USMLE 2021- Sponsored by FSMB and NBME, the United States Medical Licensing Examination (USMLE) is a three-step examination for earning a license to practice medicine in the United States. USMLE 2021 steps include - Step 1, Step 2 CK, Step 2 CS, and Step 3. Step 2 has two separately administered components - Clinical Knowledge (CK) and Clinical Skills (CS). Step 1, Step 2 CK, and Step 2 CS of the USMLE can be taken in any sequence, provided the candidate meets the eligibility criteria. However, Step 3 can be taken only after passing Step 1 and Step 2 components. The USMLE 2021 examination for Step 1, Step 2 CK, and Step 3 will be conducted in computer-based mode. The Step 2 CS component will be offline-based and conducted at six testing centres in the US. Step 3 will also be administered in the US only. Step 1 and Step 2 CK of USMLE 2021 will be conducted at Prometric centres across the world. Go through the rest of the article to learn the full details of USMLE 2021.
USMLE 2021 - Quick facts
Name of the exam
United States Medical Licensing Examination
Purpose of USMLE exam
Obtaining a license to practice medicine in the US
The exam is co-sponsored by Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME)
USMLE is comprised of three steps:
Mode of USMLE exam
Step 1, Step 2 Clinical Knowledge (CK), and Step 3 examinations are computer-based tests that are administered at Prometric Centers worldwide.
Step 2 Clinical Skills (CS) examination is administered at six
testing centers across the US and is composed of three components:
Sequence of steps
Step 1, Step 2 CK, and Step 2 CS can be taken in any sequence.
However, Step 3 can be attempted only after passing Step 1, Step 2 CK, and Step 2 CS.
NBME will declare USMLE results for all Steps and Step Components and also issue score cards.
The same examination cannot be attempted more than three times within a 12-month period.
Who is not allowed to take a retake: If a candidate has passed an examination, he/she can’t retake the Step or Step Component.
Number of attempts
An examinee cannot take a Step or Step Component more than six times, including incomplete attempts. All attempts, irrespective of when they are taken, are counted toward the limit.
How to apply
Applications for Step 1, Step 2 CK, Step 2 CS have to be submitted on-line using Interactive Web Applications (IWA).
FSMB accepts applications for Step 3.
USMLE Steps 2021
USMLE is composed of Step 1, Step 2 Clinical Skills (CS), Step 2 Clinical Knowledge (CK), and Step 3. The applicant has to complete each Step before he/she can obtain a license to practice medicine in the US.
USMLE Steps and Step Components:
Step 2 Clinical Skills (CS), Step 2 Clinical Knowledge (CK)
USMLE Eligibility Criteria 2021
Each Step and Step Component of USMLE has a specific eligibility criteria. For example, before appearing in Step 3, the candidate needs to have completed Steps 1 and 2. However, Step 1 and Step 2 CS, and Step 2 CK can be attempted in any sequence. To understand the intricacies of USMLE eligibility criteria, refer to the table below.
USMLE Eligibility Criteria 2021
STEPS 1, 2 CK, AND 2 CS
Officially enrolled in, or a graduate of, a medical school outside the US and Canada listed in the World Directory of Medical Schools as meeting ECFMG eligibility requirements;
Further, the candidate needs to meet any other ECFMG criteria.
Possess an MD degree (or its equivalent) from a medical school outside the US and Canada listed in the World Directory of Medical Schools as meeting ECFMG eligibility requirements.
The candidate must also:
Must meet eligibility requirements prior to submitting an application AND on test day.
USMLE 2021: Retakes, number of attempts and time limits
Number of attempts and time limits
Sequence of examination: If candidates meet the eligibility requirements, they are free to take Step 1, Step 2 CK, and Step 2 CS in any sequence.
However to take Step 3, the candidate has to complete Step 1, Step 2 CK, and Step 2 CS.
USMLE Application Form 2021
The USMLE 2021 is a three-step process; further Step 2 has two components. The candidate will have to fill USMLE 2021 application form separately for each Step and Step Component. While Step 1 and Step 2 components(CS and CK) can be taken in any sequence, Step 3 can be attempted only after completion of Step 1, Step 2 CK and Step 2 CK.
