United States Medical Licensing Examination

The United States Medical Licensing Examination (USMLE) is a three-step examination program for medical licensure in the United States sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Physicians with a Doctor of Medicine (MD) degree are required to pass the USMLE for medical licensure. However, those with a Doctor of Osteopathic Medicine degree (DO) are required to take the COMLEX-USA (COMLEX) exams.

United States Medical Licensing Examination
AcronymUSMLE
TypeComputer-based, three-part sequence, standardized test
Developer / administratorFederation of State Medical Boards, National Board of Medical Examiners
Knowledge / skills testedSTEP 1: Application of scientific principles basic to the practice of medicine
STEP 2: Application of medical knowledge, skills, and understanding of clinical science essential for supervised patient care
STEP 3: Application of medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine
PurposeMedical licensure in the United States
Year started1992 (1992)
DurationSTEP 1: 8 hours
STEP 2: 9 hours
STEP 3 (Day 1): 7 hours
STEP 3 (Day 2): 9 hours
Score / grade rangeSTEP 1: pass/fail
STEP 2: 1-300 (214 to pass)
STEP 3: 1-300 (198 to pass)
OfferedYear round
Countries / regionsGlobally at a Prometric centers for Step 1 and Step 2 CK; at a U.S. Prometric centers for Step 3
LanguagesEnglish
Annual number of test takersMore than 100,000 medical school students and graduates (2020)
FeeSTEP 1: US$645.00
STEP 2: US$645.00
STEP 3: US$895.00
Scores / grades used byState medical boards in the U.S. and U.S. Territories
Websitewww.usmle.org

States may enact additional testing and/or licensing requirements.

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