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USMLE 2024 Step 1 - Dates, Application Form, Exam Pattern, Score

USMLE 2024 Step 1 - Dates, Application Form, Exam Pattern, Score

Edited By M Anusha | Updated on Jun 26, 2024 11:48 AM IST | #USMLE

USMLE Step 1 - United States Medical Licensing Examination Step 1 is a joint programme of the Federation of State Medical Boards of the United States, Inc., and NBME. USMLE step 1 is mostly attempted by medical students during the second year of their medical studies. The USMLE Step 1 is a 1 day 8 hours exam with a 45-minute break. Through step one USMLE, the candidate's basic understanding and application of science to practice medicine is assessed. The USMLE step 1 exam dates 2024 India are selected by students from the USMLE eligibility period. The latest USMLE step 1 exam dates 2024 can be selected between May 01 to July 01, 2024. This means, that USMLE step 1 dates are available till only July 1, so one should apply before the deadline passes.

International students apply for the USMLE exam to obtain a medical license and practice medicine in the USA. Candidates have to meet the eligibility criteria to attempt the USMLE Step 1 exam. Applicants can attempt the test at USMLE Prometric test centres all around the world. Read the article to know every detail of Step 1 like eligibility, registration process, syllabus and patterns and scores details, etc.

What is USMLE Step 1 Exam 2024?

USMLE step one is a computer-based test with an eight-hour (8) duration. This USMLE exam can consist of up to 280 questions. These questions not only require an answer but also demand a problem to solve. The goal of the USMLE step one is to evaluate the candidate's knowledge and aptitude for applying key ideas from the basic sciences to the practice of medicine, with a focus on the principles and mechanisms underlying good health, illness, and various therapeutic modalities.

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What is the sequence of USMLE exam? The USMLE Step 1 and step 2 CK can be taken in any sequence. It is the choice of the students to either choose to attempt USMLE 1 step or step 2 at first. The USMLE Step 3 has to be attempted in the last.

USMLE Step 1 Exam Dates

The Step 1 USMLE exam dates are available around the year. Candidates registering for Step 1 have to select a 3-month eligibility period to attempt the USMLE test. Once the scheduling permit is given for the eligibility period, the candidate can visit the Prometric website to schedule the USMLE test date. Most of the candidates choose to take this USMLE exam at the end of the second year of their study program. The suggested period to take USMLE Step 1 is till the end of April. The candidate cannot schedule the USMLE test date before six months in advance.

The dates for the USMLE exam are issued on a first-come & first-served basis. Candidates are suggested to book their USMLE exam dates at the earliest of their eligibility period. This makes them flexible to adjust the dates in case of rescheduling.

How to reschedule Step 1 USMLE exam date?

Candidates can reschedule the USMLE exam only within the chosen eligibility period. Candidates need to pay an extra fee if the rescheduling is done during the 0 to 45 calendar days before the booked USMLE test date.

USMLE Step 1 Eligibility Criteria

Each exam of the USMLE steps has its eligibility criteria. So, candidates appearing for USMLE Step 1 2024 need to meet the USMLE eligibility criteria given below. The eligibility criteria for both Step 1 & Step 2 same.

USMLE Step 1 Eligibility

Candidates who are outside the USA or Canada have to meet the following eligibility criteria listed below to apply for Step 1.

  • Any medical student who graduated or enrolled in a medical school that is outside the US or Canada can apply for the USMLE exam if their medical school is listed in the World Directory of Medical Schools. In the directory, the medical school must consist of an ECFMG note stating that the students of this medical school are eligible to apply to ECFMG for certification and examination.

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Applicants can check their USMLE step 1 eligibility by searching for their college in the World Directory of Medical Schools website at search.wdoms.org/. Once the college is found, then check the sponsor notes section for the ECFMG note.

Other Important Considerations

  • Candidates must meet the USMLE exam eligibility criteria during the application period and also during the exam day.

  • If the candidate is dismissed or has withdrawn from the medical school, they can not apply or attempt the USMLE exam.

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If the eligibility status of the candidates changes after the application of the USMLE step1 exam they should inform the organization that registered them for the examination.

