What is USMLE?


The USMLE exam is completed in three steps. This exam is for those students who want to attain a medical license to practice in the United States. The exam is subsidized by the National Board of Medical Examiners (NBME) and the Federation of State Medical Boards (FSMB).

The United States Medical Licensing Exam evaluates a physician’s capability to exert concepts, principles, and skills for patient-centered care that is essential in disease and health. Each step in the exam complements the preceding step; not just one step can get ready a student for practice licensing.

Well, cracking the USMLE isn’t tough for an International Medical Graduate if he has got the right preparation strategies at the beginning of the course. Getting admissible scores is important.

What is the Eligibility criteria for the USMLE exam?


A student should have an MD (Doctor of Medicine) degree or DO (Doctor of Osteopathic Medicine) degree from a medical university affiliated by the LCME, if a student has obtained a degree from outside the US then the college should be in the list of World’s Directory of Medical Schools.

Who regulates USMLE?


The Educational Commission for Foreign Medical Graduates, the Federation of State Medical Boards and National Board of Medical Examiners are the regulating bodies of USMLE. This committee of three organizations directs the program, set standards for the pass and fail, set guidelines and policies. Also, these regulating bodies identify and approve scoring procedure.

Who is the Developer of the exam content?


The professors, clinicians and biomedical scientists from every part of US including the members of USMLE develop the content. The Liaison Committee on Medical Education (LCME) affiliated medical universities in US are represented on USMLE committee.

Admission and fees


A student should submit the application through the assigned registration organization.

*Note: The examination is not conducted in the first week of January and on local holidays of US.

For medical graduates from the USFor medical graduates from outside US
Students who have completed MBBS from universities affiliated by LCME can register hereMBBS students who graduated from universities outside the US can register here
Apply through NBME (NBME Licensing Examination Services)Apply through ECFMG on IWA (Interactive Web Applications)

Minimum passing score for USMLE


The minimum passing scores are as follows:

 

USMLE Step 1


Step 1: examination can be taken from Georgia itself. USMLE Step 1 is a web-based examination. In case your marks are above 230 marks (out of 308), you’ve nearly assured your medical seats for medical PG (MD / MS degree) within the United States of America.

USMLE Step 1 assesses whether you apprehend and observe crucial fundamentals of science standards used for the practice of medicine, with a unique emphasis on concepts and mechanisms underlying fitness, sickness, and modes of remedy. USMLE Step 1 test checks your basic concepts for the capable exercise of medication in the real-time, however, the medical concepts required for preservation of competence via lifelong education. The primary testing dimensions of Step 1 are device and procedure.

USMLE Step 2


After your sixth year of MBBS, you’re eligible for applying for the USMLE Step 2CK examination. On clearing this qualifying examination, you’re eligible for the residency (medical PG in the United States of America).

After passing USMLE part 1 with minimum 230 marks and finishing your 2 years of medical courses. Book rotation from an ACGME authorized coaching medical institution in the United States of America; the subsequent step is to qualify USMLE 2 examination. Additionally named as Step 2, USMLE 2 is divided into two elements, i.e. CK (Clinical Knowledge – theory) and CS (Clinical Skills – oral). Step 2 is a qualifying examination leading to the residency. On, the letter of advice acquired by using your mentor medical doctor at the health center contains a big weight to achieve a successful residency match.

USMLE Step 3


Step 3 evaluates if a student can exert medical knowledge they have learned and practiced during their MBBS course. Step 3 is the final step of the examination, which means it is the last exam in USMLE test which leads to practicing medicine without any direction. The Step 3 examination gives the consideration significance of evaluating the learning and aptitude abilities of doctors who are accepting free accountability for giving general medical care to patients.

Exam content is based on the following topics for all the three steps of the USMLE
STEP 1STEP 2STEP 3
  • behavioural sciences
  • anatomy
  • biochemistry
  • microbiology
  • epidemiology and biostatistics
  • pathology
  • physiology
  • pharmacology
  • genetics
  • immunology
  • aging
  • nutrition
  • cell and molecular
  • Immune System
  • Blood, Behavioural Health, and Lymphoreticular Systems
  • Special Senses, Nervous System, Skin and Subcutaneous Tissue
  • Cardiovascular System, Musculoskeletal System, Respiratory System, Renal & Urinary Systems and  Gastrointestinal System
  • Pregnancy, the Puerperium, and Childbirth.
  • Breast and Female Reproductive System
  • Endocrine System and Male Reproductive Organs
  • Multisystem Processes and Disorders
  • Scientific Concepts/Medical knowledge: Applying fundamental science concepts
  • Patient care: Diagnosis and Management
  • Interpersonal and Communication skills
  • Systems-based practice, including patient safety
  • Professionalism, legal & ethical issues
  • Practice-based learning, including epidemiology and biostatistics.

