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Posted:  January 15, 2026

The United States Medical Licensing Examination® (USMLE®) program has updated its Policies and Procedures regarding irregular behavior. These updates are now in effect as of the posting date, in accordance with the USMLE Bulletin of Information (BOI) requirement:

“If changes in the USMLE program occur after the release of this BOI, they will be effective when posted on the USMLE website. You are responsible for checking the USMLE website for updates and changes to the USMLE policies and procedures.”

Examinees are encouraged to review these updates to understand what constitutes irregular behavior and how the USMLE works to support exam integrity.  More information about exam security and fairness and the full list of updated policies and procedures regarding irregular behavior can be found the Exam Security & Fairness page on the USMLE website.