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Encyclopedia > United States Medical Licensing Examination

The United States Medical Licensing Examination is a multi-part professional exam sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Medical doctors are required to pass before being permitted to practice medicine in the United States of America. It consists of three steps; all three must be passed before an allopathic medical school (M.D.) graduate is eligible to apply for a license to practice medicine in the United States. U.S. Osteopathic medical school graduates are permitted to take the USMLE exam for medical licensure, but they are permitted to take the Comprehensive Osteopathic Medical Licensing Examination instead. International medical school graduates must pass all three steps of the USMLE exam regardless of whether they have an M.D. or a D.O. degree. Overall pass rates for the USMLE exams are 92% for U.S. allopathic medical school (M.D.) graduates, 72% for U.S. osteopathic medical school graduates, and 59% for foreign medical school graduates [1][2]. In education, certification, counselling, and many other fields, a test or exam (short for examination) is a tool or technique intended to measure students expression of knowledge, skills and/or abilities. ... The Federation of State Medical Boards (FSMB) is a national not-for-profit organization representing the 70 medical boards of the United States and its territories, including 14 state boards of osteopathic medicine. ... The NBME is an independent, not-for-profit organization that provides examinations for the health professions. ... The term allopathic medicine is used by adherents of alternative medicine to refer to any form of mainstream medicine. ... Osteopathic medicine (formerly known as osteopathy) is [1] Outside the United States, osteopathic medicine is often used interchangeably with osteopathy. Doctors of Osteopathic Medicine, or D.O.s, apply the philosophy of treating the whole person (a holistic approach) to the prevention, diagnosis and treatment of illness, disease and injury... COMLEX or Comprehensive Osteopathic Medical Licensing Examination are the series of 3 osteopathic medical licensing examinations administered by the National Board of Osteopathic Medical Examiners similar to the USMLE. Categories: | | ... The term allopathic medicine is used by adherents of alternative medicine to refer to any form of mainstream medicine. ... Osteopathic medicine (formerly known as osteopathy) is [1] Outside the United States, osteopathic medicine is often used interchangeably with osteopathy. Doctors of Osteopathic Medicine, or D.O.s, apply the philosophy of treating the whole person (a holistic approach) to the prevention, diagnosis and treatment of illness, disease and injury...


The USMLE steps are:

Contents

Step 1

USMLE Step 1 assesses whether medical school students or graduates understand and can apply important concepts of the sciences basic to the practice of medicine. It covers the following subjects: Anatomy, Physiology, Biochemistry, Genetics, Behavioral Medicine, Statistics, Microbiology (including Parasitology), Ethics, Pathology, Pharmacology, Histology, Immunology, Molecular Biology, and Epidemiology. US medical students usually take Step 1 at the end of the second year of medical school. It is an eight-hour computer-based exam consisting of 350 multiple-choice questions (MCQs) divided into seven blocks each consisting of 50 questions. Each block must be finished within an hour. The remaining hour is break time. An optional tutorial about how to use the computer program of the exam is offered at the beginning of the exam and takes 15 minutes. This time is deducted from the hour of allotted break time. A medical school or faculty of medicine is a tertiary educational institution or part of such an institution that teaches medicine. ...


The scores are reported with a three digit score and a two digit score. As of January 1, 2007, the passing score has been raised to 185 from a previous score of 182. The average score is approximately 215. If the student passes the exam, he or she may not repeat the exam to achieve a higher score.


While not recommended by the creators of the USMLE, the Step 1 score is frequently used in medical residency applications as a measure of a candidate's likelihood to succeed in that particular residency (and on that specialty's board exams). More competitive residency programs usually accept applications with higher Step 1 scores. The Step 1 exam is arguably the hardest and most important examination a medical student will take during his/her career.


Step 2

USMLE Step 2 is designed to assess whether medical school students or graduates can apply medical knowledge, skills and understanding of clinical science essential for provision of patient care under supervision. US medical students typically take Step 2 during the fourth year of medical school. Step 2 is further divided into two separate exams.


Step 2-CK

USMLE Step 2-CK is designed to assess clinical knowledge through a traditional, multiple-choice examination. It is a 9 hour exam consisting of 8 blocks of 46 or 47 questions each. The subjects included in this exam are clinical sciences like Internal Medicine, Surgery, Pediatrics, Psychiatry and Obstetrics & Gynecology.


Step 2-CS

USMLE Step 2-CS is designed to assess clinical skills through simulated patient interactions, in which the examinee interacts with standardized patients portrayed by actors. Each examinee faces 12 Standardized Patients (SPs) and has 15 minutes to complete history taking and clinical examination for each patient, and then 10 more minutes to write a patient note describing the findings, initial differential diagnosis list and a list of initial tests. Administration of the Step 2-CS began in 2004.


