3.22: United States Medical Licensing Examinations (USMLE) Requirements: Step 1 and Step 2 CK
To graduate, students must pass USMLE Step 1 and Step 2 CK (Clinical Knowledge). The National Board of Medical Examiners (NBME) sets the level for passing the steps of the USMLE. The Committee on Performance, Professionalism, and Promotion (CP3) will review all students for compliance with the policies outlined below.
USMLE Step 1
- The deadline to take USMLE Step 1 is 1-year from the start of a student’s first clerkship and prior to completing more than 72 units of clinical clerkships, however the CP3 may assign an earlier deadline (including prior to beginning clerkships) based on a student’s performance in the pre-clerkship curriculum.
- Students failing to meet the deadline to take USMLE Step 1 will be withdrawn from clerkships at the end of their current enrolled clerkship and will not be permitted to resume clerkships until achieving a passing score.
- Students failing USMLE Step 1 will be reviewed by the CP3 and one or more of the following conditions may apply:
- Students may be withdrawn from clerkships at the end of their current enrolled clerkship and may be required to achieve a passing score before resuming clerkships.
- Students will be required to retake the exam prior to exceeding a total of 72 units of clinical clerkships or by a specific date determined by the CP3.
- Students with academic deficiencies stepping away to pursue scholarly opportunities or additional degree programs may be required to pass USMLE Step 1 prior to stepping away.
- See CP3 Chart of Responses to Student Issues for additional information.
USMLE Step 2 CK
- Students must take USMLE Step 2 CK by no later than March 31st of their graduation year.
- Students failing USMLE Step 2 CK will be reviewed by the CP3 and one or more of the following conditions may apply:
- A requirement to retake USMLE Step 2 CK by a specific date determined by the CP3.
- A requirement to take and pass an institutionally administered USMLE equivalency exam by a specific date determined by the CP3.
- Students failing to meet the deadline to take USMLE Step 2 CK will be reviewed by the CP3 and one or more of the following conditions may apply:
- A requirement to take and pass an institutionally administered USMLE equivalency exam by a specific date determined by the CP3.
- A requirement to take USMLE Step 2 CK by a specific date determined by the CP3.
- Students may not be eligible for promotion to Eligible for the Residency Match.
- Passing an institutionally administered USMLE equivalency exam may, under certain circumstances and at the discretion of the CP3, serve to meet Step 2 CK requirements for the MD degree. Such institutionally administered USMLE equivalency exams do not, however, meet requirements for licensure to practice medicine.
- See CP3 Chart of Responses to Student Issues for additional information.
Accomodations
Students requesting disability accommodations for the USMLE Step exams should consult with the Office of Medical Student Affairs Disability Resources and/or Learning Strategies before submitting their applications to the NBME. Accommodation determinations can take up to 60 business days. Applications and all documentation required by the NBME should be submitted no later than 4 months prior to a student’s exam deadline.
Petitions
Students may petition the Committee on Performance, Professionalism, and Promotion (CP3) for exceptions to School of Medicine USMLE requirements. The CP3 is not obligated to grant student petitions and may only consider such requests under extenuating circumstances.
Resources
Additional information and resources related to USMLE examinations can be found on the School of Medicine Registrar’s Office website.
updated August 2024