The co-sponsors of the United States Medical Licensing Examination® (USMLE®), the Federation of State Medical Boards (FSMB) and NBME, are developing plans to centralize all USMLE service functions. This change will consolidate all USMLE examinee services, including exam registration, score report delivery, and USMLE customer service, with the USMLE co-sponsors. The goal of this change is to streamline the examinee journey and to create a more consistent and efficient examinee experience. 

In this section, you will find:

The Pathway to U.S. Medical Licensure, Simplified

Frequently Asked Questions about the USMLE Service Transition

USMLE Service Transition Announcements

2026 USMLE Bulletin of Information Addendum

The Path to U.S. Medical Licensure, Simplified

The USMLE is an integral part of the pathway to licensure. In January 2026, the USMLE Service Transition simplified the examinee journey and created a more consistent and efficient process for examinees by consolidating all USMLE Step exam services, including exam registration, score report delivery, and customer service, under FSMB and NBME. 

Use the links below to learn more about the USMLE process and the pathway to medical licensure for students and graduates of U.S. medical schools and students and graduates of international medical schools.*

*These are the typical paths to licensure, but the details may look different for each person.