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02.03.2015
To apply for USMLE examinations, you must read the USMLE Bulletin of Information and submit an application through your registration entity. Information about the cost of the exams is available on the websites of the appropriate registration entities. A fee may be charged if you change your appointment, depending on how much notice you provide.
How do I update my contact information (email, mailing address, phone number) or register a name change? Name change forms and documentation must be received and processed by your registration entity no later than 7 business days before your scheduled testing appointment.
NOTE: If you have a scheduling permit, a revised permit will be issued to you with your new name. You must submit your application for the Step and your request for test accommodations with required documentation at the same time.
You are ineligible to take a Step or Step Component if you have made six or more prior attempts to pass that Step or Step Component, including incomplete attempts.
If a physician currently holds a license in one state and has not taken USMLE, is it necessary to pass USMLE to seek licensure in another state? The Educational Commission for Foreign Medical Graduates (ECFMG) provides such information. The candidate has obtained both degrees from an institution or program accredited by the LCME and a regional university accrediting body.
A candidate seeking an exception to the seven-year rule should be required to present a verifiable and rational explanation for the fact that he or she was unable to meet the seven-year limit.
If you pass a Step or Step Component, you are not allowed to retake it, except to comply with certain state board requirements which have been previously approved by USMLE governance. If you are repeating a previously passed Step or Step Component because of a time limit, you may apply to retake the examination only after the applicable time limit has expired. Association of American Medical Colleges (AAMC) and was developed to transmit residency applications via the Internet, including electronic transmittal of USMLE transcripts to residency programs which participate in ERAS.
Information on electronic transmittal of USMLE transcripts through ERAS is available for students and graduates of accredited medical schools in the United States and Canada from the medical schools.
If you wish to appeal the results of the investigation, you may submit a written statement to the above office within 10 days of the date of the correspondence containing the results of the investigation.
What are the rules regarding what I can and cannot bring into the secure areas of the testing center? For all Steps, if you bring personal items to the test center, you must store them in a small designated locker outside the secure testing area or in the designated storage area for Step 2 CS; electronic devices must be turned off.
For Step 2 CS, the entire testing session from orientation until the evaluation is completed, including all breaks, is considered a closed and secure testing session, and the entire test center, including the orientation room and the restrooms, is a secure testing area.
If you have a medical need for an item during your USMLE administration, see the list of approved personal items. The biometrics record is paired with ID information and information about your testing appointment session. Unless otherwise required by law, the personal information (including your fingerprint image and template) collected using biometrics is retained on behalf of the USMLE program sponsors in a secure, centralized database in the United States on test day and for a period of 5 years from the date of your most recent testing appointment with Prometric.
Access to your biometric information will be limited as described in the Privacy Notice for USMLE Candidates. Will my biometric information be used by Prometric, USMLE, or USMLE program sponsors for purposes other than those stated in the Privacy Notice for USMLE Candidates?
Biometrics is part of Prometric’s identity management system and is designed to improve the security and integrity of the testing process. This Privacy Notice describes the privacy and security practices that have been established for the Biometric Enabled Check-In program. The biometrics program converts a fingerprint to a digital image that is used for identity verification purposes.
The biometric record contains some or all of the following information: a digitized representation of your fingerprint (the template), an image of your fingerprint, along with your name, address, telephone number (if provided), date of birth or age, identification document number, and a scanned copy of your identification document (such as your driver’s license), which includes your digitized photograph. Data processors, like Prometric, who process the data and who are bound by contracts to limit their use of the information to the purposes specified in this noticeThird parties if required by law or as necessary to complete a testing fraud investigation directly related to the relevant candidate(s).
Appropriate technical, physical and administrative safeguards have been implemented to help protect your personal information against unauthorized access or loss. The USMLE program sponsors and Prometric are committed to protecting your privacy and will only use the personal information collected under the Biometric Enabled Check-In program for the purposes described in this Privacy Notice. In conversations with the various stakeholder groups that occurred as part of the USMLE review process, strongly held opinions were expressed on both sides of this question. In accordance with direction from the USMLE Composite Committee and the Committee to Evaluate the USMLE Program, USMLE governance will consider changes to the examination sequence in the context of competencies that have become increasingly prevalent in recent years as a means of organizing medical education and assessment. Whenever USMLE develops new item formats, there is an extensive period of testing and development. If the current Step structure changes, how can medical schools that make promotion decisions (from MS2 to MS3) continue to make these decisions?
