Career Clinic Overseas Education Consultants

USMLE Exam 2023-24: Dates, Registration, Fees, Eligibility, Syllabus, Types

Updated on 06 October, 2023

Team Career Clinic

A Concise Guide for USMLE 2023-24

The United States Medical Licensing Examination is referred to as the USMLE. It must be chosen by those who wish to practice medicine in the United States and is carried out in three phases. The National Board of Medical Examiners (NBME) and the Federation of State Medical Boards (FSMB) provide funding for it.

Because they are connected to one another in assessing a person's abilities as a physician, each of the three phases of the exam must be passed. The first two steps have applicants who are still enrolled in medical schools. To become licensed in the United States, medical graduates must pass the third and final exam.

USMLE: Syllabus

Step 1

  • Step 1 looks at a student's ability to apply medical science concepts to real-world problems and determines how well the student understands the practice of medicine. A strong emphasis is placed on the principles, concepts, and mechanisms involved in treating any health condition, as well as the recommended treatment options and other potential diseases and their causes.
  • It ensures mastery of the scientific principles necessary to maintain competence through lifelong learning in addition to the science that serves as the foundation for current safe medical practice.
  • The first step has two dimensions: system and process. It is constructed by integrating content that outlines fundamental concepts of varied science and medical theories.
  • It is a one-day test that is broken up into seven blocks of one hour each and is given in eight-hour testing sessions. In any given test, there will be no more than 40 questions in each block. There should not be more than 280 questions all together.

Step-2 CK

  • Step 2 CK looks at whether a person can put their skills, medical knowledge, and understanding of clinical science concepts to use in providing patient care under medical supervision, with a strong emphasis on health, disease prevention, and promotion.
  • Step 2 CK ensures that consideration is given to the standards of clinical science and other essential patient-focused skills that are protected, capable and are viable.
  • Step 2 CK is curated in accordance with a content outline that has been accumulated and organizes clinical science material into two main dimensions: physician duties and disease categories.
  • Step 2 CK takes place over the course of one day. It is broken up into eight additional blocks of one hour each, which are carried out and supervised during a single 9-hour test session.


  • Step-3 assesses an alumni’s interpretation of clinical science, its application to genuine cases and is directed to conclude whether an individual is sufficiently qualified to be authorized and permitted to rehearse in the US.
  • Experts in a variety of scientific disciplines, including medicine and physics, oversee and curate the examination.
  • It mirrors a generalist thought of how clinical science works in the US.

What is focused on USMLE?

‘Step-1’ is divided into seven 1-hour segments and given as an 8-hour session test. It has processes connected with diverse subjects and therapies.

It incorporates the given items however isn't restricted to:

  • Anatomy
  • Pathology
  • Micro-biology
  • Bio-chemistry
  • Biostatistics
  • Pharmacology
  • Physiology
  • Behavioural science
  • Nutrition
  • Immunology
  • Genetics
  • Aging

Schedule for USMLE Step 2 CK incorporates however isn't restricted to:

  • Proficiency in clinical science
  • The fundamental concepts that are used
  • Interacting with patients
  • Abilities related to supervision
  • Aptitude for patient care
  • Ability to listen in order to comprehend the patient's health condition

The USMLE Step 3 syllabus includes, but is not limited to:

  • Is the candidate able to practice on their own?
  • skills for treating individuals
  • Knowledge of clinical medicine
  • Clinical professionalism

USMLE Exam Structure

  • Each block in ‘Step-1’ contains a total of 40 questions, with a maximum of 280 multiple-choice questions.
  • ‘Step-2’ has a maximum of 318 questions and is broken up into eight blocks of one-hour tests.
  • A clinical skill test is also part of ‘Step-2’, which measures an applicant's ability to interpret and treat patients appropriately. Each patient is asked to talk about their problems for 15 minutes in one of 12 patient cases. The patient is given another 10 minutes to record any problems they have had.
  • In ‘step-3’, 232 multiple-choice questions are divided up into six 1-hour blocks. The second day of the exam has 180 multiple-choice questions that are divided into 45-minute blocks. The applicant is required to complete 13 simulation cases in order to evaluate their practical expertise and knowledge. Each simulation lies in the scope of 10-20 minutes.

