USMLE Step 1
USMLE Step 1 - As the term suggests, the USMLE Step 1 is the first step of the three-step USMLE 2021 examination for earning a medical license to practice medicine in the US. USMLE Step 1 is designed to evaluate a candidate’s understanding of and ability to apply basic science concepts to practice medicine. The USMLE 2021 Step 1, Step 2 CK and Step 2 CS can be taken in any sequence; Step 3 however can be taken only after successful completion of other steps. USMLE 2021 Step 1 will be a computer-based test comprising around 280 multiple choice questions (MCQs) that will be administered at Prometric test centers around the world. Go through the rest of the article to learn the full details of USMLE Step 1 2021 .
What is USMLE Step 1?
The USMLE Step 1 is an approximately eight-hour long computer-based exam that is conducted across Prometric test centers across the world. As can be understood by the terminology, it is also the first step in the three-step USMLE exam that is taken for earning a licence to practice medicine in the US.
The test seeks to test the candidates grasp 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
USMLE 2021 will have the following steps:
Step 2, which has two components: Clinical Skills (CS) and Clinical Knowledge (CK)
USMLE Step 1 Dates 2021
There are no specific exam dates to take USMLE 2021 Step 1. Instead the applicant has to choose an eligibility period within which they can take the exam. The eligibility period however cannot fall in the first week of January or major holidays.
USMLE Step 1 Eligibility Period 2021
Eligibility period and scheduling test date
USMLE Step 1 Eligibility Criteria 2021
USMLE is a three-step test, with each step having its own eligibility criteria. So, if you are appearing in USMLE Step 1 2021 , you need to meet the eligibility criteria of USMLE 2021 as elucidated in the table below.
Who can take USMLE Step 1 2021?
The candidate must be enrolled in, or a graduate of, a medical school that is located outside the US or Canada and is listed in the World Directory of Medical Schools as meeting ECFMG eligibility requirements;
In addition, the candidate must also meet any other ECFMG criteria as may be mandated.
Sequence of examination:
Step 1, Step 2 CK, and Step 2 CS can be taken in sequence provided the candidate meets the eligibility of the step. Note that Step 3 is allowed only after completion of all other steps, i.e Step 1 and Step 2 components.
USMLE Step 1 Application Form 2021
The USMLE 2021 is a three-step qualification exam, where Step 1, Step 2 CK and Step 2 CS can be taken in any sequence. Step 3 can be taken after completing other steps. The application form of USMLE is available separately for all the steps. So, when applying for Step 1, applicants need to fill USMLE 2021 Step 1 application form which is available in online mode via ECFMG on IWA (Interactive Web Applications).
USMLE Step 1 Registration Entity 2021
How to apply
For students / graduates of LCME-or AOA-accredited medical programs in the US or Canada:
Apply through NBME on NLES (NBME Licensing Examination Services)
For students / graduates of medical schools located OUTSIDE the US and Canada:
Apply through ECFMG on IWA (Interactive Web Applications)
USMLE Step 1 Exam Pattern 2021
Step 1 of the USMLE 2021 will be a computer-based test that will be held at Prometric Centers across the world. By consulting the USMLE 2021 exam pattern, candidates will learn about the exam format, test duration, and purpose behind the step.
USMLE 2021 Step 1 Exam Pattern
Step and purpose
It accesses a candidate’s
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
There will be around 280 MCQs, split over seven 60-minute blocks
Mode of exam will be Computer-based that will be administered at Prometric test centers across the world
Single day test
Duration of test: Around
USMLE Step 1 Exam Centres 2021
Step 1 of USMLE can be taken at Prometric test centers across the world. The international applicant can choose a USMLE 2021 test centre for Step 1 in the country of their residence. To select a test centre, the applicant has to first get registered for the step upon which eligibility period and scheduling permit will be issued.
USMLE 2021 Step 1 - Test Centres and Surcharge
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.)
USMLE Step 1 Syllabus 2021
Questions that are asked in USMLE Step 1 can be grouped into 18 core areas. These areas cover basic concepts and principles of the organ-systems or within individual organ-systems. The Step 1 of the USMLE covers topics related to traditionally defined disciplines as described in the table below:
Disciplines covered in USMLE Step 1
Biostatistics and Epidemiology
The following interdisciplinary areas are also covered in the USMLE 2018 step 1:
Molecular and Cell Biology
Molecular and Cell Biology
USMLE Step 1 Syllabus
General Principles of Foundational Science
15% – 20%
1. Immune System
2. Blood & Lymphoreticular System
3. Behavioral Health
4. Nervous System & Special Senses
5. Skin & Subcutaneous Tissue
6. Musculoskeletal System
7. Cardiovascular System
8. Respiratory System
9. Gastrointestinal System
10. Renal & Urinary System
11. Pregnancy, Childbirth, & the Puerperium
12. Female Reproductive & Breast
13. Male Reproductive
14. Endocrine System
60% – 70%
1. Multisystem Processes & Disorders
2. Biostatistics & Epidemiology
3. Population Health
4. Social Sciences
10% – 15%
55% – 60%
Principles of Therapeutics
15% – 20%
10% – 15%
USMLE Step 1 Physician Competencies
Medical Knowledge/Scientific Concepts
55% – 65%
Patient Care: Diagnosis
20% – 30%
Patient Care: Management***
Health Maintenance/Disease Prevention
Practice-based Learning and Improvement
USMLE Step 1 Result 2021
NBME will declare the result of USMLE 2021 Step 1 and also issue score cards. Once Step 1, reports are available, ECFMG will send an e-mail notification to international medical students/graduates notifying them about availability of the result.
