Foreign medical graduates educational commission for foreign medical graduates



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Step 3

The FSMB serves as the registration entity for all Step 3 applicants. To be eligible for Step 3, international medical

graduates must have passed Step 1 and Step 2 and must be certified by ECFMG, among other requirements. See

Eligibility for the USMLE in the 

USMLE Bulletin of Information

. If you have not met all eligibility requirements, your

application for Step 3 will not be accepted. For detailed information and application procedures for Step 3, contact the

FSMB

. Scheduling and test centers for Step 3 are provided by 



Prometric

, which serves as the test delivery entity for all

Step 3 examinees. USMLE Step 3 is delivered at Prometric test centers in the United States.

For all applicants, NBME is responsible for determining the results of USMLE exams and for issuing the score reports.

FSMB notifies examinees when their Step 3 score reports are available and provides them with secure, web-based

access to the score reports.

Last updated: September 9, 2015

Copyright © 2015 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

Page 33


The United States Medical Licensing Examination (USMLE)

About USMLE

 | 

Registration and Test Delivery Entities



 | Applying for Examination

Scheduling the Examination

 |

Preparing for Examination



 | 

Taking the Examination

 | 

USMLE Program and Irregular Behavior



 | 

Examination Results

 |

Reexamination and Reapplication



Applying for Examination

Before applying for USMLE, international medical students/graduates must:

submit an Application for ECFMG Certification. See 

Application for ECFMG Certification

.

read the applicable editions of the 



ECFMG Information Booklet

 and the 

USMLE Bulletin of Information

.

To apply for USMLE Step 1, Step 2 CK, and/or Step 2 CS, use ECFMG's 



Interactive Web Applications (IWA)

. A


complete application consists of the on-line part, which you complete using IWA; the Certification of Identification Form

(Form 186) or Certification Statement (Form 183), which you obtain through IWA; and any other required documents.

You should read the detailed 

overview


 and 

instructions

 that accompany the application for examination in IWA before

you begin working on the application; these resources will help you plan the timing of your application and outline any

necessary items (such as photographs and official signatures) that require advance planning.

Important Note: You should also consider deadlines imposed by the 

National Resident Matching Program

(NRMP)

 and graduate medical education (GME) programs. It is solely the responsibility of the applicant to



complete the required exams in time to meet deadlines imposed by the NRMP and/or GME programs.

Since the number of applicants seeking to complete these exams may exceed the spaces available in time

to meet those deadlines, there is no guarantee that sufficient spaces will be available for all applicants to

meet deadlines imposed by the NRMP and/or GME programs. ECFMG assumes no liability of any kind if

an applicant does not complete the exams in time to have results available to meet NRMP and/or GME

program deadlines. See 



Examination Results

 for information on scoring turnaround times.



Exam Fees

For all exams, there is an examination fee. For Step 1 or Step 2 CK, there is an additional international test delivery

surcharge, if you choose a testing region other than the United States/Canada. You must pay all applicable fees at the

time you apply for examination. For the current exam fees and international test delivery surcharges, see the 

Fees

page on the ECFMG website.



Eligibility Periods

When you apply for Step 1 or Step 2 CK, you must select a three-month eligibility period, such as January-February-

March, February-March-April, etc., during which you would like to take the exam. The eligibility period you are

assigned will be listed on your scheduling permit. You must take the exam during the eligibility period assigned to you.

If you are unable to take Step 1/Step 2 CK during the three-month eligibility period assigned to you, you may request a

one-time, contiguous, eligibility period extension (EPEx) using ECFMG’s IWA. Refer to the 

EPEx Overview

 in IWA for

more information and instructions.

If you do not take Step 1/Step 2 CK during your original or extended eligibility period, you must reapply by

submitting a new application and fee(s), if you wish to take the exam.

When you apply for Step 2 CS, you are assigned a 12-month eligibility period that begins on the date that the

processing of your application is completed. Your eligibility period will be listed on your scheduling permit.

Once your Step 2 CS eligibility period has been assigned, it cannot be changed or extended. You can schedule a

testing appointment for any available date in your eligibility period, and reschedule a testing appointment within your

eligibility period. See 



Scheduling the Examination

 for more information. If you do not take Step 2 CS during your



assigned eligibility period, you must reapply by submitting a new application and examination fee, if you wish

to take the exam.