USMLE Step 1 Registration

Candidates studying medical school outside the US or Canada have to register through the ECFMG website. The steps for USMLE registration are mentioned below.

  • ECFMG account - Create an ECFMG ID via the Interactive Web Application portal (IWA) of ECFMG.

  • Form-186 - Once the ECFMG ID is generated apply for Form-186 or Certification of Identification via IWA.

  • After filling out Form-186, the page will be automatically re-directed to Notarycam.com and proceed with notarization. It takes 2 to 3 days to receive the notarized Form-186.

  • USMLE Step 1 application - Once the status of the Certificate of Identification is confirmed a new option to begin Step 1 will be popped in the ECFMG account.

  • Candidates can fill out the form, choose the eligibility period and testing location and finally pay the USMLE Step 1 cost.

  • Once USMLE registration is completed, an e-mail confirmation is received.

  • Scheduling permit - This step is done to find out whether the student is attending the mentioned medical school or not. The process can be done online through the ECFMG medical school portal or offline through Form-183. Once the USMLE exam scheduling permit is sanctioned the candidate will receive the scheduling number.

  • Schedule the Step 1 USMLE test date - The scheduling number will be used for booking the Step One USMLE exam date. Once done the appointment details are sent directly to the candidate's e-mail.

Documents required for the USMLE Step 1 Registration

Here are the necessary documents that are to be uploaded or used during USMLE registration.

  • A valid passport.

  • Passport-size photo (colour).

USMLE Step 1 Fees

The exam fees for the Step 1 and USMLE Step 2 CK exam fees are the same as they are conducted by the same conducting body ECFMG. Students outside the US or Canada have to pay the international surcharge in addition to the USMLE exam cost. Here is the breakdown of USMLE fees for international students.

USMLE Step 1 price details

Step

USMLE Fees

USMLE Step 1

USD 1000 Examination Fee + USD 195 International surcharge

Additional USMLE Step 1 Charges

Details

USMLE Fees

Rescheduling

USD 0 to 345 (depending on the date)

Extension of the eligibility period

USD 100

Change of testing region

USD 90 per region change

USMLE score re-check

USD 80

How much does USMLE cost in India?

Students appearing in the USMLE step 1 exam in India need to pay an additional international surcharge. The USMLE fees in India for step 1 is around INR 1,00,000, this includes USMLE examination fees of INR 83,000 plus the additional international surcharge of around INR 16,180.

USMLE Step 1 Exam Centres 2024

Around the world, the Prometric test centres provide the USMLE Step 1 exam. The applicant can select the testing location in their place of residency. Only after Step 2 or Step 1 registration, the details of the Prometric testing centers are available.

USMLE Step 1 Test Centres Worldwide

USMLE testing region Prometric Testing Centre Location
United States and CanadaTest centres are located in every U.S. state, as well as Guam, Puerto Rico, and the Virgin Islands.

Test centres are located in the Canadian provinces of Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Nova Scotia, Ontario, Quebec, and Saskatchewan.
AfricaGhana, Kenya, South Africa, and Uganda (For centres in Egypt, select Middle East testing region.)
AsiaBangladesh, Malaysia, Pakistan, People’s Republic of China (For Hong Kong, select Asia testing region. For centres in other available cities in the PRC, select China testing region.), Philippines, and Singapore (For centres in India, select India testing region.)
AustraliaAustralia and New Zealand
ChinaPeople’s Republic of China (For Hong Kong, select Asia testing region. For centres in other available cities in the PRC, select China testing region.)
EuropeArmenia, Croatia, Denmark, France, Germany, Greece, Ireland, Israel, Italy, Latvia, Netherlands, Portugal, Spain, Switzerland, Turkey, and the United Kingdom
IndiaIndia
IndonesiaIndonesia
JapanJapan
KoreaKorea
Latin AmericaArgentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Dominican Republic, Guatemala, Mexico, Peru, Trinidad and Tobago, and Venezuela
Middle EastEgypt, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, and United Arab Emirates (For centers in Israel, select Europe testing region.)
TaiwanTaiwan
ThailandThailand

USMLE Step 1 Exam Pattern 2024

The United States Medical Licensing Examination step 1 is a computer-based test held at test centres. The duration of the Step 1 exam is 8 hours. The USMLE test pattern of Step One consists of 7 blocks and each block has up to 40 USMLE questions. The total number of USMLE step 1 questions is up to 280.