USMLE Step 1 2021 Score Reporting
Examination data is sent electronically to NBME
The points accumulated after scoring correct responses is converted into a raw score
The raw score is then converted to a 3-digit score
Candidates behavior is examined, with those with aberrant behavior asked to give an explanation
Final quality assurance done to ensure accuracy
The score report is shared with organisations like NBME, ECFMG, or FSMB, with whom you registered for the exam, who send the report to you.
How long does it take to get USMLE Results for a specific Step?
Score of USMLE Steps 1 2021 will be released within three to four weeks from the test date.
Sometimes however delays may occur, so it is recommended to give oneself a eight week window from test date to receipt of score.
The applicant must follow the instructions sent to them in the result notification (email) to access the USMLE 2021 scorecard.
The USMLE scorecard or report card is available for download for a period of 365 days post the email notification.
USMLE transcript: After expiry of the 365 days, the scores will be available in the form of official USMLE transcripts, which will be obtained after payment of a fee.
USMLE Step 1 Cutoff Score 2021
The USMLE result 2021 for Steps 1, as well as for 2 CK and 3 are reported on a 3-digit scale. To qualify in USMLE 2021 step 1, the applicant has to score at least 194 marks.
USMLE 2020 cut-off scores for Step 1, 2 CK and 3
Step 2 CK
Note: USMLE 2021 result for Step 2 CS is reported simply as pass or fail.
Frequently Asked Question (FAQs) - USMLE Step 1
Question: When can a candidate take the USMLE Step 1 2021?
The USMLE 2021 Step 1 can be taken around the year, except in the first week of January or major holidays.
Question: Can I take USMLE Step 1 before Step 3, or other Steps?
The USMLE Step 1, Step 2 CS and Step CK can be taken in any sequence. However, Step 3 is allowed after completion of other steps.
Question: What is USMLE Step 1 eligibility period?
When registering for the exam, the applicant has to opt for an eligibility period (three months ) during which to take the exam. The candidate can select any test date in this period.
Question: Who will declare USMLE 2021 Step 1 result?
NBME will declare USMLE 2021 Step 1 result and issue score cards.
Question: When should I take the USMLE Step 1?
The test can be taken within a three-month eligibility period period, which is issued after successful registration for USMLE Step 1.
Questions related to USMLE
how to prepare usmle exam from India ? studying in 1st mbbs eligible ? any classes for it ?
USMLE stands for united state medical licensing exam, if your college name is on world directory of medical colleges of USMLE, then you are eligible to apply for USMLE apart from us medical college graduates. there is several coaching institute which provide classes. however studying from first year would be difficult since you have to first gather the basic study of any course before preparing any entrance test. so from third year it would be best to start preparing for USMLE.
some of the best usmle coaching institute In india is as follows:
Speed medical center
dr Bhatia medical coaching institute
hope it would help.
I am studying in Medical College Kolkata (MCK). Is my college listed in world directory of Medical school? And if not then does it mean that I wont be able to sit for USMLE exam?
In world medical directory list " Kolkata Medical College & Hospital (https://search.wdoms.org/#) " name is available. you may check the link as follows:
however the eligibility criteria for USMLE i.e united state medical licensing exam is as follows:
Applicant must be a medical student officially enrolled in, or a graduate of a US or Canadian medical school program leading to the MD degree that is accredited by the Liaison Committee on Medical Education (LCME), OR
Candidate must be a a medical student officially enrolled in, or a graduate of, a US medical school leading to the DO degree that is accredited by the Commission on Osteopathic College Accreditation (COCA), OR
Applicant must be a medical student officially enrolled in, or a graduate of, a medical school outside the US and Canada, which name is listed in the World Directory of Medical Schools as meeting ECFMG eligibility requirements, and that meets other eligibility criteria of the ECFMG.
so you are eligible to apply.
Hello Sir, Completed giving step 1 and step 2 CK in India. To apply for visa to complete step 2 CS, what are the requirements to be produced ? Is the visa type (B1/B2) or just B1?
Well all you need to do right now is to get yourself registered for the CS exam. First two levels can be given in India but the last level has to be given in the US. So you will have to travel to US to give the exam and since the reason will be for an exam, the visa might be the tourist visa that most of the people get.
I hope this helps.
All the best.
salary in india after doing us residency in internal medicine will it be better then md in india?
This has so many numbers of subspecialties from which you can pick the most suitable one to fine-tune your medical career further. as per the pay scale data the average salary for specialist in internal medicine in India is approx. 1,192,770 INR.
doing md from india and doing us residency in usa will it make difference in salary in indian hospitals or not ? is it worth it to do us residency and come back
Well doing residency and completing medical education from US indeed has a very good impact on future employment. Great jobs and good salary is offered by private hospitals all around the country. You can choose to come back or even stay there, whichever you prefer.
I hope this helps.
All the best