How do I sign up for USMLE?

Either the Educational Commission for Foreign Medical Graduates (ECFMG) or the National Board of Medical Examiners (NBME) can be used to submit an application for Step 1.

  • It can be processed by visiting the USMLE's official website.
  • If you are a new user, you can register yourself or use your username and password to log in.
  • Within one business day of registering, one can receive the new username and password details.
  • Complete the required information to proceed.
  • Get the payment done.

The procedure for submitting an application for Step 2 is the same. However, Step 3 has a different registration method. It can be applied for by registering on the Federation of State Medical Boards (FSMB) portal.

Who is Qualified for USMLE?

A student can apply for the USMLE if they meet the following criteria:

  • A student ought to be enrolled in a Canadian or American medical school.
  • It ought to lead to an MD degree.
  • It ought to have LCME accreditation.
  • The applicant can also enroll in a program in the US that leads to a doctor of osteopathy (DO) degree and is accredited by the American Osteopathic Association.
  • Students who are based and enrolled outside of the United States or Canada need to be part of the World Directory of Medical Schools.
  • The student must fulfill ECFMG's requirements.

Exam Cost of USMLE

Fee for medical school graduates in the United States and Canada to take the exam:


2023 Fees

Step 1

Step 2 CK

Step 2 CS

Step 3





This exam fee cannot be transferred between applications and is non-refundable. The fee for requesting a reevaluation of an applicant's sheets is $80, and your request must be made within 90 days of receiving your scorecard. Re-evaluation fees are also non-refundable.

One must also pay $70, which is nonrefundable, to extend eligibility.

Test Dates of USMLE

On major holidays, Step-1, Step-2 (Clinical Knowledge), and Step-3 are not tested. The first 14 days of January cannot be used to choose Step-3. Other given dates should be visible in the planning framework.

Results of the USMLE test

Within 4-weeks of taking the tests, the results for Step-1, Step-2 (Clinical Knowledge), and Step-3 are typically available. The scorecard notification should be available for at least 8-weeks, despite the fact that it may be delayed by a number of other factors. At the point when the scorecard will be prepared, applicants will get notice through mail and afterward they can sign into their record to get to the results. After its release, the scorecard can be viewed on the website for a full 365 days.

Download USMLE Preparation Guide For Free

Get to know about the latest updates on the USMLE Exam, Eligibility, Preparation Tips, Test procedure, Exam Pattern, Syllabus, Registration Process, Important Exam Dates, and much more!! This guide is a one-stop solution for every USMLE Aspirant who aims to crack the exam with an impressive band score.

FAQs about USMLE

There are some good academic resources to crack USMLE if you are hailing from India. These resources will be helpful for all the three steps (Step 1, Step 2 CK and Step 3) and they are cited underneath:

  • USMLE Step-2 Secrets
  • First Aid for the USMLE Step 1
  • Kaplan USMLE Step 1 Lecture Notes
  • Crush Step 1: The Ultimate USMLE Step 1 Review
  • First Aid for the USMLE Step 2: A Student to Student Guide
  • Kaplan USMLE Step-2 CK Lecture Notes: 5-Book Set
  • Master the Boards USMLE Step-3

The Prometric exam centers in India for the USMLE tests are scattered throughout the metros of the country. They are:

  • New Delhi
  • Mumbai
  • Allahabad
  • Bangalore
  • Ahmedabad
  • Chennai
  • Hyderabad

Prospective applicants can appear for USMLE in all of these centers. Although these centers are prone to change. Doctors are asked to seek advice beforehand while appearing for all the three steps.

There are some rules for reattempting USMLE for any international students. You will be allowed to attempt USMLE three times within a year or a period of 12 months. To appear for an attempt after a year must be at least 12 months after the first attempt of that particular test and minimum 6 months after your most recent attempt.

Prometric is the agency that conducts the USMLE. This agency is responsible for organizing computer-based USMLE tests all around the world. The same will also assign exam centers to the would-be licensed doctors. While Prometric may arrange Step 1 and Step 2 CK in your country, for Step 3, doctors must migrate to the US after clearing the first two steps.

