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About USMLE 2024

The USMLE, or United States Medical Licensing Examination, is a series of exams necessary for practicing medicine in the United States.

What is the USMLE?

The United States Medical Licensing Examination, commonly known as the USMLE, is a requisite assessment for individuals aiming to practice medicine in the United States. International students are mandated to pass a comprehensive three-part medical licensing examination.

Who owns the USMLE?

The ownership of the USMLE rests with two organizations:

  1. Federation of State Medical Boards (FSMB): Represents state medical boards responsible for issuing medical licenses.
  2. National Board of Medical Examiners (NBME): Develops and administers the USMLE examinations.

Who is eligible to take the USMLE?

Medical graduates from outside the United States and Canada are eligible to take the USMLE. Registration can be completed through the ECFMG’s online services available on the official USMLE website.

Eligibility Requirements: To qualify for taking the USMLE Step 1, you must meet the following criteria:

  • Be a current student or graduate of a medical school in the United States or Canada accredited by the Liaison Committee on Medical Education (LCME), leading to the MD degree.
  • Be a current student or graduate of a medical school in the United States accredited by the American Osteopathic Association (AOA), leading to the DO degree.

For International Medical Graduates (IMGs) to be eligible to take the USMLE Step 1, they must:

  • Officially be enrolled in a medical college or university listed in the World Directory of Medical Schools (WDOMS).
  • Fulfill other eligibility requirements stipulated by the Educational Commission for Foreign Medical Graduates (ECFMG).

For the most up-to-date information, please consult the website.

USMLE Step 1 Application: For students attending medical universities in the US or Canada, the application process for USMLE Step 1 is conducted through the NBME login portal on the NBME Website. International Medical Graduates (IMGs) can register for the USMLE Step 1 via the ECFMG Official Website.

Choose the Prometric USMLE Step 1, your preferred testing location, and a suitable exam date within your eligibility period. Finalize the booking by following the instructions on your scheduling permit.

Identification for the Exam: You must provide personal details as per your passport during registration, which will serve as your identification at the testing center. Remember to bring your passport for identification at the Prometric Exam center.

Print your admission ticket: Upon completing the registration, you’ll be able to print your admission ticket containing essential details about your exam, such as the date, time, and location.

USMLE Step 1 Cost: The examination fee for USMLE Step 1 is $1,000 for the United States and Canada testing regions. For other regions worldwide, the exam fee is $1,195. These fees are subject to annual review and can be found on the USMLE website. For the latest fee details, please visit Ecfmg.Org.

USMLE Exam Centers: USMLE Step 1 can be taken at Prometric test centers globally, including India, which boasts over 150 Prometric test centers outside of the US and Canada. In India, there are 8 USMLE test centers located in major metropolitan cities: Chennai, Hyderabad, Ahmedabad, Bangalore, Kolkata, Allahabad, Mumbai, and New Delhi.

USMLE Step 1 Exam Pattern: While the scoring for the United States Medical Licensing Examination (USMLE) Step 1 has changed, the exam pattern remains unchanged. The exam comprises 280 multiple-choice questions (MCQs) presented in 7 blocks, each lasting 60 minutes. Each block contains a maximum of 40 questions, with 90 seconds provided to answer each. Additionally, there is a 15-minute optional tutorial (USMLE Orientation) and a minimum of 45 minutes designated for breaks. The total exam duration is 8 hours. Any saved time from completing blocks before the allotted 60 minutes can be utilized as break time.

USMLE Step 1 Attempts: Candidates are permitted to retake the USMLE Step 1 Exam up to four times. Failing to pass or complete the exam within these attempts renders one ineligible to apply for any subsequent Step in the USMLE exam sequence. Once passed, the score remains valid for 7 years, and retaking the exam within this period is prohibited.


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