What is the USMLE?

A man wearing a green doctor robe and a stethoscope, showing his hands folded across his chest
USMLE is an essential part of the medical licensure process in the United States

Becoming a licensed physician in the United States requires successfully passing the United States Medical Licensing Examination (USMLE). The USMLE is a three-step examination that assesses a physician’s ability to provide safe and effective medical care. The National Board of Medical Examiners (NBME) and the Federation of State Medical Boards (FSMB) administer the exam.

The USMLE is a critical milestone for medical students, as it determines their eligibility for residency training programs, licensure, and, ultimately, their ability to practice medicine in the United States. This blog post will provide an overview of the USMLE, including its structure, content, and scoring.

Step of USMLE

There are three must-take steps of USMLE:

Step 1: Basic Medical Sciences

The first USMLE Step 1 assesses a physician’s ability to apply basic medical sciences to the practice of medicine. This includes an understanding of the principles of anatomy, biochemistry, microbiology, pathology, pharmacology, and physiology.

The Step 1 exam is administered over eight hours and consists of 280 multiple-choice questions. The questions are divided into seven 60-minute blocks, with a maximum of 40 questions per block. The exam is computer-based and is administered at designated testing centers throughout the United States and internationally. More about What is USMLE step 1? in our blog.

Passing the USMLE steps is a significant milestone for medical students

Step 2: Clinical Knowledge

The USMLE Step 2 tests a medical studentโ€™s Clinical Knowledge (CK). The CK exam assesses a physician’s ability to apply clinical knowledge to the practice of medicine. 

The CK exam is a computer-based test that consists of 318 multiple-choice questions. The exam is administered over nine hours and is divided into eight 60-minute blocks, with a maximum of 40 questions per block.

Step 3: Clinical Management

The final USMLE Step 3 assesses a physician’s ability to apply medical knowledge and clinical skills to the management of patient care. This includes understanding common medical conditions’ diagnosis, treatment, and management.

The Step 3 exam is a two-day computer-based test comprising approximately 233 multiple-choice questions and 13 computer-based case simulations. The exam is divided into six 60-minute blocks, with a maximum of 40 questions per block.

USMLE 1-1 Tutoring
Personalized study plan for each step of the exam plus 100s of resources to help you prepare

Scoring and Pass Rates

Each step of the USMLE is scored on a scale of 1 to 300, with a passing score of 194. The scoring system ensures physicians possess the necessary knowledge and skills to provide safe and effective medical care.

The pass rates for the USMLE vary by step and year. In 2020, the pass rate for Step 1 was 97%, while the pass rate for Step 2 CK was 96%. The pass rate for Step 2 CS was 73%, while the pass rate for Step 3 was 96%.

By remembering this, students must ensure they spare enough time to prepare for the exam. We recommend taking USMLE preparation tutoring to assure a good test score.

The path to becoming a doctor
The USMLE is just one part of becoming a doctor

The USMLE is a critical milestone for medical students, as it determines their eligibility for residency training programs, licensure, and, ultimately, their ability to practice medicine in the United States.

Preparing for the USMLE is a significant undertaking and requires dedication, hard work, and commitment. Many medical students spend months, if not years, preparing for the exam through coursework, self-study, and practice exams. Resources such as review books, study guides, and online practice exams can help prepare for the exam.

With dedication, hard work, and preparation, medical students can successfully navigate the USMLE and take the first step toward a fulfilling career in medicine. 


Uncover helpful tips and guidance on the supplementary stages of the USMLE exam:

Frequently Asked Questions (FAQs)

Who is eligible to take the USMLE?

Any medical student currently enrolled in or has graduated from a medical school accredited by the Liaison Committee on Medical Education (LCME) or the American Osteopathic Association (AOA) is eligible to take the USMLE.

How long does it take to receive USMLE scores?

Scores for Steps 1 and 2 CK are typically released within 3-4 weeks of the exam date. Scores for Step 3 are released within 2-3 months of the exam date.

How many times can I take the USMLE?

There is no limit to the number of times a medical student can take each step of the USMLE, but there are restrictions on the number of times a student can take each step within a certain time frame.

Can I take the USMLE outside of the United States?

Yes, the USMLE is administered at testing centers throughout the United States and internationally. Medical students interested in taking the exam outside the United States should consult the NBME and FSMB websites for more information.

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