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About USMLE 2021
International medical students and graduates who wish to practice medicine in the USA have to qualify the United States Medical Licensing Examination(USMLE), which is a three-step examination. These include Step 1, Step 2 CK, Step 2 CS, and Step 3. The Step 2 comprises two components - Clinical Knowledge (CK) and Clinical Science (CS); each component has to be taken separately. Step 1 and Step 2 components can be taken in any sequence, but Step 3 can be taken only after all other steps and step components are complete. Step 1, Step 2 CK, and Step 3 of USMLE 2021 will be conducted in computer-based mode. However, Step 2 CS component will be offline-based and conducted at six testing centres in the US. Step 3 also can only be taken in the US. Meanwhile, Step 1 and Step 2 CK can be taken in Prometric centres, which are available in almost all major cities.
USMLE 2021 Highlights
|Full Exam Name||United States Medical Licensing Examination|
|Short Exam Name||USMLE|
|Conducting Body||Federation of State Medical Boards|
|Exam Level||University Level Exam|
|Mode of Application||Online|
|USMLE Step 1 - Duration||8 Hours +2 More|
Before applying to any step or step component of the USMLE 2021, the applicant should carefully go through the eligibility criteria of that step or step component. It is because the USMLE 2021 eligibility criteria of one step can vary from another; for example Step 3 is allowed only after completion of all other steps.
USMLE Eligibility 2021 for Step 1
The medical student or graduate 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, any other ECFMG criteria also have to be fulfilled.
USMLE 2021 Eligibility Criteria: Step 2 (CK and CS)
Steps 2 CS and CS
The applicant must be admitted to, or should be a graduate of, a medical school which is:
The applicant also has to fulfil ECFMG criteria as may be prescribed.Other details:
USMLE 2021 Step 3 Eligibility Criteria
To be eligible for USMLE Step 3, the applicant must have completed an MD or an equivalent degree from a medical school that is located outside the US or Canada, which is listed in the World Directory of Medical Schools as meeting ECFMG eligibility requirements.
Apart from this, the applicant must:
Must meet eligibility requirements before submitting the application and on test day.
Sequence of examination:
Step 1, Step 2 CK, and Step 2 CS can be taken in any order or sequence. However, Step 3 can be taken only on completion of all other steps, i.e Step 1 and Step 2 components.
Mode of Application : Online
Mode of Payment : Credit Card
Each step and step component of the USMLE 2021 has a separate application form. So, depending on the step the applicant is appearing in, the USMLE 2021 application form has to be filled. Also, one must note that Step 1 and Step 2 components(CS and CK) can be taken in any sequence, but Step 3 is only allowed after completion of Step 1, Step 2 CK and Step 2 CK.
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.
Step 1, Step 2 CK, and Step 3 of USMLE 2021 are usually not offered in the first 2 weeks of January or on major local holidays. So make it a point to check available dates in the scheduling system.
USMLE 2021 Application Fee
|Application for ECFMG Certification||US $145|
|USMLE Step 1||US $965 - Examination Fee + International Test Delivery Surcharge, if testing outside the United States and Canada|
|USMLE Step 2 CK||US $965 - Examination Fee + International Test Delivery Surcharge, if testing outside the United States and Canada|
|USMLE Step 2 CS||US $1,600 - Examination Fee|
|USMLE Step 3||US $895|
|Extension of Eligibility Period (for Step 1/Step 2 CK)||US $90 per exam|
|Testing Region Change (for Step 1/Step 2 CK )||US $85 per region change|
|Rescheduling Fee (for Step 1/Step 2 CK)||US $0 – $604 (depending on exam, testing region, and date of cancellation)|
|Rescheduling Fee (for Step 2 CS)||US $0 – $1,300 (depending on date of cancellation)|
|Score Recheck (for Step 1/Step 2 CK/Step 2 CS)||US $80 per exam|
USMLE 2021 Syllabus
Behavioral health and nervous systems/special senses
Reproductive and endocrine systems
Respiratory and renal urinary systems
Blood and lymph reticular/immune systems
Multisystem processes and disorders
Musculoskeletal, skin and subcutaneous tissue
Biostatistics and epidemiology/population health
Principles of therapeutics
Physician tasks/competencies specifications
Medical knowledge: applying foundational science concepts
Patient care: diagnosis
Patient care: management
Health maintenance/disease prevention
Biochemistry and nutrition
Microbiology and immunology
Gross anatomy and embryology
Histology and cell biology
USMLE 2021 Exam Pattern
USMLE Step 1 2021 will be an one-day exam of around 8 hours duration. The exam will comprise 7 different 60 minute blocks and cover the following topics:
- Behavioral sciences
- Biostatistics and epidemiology
- Molecular and cellular biology
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
The USMLE Step 1 test content can be classified into the two dimensions of system and process. The broad categorisation of the Step 1 test material can be done on the basis of these two dimensions.
