United States Medical
The USMLE assesses a physician's ability to
apply knowledge, concepts, and principles,
and to demonstrate fundamental patient-
centered skills, that are important in health
and disease and that constitute the basis of
safe and effective patient care
So basically an exam that tests everything
you learned in Medical School.
3 different examinations
– Step 1
– Step 2
– Step 3
Assesses whether you understand and can
apply important concepts of the sciences
basic to the practice of medicine.
Special emphasis on principles and
mechanisms underlying health, disease, and
modes of therapy.
minimum passing score: 185
Eight-hour single-day computer-based test
composed of seven 50-question sets (350
multiple-choice questions in total).
Taken at the end of the second year of
Usually required for progression into the third
year of medical school.
Step 2 – two parts
Clinical Knowledge (CK)
– Focus on clinical application of medical
– taken during the 4th year of medical school
– nine-hour single-day computer-based test
composed of eight 46-question sets (368 total).
– minimum passing score: 184
Clinical Skills (CS)
uses standardized patients to test medical
students on their ability to gather information
from patients, perform physical
examinations, and communicate their
findings to patients and colleagues.
Step 2 - CS
5 testing centers called the Clinical Skills
Evaluation Center (CSEC) throughout the
– Atlanta, Georgia
– Chicago, Illinois
– Houston, Texas
– Los Angeles, California
– Philadelphia, Pennsylvania
designed to assess whether a medical
school graduate can apply medical
knowledge and understanding of biomedical
and clinical science essential for the
unsupervised practice of medicine.
Graduates of US medical schools typically
take this exam at the end of the first year of
Step 3 - two-day examination
The first day of testing includes 336 multiple-choice
items divided into blocks, each consisting of 48 items.
Examinees must complete each block within sixty
The second day of testing includes 144 multiple-
choice items and nine Clinical Case Simulations,
where the examinees are required to 'manage'
patients in real-time case simulations.
minimum passing score: 184
Learn to like taking tests if you want to become a
doctor because they will never stop coming at
– IE. Board examination for licensure of your specialty.
Or say screw becoming a doctor and find a
profession that doesn’t have to take as many
Example Question from Step 1
A 32-year-old woman with type 1 diabetes mellitus has had progressive
renal failure over the past 2 years. She has not yet started dialysis.
Examination shows no abnormalities. Her hemoglobin concentration is 9
g/dL, hematocrit is 28%, and mean corpuscular volume is 94 µm3. A
blood smear shows normochromic, normocytic cells. Which of the
following is the most likely cause?
A) Acute blood loss
B) Chronic lymphocytic leukemia
C) Erythrocyte enzyme deficiency
D) Erythropoietin deficiency
F) Microangiopathic hemolysis
G) Polycythemia vera
H) Sickle cell disease
I) Sideroblastic anemia
J) b-Thalassemia trait