian medical school leading to the MD degree (LCME accredited), ORA graduate of, a US medical school leading to the DO degree (AOA accredited), OR
Step 3MD degree (or its equivalent) orDO degree from an LCME or AOA- accredited US or Canadian medical school. Pass Step 1, Step 2 CK, and Step 2 CS, andInternational medical graduates obtain certification by the ECFMG.

Sequence of step:

  • For the eligibility requirements you take Step 1, Step 2 CK, and Step 2 CS in any sequence.
  • You may take Step 3 only after passing Step 1, Step 2CK, and Step 2 CS.

Overview of Test:

Table Contain Shows Overview of Test
StepFormatLength
Step 1Approximately 280 MCQs. Divided into 60- minute blocks. Computer based exam at Prometric Test Centers around world.1 day test session-8 hours
Step 2Clinical Knowledge: Clinical Skills (CS): Approximately 318 MCQs. Divided into 60- minute blocks. Computer based exam at Prometric Test Centers around world12 patient cases15 minutes for each patient encounter plus 10 minutes to record each patient note. Six test centers in US: Philadelphia, Chicago, Atlanta, Houston and Los Angeles.1 day test session-8 hours
Step 3
Day 1: FIPFoundations of Independent Practice (FIP) Approximately 235 MCQs. Divided into 60- minute blocks. Each containing 40 questions. Computer based exam at Prometric Test centers in US.1 day test session- 7 hours
Day 2: ACMAdvanced Clinical Medicine (ACM) Approximately 180 MCQs. Divided into 45-minute blocks. Each containing 30 questions. 13 computer based case simulations (CCS) Computer based exam at Prometric Test centers in US.1 day test session- 9 hours

Step and Website:

  • Step1 and 2 CK:
    • Students/graduates of LCME - or AOA - accredited programs apply via NBME website.
    • Students/graduates of medical schools outside of the US/Canada apply via ECFMG website.
    • For the schedule of test date visit Prometric website
  • Step 2 CS:
    • Students/graduates of LCME - or AOA - accredited programs apply via NBME website.
    • Students/graduates of medical schools outside of the US/Canada apply via ECFMG website.
    • For the schedule of test date visit USMLE website
  • Step 3:

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- Published/Last Modified on: January 28, 2017

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