To apply for USMLE examination, the USMLE 2021 application form has to be submitted through the appropriate registration entity as shown in the table below.
USMLE 2021 Registration Entity
Step 1, Step 2 CK, Step 2 CS
Step 1, Step 2 CK, Step 2 CS
For students / graduates of LCME-or AOA-accredited medical programs in the US or Canada:
For students / graduates of medical schools located outside the US and Canada:
All medical school graduates who have passed Step 1, Step 2 CK, and Step 2 CS:
Apply through NBME on NLES (NBME Licensing Examination Services)
Apply through ECFMG on IWA (Interactive Web Applications)
Apply through FSMB.
The applicant must note that Step 1, Step 2 CK, and Step 3 are not offered around the first 2 weeks of January or on major local holidays. Applicants will be able to check available dates in the scheduling system.
USMLE Application and Registration Inquiries: Contact Details
Type of applicant
Organization contact information
STEPS 1, 2 CK, and 2 CS
Students and graduates of medical schools outside the US and Canada
3624 Market Street
Philadelphia, PA 19104-2685
Telephone: (215) 386-5900
All medical school graduates who have passed Step 1 and Step 2 (CK and CS)
400 Fuller Wiser Road
Euless, TX 76039-3856
Telephone: (817) 868-4041
Exam day and testing: Dos and don'ts
Carefully review the Rules of Conduct recommended for the exam
Feel compelled to take the test if you are sick, unprepared for under stress; the test can be rescheduled by contacting the organisation that registered you for the test.
Follow instructions of test centre stuff
Bring family members and friends to the test venue; rather, meet them after completion of the exam
Bring a copy of the scheduling
permit (electronic or paper) and ID proof
Bring unauthorized inside the exam venue; soft-foam earplugs are however allowed
Those appearing for Step 2 CS must need to bring only their white lab coat and stethoscope
Reach the exam venue 30 minute prior to start of the computer-based examination
for Step 2 CS, candidate must arrive at the time mentioned on the confirmation notice
Write on laminated note boards before entering the Candidate Identification Number (CIN) and starting the test session or write on anything other than the laminated note boards
Confirm that the headphone is working properly:
before the examination
during the tutorial
Keep working past the announcement instructing to stop
Use personal items only during authorised breaks; access to locker is not permitted during unauthorized breaks
Access your locker or use your cell phone on
an unauthorized break
Complete all the sections
Exam-day identification requirements:
Documents accepted as ID proof:
Driver’s license with photograph
National Identity Card
Other form of government-issued identification
The valid ID must be presented with:
The candidate’s photo
Name as it appears on the scheduling permit
The candidate’s signature
USMLE Exam Centres 2021
Step 1 and Step 2 CK examinations will be delivered at Prometric test centers, which are located across the world. The Prometric's test centers are grouped into testing regions like - India, Middle East, Japan, Europe, China, etc. The applicant must choose a testing region where he/she wants to take the exam.
The applicant must note that the availability of test centres at a testing region is subject to change without notice, so it is a good idea to visit the Prometric website or contact Prometric to get the latest information on the availability and location of test centers for Step 1 and Step 2 CK. The Prometric website will also inform candidates about test centres closest to them.
The Step 2 Clinical Skills (CS) examination will be administered at six testing centers in the US: Atlanta, Chicago, Houston, Los Angeles, and Philadelphia (2).
Step 3 is administered only in the US and its territories.
Testing Regions and International Test Delivery Surcharges for USMLE 2021 Step 1 and Step 2 CK
Location of Prometric Testing Centers
Step 1 Surcharge
Step 2 CK Surcharge
United States and Canada
Test centers are located in every U.S. state, as well as Guam, Puerto Rico, and the Virgin Islands.
Test centers are located in the Canadian provinces of Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Nova Scotia, Ontario, Quebec, and Saskatchewan.
Ghana, Kenya, South Africa, and Uganda
(For centers in Egypt, select Middle East testing region.)
Bangladesh, Malaysia, Nepal, People’s Republic of China (For Hong Kong, select Asia testing region. For centers in other available cities in the PRC, select China testing region.), Philippines, and Singapore
(For centers in India, select India testing region.)
