A joint Program of the Federation of State Medical Boards of the United States, Inc
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2017 BULLETIN
of INFORMATION A Joint Program of the Federation of State Medical Boards of the United States, Inc., and the National Board of Medical Examiners ®
TABLE OF CONTENTS Page # QUICK FACTS (You must become familiar with this bulletin in its entirety.)
4
▫ Eligibility for the USMLE Examinations 4 ▫ Applying and Scheduling 5 ▫ Examination Day and Testing 6 ▫ Scoring and Score Reporting 7 ▫ Irregular Behavior 8
▫ Purpose and Mission of the USMLE 9 ▫ Examination Committees 9 ▫ Ownership and Copyright of Examination Materials 9 ▫ The USMLE: Purpose, Test Format, and Test Lengths 9
▫ Who is Eligible to Take the USMLE? 11 ▫ Change in Eligibility Status 12 ▫ Graduates From Unaccredited Medical Schools in the US or Canada 12 ▫ Sequence of Steps 12 ▫ Number of Attempts and Time Limits 12 ▫ Retaking Failed Examinations 12 ▫ Retaking Previously Passed Steps 13 ▫ Previously Licensed Physicians 13
▫ Application Materials 14 ▫ Examinees With Disabilities Requesting Test Accommodations 14 ▫ Examinees Who Require Additional Break Time 14 ▫ Personal Item Exceptions (PIE) 14 ▫ Obtaining an Eligibility Period and Scheduling Your Test Date 15
▫ Testing Regulations and Rules of Conduct 16 ▫ Personal Belongings – What You Can Bring Into the Testing Room 17 ▫ Admission to the Test 17 ▫ Break Time 19 ▫ Starting and Completing the Test 19
▫ Examination Results and Scoring 21 ▫ Score Reporting 21 ▫ Score Rechecks 22 ▫ Score Validity 22 ▫ Anomalous Performance 23
▫ Irregular Behavior Defined 24 ▫ Examples of Irregular Behavior 24 ▫ Irregular Behavior – Investigation Process 25
▫ Application and Registration Inquiries 26 ▫ Scheduling and Test Center Inquiries 26 ▫ Test Administration Inquiries 27 ▫ Security Concerns 27 ▫ General Inquiries 27
28 www.usmle.org 2 2017 Bulletin of Information IMPORTANT You must become familiar with the information referenced in this Bulletin if you are an applicant with an eligibility period in 2017. If your eligibility period extends into 2018 and you test in 2018, you must become familiar with and will be subject to the policies and procedures detailed in the 2018 Bulletin of Information (BOI). If changes in the USMLE program occur after the release of this BOI, they will be effective when posted on the USMLE website . You are responsible for checking the USMLE website for updates and changes to the USMLE policies and procedures. IMPORTANT If you are a student or graduate of a medical school outside the US or Canada with an eligibility period in 2017, in addition to becoming familiar with this BOI, you must also be familiar with the contents of the 2017 Information Booklet published by the ECFMG. If your eligibility period extends into 2018 and you test in 2018, you must become familiar with and will be subject to the policies and procedures detailed in the ECFMG 2018 Information Booklet. The ECFMG Information Booklet is available on the ECFMG website . Students and graduates of medical schools outside of the US and Canada are responsible for monitoring the ECFMG website to ensure they understand current ECFMG policies and procedures, including any changes.
