United States Medical Licensing Examination (USMLE)


Step 1
Step 2
To be eligible, you must be in the following category at the time of application:
  • A medical student officially enrolled in a medical school outside USA and Canada listed by IMED after passing the academic phase.
  • A graduate of a medical school outside USA and Canada listed by IMED.
Prior to submitting your application, you must:
  • Pass Step 1, Step 2 CK
  • Obtain certification by the ECFMG

  • Anatomy
  • Behavioral sciences
  • Biochemistry
  • Microbiology
  • Pathology
  • Pharmacology
  • Physiology
  • Interdisciplinary topics, such as nutrition,
  • Genetics and aging.

Test items commonly require you to perform one or more of the following tasks:

  • interpret graphic and tabular material.
  • identify gross and microscopic pathologic and normal specimens.
  • apply basic science knowledge to clinical problems.
  • Internal medicine
  • Obstetrics and gynecology
  • Pediatrics
  • Preventive medicine
  • Psychiatry
  • Surgery
  • Other areas relevant to provision of care under supervision.
Most Step 2 CK test items describe clinical situations and require that you provide one or more of the following:
  • A diagnosis.
  • A prognosis.
  • An indication of underlying mechanisms of disease.
  • The next step in medical care, including Preventive measures.
Step 2 CS assesses whether you can demonstrate the fundamental clinical skills essential for safe and effective patient care under supervision.

There are three subcomponents of Step 2 CS:
  • ​Integrated Clinical Encounter (ICE)
  • Communication and Interpersonal Skills (CIS)
  • Spoken English Proficiency (SEP).

Step 3
Step 3 is organized along two principal dimensions:
  • Clinical Encounter Frame
  1. 20%–30% Initial care
  2. 50%–60% Continued care
  3. 15%–25% Emergency care
  • ​Physician Task
  1. 8%–12% Obtaining history and performing physical examination
  2. 8%–12% Using laboratory and diagnostic studies
  3. 8%–12% Formulating most likely diagnosis
  4. 8%–12% Evaluating severity of patient's problems
  5. 8%–12% Applying scientific concepts and mechanisms of disease
  6. 45%–55% Managing the patient
  • health maintenance
  • clinical intervention
  • clinical therapeutics
  • legal and ethical issues

Step 3 content reflects a data-based model of generalist medical practice in the United States.

Exam Format
  • Step 1 and Step 2 CK are each one-day, multiple-choice exams that are administered by computer.
  • Each exam consists of multiple-choice questions divided into 60-minute blocks.
  • The Step 1 testing session lasts approximately 8hours.
  • The Step 2 CK testing session lasts approximately 9 hours.
  • Step 2 CS is a one-day exam that consists of 12 simulated patient cases.
  • The Step 2 CS testing session lasts approximately 8 hours.
Test includes 2 formats:
Multiple choice questions (MCQ)
computer-based case simulations (CCS): a testing format that allows you to provide care for a simulated patient.

You decide which diagnostic information to obtain and how to treat and monitor the patient's progress.

The computer records each step you take in caring for the patient and scores your overall performance. This format permits assessment of clinical decision-making skills in a more realistic and integrated manner than other available formats.
​Exam Dates


Available In Malaysia


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