USMLE Step 1 2021 Exam Pattern : System and Process
|System||Percentage of Test Content|
|General Principles of Foundational Science||15% - 20%|
Immune System ; Blood & Lymphoreticular System ; Behavioral Health ; Nervous System & Special Senses ; Skin & Subcutaneous Tissue ; Musculoskeletal System ; Cardiovascular System ; Respiratory System ; Gastrointestinal System ; Renal & Urinary System ; Pregnancy, Childbirth, & the Puerperium ; Female Reproductive & Breast ; Male Reproductive ; Endocrine System
|60% - 70%|
|Multisystem Processes & Disorders ; Biostatistics & Epidemiology ; Population Health ; Social Sciences ||15% - 20% |
|Process ||Percentage of Test Content |
|Normal Processes ||10% - 15%|
|Abnormal Processes ||55% - 60%|
|Principles of Therapeutics ||15% - 20% |
|Other||10% - 15% |
USMLE Step 1 2021 Exam Pattern : Physician Competency/Task
In addition to test content categorisation on the basis of system and process, the USMLE Step 1 exam can also be categorised by physician competency and task.
|Physician Competency/Task||Percentage of Test Content |
|Scientific Concepts/Medical Knowledge ||55% - 65%|
|Patient Care: Diagnosis ||20% - 30%|
|Patient Care: Management ||15% - 20%|
|Communication Professionalism ||2% - 5%|
|Practice-based Learning and Improvement ||4% - 8%|
The USMLE Step 2 CK 2021 examination or USMLE Step 2 Clinical Knowledge examination will have 8 different 60 minute blocks totalling around 9 hours. The number of test items varies with each block although it remains under 40 per block. The total number of test items for the examination does not exceed 318.
USMLE Step 2 Exam Pattern
Step component and purpose
Step 2 Clinical Knowledge (CK)
Tests the candidate’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
Around 318 multiple choice questions, divided into eight 60-minute blocks
Computer-based test administered at Prometric test centers.
The USMLE Step 2 CK test content is classified into 18 areas of organ systems and general principles.
USMLE Step 2 CK 2021 Exam Pattern - System
|System||Percentage of Test Content|
|General Principles of Foundational Science||1% - 3%|
|Immune System ; Blood & Lymphoreticular Systems ; Behavioral Health ; Nervous System & Special Senses ; Skin & Subcutaneous Tissue ; Musculoskeletal System ; Cardiovascular System ; Respiratory System ; Gastrointestinal System ; Renal & Urinary Systems ; Pregnancy, Childbirth, & the Puerperium ; Female Reproductive System & Breast ; Male Reproductive System ; Endocrine System ; Multisystem Processes & Disorders||85% - 95%|
|Biostatistics & Epidemiology/Population Health |
Interpretation of the Medical Literature
|1% - 5%|
Additionally, the test content for USMLE Step 2 CK can be divided in accordance to Physician competencies and tasks.