Changes in the structure of USMLE exams may have little or no impact on schools using USMLE performance for other purposes. The Step 1 and Step 2 CK exams currently contain a small number of items assessing the topics listed; in 2015 the number of items assessing these topics increased slightly. Broadly based learning that establishes a strong general foundation of understanding of concepts and principles in the clinical sciences is the best preparation for the examination. Will the restructured Step 3 mean a change in the eligibility requirements for taking the exam? This change in removing state board sponsorship as part of the Step 3 application does not impact medical licensing requirements in the United States. At this time, there are no plans for the USMLE program to impose a minimum residency training requirement as part of the Step 3 eligibility criteria.
The sample test questions are available only for the Windows (PC) operating system because the exams are administered on a PC-only platform at test centers. When I try to run the practice materials I receive the following error message: "A fatal error has occurred.
It sounds as though either your screen resolution or color settings do not meet the minimum requirements.
I successfully installed the practice materials on my Windows Vista computer, but when I try to start a block of questions, I get a message that says "Navigation to the webpage was canceled." How do I fix this? This error occurs when your regional language is not set to English (United States), which is a requirement for the software to run properly. Please make sure you change the language on both the "Regional Options" tab AND the "Advanced" tab before restarting your computer.
This error code usually indicates virus protection software is blocking access to our software.
Additionally, if you have file-sharing software on your computer, such as uTorrent, this may be the source of the problem. When I practice taking an examination using the downloaded practice materials from the USMLE website, the text for some items scrolls off the page to the left, out of sight.
This is a known issue that may occur in multiple item sets (such as sequential item sets and drug ads) in an Internet Explorer 8 or Internet Explorer 9 environment.


If you have not received your score within eight weeks of your test date, please contact us to determine the status of your score report. Scores for Step 2 CS are released on Wednesdays according to the posted score reporting schedule.
In order to assure that both the processing and scoring of USMLE examinations are done in a secure and accurate fashion, it is necessary to follow a number of quality assurance steps. Step 2 CS score reporting cycles require more time than computer-based examinations for several reasons: Score information is collected during each testing period so that calibration and equating can be performed, which ensures comparability of score outcomes regardless of test date, test form, or test site. You can find detailed information about interpreting USMLE scores in the USMLE Score Interpretation Guidelines. As noted on page 2 of your score report, caution should be used when interpreting differences between performance in different content areas. Remediation strategies focused on relatively weak areas of performance are unlikely to be the most effective strategy for failing examinees. The content-based standard used for setting the passing score means that as many as 100% of candidates could theoretically pass, or conceivably 0%. For accredited medical schools in the United States and Canada, performance by medical school is reported by NBME only to individual schools and is available only from those schools. Educational Commission for Foreign Medical Graduates (ECFMG®) has responsibility for reporting scores for students and graduates of international medical schools. To obtain your USMLE transcript or have it sent to a third party, you must contact one of the three USMLE registration entities.
The state medical licensing boards, which are responsible for regulating medical practice in the United States and its territories, believe strongly that the standards to practice medicine safely should include not only clinical competence but also the ability to communicate with patients and colleagues effectively. Communication issues are consistently the most prevalent reason for complaints against physicians, and account for more than one in five complaints made against North Carolina physicians.
Step 2 CS communication and interpersonal skills scores provide useful information for predicting the level of communication skill that examinees will display in their first year of internal medicine residency training. US medical students demonstrate substantial variability in their physical examination skills. If assessment of clinical skills is so important, why was it absent from the USMLE until 2004? Why isn't my passing grade on clinical skills exams in medical school sufficient for the licensing board? The medical licensing boards can't delegate decisions to 140-plus United States(US)medical schools, which vary in their curricula, testing methods, and standards for assessment.
Consider that an AAMC survey showed only 74% of US medical schools asked students to take an SP or OSCE examination in order to graduate in 2014-15. The USMLE is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME).