Testing Locations

Step 1 and Step 2 CK are delivered at Prometric test centers worldwide. Prometric's test centers are grouped into

Page 34


defined testing regions. When you apply for Step 1 or Step 2 CK, you must choose the testing region where you want

to take the exam. A 

list of Prometric testing regions

 is available on the ECFMG website.

You can take the exam at any test center in your testing region that offers USMLE, provided there is space available

on the date you choose. The test centers available for USMLE Step 1 and Step 2 CK are subject to change. To

obtain current information on specific test centers, visit the 

Prometric website

 or follow instructions on the scheduling

permit for contacting Prometric.

If you are unable to keep your Step 1 or Step 2 CK testing appointment at the test center you select, you can

reschedule for a different test center within your testing region, subject to availability. To avoid a rescheduling fee, you

must reschedule more than 30 calendar days before your scheduled testing appointment. Refer to your scheduling

permit for details.

If you are unable to take Step 1 or Step 2 CK in the testing region you selected, you may request a change to your

testing region. For more information, see the 



Request to Change USMLE

®

 Step 1 / Step 2 CK Testing Region (Form

312)


, available in the Resources section of the ECFMG website and from ECFMG, upon request.

Step 2 CS is administered at six test centers in five cities in the United States. Once you are registered for the exam,

you will select a test center, subject to availability, when you schedule your testing appointment. If you are unable to

keep your testing appointment at the test center you select, you can reschedule for a different center, subject to

availability. To avoid a rescheduling fee, you must cancel or reschedule more than 14 calendar days before your

scheduled testing appointment. Access 

Step 2 CS Calendar and Scheduling

 on the ECFMG website for more

information.

Examinees with Disabilities Requesting Test Accommodations

The USMLE program provides reasonable accommodations for examinees with disabilities covered under the

Americans with Disabilities Act (ADA). If you are a disabled individual covered under the ADA and require test

accommodations, you must obtain information regarding procedures and documentation requirements in advance of

applying for each Step or Step Component. Please refer to the Test Accommodations information on the 

USMLE


website

 for more information.



Examinees Who Require Additional Break Time

Examinees with physical or health conditions, such as lactation, may apply for additional break time. See the 

USMLE

Bulletin of Information

.

Personal Item Exceptions (PIE)

Unauthorized possession of personal items while you are in the secure areas of the testing center is prohibited.

Exceptions to this policy may be made in certain limited circumstances. See the 

USMLE Bulletin of Information

 for


more information.

Important Note: Please note that ECFMG will not provide services of any kind if doing so would be

considered violative of any applicable federal, state, or local laws or regulations. Additionally, ECFMG may

delay provision of services while investigating whether the services violate such laws or regulations.

Last updated: September 9, 2015

Copyright © 2015 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

Page 35


The United States Medical Licensing Examination (USMLE)

About USMLE

 | 

Registration and Test Delivery Entities



 | 

Applying for Examination

 | Scheduling the Examination |

Preparing for Examination

 | 

Taking the Examination



 | 

USMLE Program and Irregular Behavior

 | 

Examination Results



 |

Reexamination and Reapplication



Scheduling the Examination

Once ECFMG verifies that you are eligible and your registration is complete, your scheduling permit will be issued. If

you apply for more than one exam at the same time, you will be issued separate scheduling permits for each exam.

Once your scheduling permit is available, ECFMG will send a notification to the e-mail address in your ECFMG record;

this message will include instructions for accessing the electronic scheduling permit using ECFMG's 

IWA


You will not

receive the scheduling permit or notification by postal mail.

Important Note: For Step 1 and Step 2 CK, if the beginning of your assigned eligibility period is more than

six months in the future, your scheduling permit will not be available and the notification e-mail will not be

sent until approximately six months before the beginning of the assigned eligibility period.

The scheduling permit is a very important document; it includes your assigned eligibility period, a description of

the form(s) of identification you must bring to the test center on your exam date, and instructions for scheduling your

testing appointment. You must bring your scheduling permit to the test center on your exam date. Your name, as it

appears on your scheduling permit, must match the name on your form(s) of identification exactly. Please review your

scheduling permit for details and limited exceptions. If you do not bring your scheduling permit on paper or

electronically (e.g., via smartphone) and acceptable identification on each day of your exam, you will not be

allowed to take the exam. If you are not allowed to take the exam, you must pay a fee to reschedule your exam. Your

rescheduled testing appointment must fall within your assigned eligibility period.

