About the USMLE Step 1

The USMLE Step 1 is a one-day computerized examination that assesses whether you comprehend and can apply important concepts of the basic sciences to the practice of medicine. Step 1 is commonly seen as the most challenging exam and is more comprehensive than the exams taken throughout medical school.

Frequently asked questions

What is the USMLE?
The United States Medical Licensing Examination (USMLE) is a set of exams that assesses whether or not you’re ready to practice medicine.
How many steps are in the USMLE?
The USMLE consists of 4 exams. Each Step is taken at a different point in your medical career and requires different levels of USMLE prep. Consider each USMLE Step its own individual exam that you’ll need to prepare for.
What is on the USMLE step 1?
Step 1 consists of multiple-choice questions designed to measure basic science knowledge, including questions in anatomy, behavioral sciences, biochemistry, microbiology, pathology, pharmacology, physiology, and interdisciplinary topics, such as nutrition, genetics, and aging.
When should I take the USMLE Step 1?
Step 1 is administered by appointment on a year-round basis. Step 1 is typically taken by U.S. medical students at the end of their second year of medical school, or international medical graduates who are already licensed doctors in their home countries, but wish to practice medicine in the United States. As an international medical graduate, you must first register with the ECFMG at www.ecfmg.org. After registering, you’ll receive an ECFMG identification number. To actually book your exams, you’ll need to book an eligibility period for your exam.
How many blocks are in the USMLE Step 1?
Step 1 is a one-day examination with seven 60-minute “blocks” administered in one 8-hour testing session; computer tutorial: 15 minutes; breaks: 45 minutes, self-scheduled
How many questions are on USMLE Step 1?
Step 1 consists of 280 multiple-choice questions, broken down into 7 one-hour blocks of 40 questions each.
Thinking about becoming a doctor in the U.S.?
Thinking about becoming a doctor in the U.S.?