Copyright © 2016-2017 by the Federation of State Medical Boards of the United States, Inc., and the National Board of Medical Examiners® (NBME®). The USMLE is a joint program of the Federation of State Medical Boards of the United States, Inc., and the National Board of Medical Examiners. www.usmle.org 3 2017 Bulletin of Information QUICK FACTS: Eligibility for the USMLE Examinations
STEP COMPONENT REQUIREMENTS ADDITIONAL INFORMATION STEPS 1, 2 CK, AND 2 CS •
Officially enrolled in, or a graduate of, a US or Canadian medical school leading to the MD degree (LCME accredited), OR •
Officially enrolled in, or a graduate of, a US medical school leading to the DO degree (AOA accredited), OR •
Officially enrolled in, or a graduate of, a medical school outside of the US and Canada listed in the
requirements; meets other ECFMG criteria •
time of application AND on test day •
If you are dismissed or withdraw(n) from medical school, you are not eligible for the USMLE, even if you are appealing the school’s decision or are otherwise contesting your status
•
Possess the MD degree (or its equivalent) or the DO degree from an LCME- or AOA- accredited US or Canadian medical school, or from a medical school outside the US and Canada listed in the
as meeting ECFMG eligibility requirements, AND •
Pass Step 1, Step 2 CK, and Step 2 CS, AND •
If you are a graduate of a medical school outside of the US and Canada, posess the ECFMG certification or have successfully completed a Fifth Pathway program (see page 11) •
Must meet eligibility requirements prior to submitting your application
You may take the same examination no more than three times within a 12-month period. Your fourth and subsequent attempts must be at least 12 months after your first attempt at that examination and at least six months after your most recent attempt at that examination.
If you have passed an examination, you are not permitted to retake a Step or Step Component, except to comply with certain requirements as approved by the USMLE governance. MULTIPLE ATTEMPTS AND TIME LIMITS
You are ineligible to take a Step or Step Component if you have made six or more prior attempts to pass that Step or Step Component, including incomplete attempts, regardless of when the examinations were taken.
Time limits to complete the USMLE, for purposes of licensure, are established by state medical boards and many require completion of all Steps or Step Components within seven years.
Information regarding specific state requirements can be obtained on the FSMB website .
NOTE : If you are dismissed or withdraw(n) from medical school, you are not eligible for the USMLE, even if you are appealing the school’s decision to dismiss you or are otherwise contesting your status. If you are on a leave of absence, please check with your registration entity before submitting your application, or if you have already registered, check with them before testing. Failure to notify your registration entity that you may no longer be eligible to take an examination may result in a determination of irregular behavior and a permanent annotation on your score reports and www.usmle.org 4 2017 Bulletin of Information QUICK FACTS: Applying and Scheduling
APPLICATION AND SCHEDULING PROCESS ADDITIONAL INFORMATION STEPS 1 AND 2 CK •
Students/graduates of LCME- or AOA- accredited programs should apply via the NBME Application website •
Students/graduates of medical schools outside of the US/Canada should apply via the ECFMG Application website •
During the application process, select a three-month eligibility period in which you wish to test •
You will receive an e-mail notifying you that your scheduling permit is available •
Prometric website to schedule your test date •
You may be able to schedule your test date up to six months in advance •
period, contact your registration entity (NBME or ECFMG) to inquire about a one- time eligibility period extension; a fee is charged for this service •
your eligibility period, you must reapply with a new application and fee. Your application fee is nonrefundable
•
Students/graduates of LCME- or AOA- accredited programs should apply via the NBME Application website •
Students/graduates of medical schools outside of the US/Canada should apply via the ECFMG Application website •
You will be assigned a 12-month eligibility period, which begins upon acceptance and verification of your application •
You will receive an e-mail notifying you that your scheduling permit is available •
USMLE website to schedule your test date •
be changed •
If you do not take the examination within your assigned eligibility period, you must submit a new application and fee. Your application fee is non-refundable STEP 3 •
All graduates should apply for Step 3 via the
FSMB website
• During the application process, select a three-month eligibility period in which you wish to test •
that your scheduling permit is available •
Visit the Prometric website to schedule your test dates •
appointment more than six months in advance
•
If you are unable to test within your eligibility period, contact the FSMB to inquire about a one-time eligibility period extension; a fee is charged and restrictions may apply. Visit the
FSMB website for more information •