If the name listed on your scheduling permit is not correct, 

contact ECFMG

 immediately by e-mail, telephone, or fax.

Use the contact information for General Inquiries on the Contact ECFMG page of the ECFMG website.

If the name in your ECFMG record is changed while you are registered for an exam, a revised scheduling permit

reflecting this change will be issued. You must access this revised scheduling permit using IWA and bring it to the test

center. Name changes must be received and processed by ECFMG no later than seven business days before your

testing appointment, or you will not be able to test. For Step 1 or Step 2 CK, if your eligibility period is extended or your

testing region is changed while you are registered, a revised scheduling permit reflecting this change will be issued.

You must bring the revised scheduling permit to the test center.

If you lose your scheduling permit, you can access it through 

IWA


.

Scheduling

You can schedule your testing appointment as soon as you obtain your exam scheduling permit. Please refer to your

scheduling permit for instructions on reviewing available test dates and centers and scheduling a testing appointment.

If you do not schedule and take the exam within your eligibility period, you must reapply by submitting a new

application and exam fee(s), if you wish to take the exam.

Please refer to the schedule for reporting Step 2 CS results, available on the 

ECFMG

 and 


USMLE

 websites, before



scheduling a testing appointment if you need your Step 2 CS results by a specific deadline.

Rescheduling

If you are unable to keep your Step 1 or Step 2 CK testing appointment, you are permitted to reschedule your

appointment within your eligibility period. A fee is charged if a change is made during the 30 calendar days before your

scheduled testing appointment. A fee schedule is posted on the 

USMLE website

. Refer to your scheduling permit for

details on contacting Prometric to change your appointment.

If you cannot take the Step 1 or Step 2 CK exam during your assigned eligibility period, you may request a one-time,

contiguous, eligibility period extension (EPEx) using ECFMG's IWA. Refer to the 

EPEx Overview

 in IWA for more

information and instructions.

If you cannot take the Step 1 or Step 2 CK exam in the testing region you selected, you may request to change your

Page 36


testing region. Refer to the 

Request to Change USMLE

®

 Step 1 / Step 2 CK Testing Region (Form 312)

 for details.

This form is available in the Resources section of the ECFMG website and from ECFMG, upon request.

If you are unable to keep your Step 2 CS testing appointment, you are permitted to reschedule your appointment

within your eligibility period. A fee is charged if a change is made during the 14 calendar days before your scheduled

appointment. For instructions on canceling and rescheduling a Step 2 CS testing appointment, rescheduling fees, and

to cancel or reschedule your appointment, access 

Step 2 CS Calendar and Scheduling

 on the ECFMG website.

Step 2 CS eligibility periods cannot be extended. If you do not take the exam within your eligibility period, you must

reapply by submitting a new application and examination fee, if you wish to take the exam.

Last updated: September 9, 2015

Copyright © 2015 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

Page 37


The United States Medical Licensing Examination (USMLE)

About USMLE

 | 

Registration and Test Delivery Entities



 | 

Applying for Examination

 | 

Scheduling the Examination



 |

Preparing for Examination | 

Taking the Examination

 | 


USMLE Program and Irregular Behavior

 | 


Examination Results

 |

Reexamination and Reapplication



Preparing for Examination

For detailed information on test lengths and formats see The USMLE: Purpose, Test Format, and Test Lengths in the

USMLE Bulletin of Information

.

Practice materials for all Steps and Step Components are available in the 



Practice Materials

 section of the USMLE

website.

Important Note: The Composite Committee, which establishes policies for the USMLE program, initiated

the Comprehensive Review of USMLE (CRU) in 2004. This multiyear review has led to a series of

modifications to test content representation, to changes in a number of existing test formats, and to

developmental efforts intended to expand the types of competencies addressed by USMLE. Information on

the status of changes to USMLE resulting from the CRU process is posted to the 

USMLE website

.

As changes to the examinations are implemented, the practice materials available on the USMLE website



may be updated to reflect these changes. If you plan to take USMLE examinations, you should monitor the

USMLE


 and 

ECFMG


 websites for the latest information on changes to the examinations.

