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Exam Date: August 17, 2025
The United States Medical Licensing Examination (USMLE) is a three-step examination series required for medical licensure in the United States. It assesses a physician's ability to apply knowledge, concepts, and principles, and to demonstrate fundamental patient-centered skills essential for safe and effective patient care.
Eligibility Criteria
• Medical Students: Currently enrolled in or have graduated from a medical school listed in the World Directory of Medical Schools.
• International Medical Graduates (IMGs): Must be certified by the Educational Commission for Foreign Medical Graduates (ECFMG).
• Sequence: Step 1 and Step 2 CK can be taken in any order; Step 3 can only be taken after passing Step 1 and Step 2 CK.studyabroad.careers360.comen.wikipedia.org+3usmle.org+3usmlestrike.com+3
Exam Pattern Overview
Step 1
• Purpose: Assesses understanding and ability to apply important concepts of the basic sciences to the practice of medicine.
• Format: Approximately 280 multiple-choice questions (MCQs), divided into seven 60-minute blocks.
• Duration: One-day exam, approximately eight hours.
• Scoring: Pass/Fail (as of January 2022).
Step 2 Clinical Knowledge (CK)
• Purpose: Assesses ability to apply medical knowledge, skills, and understanding of clinical science essential for supervised patient care.
• Format: Approximately 318 MCQs, divided into eight 60-minute blocks.
• Duration: One-day exam, approximately nine hours.
• Scoring: 1–300 scale (214 to pass).
Step 3
• Purpose: Assesses ability to apply medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine.
• Day 1: Foundations of Independent Practice (FIP) – Approximately 232 MCQs.
• Day 2: Advanced Clinical Medicine (ACM) – Approximately 180 MCQs and 13 computer-based case simulations (CCS).
• Duration: Day 1: 7 hours; Day 2: 9 hours.
• Scoring: 1–300 scale (200 to pass).
Detailed Syllabus
Step 1
• Basic Sciences:
o Anatomy
o Behavioral Sciences
o Biochemistry
o Microbiology
o Pathology
o Pharmacology
o Physiology
o Interdisciplinary Topics
o Genetics
o Immunology
o Nutrition
o Molecular and Cellular Biology
Step 2 CK
• Clinical Sciences:
o Internal Medicine
o Surgery
o Pediatrics
o Obstetrics and Gynecology
o Psychiatry
o Emergency Medicine
o Neurology
o Family Medicine
o Geriatrics
o Dermatology
o Ophthalmology
o Otorhinolaryngology
o Orthopedic Surgery
o Anesthesiology
o Radiology
o Preventive Medicine
Step 3
• Day 1 (FIP):
o Foundations of Independent Practice
o Basic Medical and Scientific Principles
o Patient Safety
o Quality Improvement
o Health Systems Science
o Communication Skills
o Professionalism
• Day 2 (ACM):
o Comprehensive Patient Management
o Diagnosis and Management of Diseases
o Medical Decision Making
o Patient Education
o Health Promotion and Disease Prevention
Exam Fees (2025)
• Step 1: $1,000 (International Test Delivery Surcharge: $195)
• Step 2 CK: $1,000 (International Test Delivery Surcharge: $220)
• Step 3: $925
• Additional Costs:
o ECFMG Certification: $160
o Step 3 Eligibility Processing: $70
o Prometric Exam Centers (India): $180 per exam
Note: Fees are subject to change. Please refer to the official USMLE website for the most current information.
Where and Who Can Apply
• Where:
o Step 1 & Step 2 CK: Available at Prometric test centers worldwide, including major cities in India such as Chennai, Hyderabad, Ahmedabad, Bangalore, Kolkata, Allahabad, Mumbai, and New Delhi.
o Step 3: Available at Prometric test centers in the U.S.
• Who:
o Medical students and graduates from recognized medical schools worldwide.
o International Medical Graduates (IMGs) must be certified by the Educational Commission for Foreign Medical Graduates (ECFMG).
Exam Fees (2025)
• Step 1: $1,000 (International Test Delivery Surcharge: $195)
• Step 2 CK: $1,000 (International Test Delivery Surcharge: $220)
• Step 3: $925
• Additional Costs:
o ECFMG Certification: $160
o Step 3 Eligibility Processing: $70
o Prometric Exam Centers (India): $180 per exam
Note: Fees are subject to change. Please refer to the official USMLE website for the most current information.
Where and Who Can Apply
• Where:
o Step 1 & Step 2 CK: Available at Prometric test centers worldwide, including major cities in India such as Chennai, Hyderabad, Ahmedabad, Bangalore, Kolkata, Allahabad, Mumbai, and New Delhi.
o Step 3: Available at Prometric test centers in the U.S.
• Who:
o Medical students and graduates from recognized medical schools worldwide.
o International Medical Graduates (IMGs) must be certified by the Educational Commission for Foreign Medical Graduates (ECFMG).
Registration: Open year-round.
• Examination Windows:
o Step 1: Available throughout the year at Prometric centers worldwide.
o Step 2 CK: Available throughout the year at Prometric centers worldwide.
o Step 3: Available throughout the year at Prometric centers in the U.S.
• Results:
o Step 1: Approximately 3–4 weeks after the exam.
o Step 2 CK: Approximately 3–4 weeks after the exam.
o Step 3: Approximately 3–4 weeks after the exam.
The USMLE (United States Medical Licensing Examination) is a standardized, three-step exam required to practice medicine in the U.S. It assesses a physician’s ability to apply knowledge, concepts, and patient-centered skills.
Step 1 & Step 2 CK: Students or graduates of a medical school listed in the World Directory of Medical Schools and recognized by ECFMG.
Step 3: Must have passed Step 1, Step 2 CK, and have an MD or equivalent degree (plus ECFMG certification if you're an IMG).
Exams are available year-round at Prometric centers worldwide, except major holidays.
