USMLE Exam Standard and Syllabus (2023)

The purpose of the US Medical Licensing Examination (USMLE) is the license to practice medicine in the United States. This USMLE exam is sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME).

In this article we present the latestUSMLE Exam Scheduleand sample by 2022. Let's get started with our free USMLE practice test to pass your real exam with a high score on the first try.

USMLE Exam Standard and Syllabus (1)

USMLE exam 2022

Applicants who wish to practice medicine in the United States must qualify for the entrance examination. See below to find out what the details of the USMLE exam are:

exam nameUS Medical Licensing Exam Dies
Commonly known asUSMLE
AimObtaining a license to practice drugs in the territory of the United States
support organizationthe National Board of Medical Examiners (NBME) together with the Federation of State Medical Boards (FSMB)
USMLE stepsThe USMLE exam consists of three steps:
Paso 1
Step 2: Clinical skills along with clinical knowledge
paso 3
USMLE exam modeStep 1, Step 2 clinical knowledge and Step 3: computerized
Step 2 Clinical Skills: Offline
ResultThe National Board of Medical Examiners (NBME) announces the results of all steps
repetitionsNo more than 3 USMLE exams taken in any 12-month period
Number of attempsAn examinee may not complete a USMLE Step or Step Component more than six times.
type of applicationOnline

Who is eligible for the USMLE exam?

To avoid rejection, candidates should review the eligibility requirements before applying for the test. Applicants must meet a specific requirement for each step of the test. Candidates may take USMLE Clinical Skills Step 1 and 2 and Clinical Knowledge Step 2 in any order. To be eligible for Step 3, candidates must first complete USMLE Steps 1 and 2. The following are the USMLE eligibility criteria:

Eligibility criteria for USMLE Step 1, 2 Clinical Knowledge and 2 Clinical Skills

  • Medical students must be officially enrolled in a Canadian or US medical school program or graduate from a medical school program leading to a medical degree accredited by the Medical Education Liaison Committee. EITHER,
  • A medical student who is officially enrolled in or has graduated from a United States medical school earning a DO degree accredited by the American Osteopathic Association. EITHER,
  • An officially registered medical student or graduate of a medical school outside of the United States and Canada may apply.

USMLA Step 3 Exam Eligibility Criteria

  • Applicants must have passed steps 1, 2 and 2 of clinical knowledge and skills.
  • Candidates with an MD or DO title from a school of medicine accredited by LCME or AOA in the United States or Canada. O,
  • The equivalent of a medical degree from a medical school outside the United States and Canada is listed in the World Directory of Medical Schools.

USMLE exam sample

Computer-assisted assessment is used for USMLE Step 1, Clinical Knowledge Step 2, and Step 3. Candidates are guided by the USMLE exam pattern in terms of exam format, test length, and purpose of each exam. step and step component. The exam template can be used to support the candidate's exam preparation. Below is the USMLE exam pattern:

USMLE Step 1 pattern


Knowledge of and ability to apply critical ideas from basic science to medical practice, with an emphasis on the principles and processes underlying health and disease, and treatment modalities.


280 multiple choice questions divided into seven blocks of 60 minutes.

This computer-based exam is administered by Prometric testing centers around the world.


One day trial session. About eight hours.

USMLE Step 2 Clinical Knowledge Pattern


This exam assesses the examinee's ability to use clinical medical skills, knowledge, and scientific understanding to provide supervised patient care with an emphasis on health promotion and disease prevention and management.

(Video) USMLE 2022 Step 1, 2 and 3 Complete Guide - Application Form, Dates, Eligibility, Pattern, Syllabus


There are approximately 318 multiple-choice questions spread over eight 60-minute blocks. Prometric test centers administer the computer-based exam.


One day trial session. About nine hours.

USMLE Step 2 Clinical Skills Pattern


STEP 2 includes a unique and stand-alone component called the Clinical Skills Test. It is the second component of the STEP 2 exam. It assesses the examinee's ability to obtain information from patients, perform physical examinations, and explain their findings to patients and peers using standardized patients.


There are 12 patient cases to complete, each patient visit takes 15 minutes and an additional 10 minutes to document each patient encounter., the test was offered at six different locations. Cities in the United States include Chicago, Atlanta, Los Angeles, Houston, and Philadelphia.

This component of the USMLE exam is divided into three subcomponents:

Das Integrated Clinical Encounter (ICE) umfasst Komponenten wie Integrated Clinical Encounter (ICE), Communication and Interpersonal Skills (CIS) and Spoken English Proficiency (SEP)).


One day trial session. about nine hours

USMLE Pattern Step 3


This exam assesses the examinee's ability to apply medical understanding and knowledge of biological and clinical sciences to unsupervised medical practice while also assessing their communication skills.