your eligibility period, you must reapply with a new application and fee. Your application fee is nonrefundable
For information about how to request test accommodations or permission to bring medically necessary items with you on exam day, see the Applying for the Test and Scheduling Your Test Date section of this BOI. www.usmle.org 5 2017 Bulletin of Information QUICK FACTS: Examination Day and Testing
DO DON’T
Review the USMLE Rules of Conduct prior to taking your examination
during, and after your examination
Remember to bring a copy of your scheduling permit (electronic or paper) and required identification (see below); you will not be
Arrive 30 minutes prior to your testing appointment (computer-based examinations); for Step 2 CS, arrive at the time listed on your confirmation notice
before the examination begins or during the tutorial (computer-based examinations)
break; you are not permitted to access your locker during unauthorized breaks (computer-based examinations)
Be sure to complete all sections of the examination
stress or feeling unprepared for the examination
Bring family and friends to the center; instead, arrange to meet them after the examination ends
computer-based examinations, only soft-foam earplugs are allowed; for Step 2 CS, only your white lab coat and stethoscope are allowed
Write on laminated note boards prior to entering your Candidate Identification Number (CIN) and starting your test session (computer-based examinations) or write on anything other than the laminated note boards
Work past the announcements to stop
Access your locker or use your cell phone on an unauthorized break Please see pages 16-20 for more information regarding examination day rules and regulations.
You must present valid (unexpired) identification with:
Your name as it appears on your permit
Your signature Your name, as it appears on your scheduling permit, must match the name on your identification exactly. If the name listed is not correct, contact your registration entity immediately. Acceptable forms of identification include:
Driver’s license with photograph
National Identity Card
Other dated, government-issued identification
SECURITY PROCEDURES ON TEST DAY
During check-in, you will:
be scanned with a handheld metal detector (computer-based examinations)
be asked to empty and turn your pockets inside out
place your personal belongings in bins that are inaccessible for the duration of the examination (Step 2 CS)
have your photo identification checked
be fingerprinted using biometric technology (computer-based examinations; not available at all locations)
write your unique CIN as shown on your scheduling permit on one of the laminated note boards provided (computer-based examinations)
You will be asked to repeat much of this process each time you return to the testing room after a break. www.usmle.org 6 2017 Bulletin of Information QUICK FACTS: Scoring and Score Reporting
STEPS 1, 2 CK, AND 3 STEP 2 CS
After testing, the examination data are delivered electronically to the NBME
score (the sum of the points earned from correct scores)
The raw score is converted into a three-digit score
Analyses are performed to detect aberrant examinee response behavior. Candidates who are identified by these analyses may be asked to provide an explanation of their testing behaviors
Final quality assurance procedures are performed to verify that the correct set of score reports is produced
Score reports are then posted to the registration entity’s (NBME, ECFMG, or FSMB) secure website and made available to examinees
Examinee test dates are batched into scoring cohorts that are usually eight weeks long
performs quality control measures on the examination data before the information is delivered to the NBME
Standardized Patient rating scales are converted to scores and patient notes are assigned to specially trained Patient Note raters
When the test administration period for the cohort ends, the performance from the entire cohort is used to generate the data needed to ensure score comparability (across sites and administrations) and to report outcomes
The results go through a final quality control process involving computation of statistical quality control measures
Once results are verified and approved for release, the scores are made available as indicated in the Step 2 CS Score Reporting Schedule
Results for computer-based examinations (Steps 1, 2 CK, and 3) are typically available within three to four weeks after your test date. However, delays are possible for various reasons. In selecting your test date and inquiring about results, you should allow at least eight weeks to receive notification that your score report is available. For more specific information about potential scoring delays, please visit the Announcements section of the USMLE website .
For Step 2 CS, refer to the Step 2 CS Score Reporting Schedule .
When your score is available, follow the instructions in the e-mail notification for accessing your USMLE score report. The report will remain available for approximately 120 days from the date of the e-mail notification. After 120 days, your scores will be provided to you only in the form of an official USMLE transcript.
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