United States Medical Licensing Examination

United States Medical Licensing Examination
AcronymUSMLE
TypeComputer-based, three-part sequence, standardized test
AdministratorFederation of State Medical Boards, National Board of Medical Examiners
Skills testedSTEP 1: Application of scientific principles basic to the practice of medicine
STEP 2: Application of medical knowledge, skills, and understanding of clinical science essential for supervised patient care
STEP 3: Application of medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine
PurposeMedical licensure in the United States
Year started1992 (1992)
DurationSTEP 1: 8 hours
STEP 2: 9 hours
STEP 3 (Day 1): 7 hours
STEP 3 (Day 2): 9 hours
Score rangeSTEP 1: pass/fail
STEP 2: 1-300 (218 to pass)
STEP 3: 1-300 (200 to pass)
OfferedYear round
RegionsGlobally at a Prometric centers for Step 1 and Step 2 CK; at a U.S. Prometric centers for Step 3
LanguagesEnglish
Annual number of test takersMore than 100,000 medical school students and graduates (2020)
FeeSTEP 1: US$680.00
STEP 2: US$680.00
STEP 3: US$935.00
Used byState medical boards in the U.S. and U.S. Territories
Websitewww.usmle.org

The United States Medical Licensing Examination (USMLE) is a three-step examination program for medical licensure in the United States, sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Individuals with a Doctor of Medicine (MD) degree are required to pass the USMLE for medical licensure. Those with a Doctor of Osteopathic Medicine degree (DO) may take either the COMLEX-USA or the USMLE for medical licensure, while the COMLEX-USA is required for osteopathic licensure.

It is a standardized test that assesses a medical student's knowledge of basic science concepts and their application to clinical medicine. The exam is divided into three components required for medical licensure in the United States and is typically taken by students after their second year of medical school. States may enact additional testing and/or licensing requirements.