USMLE 2018-19 Exam - Registration, Eligibility, Fees, Dates, Preparation, Result and more.

USMLE 2018-19 Exam

ABOUT USMLE 2018-19

About USMLE Exam

What is USMLE exam?

USMLE test or USMLE exam is US medical licensing exam. It is a screening exam for medical students who want to get a medical license in the United States. USMLE full form stands for the United States Medical Licensing Examination. If you are preparing for USMLE exam, and have queries about USMLE preparation, and looking for how to prepare for USMLE exam, this is all the information you will need.

USMLE is sponsored by two regulatory bodies in the US, which are Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). These two are non-profit-organisations, representing 70 state medical and osteopathic boards across United States of America. Each state has their own rules and regulations when it comes to medical licensing. USMLE test is the common evaluation tool among these for initial medical licensing.

It is regulated by an 80 members board, which include members from not only FSMB and NBME, but also the Educational Commission for Foreign Medical Graduates (ECFMG), Association of American Medical Colleges (AAMC), the American Board of Medical Specialties (ABMS), the American Medical Association (AMA), the Resident and Fellows Section of the AMA, the American Medical Student Association (AMSA), the Council of Medical Specialty Societies (CMSS), the Educational Commission for Foreign Medical Graduates (ECFMG), the Student National Medical Association (SNMA), the uniformed services, and the Department of Veterans Affairs.

USMLE includes 3-step examination. Which are,

  1. Step 1 exam
  2. Step 2 CS (Clinical Science) and Step 2 CK (Clinical Knowledge)
  3. Step 3

These are the three stages of USMLE. Step 1 and Step 2 examination is done while the student is in medical school. Step 3 is taken after he / she has graduated.

Here, we are providing all the information about USMLE exam, USMLE exam details, USMLE exam pattern, USMLE exam Schedule, USMLE exam eligibility, and USMLE exam scores to qualify for the licence.

Eligibility

There are different set of criteria set for each step of the examination for USMLE step 1, 2 CK & CS, and Step 3. The table below lists the eligibility criteria for Step 1, Step 2 CS, Step 2 CK, and Step 3.

USMLE test Eligibility:

Steps

Eligibility

Step 1 Eligibility

  1. Student should be enrolled in, or a graduate from a medical school outside of the US and Canada which is listed in World Directory of Medical Schools.
  2. Student should meet the certification eligibility criteria by ECFMG.
  3. Must meet eligibility criteria at the time of application.

Step 2 CS and Step 2 CK Eligibility

  1. Student should be enrolled in, or a graduate from a medical school outside of the US and Canada which is listed in World Directory of Medical Schools.
  2. Student should meet the certification eligibility criteria by ECFMG.
  3. Must meet eligibility criteria at the time of application.

Step 3 Eligibility

  1. Clear step 1, step 2 CK and Step 2 CS.
  2. Candidate must possess an MD equivalent degree from any US or Canadian medical school, which is listed in World Directory of Medical School.
  3.  Possess valid fifth pathway certificates issued through 31 December 2009.
  4. If candidate does not hold the fifth pathway certificates, have to obtain ECFMG certification.

Candidates must know if the institute they are pursuing their medical studies from, is listed in the World Directory of Medical School. To check if your medical school is listed in World Directory of Medical Schools, go to “wdoms” website, and click on “Search the World Directory” tab. It had a drop down menu to choose the country, and after filling the details of your city and collage, you can check whether the college is listed or not.

How to prepare for USMLE test?

There are no fixed affiliated or sanctioned courses available for USMLE. The best way to prepare for USMLE test is a general, thorough preparation of the topics that are covered in exam description. The USMLE website has sample test materials that students can refer and self-assess. Self-assessment information and materials are also available on NBME website. Candidates who want to get familiar with Prometric Testing Centres and environment, can also apply for CBT (Computer Based Test) practice session for a fee ranging from $75 to $266 depending on the region, Test 3 Practice tests are available in US only.

USMLE Exam Pattern

USMLE Exam Pattern for Step 1:

The aspirants who have enrolled in or have graduated from a medical school listed in World Directory of Medical School can take the examination for USMLE step 1.