Day 1: The principles of action

(Video) USMLE Step 1: Introduction – Medical School Survival Guide | Lecturio

FIP assesses the examinee's ability to understand basic medical principles and scientific concepts necessary for efficient healthcare delivery.

Day 2: Put your advanced clinical expertise to the test

The American College of Medicine (ACM) assesses the examinee's ability to apply extensive knowledge of health and disease in the context of patient care and the changing clinical picture over time.


Day 1 FIP:

Around 232 multiple-choice questions are divided into six 60-minute blocks. Prometric test centers across the country offer computer-based exams.

Label 2 ACM:

There are 180 multiple-choice questions spread over six 45-minute periods. This study used thirteen computer-based case simulations (CCS). Depending on the complexity of the simulation, each simulation has a maximum of 10 or 20 minutes of real time.

Prometric test centers in the United States offer computer-based exams.


Day 1 FIP: This is a one day test session that lasts approximately seven hours.

Day 2 ACM: This is a one day test session that lasts approximately nine hours.

USMLE Exam Schedule

What is the USMLE exam syllabus? Students who are currently enrolled in or have just graduated from a medical school recognized by the World Directory of Medical Schools are eligible to apply for USMLE.

USMLE Step 1 Syllabus

The USMLE Step 1 curriculum covers most of the topics covered in the first two years of medical school. Below is information about the subjects and their weight ranges for each subject:

The distribution of subjects in USMLE Step 1 is as follows

(Video) The Best Books to Study for USMLE Step 1 and Step 2 CK during Medical School

The general principles of basic science.15% - 20%
1. Multisystem disorders and processes15% - 20%
2. Biostatistics and Epidemiology
3. Public Health
4. Social Sciences
1. Immune system60%-70%
2. Special nervous and sensory systems
3. Skin and subcutaneous tissue
4. Respiratory system
5. Pregnancy, labor and delivery
6. Female Reproduction and Breast
7. Male reproduction
8. Endocrine system
9. Reticular blood and lymphatic system.
10. Sistema cardiovascular
11. Musculoskeletal system
12. Behavioral Health
13. Gastrointestinal system
14. Renal and urinary systems


abnormal processes55% - 60%
normal processes10% - 15%
Principles of therapy15% - 20%
Others10% - 15%

USMLE Level 2 Curriculum

USMLE Exam Standard and Syllabus (2)

Level 2 of the USMLE exam focuses on patient care under the supervision of a physician. It is an examination of the candidate's clinical scientific knowledge and skills necessary for supervised patient care and disease prevention. Applies basic clinical-scientific principles and patient-centered skills to enable safe and competent practice of medicine.

The Step 2 Clinical Knowledge is a one-day exam, just like the Step 1 exam. The test is 9 hours long, with each block lasting 60 minutes. The total number of USMLE Step 2 questions is 350, with no more than 40 questions in each block. The USMLE Step 2 Clinical Knowledge Test questions have the same MCQ format as the Step 1 Test.

Candidates meet standardized patients who have been trained in Level 2 clinical skills to represent real patients. This is an assessment of your clinical knowledge and your ability to communicate with patients. Candidates must listen to patients, communicate with them, treat them professionally, identify their medical problems, and answer their medical questions.

The USMLE Step 2 test is divided into three sections:

  • Integrated clinical encounter
  • Communication skills and interpretation skills.
  • spoken english skills

For Step 2 Clinical Knowledge, the following information is provided about the subjects and their weight ranges:

General principles of basic science.1% - 3%
1. Biostatistics/Population health and epidemiology15%
2. Interpretation of the medical literature
1. Immune system85% - 95%
2. Multisystem processes and disturbances of multisystem processes
3. Lymphatic-blood reticular systems
4. Endocrine system
5. Behavioral Health
6. Male reproductive system
7. Female breast and reproductive system.
8. Special nervous and sensory systems
9. Renal and urinary systems
10. Skin and subcutaneous tissue
11. Gastrointestinal system
12. Musculoskeletal system
13. Respiratory system
14. Sistema cardiovascular

USMLE Level 3 Curriculum

While candidates who enrolled in or graduated from medical school take the Level 1 and Level 2 exams, those who complete the program complete Level 3. Students from Canada and the United States, as well as international medical graduates , graduate from a recognized medical school. in the World Directory of Medical Schools.

Step 3 assesses whether or not the candidate is capable of offering unsupervised medical practice. Candidates who pass Step 3 of the USMLE receive the final license to practice medicine.

