Phase Two of USMLE Service Transition is Complete, Step 3 Exam Services for Students and Graduates of U.S. Medical Schools Now Managed by NBME

Posted: January 26, 2026

Phase two of the United States Medical Licensing Examination® (USMLE®) Service Transition is complete.  USMLE co-sponsor NBME now manages all Step 3 exam services for graduates of U.S. medical schools, including exam registration, score report delivery, and customer service, through its MyUSMLE℠ Portal. 

The USMLE Service Transition simplifies the examinee journey and creates a more consistent and efficient process for applicants. To do this, all Step exam services have been combined under the USMLE co-sponsors, the Federation of State Medical Boards (FSMB) and NBME. FSMB now manages all USMLE Step exam services for students and graduates of international medical schools (IMGs). NBME now manages all USMLE Step exam services for students and graduates of U.S. medical schools. 

For more information and Frequently Asked Questions for all examinees, please refer to the USMLE Service Transition Information Hub. 

For additional questions, please use the chart below to determine who to contact. 
 

I am a... Registration Entity Contact Information
Student or graduate (MD and DO) of a medical school program accredited by the LCME or COCA in the U.S. NBME usmlereg@nbme.org +1 (215) 590-9700
Student or graduate of a medical school outside the U.S., including Canada*, that is listed in the World Directory of Medical Schools as meeting ECFMG Certification eligibility requirements. FSMB usmle@fsmb.org +1 (817) 868-4041

*Note: Individuals who graduate from Canadian medical schools on or after July 1, 2025, are considered IMGs. Individuals who graduated from Canadian medical schools before July 1, 2025, are not considered IMGs. Please refer to the USMLE Bulletin of Information for additional information.