USMLE Step 1 Exam Pattern Overview

Details

Duration

Exam duration

8 hours (7 blocks of 60 minutes each)

Approximate no. of questions

280 (40 for each block)

Optional tutorial

15 minutes

Break

45 minutes

Students can increase their break time by quickly finishing the test items and options.

What is the USMLE Step 1 question format?

The questions in Step One USMLE are asked in the form of MCQs (also referred to as items). The following are the question types in the exam.

  • Fund of information

  • Interpreting the data from graphs and tabular columns

  • Problem-Solving

USMLE Step 1 Syllabus

The USMLE step 1 syllabus PDF is important for aspirants who are applying for the same. The questions in the USMLE syllabus for Step-1 can be grouped into 18 core areas. USMLE step 1 subjects and their traditionally defined disciplines are all mentioned in the tables below.
Candidates can download the complete USMLE Step 1, Step 2 CK, and Step 3 syllabus here.

USMLE Step 1 Syllabus Details

General Principles (normal and abnormal processes)

Respiratory & Renal/Urinary Systems

Blood & Lymphoreticular/Immune Systems

Gastrointestinal System

Behavioral Health & Nervous Systems/Special Senses

Reproductive & Endocrine Systems

Musculoskeletal, Skin & Subcutaneous Tissue

Multisystem Processes & Disorders

Cardiovascular System

Biostatistics & Epidemiology/Population Health

Social Sciences: Communication and Interpersonal Skills

-

Disciplines Covered in USMLE Step 1 Syllabus

Biochemistry & Nutrition

Immunology

Behavioral Sciences

Microbiology

Genetics

Pathology

Gross Anatomy & Embryology

Physiology

Histology & Cell Biology

Pharmacology

USMLE Step 1 Physician Competencies

Each question in the USMLE Step One exam measures the abilities of the candidate. All the physician competencies that are tested in the exam are listed below.

USMLE part 1 syllabus for physician competencies

Tasks or Competencies

Percentage

Interpersonal and communication skills

6–9

Practice-based learning & improvement

4–6

Medical knowledge in the application of foundational science concepts

60–70

Patient care - diagnosis

(History/Physical Examination

Diagnosis)

20–25

Step 1 Practice Test

For the USMLE exam preparation, the candidates can check the USMLE step 1 sample papers available on the official website. Candidates can check the USMLE website for USMLE step 1 example questions, practice questions, test question formats, etc. By practising these the candidate gets an idea of their performance for the exam and then be prepared for the Step One exam.

To download the USMLE sample paper Step 1 - Click here

USMLE Step 1 Result

The USMLE Step 1 results are available two to four weeks after the USMLE test date. Candidates are informed through e-mail notification regarding their USMLE results availability. The Step One USMLE score report is available on the website for up to one (1) year and is later removed. The marks for the USMLE Step 1 score report are displayed in the form of pass or fail without any numerical number.

USMLE Step 1 2024 score report consists of the following details -

  • Name

  • USMLE ID

  • Test date

  • Test results - Pass/Fail

  • Supplemental information on topics or content covered in the exam

The ECFMG will provide the results data to applicants' medical schools. Students can restrict this option by submitting a request to the examination administration by e-mail at least 10 days before the scheduled USMLE exam date.

Frequently Asked Question (FAQs)

1. Who can attempt the USMLE Step 1?

Candidates who are studying or have already graduated from the medical schools that are listed in the World Directory of Medical Schools are eligible for the Step One USMLE exam. The listed medical school in the directory website must also have an ECFMG not specifying that their students are eligible to apply for ECFMG examination and certification. This eligibility applies to international students who are studying outside the USA or Canada.

2. Can I attempt the Step 1 exam in India?

Yes, Indian applicants can attempt the Step One USMLE exam in India at Prometric test centres. These centres are available in all major cities in India like Chennai, Hyderabad, Bangalore, Delhi, etc.

