You're becoming a doctor, so you've probably seen your share of long, intensive exams by this point. The next adventure in your quest starts now. Welcome to the USMLE, Step 1.

Read on to learn the key facts about the USMLE Step 1 exam and our test preparation solutions. If practicing medicine in the US is your goal, you'll need to pass this test (as well as Steps 2 and 3 in the future) to become a licensed physician.

 

What is the USMLE Step 1 and how is it structured?
As you know, all medical students and residents must pass the three-part United States Medical Licensing Exam (USMLE) in order to be licensed to practice medicine in the United States. The first part of the USMLE, affectionately known as Step 1, is usually taken at the end of the second year of medical school. It's a one-day, computer-based exam that tests a broad range of topics covered during the first two years of medical school. In fact, most medical schools require students to pass the USMLE Step 1 before continuing on to their third-year clinical rotations, so this is a high-stakes test that you'll only want to take once! International medical students and graduates must also pass the USMLE Step 1 to practice medicine in the United States.
What topics does the USMLE Step 1 cover?
Step 1 emphasizes basic science principles in Anatomy, Biochemistry, Physiology, Pathology, Micro-Immunology, Pharmacology, and Behavioral Science. The test contains 350 questions and requires 8 hours of testing time, including 1 hour of break. You'll have to complete 7 one-hour sections that contain 50 questions each. Once you finish answering questions from a particular section, you will not be able to go back to that section.
What is the test format of the USMLE Step 1?
Questions on the USMLE Step 1 are randomly grouped by subject within each section, which means that you'll see questions from different topics (anatomy, biochemistry, physiology, etc.) within any one section.

The test questions consist of a statement or question followed by three to eleven response options arranged in alphabetical or logical order. The response options for all questions are lettered. Your job is to choose the best answer to the question. Even though other choices might be partially correct, in order to get the question right, you will have to choose the best answer choice among those given.

What is the pass rate for the USMLE Step 1?
In 2001, the pass rates for first-time takers were 91% from US and Canadian allopathic medical schools, and 72% from US osteopathic schools. Among foreign medical graduates, 66% passed the examination on their first attempt.*
How important is my USMLE Step 1 score?
For licensure, your actual score is not as important as whether or not you pass. However, if you are competing for a specific residency program, you'll want to get the highest score possible on this exam — it's an important factor in the match process.
When can I take the USMLE Step 1?
Step 1 is a one-day computerized exam that you may schedule and take anytime. Most medical schools require that you pass Step 1 to continue on to your third-year clinical rotations. If you have completed medical school but need licensure in the United States, you may schedule your exam when it is most convenient for you. However, the most popular times of year to take the exam are May, June and July.
How do I know if I am ready for the USMLE Step 1?
Try our free 1-hour practice USMLE Step 1 Test Section. If you are satisfied with your results, then you may be ready to dive right in. If you feel that you still need help, check out The Princeton Review's USMLE Step 1 Classroom and Online Solutions or call at for more information.
Where can I get more information about the USMLE Step 1?
For students and graduates of LCME- and AOA-accredited medical schools in the United States, Puerto Rico, and Canada. Contact Information:

NBME®
Applicant Services
3750 Market St.
Philadelphia, PA 19104-3190
Phone 215-590-9700
Fax 215-590-9457
Email webmail@nbme.org
Website http://www.nbme.org
www.usmle.org

For students and graduates of medical schools outside the United States, Puerto Rico, and Canada. Contact Information:

ECFMG®
3624 Market St.
Philadelphia, PA 19104-2685
Phone 215-375-1913
Phone 800-500-8249 (toll free within North America)
Phone 215-386-5900 (other inquiries)
Fax 215-387-9963
Website www.ecfmg.org
www.usmle.org

Where can I get more information about Princeton Review's USMLE Step 1 test preparation courses?
You can contact us here at The Princeton Review by calling 800-2Review. We will answer your questions about the test and help you determine which test preparation course is right for you.

Enroll in a Princeton Review USMLE Step I Classroom or Online Course

* As published in the 2001 National Board of Medical Examiners Annual Report® Annual Report


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