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Updated: Jul 29, 2026
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USMLE stands for United States Medical Licensing Examination. This is a series of medical exams coming in a few stages that all new doctors need to pass (starting from their time in med school) to be able to practice medicine.
Reference: http://www.usmle.org/step-1/#question-formats
| Certification Vendor: | USMLE (NBME, FSMB, ECFMG) |
| Exam Name: | United States Medical Licensing Examination |
| Exam Number: | USMLE |
| Available Languages: | English |
| Passing Score: | Step 1: Pass/Fail; Step 2 CK: ~214 (varies by NBME updates); Step 3: ~200 (varies by FSMB updates) |
| Real Exam Qty: | Step 1: ~280; Step 2 CK: ~318; Step 3: ~412 multiple-choice + CCS cases |
| Exam Price: | Varies: approximately USD 1000–1500 per step (international test centers may include additional fees) |
| Exam Duration: | Step 1: ~420; Step 2 CK: ~540; Step 3: 2-day exam (Day 1 ~420, Day 2 ~480 including CCS) |
| Certificate Validity Period: | Step exams do not expire individually; validity applies through ECFMG certification and state medical board requirements |
| Exam Format: | Multiple-choice questions (single best answer), Computer-based testing, Clinical Case Simulations (Step 3) |
| Related Certifications: | ECFMG Certification Medical Licensure (US) Residency Training Eligibility |
| Recommended Training: | NBME Practice Materials USMLE Official Resources |
| Exam Registration: | ECFMG (International Medical Graduates) USMLE Official Registration FSMB Step 3 Registration |
| 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/ |
USMLE Step 2 is open to all medical students and graduates who have successfully passed the USMLE Step 1. The Step 2 exam assesses the candidates' medical knowledge, skills, and understanding of clinical science essential for patient treatment and care, health promotion and disease prevention.
USMLE Step 1 is a one-day (8 hours) examination. It includes 322 multiple-choice questions divided into 7 blocks of 46 items (60 minutes are given for completion of each block).
USMLE Step 2 is a one-day (8 hours) exam. Similar to the Step 1, the test items are divided into blocks, and test item formats vary within each block, with the total number of exam questions equaling to 355.
| Section | Objectives |
|---|---|
| Step 1 - Basic Medical Sciences | - Foundations of Disease and Treatment
|
| Step 3 - Clinical Management | - Advanced Clinical Practice
|
| Step 2 CK - Clinical Knowledge | - Organ Systems and Clinical Medicine
|
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