USMLE Step 2 CK 2021 Exam Pattern - Physician Competency and Task
|Physician Competency/Task||Percentage of Test Content|
|Scientific Concepts/Medical Knowledge||10% - 15%|
|Patient Care: Diagnosis||40% - 50%|
|Patient Care: Management||30% - 35%|
|3% - 7%|
The USMLE Step 3 2021 examination is the last step or final assessment in the USMLE examination series and leads to a medical practitioner certificate upon successful completion. The exam is conducted over a 2 day period and is split into two parts:
- Day 1 - Foundations of Independent Practice (FIP)
The Step 3 Day 1 exam is of a 7 hour duration and comprises 6 different 60 minute blocks. Each of these blocks have around 38 - 40 questions each and the total examination for Day 1 does not exceed 233 questions.
- Day 2 - Advanced Clinical Medicine (ACM)
The Step 3 Day 2 exam is of a 9 hour duration and comprises 6 different blocks of 30 questions in each. Additionally, 13 case simulations are a part of the assessment and the total number of questions is 180.
The overall test content can be divided on the basis of system and process as well as on the basis of physician competencies and tasks.
Exam pattern of USMLE Step 3
The step tests the applicant’s to apply medical knowledge and understanding of biomedical and clinical science that are vital in performing unsupervised practice of medicine, with
emphasis on patient management in an ambulatory setting.
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 MCQs, divided into six 60-minute blocks.
Computer-based test (CBT) administered at Prometric test centers in the US
Day 2 ACM:
Approximately 180 MCQs, divided into six 45-minute blocks
Thirteen computer-based case simulations (CCS). Each simulation is 10 to 20 minutes of real time
Computer based test, administered at Prometric test centers in the US
USMLE Step 3 2021 Exam Pattern - System
|System||Percentage of Test Content|
|General Principles of Foundational Science ||1% - 3%|
|Immune System ; Blood & Lymphoreticular System ; Behavioral Health ; Nervous System & Special Senses ; Skin & Subcutaneous Tissue ; Musculoskeletal System ; Cardiovascular System ; Respiratory System ; Gastrointestinal System ; Renal & Urinary System ; Pregnancy, Childbirth, & the Puerperium ; Female Reproductive System & Breast ; Male Reproductive System ; Endocrine System ; Multisystem Processes & Disorders ||80% - 85%|
|Biostatistics & Epidemiology/Population Health, & Interpretation of the Medical Literature, Social Sciences ||14% - 18%|
USMLE Step 3 2021 Exam Pattern - Physician Competency and Tasks
|Physician Competency/Task||Percentage of Test Content |
|Day 1 - FIP||Day 2 - ACM|
|Scientific Concepts/Medical Knowledge ||18% - 22%|
|Patient Care: Diagnosis||40% - 45%|
|Patient Care: Diagnosis ||20% - 25%|
|Patient Care: Management||75% - 80%|
|Communication and Professionalism ||8% - 12%|
|Systems-based Practice/Patient Safety and Practice-based Learning ||22% - 27%|
Documents Required at Exam
- Scheduling permit for USMLE
- Valid government issued photo ID (preferably passport)
NBME determines the results for all USMLE 2021 steps and step components and issues score cards. Once Step 1, Step 2 CK, and Step 2 CS score reports are available, ECFMG notify the international medical students/graduates through their registered email accounts. Notification regarding availability of Step 3 reports will be notified by FSMB.
The score reports of USMLE 2021 will be available in electronic format only and can be accessed using ECFMG's OASIS; score reports will not be sent separately by post mail.
The result of USMLE 2021 Step 1, Step 2 CK and Step 3 is typically available within three to four weeks from test date. USMLE 2021 results for Step 2 CS will be declared as per the given schedule for Reporting Results; the schedule can be checked on USMLE and ECFMG websites.
USMLE 2021 Minimum Pass Marks
|USMLE Component||Minimum Pass Marks|
|USMLE Step 1||194|
|USMLE Step 2 CK||206|
|USMLE Step 3||196|
USMLE results for Step 1, Step 2 CK and Step 3 would be reported on a 3-digit scale. Only such candidates who score the minimum pass marks, refer the table above, will qualify in the exam.
