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Updated: Sep 16, 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: | NBME / FSMB / ECFMG |
|---|---|
| Exam Name: | United States Medical Licensing Examination |
| Exam Number: | USMLE Step 1, Step 2 CK, Step 3 |
| Exam Price: | Step 1: $670 (US/Canada), $1,000 (IMG); Step 2 CK: $670 (US/Canada), $1,000 (IMG); Step 3: $935 (all candidates) – 2026 rates |
| Certificate Validity Period: | No expiration for passed steps; must complete all steps within 7 years in most jurisdictions |
| Exam Duration: | Step 1: 480; Step 2 CK: 540; Step 3: 960 (over 2 days) |
| Real Exam Qty: | Step 1: 280; Step 2 CK: 318; Step 3: ~412 + 13-14 CCS cases |
| Related Certifications: | ECFMG Certification State Medical License |
| Available Languages: | English |
| Passing Score: | Step 1: Pass/Fail; Step 2 CK: 214; Step 3: 200 |
| Exam Format: | Computer-Based Case Simulations (CCS – Step 3 only), Multiple Choice Questions (MCQs) |
| Recommended Training: | USMLE Official Bulletin & Content Outlines |
| Exam Registration: | NBME Registration USMLE Official Site FSMB Registration ECFMG (for IMGs) |
| Sample Questions: | USMLE USMLE Sample Questions |
| Exam Way: | Computer-based testing at Prometric centers; Step 1/2 CK worldwide; Step 3 only in US and territories |
| Pre Condition: | Step 1: Enrolled/graduate of LCME/COCA-accredited US med school or IMG with ECFMG eligibility; Step 2 CK: Completion of core clinical rotations; Step 3: Pass Step 1 + Step 2 CK + MD/DO degree or equivalent + ECFMG certification |
| Official Syllabus URL: | https://www.usmle.org/exam-resources |
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.
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 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.
| Section | Objectives |
|---|---|
| Topic 1: Step 3 – Clinical Decision Making | - Advanced Clinical Medicine - Computer-Based Case Simulations - Foundations of Independent Practice |
| Topic 2: Step 2 CK – Clinical Knowledge | - Emergency Medicine - Obstetrics & Gynecology - Psychiatry - Pediatrics - Surgery - Internal Medicine - Population Health & Ethics |
| Topic 3: Step 1 – Basic Medical Sciences | - Pathology - Anatomical Sciences - Microbiology & Immunology - Physiology - Biochemistry & Nutrition - Behavioral Sciences & Biostatistics - Pharmacology |
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