The medical licensing boards approved the inclusion of a clinical skills assessment through multiple votes (1995, 2003, 2009) in the FSMB House of Delegates. Representatives from the licensing boards continually participate in all levels of USMLE activity, including those related to Step 2 CS. Current and former state medical board members serve on the panels that set the standards, develop the cases, and oversee management and administration of Step 2 CS. How does the USMLE program decide what cases will be presented in Step 2 CS and what skills will be assessed?
Volunteers drawn from the academic, licensing and private-practice communities as well as representatives of the public make up the USMLE Management Committee. Neil Freeman redrew the state borders to get a visual sense of what it would take for the electoral college votes to match the popular vote. His map is based on 2010 Census data, which records a population of 308,745,538 for the United States. Before you freak out about the feasibility of such a plan or whether it's a real improvement on the electoral college, Freeman notes, "this is an art project, not a serious proposal. Information on such courses is not available from the ECFMG, FSMB, NBME, USMLE Secretariat, or medical licensing authorities.
In addition, registered examinees who want the opportunity to become familiar with the Prometric test center environment may take a practice exam at the test center, for a fee. You must bring your new permit for admittance to the test center or you will not be permitted to test. Through its Certification program, ECFMG assesses the readiness of graduates of medical schools outside the United States and Canada to enter residency or fellowship programs in the United States. These explanations will vary and each licensing jurisdiction will need to decide on its own which explanation justifies an exception. Your fourth and subsequent attempts must be at least 12 months after your first attempt at that exam and at least six months after your most recent attempt at that exam. For example, you may retake a passed Step 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. Unauthorized possession of personal items while in the secure areas of the testing centers may lead to a finding of irregular behavior and permanent annotation of your USMLE transcript. All personal items are subject to inspection and are prohibited in the secure areas of the testing center. Therefore, the rules regarding unauthorized possession during Step 2 CS apply to the orientation room and to all breaks. Employees or agents of the USMLE sponsors who have access to the data are bound by confidentiality agreements.
During the Biometric Enabled Check-In, you will place your finger on a scanner at the test center. Upon expiration of that time period, all demographic information collected using biometrics and the fingerprint image and template are deleted. Access to information collected under the Biometric Enabled Check-In program is limited to those employees or agents of the USMLE program sponsors who have a need to access it and who are bound by confidentiality agreements.
Some felt that maintaining numeric score reporting is essential while others felt that numeric scores should be abolished.
One of the most commonly used competency frameworks was developed collaboratively by the ACGME and the ABMS.
It is likely that the assessments available via a revised USMLE will not be able to measure all competencies to an equal degree. No new formats are introduced into the exams until they have been shown to be reliable and valid assessment instruments.
However, the NBME recognizes that medical schools use the results of USMLE examinations for the assessment of both individual students and of the schools' educational programs.
All examinees should look at the content information for each exam, available in the Content Description and General Information booklet for each exam. With the introduction of the restructured Step 3, the USMLE program no longer requires individuals to apply for Step 3 under the eligibility requirements of a specific medical licensing authority. Most medical licensing authorities have, and will continue to maintain, specific criteria for completion of the USMLE such as time and attempt limits. However, the USMLE program will likely continue to recommend that individuals take Step 3 at or near the completion of the first year of residency training. The sample test questions may run on a Mac that has PC-emulation software installed, such as Virtual PC; however, we do not test the installation or the application running with PC-emulation software, and cannot advise you about Mac applications.


Resolution must be set to 1024 x 768 (or higher) and color must be set to 24 bit or True Color. Right click on NOTEPAD and select "RUN AS ADMINISTRATOR".If User Access Control(UAC) is enabled, click CONTINUE to move forward. To change your language setting please follow the steps below which are appropriate to your version of Windows.
Please disable your virus protection (for example, McAfee, Norton, Windows, etc.) and then try running the software again.
Right click on the uTorrent icon in the system tray and choose 'Exit' to turn off the software. Step 2 CS examinees are grouped into testing periods according to the dates on which they test. These steps include monitoring reports from test centers about test delivery problems and about possible security violations.
