Medical Students who whats to practice or become Docter in the USA, have to go through the Exam called USMLE.
In this series of USMLE, we will be discussing different steps in the examination, Stuff which you have to study, Personal experiences and advice from Docter who had Cleared USMLE in past and Lots more. In this Article, we are offering you a broad overview of the USMLE and the steps in which it is taken.
What Is USMLE?
The USMLE is designed for students of allopathic medicine, who are on the path to an MD. The USMLE, formally the United States Medical Licensing Examination, is a famously challenging, three-step exam series that is required for anyone who wants to practice medicine in the United States. It stands for “United States Medical Licensing Exam”. Everyone who wants to tactics medicine, i.e. See patients, treat them, do surgery, in short work as a doctor in US, needs to pass this exam. That means both US Medical graduates and International Medical Graduates.
According to Official USMLE website “In the United States and its territories, the individual medical licensing authorities (“state medical boards”) of the various jurisdictions grant a license to practice medicine. Each medical licensing authority sets its own rules and regulations and requires passing an examination that demonstrates qualification for licensure. Results of the USMLE are reported to these authorities for use in granting the initial license to practice medicine. The USMLE provides them with a common evaluation system for applicants for initial medical licensure.
This is intended as a brief description of the organizations that are directly involved with or contribute to the USMLE program. The USMLE®, or the United States Medical Licensing Examination® program, is owned by two entities: the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners® (NBME®).”
Purpose Of USMLE
The USMLE assesses a physician’s ability to apply knowledge, concepts, and principles, and to determine fundamental patient centred skills that are important in health and disease and that constitute the basis of safe and effective patient care. Examination committees composed of medical educators and clinicians from across the United States and its territories create the examination materials each year. At least two committees critically appraise each test item or case, revising or discarding any materials that are in doubt.
Tests in USMLE
The USMLE is divided into three steps.
Step 1 is a one-day test, usually taken at the end of the second year of med school. It emphasizes knowledge of basic sciences, including anatomy, biochemistry, behavioural sciences, microbiology, immunology, pathology, pharmacology and physiology. Topics such as nutrition, genetics and ageing are also covered.
All questions are multiple-choice. Thre are 280 multiple choice questions is divided into seven 60 minute blocks and the duration of the examination is for 8 hours (1 day). The exam format is computer based. The number of questions per block on a given examination form will vary, but will not exceed 40.
Step 2 CK (Clinical Knowledge)
Step 2 CK, usually taken in the third or fourth year of med school, when clinical years are running. Clinical Knowledge, or CK, requires you to answer 318 multiple–choice questions on clinical sciences like surgery, internal medicine, paediatrics and obstetrics and gynaecology. It is divided into eight 60-minute blocks. The Test runs for one day, 9 hours. Which is in the computer-based format. Step 2 Ck, can be given in your own Country.
Step 2 CS (Clinical Skills)
The 2 CS (called Clinical Skills, or CS) requires you to examine and diagnose actors posing as patients. It runs for 8 hours, one day. In the Examination, you have to apply your Clinical Skills on 12 patient cases(standardized patient scenarios) with 15 minutes for the patient encounter and 10 minutes to record notes for each case. For the Step 2 CS, students must travel to one of five testing centres around the country(USA). Which are in Atlanta, Chicago, Houston, Los Angeles, and Philadelphia.
Step 3 is a two-day test, usually taken after the first year of residency.This is the final assessment of whether or not you’re prepared to practice general medicine in an unsupervised setting.
Day 1 – Foundations in Independent Practice (FIP)
- Concepts tested: Scientific principles required for effective medical care
- Duration of Day 1: One day, 7 hours
- How many questions are there?: 233 multiple-choice questions(approx.)
- Divided into six 60-minute blocks. Each FIP block will have 38 to 40 multiple-choice questions (MCQs).
Day 2 – Advanced Clinical Medicine (ACM)
- Concepts tested: Applying medical knowledge to patient management and evolving disease processes
- Duration of Day 2: One day, 9 hours
- How many questions are there?: 180 multiple-choice questions, 13 computer-based clinical simulations
- Divided into six 45-minute blocks of MCQs.
Eligibility For USMLE.
USMLE may be taken by any student who is enrolled in or has graduated from a:
- U.S. or Canadian allopathic medical school accredited by the Liaison Committee on Medical Education (LCME), leading to an M.D. degree.
- U.S. or Canadian osteopathic medical school accredited by the American Osteopathic Association (AOA), leading to a D.O. degree.
- Medical schools outside the U.S. or Canada that are listed in the International Medical Education Directory (IMED) and that meet Educational Commission for Foreign Medical Graduates (ECFMG) criteria
Step 3 may be taken by:
- Graduates of an accredited U.S. or Canadian allopathic or osteopathic medical school who have passed Step 1, Step 2 CK, and Step 2 CS.
- Graduates of a medical school outside the U.S. or Canada listed in IMED who have obtained certification by the ECFMG and passed Step 1, Step 2 CK, and Step 2 CS Registration
Registration For USMLE.
Registration for each USMLE step varies according to the test and medical school location. Step 1, Step 2 CK, and Step 3 (both days) are offered at Prometric test centres on multiple testing days. Students can sign up for each step up to six months in advance of the testing dates.
As mentioned earlier, Step 2 CS is offered in only five cities in the U.S. Once a student has applied for Step 2 CS, NBME/ECFMG assigns a 12-month eligibility period during which a medical student may take the test. Since test sites fill up quickly (usually four or more months in advance), students should schedule the test date before May 31 of the year assigned for this step. Moreover, students do not have their choice of location, but rather will be assigned to a test centre in one of these five cities.
Step 1, Step 2 CK, and Step 2 CS registration:
Non-U.S. medical school students/graduates can register at the ECFMG website
Step 3 Registration.
All graduates of any medical school who have passed Step 1, Step 2 CK, and Step 2 can register for Step 3 at the FSMB website.
2018 and 2019 USMLE Fees Structure.
- Step 1 $610*
- Step 2 CK $610*
- Step 1 and 2CK $70
- Step 2 CS $1,285
- Step 1 $630*
- Step 2 CK $630*
- Step 1 and 2CK $70
- Step 2 CS $1,290
For Effective Dates Visit. USMLE Fees
Scoring in USMLE
Step 1, Step 2 CK, and Step 3 are each scored on a 1–300 scale. Students can compare scores for each step from year to year — that is, Step 1: 2015 scores to Step 1: 2016 scores — but not between the different steps.
Score reports for these three steps contain the following information:
- If the student passed
- The minimum score needed to pass
- The student’s three-digit score (which is the number most often quoted when students report their USMLE result)
- Performance profile breakdowns for each testing category
- Scores for Step 1, Step 2 CK, and Step 3 are generally available four weeks following the exam administration.
The current minimum passing scores are as follows:
Step 1: 194
Step 2 CK: 209
Step 3: 196
These scores are as taken from. Understand your USMLE score.
Step 2 CS is only scored as pass/fail, and results for this step can take up to three months to be reported.
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