STEP 1


Q. An otherwise healthy 26-year-old woman has had petechiae on her legs during the last 24 hours. Laboratory studies show:</

  • Haematocrit 39.7%
  • Haemoglobin 13.1 g/dL
  • Leukocyte count 8500/mm3
  • Lymphocytes 30%
  • Neutrophils 65%
  • Monocytes 5%
  • Platelet count 20,000/mm3
  • Mean corpuscular volume 82.2 μm3

A peripheral blood smear indicates ordinary red cellular morphology; a bone marrow smear indicates mature megakaryocytic hyperplasia. Which of the subsequent is the maximum probably prognosis?

  1. Acute myelogenous Leukaemia
  2. Acute megakaryocytic Leukaemia
  3. Immune thrombocytopenic purpura
  4. Aplastic Anaemia
  5. Epstein-Barr viral infection
  6. Thrombotic thrombocytopenic purpura
  7. Papovavirus infection
  8. Thrombotic thrombocytopenic purpura

STEP 2 (CK)


Q. A four-year-old boy is introduced for an observe-up examine. He has a record of chronic recurrent otitis media and currently finished a ten-day prescription of antibiotics. His crucial symptoms are within regular limits. Examine indicates clean ear canals and intact tympanic membranes; an abnormal mass is visible in the back of the tympanic membrane. Which of the subsequent is the most probable reason for those findings?

  1. Lingual papillae loss
  2. Epithelial tissue proliferation
  3. Midface hypoplasia
  4. Middle ear effusion
  5. Olfactory hair cell degeneration
  6. Nerve entrapment
  7. Tympanic membrane rupture
  8. Semi-circular canal edema

STEP 2 (CS)


There will be 12 patient encounters in Step 2 Clinical skill administration. This includes a small no. of non-scoring patient encounters. It will be added later for pilot testing and other purposes. You will be given 15 minutes for each patient encounter. Such encounter will not affect your score in any manner.

After each patient encounter, you will get 10 minutes to prepare a patient note. Also, if you finish the encounter before 15 minutes then you can add the left time to the time you get to prepare the note.

Here is a sample patient note below:

STEP 3


Q. A 5-year-old boy is brought to the emergency department by his parents because of a 2-day history of favouring his right leg when walking. Today, he has refused to bear weight on the right leg and had a temperature of 38.2°C (100.8°F). Treatment with ibuprofen has relieved the fever but has not improved the leg pain. The child has no known history of trauma. His parents report that he has been healthy except for a recent upper respiratory tract infection that has resolved. The child is lying supine on a gurney with his right lower extremity flexed and externally rotated at the hip. Vital signs are temperature 37.8°C (100.1°F), pulse 110/min, respirations 20/min, and blood pressure 88/50 mm Hg. Internal rotation of the right hip causes the child to cry. Examination of the right lower extremity discloses no deformity, ecchymosis, erythema, or swelling. The right foot is neurovascularly intact. Plain x-ray of the hips is shown. Which of the following is the most appropriate additional imaging study to obtain at this time?

  1. CT scan of the abdomen
  2. Arthrography of the right hip
  3. MRI of the lumbar spine
  4. Ultrasonography of the hips
  5. Radionuclide bone scan

FAQs


Q1. Do we have to pay any fee for rescheduling the appointment?

Ans.:- Yes, you will be charged a fee if you reschedule the appointment depending on how many days prior to exam you change it.

Q2. Is it possible to update the information after registering for the exam?

Ans.:- Yes, it is possible for a candidate to change the submitted information but not after 7 days before scheduling the appointment for test.

Q3. Is there any limit of how many times a student can appear for the exam?

Ans.:- A student is not eligible for the test if he fails more than 6 times, it includes the incomplete attempts too.

Q4. What are regulations for retaking the exam?

Ans.:- A student can’t appear for the exam more than 3 times in a year. The 4th attempt is allowed a year after the first attempt.

Q5. Is it allowed to appear for a step that student has passed already?

Ans.:- No, a student is not allowed to appear for the same step again if passed.

Q6. Is there study material available to prepare for the exam?

Ans.:- Yes, a student can buy a review book or can search for sample notes on the internet. There will be some Patient notes available to practice for Step 2 CS.


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