More About USMLE

USMLE: Retakes, Time Limits & Number of Attempts USMLE applicants can only attempt a Step a maximum of four times.  Attempts made in Step 2 CK are also included towards the limit.  The three attempts should be made within the 12-month period.  The fourth attempt...

USMLE: Retakes, Time Limits & Number of Attempts

  • uncheckedUSMLE applicants can only attempt a Step a maximum of four times. 
  • uncheckedAttempts made in Step 2 CK are also included towards the limit. 
  • uncheckedThe three attempts should be made within the 12-month period. 
  • uncheckedThe fourth attempt should be at least 12 months after the first attempt at that examination. 
  • uncheckedIt should also be at least six months after the last examination attempt. 
  • uncheckedIf the applicant passes the Step or Step Component, then there are no retakes for it, except for complying with the time limit given by the authority for US physician licensing. It means that all Steps are required for completion within this deadline.

USMLE: Exam Centres in India

After completing the registration process, candidates will receive a scheduling permit that allows them to choose their test date. It is important to update the location to select a preferred exam center.

Now, let's delve into the details of USMLE Prometric test centers in India.


Exam Centre



Prometric Testing Pvt. Ltd., No. 15/7, 2nd Floor, Jagannathan Road, Nungambakkam, Chennai 600 034



Prometric Testing Pvt. Ltd., Avenue 1, Street 20, Plot 1672, Road 12, Banjara Hills, Hyderabad 500 034



Prometric Testing Pvt. Ltd., 301-302 Abhijeet II, MithaKhali Six Roads, Ellis Bridge, Ahmedabad 380 006



Prometric Testing Pvt. Ltd., Maini Sadan, First floor, No. 38, Lavelle Road, 7th Cross Rd, Bangalore 560 001



Prometric Testing Pvt. Ltd., Flat 1/C Sukh Sagar Building, 2/5 Sarat Bose Rd, Kolkata 7000 020



Institute of Psychological and Educational Measurement, 119, 25-A, Mahatma Gandhi Marg, Civil Lines, Allahabad 211 001



Marwa House, Saki Vihar Road, Sakinaka, Andheri (E), Mumbai 400 072


United States Education Foundation in India, 4-New Marine Lines, Mumbai 400 020



Prometric Testing Pvt. Ltd., 2nd Floor, DLF Infinity Tower A, Gurgaon 122 002

New Delhi

Please note that the test center may be subject to change without prior notice under certain circumstances.

USMLE Scoring System

  • Results are published online by the USMLE, and officials release scorecards with candidates’ marks.
  • Authorities also inform all applicants about result availability. 
  • FSMB officials issue notifications when Step 3 results are published. 
  • Electronic formats generate score reports, with results declared three-four weeks post exam completion.
  • Candidates should get at least 194 in Step 1 and 209 in Step 2 (CK). They should get at least 196 in Step 3.

USMLE Preparation

  • The USMLE is a three-part exam that medical professionals must pass to obtain a license in the United States. 
  • It is a difficult test that requires thorough preparation to succeed.
  • To do well on the USMLE, it is important to start studying early and maintain a consistent study schedule. Many students begin preparing for the exam one or two years in advance, using various resources like textbooks, review courses, and practice questions.
  • Another critical aspect is identifying and focusing on areas where one is weak. Since the exam covers a wide range of medical topics, it is crucial to prioritize and dedicate more time to improving in those areas.
  • Taking practice exams is also essential. They help familiarize test-takers with the format and content of the actual exam, pinpoint weak areas, and enhance time management skills.
  • Lastly, maintaining a healthy lifestyle during exam preparation is crucial. This includes getting enough sleep, exercising regularly, and eating a nutritious diet. A healthy lifestyle can reduce stress, improve concentration, and enhance information retention.
  • In conclusion, succeeding in the USMLE requires hard work, dedication, and commitment. By following a systematic approach and putting in consistent effort, individuals can achieve success on the exam and become licensed physicians in the United States.

Can Indians write USMLE after 2024?

If you are an International Medical Graduate from India, this can take two different situations.

