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Updated: Sep 06, 2026
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USMLE USMLE Exam Overview:
| Certification Vendor: | USMLE (NBME, FSMB, ECFMG) |
|---|---|
| Exam Name: | United States Medical Licensing Examination |
| Exam Number: | USMLE |
| Exam Format: | Clinical Case Simulations (Step 3), Multiple-choice questions (single best answer), Computer-based testing |
| Exam Duration: | Step 1: ~420; Step 2 CK: ~540; Step 3: 2-day exam (Day 1 ~420, Day 2 ~480 including CCS) |
| Passing Score: | Step 1: Pass/Fail; Step 2 CK: ~214 (varies by NBME updates); Step 3: ~200 (varies by FSMB updates) |
| Exam Price: | Varies: approximately USD 1000–1500 per step (international test centers may include additional fees) |
| Real Exam Qty: | Step 1: ~280; Step 2 CK: ~318; Step 3: ~412 multiple-choice + CCS cases |
| Related Certifications: | Medical Licensure (US) ECFMG Certification Residency Training Eligibility |
| Certificate Validity Period: | Step exams do not expire individually; validity applies through ECFMG certification and state medical board requirements |
| Available Languages: | English |
| Recommended Training: | NBME Practice Materials USMLE Official Resources |
| Exam Registration: | FSMB Step 3 Registration USMLE Official Registration ECFMG (International Medical Graduates) |
| Sample Questions: | USMLE USMLE Sample Questions |
| Exam Way: | Computer-based testing at Prometric centers; Step 3 includes a second-day CCS simulation component |
| Pre Condition: | Medical students or graduates of accredited or recognized medical schools; Step 1/2 CK typically taken during or after medical school; Step 3 requires prior Step 1 and Step 2 CK completion |
| Official Syllabus URL: | https://www.usmle.org/ |
Step 1 of the USMLE (United States Medical Licensing Examination) is the first part of the United States Medical Licensing Examination. It is open to medical school student and graduates to assess their ability to apply important concepts fundamental to the practice of medicine. While American medical students usually take USMLE Step 1 at the end of the second year of medical school, all graduates of foreign medical schools must take this exam is they intend to practice medicine in the United States.
USMLE Step 3 is open to candidates who already hold their USMLE Step 1 and Step 2 certificates. Step 3 is a two-day exam that assesses whether candidates are able apply medical knowledge and understanding of biomedical and clinical science essential to unsupervised medical practice. This is the final USMLE exam which leads to the license to practice medicine without supervision - the ultimate goal of medical students and professionals willing to practice medicine in the United States. Step 3 represents the final assessment of physicians assuming independent responsibility for delivering general medical care.
Reference: http://www.usmle.org/step-1/#question-formats
USMLE USMLE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Step 2 CK - Clinical Knowledge | - Organ Systems and Clinical Medicine
|
| Topic 2: Step 3 - Clinical Management | - Advanced Clinical Practice
|
| Topic 3: Step 1 - Basic Medical Sciences | - Foundations of Disease and Treatment
|
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