Meanwhile, result for Step 2 CS will simply be declared as pass or fail.
Questions related to USMLE
which is better after mbbs , Neet pg or usmle ??
Candidates need to crack NEET PG or USMLE exams To get Best PG seat after MBBS.
when it comes to compare them, there is no comparison between them as they both are same and totally the choice depends on you. If you want to complete your medical practice in India then go for NEET PG exam . But if you want to practice in the USA ,then you should go for USMLE. After USMLE without any licensing exams, you can work in many countries including India without any licensing exams.
Hope This information will help you,
which is better way to go usmle , plab, AMC or neet pg ??
Let us see the details about each of the above exams.
USMLE : United States Medical Licensing Exam
It is an international exam which helps one to practice as a medical expert in USA. It is a three-step examination for medical licensure in the U.S. It assesses a physician's ability to apply knowledge, concepts, and principles, and to demonstrate fundamental patient-centered skills, that are important in health and disease and that constitute the basis of safe and effective patient care.
PATTERN OF USMLE: It comprises of 3 levels of exams. It comprises of both assessment of clinical knowledge and clinical skills.
You can further check out the details at the following link:
PLAB ( Professional and Linguistic assessments board )
The PLAB test is for doctors who have qualified overseas and wish to practice medicine in the UK under limited registration. The test assesses your ability, as a doctor, to work safely as a senior house officer (SHO) in a UK NHS hospital.
PATTERN OF PLAB : It consist of 2 parts
- Part 1 : Following a review, the number of questions contained in the PLAB Part 1 exam (UK and overseas) is being reduced from 200 single best answer questions to 180. This will be effective from the June 2018 PLAB Part 1 exam onwards.
- Part 2 comprises 18 scenarios, each lasting eight minutes
NEET PG :
It is a qualifying and ranking examination in India, for students who wish to study various postgraduate Doctor of Medicine, Master of Surgery and diploma courses, in government or private medical colleges in the country.
PATTERN OF NEET PG : The exam will be held in online mode in the English language only. The test paper will comprise a total of 200 multiple choice questions of 800 marks .
You can further check information on NEET PG exam at the following link:
There is no better way to give exam . Each of the mentioned exam provides different things. So depending upon your needs and desires you should give the exams.
HOPE THIS HELPS
ALL THE BEST
If we crack neet in india but I have to give USMLE EXAM so how can I give USMLE EXAM if I am doing mbbs in india.
Indian medical students can give USMLE step 1after second year of MBBS
For registering yourself in USMLE, you have to create account on ECFMG and fill form for USMLE.
And proceed with the application then wait for your schedule.
Once you clear level 1 and level 2, you have to go to US for clinical exposure.
I hope it helps
can we give USMLE EXAM directly after giving neet exam or we should wait.
USMLE is an international exam which helps one to practice as a medical expert in USA. The exam comprises of three levels out of which two levels can be cleared in your hone country but it's mandatory to go give the level 3 exam in the USA.
The eligibility to apply for level 1 and level 2 is same and that is a student needs to be enrolled in an undergraduate medical course outside of USA as well as Canada.
So as far as your question is concerned you can't sit for USMLE soon after NEET exam. First you get enrolled then you prepare for a while and then appear for the examination.
Below I have attached a link that contains detailed information about the exam and it's eligibility criteria.
Hope that helps.
All the best
can some USMLE professional give me their number I just want some information. please
I would like to inform you that nobody in USMLE or other organizations like these can provide you the private contact numbers of their employees.
The only way to contact USMLE is through their online portal, they have a separate section for the queries there, you can fill the necessary details & they will reply you back in a while.
- USMLE WEBSITE : www.usmle.org
- Or just search CONTACT THE USMLE on google.
Also there they have provided some e-mail IDs where you can contact according to your query.