The Step 1 of the USMLE exam is assessment of their knowledge in science related to medical practice in various disciplines and inter-disciplines. The covered disciplines and inter-disciplines for USMLE step 1 examination are listed below:

Disciplines

Inter-disciplines

Microbiology

Nutrition

Pharmacology

Aging

Biostatistics and Epidemiology

Genetics

Pathology

-

Behavioural sciences

-

Physiology

-

Anatomy

-

Biochemistry

-

The number of USMLE Step 1 questions will be total of 280. The questions will be in multiple choice question form. The Step 1 exam is a single day exam with a duration of 8 hours. The eight-hour duration consists of seven blocks, which are 60 minutes long. A single block in Step 1 examination will have 40 questions each.

USMLE Step 1 Exam Pattern:

Duration

Total Questions

Blocks

No. of Question in each Block

8 Hours

280

7

40

 

USMLE Exam Pattern for Step 2 CK & Step 2 CS:

The step 2 in USMLE test emphasis on the patient care under medical supervision.  It is assessment of candidate’s understanding and skill set of clinical science, which is essential for patient care under supervision and disease prevention. It ensures safe and competent practice in medicine by applying basic principles of clinical science and patient centred skills.

Just like step 1 examination, Step 2 CK (Clinical Knowledge) is also a one-day examination. The test duration is of 9 hours, with 8 blocks of 60 minutes each. The number of questions in each block will not exceed 40, and total number of USMLE step 2 questions will be 350. Just like Step 1, USMLE step 2 CK test will have the questions in MCQ format.

In Step 2 CS (Clinical Science), the candidates will encounter standardised patients, who are trained to portray real patients. This is assessment of their Clinical Science and Communication Skills with Patient. The candidates will have to listen to the patients, communicate with them, professionally treat them, diagnose their medical issues and answer to their medical queries.

There are three integral parts of USMLE step 2 exam:

  1. Integrated Clinical Encounter
  2. Communication and Interpretation Skills
  3. Spoken English Proficiency

USMLE Step 2 Exam Pattern:

USMLE Step 2

Duration

Total Questions

Blocks

No. of Question in each Block

USMLE Step 2 CK

9 Hours

318

8

40

USMLE Step 2 CS

-

12 Patients

15 Minutes Each

-

 

USMLE Exam Pattern for Step 3:

While the aspirants who have enrolled in or have graduated from medical school attempt exams for Step 1 and Step 2, Step 3 is for the people who have completed the program. That are students from US and Canada, or the international students who have completed their medical school, which is enlisted in World Directory of Medical Schools.

The Step 3 is for the assessment of the candidate if he / she can provide unsupervised medical practice or not. The final license to practice medicine is only given to the candidates who clear USMLE Step 3.

Step 3 examination is a two-day examination. It is divided into two subcategories as given below:

  1. Foundations of Independent Practice
  2. Advanced Clinical Medicine

Day 1: Foundation of Independent Practice (FIP)

The first day of Step 3 Examination is the assessment of candidate’s knowledge of basic scientific and medical principles essential for effective healthcare. It is also an assessment of knowledge of patient history and physical examination along with diagnosis and use of diagnostic studies.

The examination duration for Day 1 is 7 Hours, divided into 6 blocks. Each block contains 38 to 40 items respectively.  The total number of USMLE Step 3 questions for Day 1 will not exceed 260.

Day 2: Advanced Clinical Medicine (ACP)

The second day of Step 3 Examination is the assessment of knowledge application abilities in patient management and manifestation of disease. It also asses various aspects such as diagnosis and prognosis, health maintenance and screening, therapeutics and medical decision-making.

The examination duration for Day 2 is 9 hours, divided into 6 blocks. Each block contains 33 questions respectively. The total number of USMLE Step 3 questions for Day 2 is 200.

The test also contains computer based case stimulations.

USMLE Step 3 Exam Pattern:

USMLE Step 3

Duration

Total Questions

Blocks

No. of Question in each Block

USMLE Step 3-Day 1

7 hours

233

6

38-40

USMLE Step 3-Day 2

9 hours

180

6 (30 minutes each)

33

(13 case stimulations)

USMLE Test Centres:

USMLE tests are conducted by Prometric, a testing agency. Prometric is also responsible for allotting international test centres to international students taking USMLE test. For USMLE Step 1 and Step 2 CK test, aspirants can choose to take the examination in their respective country of residence. For students who are to appear for Step 2 CS and Step 3 test, will have to travel to the USA for the exam.