Australia and New Zealand
People’s Republic of China
(For Hong Kong, select Asia testing region. For centers in other available cities in the PRC, select China testing region.)
Armenia, Croatia, Denmark, France, Germany, Greece, Ireland, Israel, Italy, Latvia, Netherlands, Portugal, Spain, Switzerland, Turkey, and the United Kingdom
Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Dominican Republic, Guatemala, Mexico, Peru, Trinidad and Tobago, and Venezuela
Egypt, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, and United Arab Emirates
(For centers in Israel, select Europe testing region.)
Note: The surcharge is in addition to the examination fee.
USMLE Exam Pattern 2021
The Step 1, Step 2 Clinical Knowledge (CK), and Step 3 will be computer-based tests that will be held at Prometric Centers, which are grouped into testing regions. USMLE 2021 exam pattern 2021 will tell candidates about the exam format, test duration, and also purpose of each Step and Step Component. By consulting the exam pattern of USMLE 2021, the candidate will be able to orient their preparation to exam requirements.
USMLE 2021 Exam Pattern: Purpose, Test Format, and Exam Duration
Step and purpose
understanding of and ability to apply important concepts of the basic sciences to the practice of medicine, with special emphasis on principles and mechanisms underlying health, disease, and modes of therapy
Approximately 280 multiple-choice questions, divided into seven 60-minute blocks
The exam will be computer-based and administered at Prometric test centers around the world
STEP 2 assesses the examinee’s ability to apply medical knowledge, skills, and understanding of clinical science essential for the provision of
patient care under supervision, with an emphasis on health promotion and disease Prevention
Clinical Knowledge (CK)
Around 318 multiple-choice questions, divided into eight 60-minute blocks
Computer-based exam that will be administered at Prometric test centers.
The Clinical Skills examination is
a separate component of STEP 2
that uses standardized patients
to test the examinee’s ability to
gather information from
patients, perform physical
examinations, and communicate
their findings to patients and
Clinical Skills (CS)
12 patient cases: 15 minutes for
each patient encounter plus 10
minutes to record each patient
Administered at six test centers
in the US – Atlanta, Chicago, Houston, Los Angeles, and Philadelphia (2)
Composed of three subcomponents: Communication and Interpersonal Skills (CIS), Integrated Clinical Encounter (ICE), and Spoken English Proficiency (SEP).
STEP 3 assesses the examinee’s
ability to apply medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine, with
emphasis on patient management in ambulatory settings
Day 1: FOUNDATIONS OF
(FIP) assesses the examinee’s
knowledge of basic medical and
scientific principles essential for
effective health care
Day 2: ADVANCED CLINICAL
MEDICINE (ACM) assesses the
examinee’s ability to apply comprehensive knowledge of health and disease in the context of patient management and the evolving manifestation of disease over time
Day 1 FIP:
Approximately 232 multiple-choice test questions, divided into six 60-minute blocks Computer based, administered at Prometric test centers in the US
Day 2 ACM:
Approximately 180 multiple-choice test questions, divided into six 45-minute blocks
Thirteen computer-based case simulations (CCS). Each simulation is allotted a maximum of 10 or 20 minutes of real time
Computer based, administered at Prometric test centers in the US
USMLE Result 2021
NBME will determine the results of all Steps and Step Components of USMLE 2021. It will also issue score cards. When Step 1, Step 2 CK, and Step 2 CS score reports are available, ECFMG will send an e-mail notification to international medical students/graduates notifying about it.
FSMB will notify examinees when their Step 3 score reports are available.
USMLE 2021 score reports will be available in electronic format only and can be accessed using ECFMG's OASIS; paper scores will not be sent separately to the candidate by post mail.
The result of USMLE 2021 for Steps 1, 2 CK and Step 3 is declared typically within three to four weeks after the test date. Delays however may happen due to unavoidable circumstances. It is therefore recommended that when selecting test date and inquiring about results, candidates allow at least eight weeks to receive notification that their score report is available.
USMLE 2021 results for Step 2 CS will be available as per Step 2 CS schedule for Reporting Results, which will be uploaded on the USMLE and ECFMG websites.
