The United States Medical Licensing Examination (USMLE)

United State Medical Licensing Examination(USMLE)

What is USMLE?

The United States Medical Licensing Examination (USMLE) is a three-step examination for medical license in the United States . The three steps of USMLE 2018 are Step1, Step 2- Clinical knowledge (CK) and Clinical Science (CS) and Step 3. The first two steps of the series are typically taken while a student is still in medical school, while the third step takes place after graduation. The Step 1 and Step 2 CK examinations are administered all over the world while the Step 3 examination is administered only in the United States. The exams are sponsored by two organizations: the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). The USMLE exams, particularly Step 1, are often referred to as “The Boards.”


What accreditations are required for giving USMLE ?

  1. A medical student enrolled in a US or Canadian medical school , which is accredited by Liaison Committee on Medical Education (LCME) is eligible for this examination.
  2. A medical student enrolled in a medical school that is outside the US and Canada, listed in the World Directory of Medical Schools and meets other eligibility criteria of the ECFMG can sit for the examination.

Spartan Health Science University is enrolled in the World Directory of Medical Schools and completely meets all the eligibility criteria that ensures the students to sit for the examination.


What is USMLE STEP 1?

USMLE Step 1 is the first part of the United States Medical Licensing Examination.

Step 1 assesses whether one understands and can apply important concepts of the sciences basic to the practice of medicine. It lays special emphasis on principles and mechanisms concerning health, disease, and modes of therapy. It consists of an integrated content outline that divides basic science material along two dimensions: system and process. Spartan Health Science University completely prepares the students for this exam. The success rate of students pursuing MBBS in Spartan Health Science University is above 90% in this exam.


Who can apply for this examination?

US medical students, as well as non-US medical students who wish to seek the license to practice medicine in the US, opt for Step 1 at the end of the second year of medical school. Graduates of international medical schools (i.e., those outside the US ) must also take Step 1 if they want to practice in the US. This examination is usually given after completing pre-medical and Basic Science course.

What is the Duration of USMLE STEP 1 for MBBS in USA?

The duration of the examination is 8 hours ( 60 min/block) .

What is the Question Pattern?

Maximum 280 multiple choice questions. Majority of questions require the examinee to interpret graphics and tabular material, to identify gross and microscopic pathologic and normal specimens, and to solve problems through the application of basic science principles..

What is the Syllabus?

Traditionally defined disciplines followed are anatomy, behavioral sciences, biochemistry, biostatistics and epidemiology, microbiology, pathology, pharmacology, physiology. Interdisciplinary areas followed are genetics, aging, immunology, nutrition, molecular and cell biology.


What is USMLE STEP 2?

This is the second step of the United State Medical Licensing Examination for students pursuing MBBS in USA. In contrast to the USMLE Step 1, the focus is much more on clinical application of medical knowledge in USMLE STEP 2. USMLE STEP 2 consists of two parts :

This examination is extremely important in the career of a medical student. Thus extensive preparation is carried out at the Spartan Health Science University for the USMLE.

What is USMLE STEP 2 CK :

USMLE STEP 2 CK is a qualifying exam. STEP 2 CK assesses whether one can apply medical knowledge, skills, and understanding of clinical science essential for the provision of patient care under supervision and includes an emphasis on health promotion and disease prevention. It is constructed according to an integrated content outline that organizes clinical science material along two dimensions: physician task and disease category.

Who are eligible for this examination?

  1. A medical student officially enrolled in, or a graduate of, a US or Canadian medical school program leading to the MD degree that is accredited by the Liaison Committee on Medical Education (LCME)
  2. A medical student officially enrolled in, or a graduate of, a US medical school leading to the DO degree that is accredited by the American Osteopathic Association (AOA),
  3. A medical student officially enrolled in, or a graduate of, a medical school that is outside the US and Canada, listed in the World Directory of Medical Schools as meeting ECFMG eligibility requirements, and that meets other eligibility criteria of the ECFMG.

What is the Duration of the examination?

The examination Duration is 9 hours ( 60 min / block )

What is the question pattern of USMLE STEP 2 CK?

