Last updated on 24-January-2024, by Dr. Muhammad
USMLE Test Lengths and Formats
USMLE steps have different test pattern for each step, to determine the level of skill, knowledge, and ability to perform in a better manner.
USMLE Step 1 is a computer based test, administered worldwide via Prometric testing service, has approximately 280 multiple-choice test items, divided into seven 60-minute blocks, administered in a single approximately eight-hour testing session. This test evaluates candidate’s knowledge and ability to apply basic sciences important concepts for medicine practice.
USMLE Step 2 CK(Clinical Knowledge) is a computer based test, administered worldwide via Prometric testing service, has approximately 318 multiple-choice test items, divided into eight 60-minute blocks, administered in one day test session. This test evaluates the candidate’s ability to apply medical clinical knowledge, skills, and knowledge required for provision of patient care under supervision, having a focus on patient’s health promotion and disease prevention.
USMLE Step 3 is a two days computer based exam, administered by Prometric testing service in the U.S.A. The first day which is Foundations of Independent Practice (FIP), has approximately 232 MCQs, divided into six 60-minute blocks. It has approximately 7 hours test duration which includes 45 minutes break and 5 minutes for optional tutorial. This break times can be increased depending upon how early you finish a test block.
The second day which is Advanced Clinical Medicine (ACM), has approximately 180 MCQs, divided into six 45-minute blocks. This also includes thirteen computer-based case simulations (CCS). Each simulation is allotted a maximum of 10 or 20 minutes of real-time. A minimum of 45 minutes is available for break time.
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