USMLE scoring system and qualifying status
USMLE results, with the exception of Step 2 CS, would be reported on a 3-digit scale. The candidate would have to score a certain minimum mark in the respective Step or Step Component to be considered pass; refer to the minimum marks given below.
The current minimum passing scores are as follows:
Step 1: 194
Step 2: CK: 209
Step 3: 196
The result of Step 2 CS would be reported simply as pass/fail.
Score Reporting Schedule - Step 2 CS
Reporting Start Date
Reporting End Date
January 1 - January 25
March 4, 2020
March 25, 2020
January 26 - March 28
April 29, 2020
May 27, 2020
March 29 - May 23*
June 24, 2020
July 22, 2020
May 24 - July 18
August 19, 2020
September 16, 2020
July 19 - September 12
October 14, 2020
November 11, 2020
September 13 - November 7
December 16, 2020
January 13, 2021
November 8 - December 31
February 3, 2021
February 24, 2021
*No Step 2 CS exams will be delivered March 22 through March 30.
Questions related to USMLE
Im a med 2 student 3rd semester studying in Kyrgyzstan. currently I was preparing for usmle step 1 but matter is that if our university conducted online classes for 4th semester, will there is any affect /problem to me for usmle or plab?
As per prior information it may be said that there will be no problem of taking your class for fourth semester of second year MBBS in Kirzygsthan. Because there there will be no interconnection have for the classes of MBBS and the classes of step 1 USMLE I.e. United States medical licence examination or PLAB means Professional and Linguistic Assessment Board test whitch is taken for qualifying the doctors ability and quality for practice in UK.
Hope this helps.
what are the eligibility criteria of USMLE step 2
To be eligible for USMLE step 2 candidates must be officially enrolled in, or a graduate of, a medical school outside the US and Canada listed in the World Directory of Medical Schools as meeting ECFMG eligibility requirements. A maximum of three attempts is allowed in a 12-month period. As long as the college you have studied is listed in the Directory of Medical Schools then you will be eligible for USMLE step 1 as well as step 2.
HEY I AM SIDHANT HERE can you tell IT IS NECESSARY TO DO NEET PG AFTER DOING MBBS FOR (USMLE)
HEY I AM SIDHANT HERE MY QUESTION IS IN USMLE PG FROM NEET IS REQUIRED OR NOT IF IT IS REQUIRED THEN TELL ME ALL ABOUT THAT PLEASE?
Unlike MBBS , in which you have to qualify NEET UG to be able to get admission abroad for MBBS, in PG there is no requirement to qualify NEET PG first. You can directly do a PG abroad but there are a few conditions attached. MCI recognizes the PG degree from only 5 countries which are USA,UK,New Zealand, Australia and Canada. If you want to do your PG in USA you only have to give USMLE which is a Multi stage exam and requires travel to USA. Compared to it NEET PG is a single step exam (and is not that expensive) so you can give it to if you want to.
Alternatively, you can also apply for PG in UK (which is a very good option for Indians) for which you will have to give PLAB exam.
Hlo sir, Is it possible for me to clear USMLE and practice as a cardiologist in USA or Canada after purchasing Phd in cardiology after Msc Cardiac care technology In short with out MBBS will I get medical registrationin USA as doctor.
There is no interrelation between your options. To take up USMLE, you should me a Medical Student and should be officially enrolled in a US or a Canadian Medical School programme that leads to an MD degree. You can also be a Medical graduate.In short, USMLE is for Doctors and its a license exam for Medical Students. Ph.D in Cardiology is not a Medical Degree. It is a doctoral degree after you complete either your MS or MD and not after M.Sc Cardiac Care Technology. M.Sc in CCT involves study of invasive cardiacvascular procedures like Angioplasty, Cardiac catheterisation, devise closure and electrophysiology. Candidates with a Masters degree in CCT can only assist Cardiologists but cannot act as Cardiologists themselves. This course helps you to work in Operating rooms of Cardiac Catheterisations, non invasive analysis, etc but does not help you become a Cardiologist at any given point. This course only teaches you to operate the equipment but not treat the human heart. To become a Cardiologist, you need to study MBBS, pursue MS/MD and then appear for USMLE to practise abroad.