Student can apply to take the exam in their respective countries across the world, and there are number of centres across countries where students can take examination. There is no surcharge applied if the candidate is taking the USMLE Step 1 and USMLE Step 2 CK tests in the USA or Canada. However, a surcharge is additional if the test is taken on the centres other than the USA or Canada.

USMLE Test Centres and Surcharge:

Testing Region

Prometric Testing Centres Location

Surcharge

Step 1

Step 2

Canada

Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Nova Scotia, Ontario, Quebec, and Saskatchewan

$0

$0

United States and & its territories

All U.S. state and Guam, Puerto Rico, and the Virgin Islands

$0

$0

Asia

Bangladesh, Malaysia, Nepal, Pakistan, People’s Republic of China, Philippines, and Singapore

$150

$170

Australia

Australia and New Zealand

$150

$170

Africa

Ghana, Kenya, South Africa, and Uganda

$150

$170

China

People’s Republic of China

$150

$170

India

India

$150

$170

Indonesia

Indonesia

$150

$170

Latin America

Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Dominican Republic, Guatemala, Mexico, Peru, Trinidad and Tobago, and Venezuela

$150

$170

Middle East

Egypt, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, and United Arab Emirates

$150

$170

Thailand

Thailand

$150

$170

Taiwan

Taiwan

$185

$210

Europe

Armenia, Croatia, Denmark, France, Germany, Greece, Ireland, Israel, Italy, Latvia, Netherlands, Portugal, Spain, Switzerland, Turkey, and the UK

$185

$210

Korea

Korea

$185

$210

Japan

Japan

$365

$410

 

Test Centres for Step 2 CS (Clinical Science)

There are six centres for candidates taking Step 2 CS examination across USA. The test centres subjected to availability are Atlanta, Chicago, Houston, Los Angeles and Philadelphia. Any candidate across the world can apply for any of these centres through ECFMG (Educational Commission for Foreign Medical Graduates).

The final evaluation of the physicians who want to practice medicine in the United States is done in USMLE exam step 3. As mentioned above, USMLE step 3 is a two-day examination. The test centres for the Step 3 can also be chosen by the same process the centres for step 2 (CS) were chosen. For USMLE exam Step 3, there are some centres in Canada as well. For Step 3, candidates will have to choose their USMLE test centre for Step 3 through Prometric Testing Agency.

USMLE Application and Application Fees

For USMLE registration, candidates will have to follow the steps given below.

USMLE Step 1 Registration:

To apply for USMLE step 1, the candidates from USA and Canada will have to submit their forms through NBME (National Board of Medical Examiners)

For students outside USA and Canada, candidates should apply for USMLE through ECFMG (Education Commission for Foreign Medical Graduates).

USMLE Step 2 Registration:

The USMLE Step 2 Registration process remains same as the process followed for the Step 1 examination.

USMLE Step 3 Registration:

For Step 3 examination application, the candidates must apply through FSMB (Federation of State Medical Boards).

Details of USMLE Fees:

  • For LCME or AOA accredited medical students or graduates in the US or Canada, the candidates will have to apply through NBME or NLES.

The structure of the USMLE Step 1 fees, USMLE step 2 fees is as below:

Fees

Step 1

Step 2 CK

Step 1 & 2 CK

Step 2 CS

Application Fees

$610

$610

$70

$1285

Rescheduling Fees

$0-$506

$0-$569

 

$0-$1280

  • For USMLE registration, medical students or graduates outside the US or Canada, will have to apply through ECMFG.

Application fees for ECFMG

$75

 

USMLE Exam Fees:

Fees

Step 1

Step 2 CK

Step 2 CS

Application Fees

$910

$910

$1565

Extension of Eligibility Period for Step 1/Step 2 CK only)

$70

$70

 

Step 1/Step 2 CK Testing Region Change

$65

$65

 

Rescheduling fee

$0-$569

$0-$1285

$0-$1280

Score Recheck (Step 1/Step 2 CK/Step 2 CS)

$80

$80

 

ECFMG Exam Chart

$50

 

 

ECFMG CSA History Chart

$50

 

 

USMLE Transcript -Paper

$70 per request (up to 10 transcripts)

USMLE Transcript - Electronic Transmission for ERAS

$80 per ERAS session

 

USMLE Step 3 Registration:

  • Candidates who have cleared Step 1, Step 2 CK and USMLE Step 2 exam, will apply for USMLE step 3 exam through FSMB:

Application Fee

$850

Rescheduling Fee

$0-$114

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