The United States Medical Licensing Examination is a three-step examination for medical licensure in the U.S.
This is to assess a Doctor's ability to apply:
All these above qualities are essential in health and disease, and these abilities compose the basis of protective and efficient patient care.
All details are given in this Article as on the date of publishing. Specific information may differ. So kindly check the Official Website for USME.
Two entities own and control the USMLE program:
Some members from the FSMB, ECFMG, NBME, and public constitute a committee to govern the rules of the USMLE.
This committee makes the directives of the program and form the rules for scoring and determine all significant policies and procedures.
USMLE was designed to fulfill the need for one single way to medical licensure for Doctors in the United States. Before the USMLE, there were different Licensing exams in the USA. So it was required to make one single Licensing exam which will be accepted by all States in the USA. This ensures that all Doctors had passed the same assessment standards – no matter in which school or which country they had trained.
USMLE is a series of exams, not a single exam. A medical student will have to clear all these steps of the USMLE exam part by part, if he/she wish to do PG and then work as a doctor in the USA.
USMLE has total 3 major steps.
Step 1 of USMLE is taken to assess:
A student can apply for USMLE Step 1 during or after completion of MBBS 3rd year.
Usually 280 Questions from 7 subjects, mostly of Clinical Vignette format in MCQ pattern, are asked in the USMLE Part-1 exam. Subjects are:
It is a 7-hour long exam. 192 is the minimum passing mark, and a non-US student must score 240 or above to clear the exam.
The actual cut off marks depend on the the relative difficulty of the items as determined by the test committee.
Clinical vignette Format means:
USMLE Step 2 has two divisions:
USMLE Step 2 CK:
It is a one-day computer-based examination covering all of the clinical sciences of medical studies, which includes:
This is a MCQ type exam with around 350 question and a qualifying mark of 209.
The USMLE Step 2 CS or test of Clinical Skills is an examination held in only America throughout the year. Examinees will interact face-to-face with ten to 12 simulated patients. That is actors pretending to have specific health problem. Examinees have to rapidly assess a patient, communicate and interact with them, and write a note about the whole assessment and plans. This exam judge the practical communication ability of a medical student with a patient.
On clearing Step 2 CS, a student can apply for Residency program to various universities in the US. If the universities find the student's resume attractive, then he/she will be called for an interview. Based on that interview and 3 Recommendation letters of Doctors (LOR) and other relevant documents, the university may grant the desired Residency program.
USMLE step 3:
Cost of USMLE application Fees:
The approximate total expenses that can occur in between USMLE Application till getting Residency in any University in the US:
LOR is a Letter of Recommendation from a US doctor.
USCE is US Clinical Experience.
So, to be on the safe side, it is better to keep a budget of a minimum of Rs 19 Lac.