The Level 3 exam lasts two days. This exam is divided into two subcategories as follows:

  • Fundamentals of independent practice.
  • Advanced Clinical Medicine

The following table summarizes the different competencies and their weighting in the USMLE Step 3 exam.

competenceFundamentals of independent practice.Advanced Clinical Medicine
Professionalism & Communication8% - 12%HE
Scientific concepts along with medical knowledge18% - 22%HE
Systems-based practice/patient safety and practice-based learning22% - 27%HE
Patient care: diagnosis40% - 45%HE
1. History/Physical Exam
2. Laboratory/diagnostic studies
3. Diagnose
Forecast/OutcomeHE20% - 25%
Patient care: administrationHE75% - 80%
1. Health maintenance and disease prevention
2. Pharmacotherapy
3. Mixed management
4. Surveillance for disease recurrence
5. Clinical Interventions

USMLE scores and results

USMLE results

There is no fixed score to pass the exam. However, the higher your score, the better programs await you. Listed below are the most recent USMLE Step 1 passing scores, USMLE Step 2 scores, and Step 2 Clinical Skills scores where USMLE Step 3 scores are required:

USMLE-ExamsLatest USMLE Qualifying Scores
Paso 1194
Step 2 Clinical knowledge209
paso 3196

USMLE results

USMLE Step 1 results will be posted every Wednesday for 3-4 weeks. It will be given to you by the entity you registered with, either NBME or ECFMG. It will also be published on the respective website.

USMLE Step 2 Clinical Knowledge results will be announced within four weeks of the exam. USMLE Step 2 Clinical Skills scores are not a specific number, they are simply stated as pass/fail.

Similarly, USMLE Step 3 results also take three to four weeks to complete.

(Video) How to EASILY Pass USMLE Step 1 in 2022 (Resources + Study Tips)

Frequently Asked Questions - USMLE Exam Details

Below are some frequently asked questions about USMEL Steps 1, 2 and 3:

Is the number of steps limited?

Candidates who have attempted a step or step component six or more times are eligible to take that step or step component.

Is there a minimum age to apply for the USMLE?

No, the officials did not set an age limit for applicants.

Where can I apply for the USMLE Step 3?

You need to apply for USMLE Step 3 on the FSMB official website.

What happens if I don't pass the USMLE?

You can retake the exam twice within one year after the first failed attempt.

Is USMLE a difficult exam?

One of the most stressful and challenging exams you will take during your medical school career is the USMLE Level 1. Your performance on this exam largely determines whether or not you are successful in the residency matching process.

What is the hardest USMLE exam in the world?

Step 3 is the hardest. It is a 16-hour exam spread over 2 days with tests scheduled within 8 hours. There are a total of 454 multiple choice questions (256 on day one and 198 on day two), and candidates have a maximum 1 hour break per day.

What is the salary of a resident doctor in the United States?

How much can a resident doctor earn? In the United States, the national median salary for a practicing physician is $62,608.

What countries accept USMLE?

Medical regulatory authorities accept the USMLE program in the United States, New Zealand, Israel, the United Arab Emirates, and Qatar. These countries accept USMLE results and exempt candidates from other admission requirements.


The USMLE exam aims to assess students' ability to apply extensive knowledge in the context of patient care. It focuses on determining how diseases have evolved over time and how they have been perceived by professionals.

In Step 1, Step 2 and Step 3, candidates would be tested on a basic to advanced level of their understanding of the medical sciences.

The candidate's knowledge of history and physical examination, diagnosis, and the use of diagnostic tests will also be tested. As a result, this article will help you better understandSyllabus for the USMLE examRequirements to help you prepare for the exam.

Don't forget to take our freeUSMLE practice teston Medtutor to familiarize yourself with the format and questions of the exam itself to strengthen your knowledge and skills and thus increase your chances of passing the USMLE exam with a high score on the first try. Good luck!


(Video) USMLE Exam & Preparation Techniques | Dr Najeeb


What is the format of USMLE? ›

It is divided into seven 60-minute blocks and administered in one 8-hour testing session. The number of questions per block on a given examination form may vary, but will not exceed 40. The total number of items on the overall examination form will not exceed 280.

What is 7 year rule for USMLE? ›

Time Limit for Completing Licensing Examination Sequence. Must pass all Steps of the USMLE within 7 years from the date of first passing any Step of the exam. Must pass Step 3 within 4 years of the first attempt at Step 3 or must complete 1 year of post-graduate training before making additional attempts at Step 3.

Which step of USMLE Is hardest? ›

Unofficially, people have claimed USMLE Step 1 is the most difficult and important of the 3-part USMLE series.

Is USMLE Step 1 or 2 harder? ›

The majority of people do much better on Step 2 than on Step 1 even with less studying. This test focuses more on the next step in a patient presentation. Questions such as which lab or test to order next. There will also be plenty of diagnosis questions as well.

Is USMLE hard to pass? ›

The USMLE Step 1 exam is the most challenging, most important test you will take during your medical career. This test is over all of the information you absorbed in the first two years of medical school, and it takes seven hours to complete.


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