Graduating before 2024

Graduating after 2024

If you are from a WHO-recognized medical school and have already registered with the ECFMG, you can write USMLE after 2024 even though you will be graduating before 2024.

If you are an IMG from India, the ECFMG 2024 update will require that the medical colleges in India be recognized by the National Medical Commission in India. The National Medical Commission should then be recognized by WFME. At the time of my writing this, this recognition is still pending.

Is ECFMG the same as USMLE?

  • uncheckedThe ECFMG is an organization that evaluates credentials and certifies international medical graduates (IMGs) to practice medicine in the USA. On the other hand, the USMLE is an exam that IMGs need to complete as part of the requirements for ECFMG certification.
  • uncheckedIn my experience, the remaining requirements mainly involve paperwork to ensure that the IMGs' training is recognized and legitimate. The USMLE exams are often seen as challenging in the process of obtaining ECFMG certification.
  • uncheckedWhile there are alternative pathways to practice medicine in the USA, the ECFMG and the USMLE exam pathways are the most commonly used and straightforward options for the majority of IMGs.

Medical Exams Related Links


USMLE Exam Complete Overview


PLAB Exam Complete Overview


FMGE Exam Complete Overview

Know about more Entrance Exams for Abroad Universities


Related Links


Study Abroad Without IELTS in Upcoming Jan 2024 Intake

IELTS Exam Complete Overview


Study Abroad at Top Universities Without GRE Exam

GRE Exams Complete Overview


GMAT Exam: An Updated Guide for 2024

GMAT Exam Complete Overview


TOEFL Exam Complete Overview


PTE Exam Acceptance in 2024: Prepare Now

PTE Exams Complete Overview


SAT Exams Complete Overview


ACT Exam Complete Overview


Duolingo is the Future of Study Abroad

Duolingo Exam Complete Overview

Top Courses to Study Abroad

Courses to Study Abroad

Related Blogs

Nutrition Courses

Best Nutrition Courses and Universities to Study Abroad

Pharmacy Courses

Pharmacy Courses Abroad: For Indian Students

Food Science Courses

Study Food Science Courses Abroad in 2024

Marketing Courses

Top Marketing Courses and University Abroad for Indian Students

Big Data Management Courses

Study Big Data Management Courses Abroad in 2024

Engineering Courses

Software Engineering Abroad in 2024 for Indian Students

Software Engineering

Top 10 Engineering Courses to Study Abroad

Petroleum Engineering

Petroleum Engineering Abroad in 2024 for Indian Students

Fashion Designing

Top 5 Cities to Study Fashion Designing Abroad

Product Management

Explore Abroad Masters in Product Management: for Indian Students

Renewable Energy Courses

Renewable Energy Courses Abroad in 2024 for Indian Students

Game Development Courses

All About Studying Game Development Courses Abroad

Product Design Courses

Study Product Design Abroad in 2024 for a Career Boost

Aviation Courses

Study Aviation Abroad in 2024 for Indian Students

Horticulture Courses

Study Abroad Horticulture Courses in 2024

Cryptocurrency Courses

Study Cryptocurrency Course Abroad in 2024

Agriculture Economics Courses

Study Agriculture Economics Abroad in 2024

Banking Courses

Study Banking Courses Abroad in 2024

Public Relation Courses

Public Relations Courses Abroad for 2024

Architecture Courses

Study Architecture Courses Abroad in 2024

Data Analytics Courses

Data Analytics Courses Abroad

Data Science Courses

Data Science Courses Abroad

Blockchain Technology Courses

Top Career in 2024: Study Blockchain Technology

Health Science Courses

Study Abroad Health Science for 2024 Intake

Microbiology Courses

Overseas Studies on Microbiology in 2024

Life Sciences Courses

Study Life Sciences Abroad in 2024 for Indian Students

Graphic Design Courses

Study Graphic Design Abroad in 2024

Nursing Courses

Study Abroad in BSc Nursing in 2024

Supply Chain Management Courses

Study Supply Chain Management Abroad in 2024

Biotechnology Courses

Unlocking Career Opportunities: Study Abroad Biotechnology

Journalism Courses

Study Journalism Abroad in 2024