USMLE Step 1
USMLE STEP 1
assesses whether you understand and can apply important concepts of the sciences basic to the practice of medicine, with special emphasis on principles and mechanisms underlying health, disease, and modes of therapy. The USMLE Step 1 ensures mastery of not only the sciences that provide a foundation for the safe and competent practice of medicine in the present, but also the scientific principles required for maintenance of competence through lifelong learning. It is a computerized test of the basic medical sciences consisting of 350 multiple choice questions. For IMGs, Step 1 is required for ECFMG certificate as well as for registration for the USMLE Step 2 CS. Since most US graduates apply to
with their USMLE Step 1 scores only, it maybe the only objective tool available with which to compare IMGs with US graduates.
USMLE Step 1 specifications:
1. Systems: 40-50 % General Principles. 50-60 % Individual Organ Systems – cardiovascular, Hemopoetic/ Lymphoreticular, Gastrointestinal, Nervous / Special Senses, Renal / Urinary, Skin / Connective tissue, Reproductive, Musculo-skeletal, Endocrine, Pulmonary / Respiratory
2. Process: 30-50 %
structure and function;30-50 % Abnormal Processes;15-25 % Principles of therapeutics;10-20 % Psychosocial, cultural, occupational and environmental considerations.
USMLE Step 1 Eligibility: Both students and graduates from medical schools that are listed in International Medical Education Directory are eligible to take the test. Students must have completed at least two years of medical school.
USMLE Step 1 Eligibility period: A three month period of your choice.
USMLE Step 1 Fees: The fee for Step 1 is $685 plus an international test delivery surcharge (if testing region is outside US or
Retaking the USMLE Step 1 exam: In the event you failed the USMLE Step 1 test, you can re-apply and select an eligibility period that begins at least 60 days after the last attempt. You cannot take the same Step more than three times in any 12-month period. If you pass a Step or Step Component, you are not allowed to retake it, except to comply with the time limit of a medical licensing authority for the completion of all Steps or a requirement imposed by another authority recognized by the USMLE program for this purpose. The medical licensing or other authority must provide information indicating that you are applying to retake the passed Step or Step Component in order to comply with its requirement. If you are repeating a Step or Step Component because of a time limit, you may apply to retake the examination only after the applicable time limit has expired. An exception to the policy of requiring the time limit to expire before applying to retake a previously passed Step or Step Component can be granted if, at the time of application and testing:
- you are currently enrolled in an LCME- or AOA-accredited medical school program leading to the MD or DO degree;
- you have previously passed Step 1 and/or Step 2 but have not passed Step 3;
- you will graduate from the medical school program seven or more years after the date you first passed Step 1 and/or Step 2; and
- you are otherwise eligible to retake the examination.
USMLE Step 1 Application materials: USMLE Step 1 and USMLE Step 2 application materials are available for students and graduates of LCME- and AOA-accredited medical schools from the National Board of Medical Examiners® (NBME®) website. USMLE Step 1 and USMLE Step 2 application materials are available for students and graduates of medical schools outside the
from the Educational Commission for Foreign Medical Graduates (ECFMG®). USMLE Step 1 and USMLE Step 2 applications must be submitted to the NBME if you are a student or graduate of a medical school in the
Canada, or to the ECFMG if you are a student or graduate of a medical school outside the
Canada. You must complete current, official USMLE applications and submit them to the ECFMG or NBME in accordance with the application instructions.
USMLE Step 1 Test delivery: Prometric, a division of Thomson Learning, Inc., provides scheduling and test centers for USMLE. Computer-delivered USMLE is delivered at Prometric test centers, USMLE Step 1 and USMLE Step 2 CK at Prometric test centers in the
and around the world. Migration of Step 1 USMLE to the FRED software will not occur until 2005. Migration of Step 2 USMLE to the FRED software will occur after the Step 3 transition in October 2004. To take computer-delivered USMLE, you must do the following:
a)Obtain application materials from the appropriate registration entity.
b) Complete your application materials and submit them to the registration entity.
c) Receive a Scheduling Permit verifying your eligibility and authorizing you to schedule the examination.
d) Follow the instructions on your Scheduling Permit to schedule your test date at a Prometric test center. Center locations are available at www.prometric.com
e) Bring your Scheduling Permit and identification as described on your Scheduling Permit to the Prometric test center on the scheduled date and time and take the examination.
Click here to read “How to prepare for USMLE Step 1”
USMLE Step 1