The NBME offers web-based self-assessments to help medical students and graduates evaluate their readiness for

computer-based Steps and Step Components (Step 1, Step 2 CK, and Step 3). For complete information, see 

NBME


Self-Assessment Services

 on the NBME website.

Practice Sessions for USMLE Step 1, Step 2 CK, and Step 3 are available at Prometric test centers to registered

applicants. These sessions are provided primarily to give examinees the opportunity to become familiar with the

Prometric test center environment. For more information, see 

USMLE Computer-based Testing Practice Session

 on

the USMLE website.



Important Note: Test preparation courses and materials are available from individuals and companies not

associated with the USMLE. It is unlawful for any test preparation service or program to use, disclose,

distribute, or solicit content from recent test takers, or to otherwise provide access to questions or answers

from actual USMLE exams. If there is evidence that you enrolled in, participated in, or used any test

preparation program or service that distributes, provides access to, or uses the USMLE questions or

answers, or provides a forum for others to share such information, your registration and/or testing may be

canceled, your scores on the USMLE may be withheld or canceled, and you may be subject to further

sanctions. See Irregular Behavior in the 

USMLE Bulletin of Information

. ECFMG also regularly reviews

allegations of irregular behavior in conjunction with its programs and services. See 

ECFMG Policies and

Procedures Regarding Irregular Behavior

, which may apply.

Last updated: September 9, 2015

Copyright © 2015 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

Page 38


The United States Medical Licensing Examination (USMLE)

About USMLE

 | 

Registration and Test Delivery Entities



 | 

Applying for Examination

 | 

Scheduling the Examination



 |

Preparing for Examination

 | Taking the Examination | 

USMLE Program and Irregular Behavior

 | 

Examination Results



 |

Reexamination and Reapplication



Taking the Examination

For detailed information on arrival times, and procedures upon arrival and throughout the testing day, see Examination



Day and Testing in the 

USMLE Bulletin of Information

. You should also refer to your scheduling permit for important

information.



Important Note: After you start taking an examination, you cannot cancel or reschedule that examination.

If you start the examination but do not complete it, the attempt may appear as an "incomplete" on your

USMLE transcript.

When you arrive at the test center, you must present your scheduling permit and the required identification as

described on your scheduling permit. If you do not bring your scheduling permit on paper or electronically (e.g.,

via smartphone) and acceptable identification on each day of your exam, you will not be admitted to the test

and will be required to pay a fee to reschedule your test.

Your name, as it appears on your scheduling permit, must match the name on your form(s) of identification exactly.

Please review your scheduling permit for details and limited exceptions. If the name listed on your scheduling permit is

not correct, 

contact ECFMG

 immediately by e-mail, telephone, or fax. Use the contact information for General Inquiries

on the Contact ECFMG page of the ECFMG website.

If the name in your ECFMG record is changed while you are registered for an exam, a revised scheduling permit

reflecting this change will be issued. You must access this revised scheduling permit using 

IWA

 and bring it to the test



center. Name changes must be received and processed by ECFMG no later than seven business days before your

testing appointment, or you will not be able to test. For Step 1 or Step 2 CK, if your eligibility period is extended or your

testing region is changed while you are registered, a revised scheduling permit reflecting this change will be issued.

You must bring the revised scheduling permit to the test center.



Acceptable Identification

Your name, as it appears on your scheduling permit, must match the name on your form(s) of identification exactly.

Please review your scheduling permit for details and limited exceptions. Since your name on the scheduling permit

appears in the Latin alphabet (in "English language letters"), the name on your identification must also appear in the

Latin alphabet. The spelling of the name on your scheduling permit must match exactly the spelling of the name on

the form(s) of identification you present at the test center. If the names do not match as described above, you will not

be allowed to take the exam. See 

Your Name

 in Your ECFMG Record.

The form of identification you present must be one of the forms of unexpired, government-issued identification listed

below that contains your name in the Latin alphabet, your signature, and your recent photograph. The following

forms of identification are acceptable, only if they meet all of these requirements:

Passport


Driver's license with photograph

National identity card

Other form of dated, unexpired, government-issued identification

If you do not have acceptable identification, as described above, that contains your name in the Latin alphabet, please

contact ECFMG using the 

contact information

 for General Inquiries on the Contact ECFMG page of the ECFMG

website.


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