Questions about USMLE

Applying, Scheduling, and Rescheduling

  1. How do I apply for USMLE?

  2. What is the cost of the USMLE exams?

  3. Is there a fee for changing my appointment?

Preparing for USMLE

  1. How do I prepare for the test? Is there a review book for USMLE?

  2. Where can I obtain a copy of the USMLE Bulletin of Information?

Updating information

  1. How do I update my contact information (email, mailing address, phone number) or register a name change?


  1. What should I do if I have a disability that requires test accommodations?


  1. Is there a limit on the number of times Steps can be taken?

  2. Do the Steps have to be taken at particular points during my medical education and career?

  3. 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?

  4. I am a graduate of a medical school outside the United States and Canada. How can I get information on what is required to enter graduate medical education and/or practice medicine in the United States?

  5. I am a MD/PhD candidate and the state board where I am applying for licensure requires applicants to complete all three Steps within seven years. Is there an exception to this policy?


  1. What are the rules regarding retakes?

  2. Can I retake a Step that I previously passed?


  1. What is ERAS?

  2. How do I report a problem related to my testing administration?

  3. What are the rules regarding what I can and cannot bring into the secure areas of the testing center?

Biometric Enabled Check-In System

  1. What biometric information is collected from a USMLE® candidate?

  2. How long will my biometric information be stored?

  3. Who will have access to my biometric information?

  4. I would like to read the Biometric Enabled Check-In System Privacy Notice.

Stay up to date: Information and Updates


  1. Upcoming changes to USMLE

  2. Will you continue to report scores, or change to pass/fail?

  3. What are the "competencies"? Are they all going to be assessed in USMLE? How?

  4. The USMLE program says that new item formats are currently under development. Can you tell me more about this?

Step 1 and Step 2 CK

  1. Will Step 1 and 2 CK be combined into one exam?

  2. If the current Step structure changes, how can medical schools that make promotion decisions (from MS2 to MS3) continue to make these decisions?

  3. Can you tell me more about what is meant by “an increased focus on quality improvement principles and safety science” in the Step 1 exam, and about what is meant by “an increased emphasis on quality improvement principles; safety science; epidemiology, biostatistics, and population health; professionalism; and interpersonal and communications skills” in the Step 2 CK exam?

Step 3

  1. Will the restructured Step 3 mean a change in the eligibility requirements for taking the exam?

Practice Materials

  1. Where can I get sample test materials to practice taking a test?

  2. Can I use the USMLE practice materials on a Mac?

  3. When I try to run the practice materials I receive the following error message: "A fatal error has occurred. Please notify the Proctor. The desktop environment does not meet the necessary requirements. hres: 1280 vres: 800 colors: 16." How do I fix this?

  4. I get the following error when I try to run the practice software:

    Access Violation at address 004C5C90 in module "NED.EXE". Read of address 00000054
    A fatal error has occurred. Please notify the proctor. HTTP/1.1 300 error.
    How can I correct this problem?

  5. 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. How do I view this text?


  1. When will I get my scores?

  2. Why does it take three to four weeks to score a computer-delivered examination?

  3. Why does it take so long to score the Step 2 Clinical Skills exam?

  4. How do I interpret my score?

  5. What are the graphical performance profiles?

  6. What are the passing scores for the three Steps?

  7. What are the current pass rates for the Steps?

  8. What are the group pass rates by medical school for the Steps?

  9. Can I retake a Step that I passed to raise my score?

  10. How can I request a transcript of my USMLE scores?

  11. How is the Step 2 CS exam scored?

  12. How do I request a score recheck?

Step 2 CS (Clinical Skills)


  1. Why does the USMLE include a clinical skills component?

  2. What studies support this need?

  3. If assessment of clinical skills is so important, why was it absent from the USMLE until 2004?

  4. Why isn't my passing grade on clinical skills exams in medical school sufficient for the licensing board?

Exam Design
  1. How are licensing boards involved in the USMLE and Step 2 CS?

  2. How does the USMLE program decide what cases will be presented in Step 2 CS and what skills will be assessed?

  3. What evidence is there that the design of Step 2 CS is sound?

Pass Rate and Impact
  1. How many people pass Step 2 CS?

  2. Will I be able to learn how I performed on specific areas of the exam?

Number of Testing Sites
  1. Why are there so few testing sites for Step 2 CS?

  2. Why doesn't the USMLE program use some of the excellent clinical skills facilities at universities to expand testing sites?

Registration and Scheduling

  1. How far in advance do I need to register and schedule to find available appointments at the test center of my choice?

  2. Why are there so few test centers?

Patient Notes

  1. Who rates the patient notes?

  2. Examinees are required to type patient notes on a computer. Should I also be prepared to handwrite a patient note?

  3. How much text will I be able to type in the patient note fields?


  1. How do I interpret the performance profile on my score report?

  2. I did not pass the Communications and Interpersonal Skills (CIS) subcomponent. How do you ensure that the standardized patient provided you with accurate feedback upon which to base my score?

  3. I did not pass the Spoken English Proficiency (SEP) subcomponent of the exam, and yet I passed the Communication and Interpersonal Skills (CIS) subcomponent. How is this possible?

  4. Why does it take so long to score Step 2 CS?

  5. How does the CS score recheck process work? Are videos used in the process?

  6. Why aren’t the test day videos reviewed to score the exam or during the score recheck process?