3. Is MBBS percentage important for the USMLE Step 1 exam?

No, MBBS marks are not considered for the Step 1 exam. Here the candidate's enrollment or graduation in medical school is only considered. Once candidates pass Step 1, they can apply for ECFMG certification.

4. What is the USMLE step 1 cost?

The USMLE step 1 fees is USD 1000 for all applicants. As Prometic is delivering services outside the USA, an international surcharge is levied on students additionally. International students attempting the test outside the USA or Canada need to pay an extra amount of USD 195 International surcharge.

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Questions related to USMLE

Have a question related to USMLE ?
Hi aspirant
See, what you've asked about, are the entrance exams conducted at an international level.
Once you give complete your graduation i.e MBBS. You might want to pursue PG in India. For that you'll have to give NEET PG entrance examination. Now you might also want to settle abroad or pursue specialization abroad. In that case such exams like PLAB and USMLE are conducted.

PLAB is Professional and Linguistic Assessment Board. It is a licensing examination conducted for foreign medical  graduates who wish to practice medicine in the UK . PLAB is undertaken by the General Medical Council (UK) in several countries across the globe.
There are two parts of the PLAB exam

Part  1 :  180 single best answer questions.
Part 2 comprises  of  18 scenarios, each lasting eight minutes

Candidate are selected according to their score.

Now USMLE is United States The United States Medical Licensing Examination
It is a necessary medical license to practice in the United States of America (USA).
The FSMB (Federation of State Medical Boards) and NBME (National Board of Medical Examiners) are co-sponsors of this exam.
It is took by the students who wish to study and practice in the US.

Hope this helps
All the best:)

Hello aspirant,

India and Phillipines are  the best country.

Every year plenty of Indian students apply for USMLE, though everyone should understand that among those many of the students are students studying/studied in foreign medical colleges from various countries. So, when we question whether it is easy to crack USMLE if the student study in local/Indian medical colleges or in Foreign medical colleges, which require a thorough understanding of all the criteria including the student’s individual interest impacting most of their performance.

USMLE—the United States Medical Licensing Examination is the most popular PG entrance examination in the world where all the world’s medical graduates dream to get a chance to qualify and enter into those prestigious institutions to study PG or Residency.

The United States Medical Licensing Examination—USMLE is the licensure cum medical PG entrance examination to obtain a medical license as well to study their Post-Graduation in various US medical colleges. USMLE is co-sponsored by the National Board of Medical Examiner—NBME and the Federation of State Medical Boards—FSMB together.


Hello,

A MBBS physician's capacity to put knowledge into practical medical practise is evaluated by the United States Medical Licensing Examination (USMLE). Contains Steps 1 and 2. If you take it, you'll be able to practise medicine in the US. After earning 6 Cr and prudently investing 3 Cr over the course of 60 months, you are free to return to India.

List of colleges you can choose for doing MBBS which will allow you to appear for USMLE :-

  • AIIMS, New Delhi
  • CMC, Vellore
  • Osmania Medical College, Hyderabad
  • King George Medical University, Lucknow and many more.

Thank You

Hello,

You can obviously practice medicine in United States of America. But you need to take the screening test called U.S.M.L.E exam which is The United States Medical Licensing Examination.

To know more about U.S.M.L.E exam, please take a look the below link.

https://studyabroad.careers360.com/exams/usmle

Students whoever want to do medicine in United States of America, you can take U.S.M.L.E exam. The first year of training after medical school is called an internship, or more commonly it is called first year of residency or PGY-1 (Post-Graduate-Year-1). The following years are called PGY-2, PGY-3, etc. The training that is done after a residency (in a subspecialty) is usual called a fellowship.

All the best for your career!!!

Thank You.

Hello Aspirant,


Yes, you can definitely take the U.S.M.L.E exam to practice medicine in U.S. The medical universities of Russia are well recognized all over the world. The Students are eligible for U.S.M.L.E exam after completing their studies from N.S.M.U.

To know what is U.S.M.L.E exam and its updates take a look in the below link.

https://studyabroad.careers360.com/exams/usmle

All the Best for your future!!!

Thank You.

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