Reading this Bulletin of Information (BOI) is your first step in preparing to take the United States Medical Licensing Examination® (USMLE®) series. We are confident that this guide will help you succeed with this important examination sequence.

At the time you apply for the USMLE, you will be asked to certify that you agree to comply with the policies and procedures within this USMLE BOI. If you are a returning examinee, you must read the USMLE BOI each time you register. It is subject to change, and the version applicable to you is the version in effect at the time of your examination.

As you may already know, the USMLE is composed of Step 1, Step 2 Clinical Skills (CS), Step 2 Clinical Knowledge (CK), and Step 3. Each Step gets you closer to achieving your goal of obtaining a license to practice medicine in the US.

The Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners® (NBME®) work together to co-sponsor the USMLE. We know that taking the USMLE Step exams is an important part of medical training. Passing each Step marks a milestone as you begin the next phase in your education.

As leaders of the USMLE program we are committed to helping you achieve your goals. Our teams are here as resources for you. This guide is updated each year to answer your questions and serve as a reference as you begin your journey to licensure.

Please visit the USMLE website or the NBME or FSMB websites to see everything we have to share. And don’t forget to follow us on Facebook, Twitter, and LinkedIn for the most up-to-date news and information. We are always interested in improving your experience, and supporting you on your journey. Feel free to touch base with us at any time.

Congratulations on all of your achievements to date. We wish you the very best as you embark on your medical career!


Lisa Rawding, MBA

Senior Vice President, Assessment Programs
National Board of Medical Examiners

David Johnson, M.A.

Senior Vice President, Assessment Services
Federation of State Medical Boards