Maximum 318 multiple choice questions ( 8 blocks ) .Maximum of 40 items per block. There will be single item sets and sequential item sets along with an abstract format which includes the summary of an experiment or clinical investigation.

What is the syllabus for the examination?

The syllabus of USMLE STEP 2 CK includes :

Immune System, Blood & Lymph reticular Systems , Behavioural Health, Nervous System & Special Senses, Skin & Subcutaneous Tissue, Musculoskeletal System, Cardiovascular System, Respiratory System, Gastrointestinal System, Renal & Urinary Systems, Pregnancy, Childbirth & the Puerperium , Female Reproductive System & Breast, Male Reproductive System, Endocrine System ,Multisystem Processes & Disorders , patient care : management.

What is USMLE Step 2 CS?

Step 2 CS of the USMLE assesses the ability of examinees pursuing Residency in USA to apply medical knowledge, skills, and understanding of clinical science essential for the providing patient care under supervision. It stresses on health promotion and disease prevention. Step 2 CS uses Standardized Patients to test medical students and graduates on their ability to gather information from patients, perform physical examinations, and communicate their findings to patients and colleagues. There are three divisions: On-site Orientation, Patient Encounter and Patient Note.

What is On-site Orientation?

This is a short duration demonstration regarding the usage of the various instruments, etc.

What is Patient Encounter?

Patient Encounter is an interaction between a patient and the examinees for the purpose of providing healthcare services or assessing the health status of a patient. There are two types of Patient Encounter - Standardized Patients’ Physical examination ( direct encounter ) and Telephone Patient Encounter.

  1. What is the Duration of Patient Encounter?
  2. 3 hours ( 15 minutes per patient ) are allotted for this.

  3. How many patients are to be encountered?
  4. About 12 patients are to be encountered.

  5. What is Patient Note?
  6. A time of 10 minutes is given after each encounter to note down the observations on a computer. The students are required to note the following –

    1. Record medical history.
    2. Record examination findings.
    3. Indicate the positive and negative findings.
    4. Record the most likely diagnoses.

  7. How is the scoring done in USMLE STEP 2 CS?
  8. Scoring is done based on Communication and Interpersonal Skills, Spoken English Proficiency and Integrated Clinical Encounte

What is USMLE STEP 3?

This is the final examination in the USMLE sequence leading to a license to practice medicine without supervision in any part of the world. Step 3 assesses whether one can apply medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine . It lays stress on patient management in ambulatory settings.

It is a two-day examination :

  1. DAY 1: Foundation of Independent Practice
  2. DAY 2: Advanced Clinical Medicine

What is Foundation of Independent Practice?

This test focuses on the assessment of knowledge of basic medical and scientific principles essential for effective health care.

What is the Duration of this examination?

It is a 7 hours ( 60 minutes per block ) examination.

What is the Question Pattern?

233 multiple choice questions in 6 blocks ( 38-40 items per block ).

What is the syllabus of this examination?

Application of foundational sciences; understanding of biostatistics and epidemiology/population health, and interpretation of the medical literature; and application of social sciences, including communication and interpersonal skills, medical ethics, systems-based practice, and patient safety.

What is Advanced Clinical Medicine?

This test focuses on the assessment of the ability to apply knowledge of health and disease in the context of patient management and the evolving manifestation of disease over time. Knowledge of history and physical examination, diagnosis, and use of diagnostic studies also is assessed. This test includes multiple-choices questions and computer-based case simulations.

What is the duration of this examination?

9 hours are allotted for this examination.

What is the Question Pattern?

200 multiple choice questions divided into six 45-minutes block and 13 computer-based case simulations each of 10-20 minutes.

What are computer-based case simulations?

The CCS tests the students’ management of a series of virtual patients. It mainly demonstrates one’s readiness to assume independent responsibility for patient care. The students are responsible for ordering everything for the virtual patient: lab tests, x-rays, procedures, medications, IV fluids, etc. In addition to diagnosing and treating the patient’s present problem, one needs to provide necessary preventive measures and counseling.

What is the syllabus?

Knowledge of diagnosis and management particularly focused on prognosis and outcome, health maintenance and screening, therapeutics, and medical decision making. Knowledge of history and physical examination, diagnosis, and use of diagnostic studies also is assessed.

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