The examination is offered in five cities across the country:

Before 2004, a similar exam, the Clinical Skills Assessment (CSA) was used to assess the clinical skills of foreign medical graduates. Nickname: City of Brotherly Love, Philly, the Cradle of Liberty, the City That Loves You Back, the Quaker City, The Birthplace of America Motto: Philadelphia maneto - Let brotherly love continue Location in Pennsylvania Coordinates: Country United States State Pennsylvania County Philadelphia Founded October 27, 1682 Incorporated October 25, 1701 Mayor... Nickname: The Windy City, The Second City, Chi Town, The City of Big Shoulders, The 312, The City that Works Motto: Urbs In Horto (Latin: City in a Garden), I Will Location in Chicagoland and Illinois Coordinates: Country United States State Illinois County Cook & DuPage Incorporated March 4, 1837  - Mayor... This article is about the state capital of Georgia. ... Houston redirects here. ... Flag Seal Nickname: City of Angels Location Location within Los Angeles County in the state of California Coordinates , Government State County California Los Angeles County Mayor Antonio Villaraigosa (D) Geographical characteristics Area     City 1,290. ... The CSA or Clinical Skills Assessment Examination was was used as part of the certification process for foreign medical school gradautes. ...


Step 3

USMLE Step 3 is designed to assess whether a medical school graduate can apply medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine. Graduates of US medical schools typically take this exam at the end of the first year of residency. Foreign medical graduates can take Step 3 before starting residency in about ten U.S. states.


Step 3 is a two-day examination. Each day of testing must be completed within eight hours. The first day of testing includes 336 multiple-choice items divided into blocks, each consisting of 48 items. Examinees must complete each block within sixty minutes.


The second day of testing includes 144 multiple-choice items, divided into blocks of 36 items. Examinees are required to complete each block within forty-five minutes. Approximately 3 hours are allowed for these multiple-choice item blocks. Also on the second day are nine Clinical Case Simulations, where the examinees are required to 'manage' patients in real-time case simulations. Examinees enter orders for medications and/or investigations into the simulation software, and the condition of the patient changes accordingly. Each case must be managed in a maximum of 25 minutes of actual time.


Approximately forty-five minutes to one hour is available for break time on each of the two days of testing.


Similar exams

COMLEX-USA or Comprehensive Osteopathic Medical Licensing Examination is a series of three osteopathic medical licensing examinations administered by the National Board of Osteopathic Medical Examiners (NBOME) similar to the United States Medical Licensing Examination (USMLE). ... The word physician should not be confused with physicist, which means a scientist in the area of physics. ... The Professional and Linguistic Assessment Board test (PLAB) is the assessment procedure conducted by the General Medical Council of the United Kingdom that is required for overseas doctors outside the European Union before they can practice medicine in the UK. The PLAB test has 2 parts: Has EMQs (extended matching... The NCLEX-RN (National Council Licensure EXamination-Registered Nurse) is a computer-adaptive test of entry-level nursing competence. ... The NCLEX-PN (National Council Licensure EXamination-Practical Nurse) is a computer-adaptive test of entry-level nursing competence. ... Nurses is a television sitcom that ran on NBC from 1991 to 1994. ...

Notes

  1. ^ USMLE Pass Rates. United States Medical Licensure Exam (2005). Rates based on performance on the prerequisite USMLE Step 1 exam..
  2. ^ The Technion - Israel Institute of Technology is the only medical school worldwide (including U.S. medical schools) with a published cumulative pass rate of 100% on all three steps of the USMLE exam. (For the purposes of statistical significance, this data excludes USMLE pass rates from medical schools that have fewer than 100 total students to have taken the USMLE. It also excludes medical schools that have been in existance for less than 10 years.) [Association of Advisers for the Health Professions]

The Technion - Israel Institute of Technology (הטכניון - מכון טכנולוגי לישראל) is a university in Haifa, Israel. ...

External links

Wikibooks
Wikibooks has a book on the topic of
USMLE Step One Review

  Results from FactBites:
 
Business Wire: United States Medical Licensing Examination to be 'Computer-Based' (920 words)
The United States Medical Licensing Examination(TM) (USMLE(TM)), a requisite for most physicians to become licensed in the U.S., will become a computer-based test in 1999 and be available at more than 500 Sylvan Technology Centers in North America and throughout the world.
Created approximately eight years ago, the USMLE (www.usmle.org) is a single, three-step examination which provides a common evaluation system for individuals applying for medical licensure in the U.S. It is jointly owned by the NBME, established in 1915, and the Federation of State Medical Boards of the United States, Inc. (FSMB).
Results of USMLE are reported to medical licensing authorities for use in granting initial licenses to practice medicine, providing assurance of a high quality, valid and reliable assessment.
  More results at FactBites »


 

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