Multiple quality control procedures are in place for standardized patients, patient note raters, and the scoring process. This document provides descriptive statistics (mean and standard deviation) for US and Canadian first-takers for the last several years, norm tables, and information regarding the precision of scores and guidelines that should be considered in using them. The mean score for first-time examinees from accredited medical schools in the United States is in the range of 215 to 235, and the standard deviation is approximately 20. They are provided as an assessment tool for your benefit and will not be reported or verified to any third party. In most cases, failing scores are best remediated through thorough attention to all content areas. If you pass a Step, 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. Which entity you contact depends on which Steps you have taken and where you want your transcript sent.
Medical Board Complaints against Physicians Due to Communication: Analysis of North Carolina Medical Board Data, 2002–2012. The relationship between communication scores from the USMLE Step 2 Clinical Skills examination and communication ratings for first-year internal medicine residents.
Divided up among 50 states, that's a population of a little over six million people per state.
The ECFMG® Certification Fact Sheet provides an overview of ECFMG Certification and preliminary information on entry into US programs of graduate medical education. Students who pursue both degrees should understand that while many states' regulations provide specific exceptions to the seven-year rule for dual-degree candidates, others do not. The data may be made available to third parties if required by law or as necessary to complete a testing fraud investigation directly related to the relevant candidate(s).
This framework identifies six competencies: medical knowledge, patient care, communication and interpersonal skills, professionalism, practice-based learning and improvement, and systems-based practice. It is possible that one or more competencies will not be measurable in a valid manner in the context of the USMLE. When new item formats are introduced into the exams, an announcement will be made and sample practice materials will be made available on the USMLE website well in advance. Such changes, if made, would occur no earlier than 2016, and any significant changes will be announced on the USMLE website well in advance. In implementing changes to the USMLE exam sequence, the NBME will be attentive to other assessment needs and the secondary uses of USMLE. You may be unable to download the practice materials on a Notebook because of limited resolution. Select the General Tab and in the "Settings for the current user" field, select ENGLISH(United States) from the drop down list.
It is expected that results for the vast majority of examinees who take the exam during the testing period will be reported on the first Wednesday of the Reporting Period.
The process by which patient notes are carefully reviewed (in some instances by multiple physician note raters) requires time for quality control measures to be performed on both initial and second patient note ratings. Your score report includes the mean and standard deviation for recent administrations of the Step. Performance profiles should not be used to interpret areas of importance or emphasis for any particular examination. For the vast majority of examinees, performance in all areas of the exam is similar, and often the total score is the best indicator of future performance in a particular content area.
Similarly, the pass rate can vary from one accredited medical school in the United States to another, and from one year to another. For detailed information on these topics, including eligibility to take the USMLE, refer to the ECFMG Information Booklet. Students pursuing a dual degree are advised to check the state-specific requirements for licensure listed by the FSMB. Information regarding retakes allowed to comply with ECFMG requirements is provided at the time of exam application using ECFMG's Interactive Web Applications (IWA). Please be advised that the appeal process can take at least four weeks to complete and may not result in a change to the original decision.
This representation template will be paired with other personal information you provide to your registration entity, allowing accurate identification during the testing process.
As the examination sequence evolves, potential changes in score reporting would be weighed in light of validity research, including intended use of scores.
Some in the medical education and practice community have also identified a seventh competency related to surgical and other technical procedural skills.
Examples of new item formats introduced in the past few years include items that require the examinee to read a structured abstract, or to interpret information found in a pharmaceutical advertisement. Results for 98%-99% of examinees who take the exam during the testing period are reported by the third Wednesday in a Reporting Period. Data for each Step, including performance data by group, is posted each year for the previous year's examinees. As you move in and out of the test lab at the test center, you will use your finger to authenticate yourself at the scanners located in the test center. For a small percentage of examinees (1%-2%), scoring and quality assurance may be not completed in time for these examinees to be reported by the first three reporting dates; these will typically be examinees who took the exam in the latter part of the testing period. On the Regional Options tab, change the language to English (United States) using the drop down menu. Results for these examinees will be reported each week throughout the reporting period, and should be reported no later than the last day of the score reporting period. Then select the Advance Tab and change the language to English (United States) using that drop down list.



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