The USMLE is the examination leading to a license to practice medicine in the United States without supervision. The USMLE has three examinations, called "Steps" (Step 1, Step 2CK and Step 3), which are taken at different points in a physician's education and training. Examinees who pass each Step of the USMLE have demonstrated they understand and can apply medical knowledge, clinical concepts, and fundamental patient-centered skills to obtain a medical license in the United States.
USMLE services for all USMLE Steps for IMGs and students and residents of Canadian schools are now handled by FSMB.
Set up your FSMB account and register for USMLE Step 1 and Step 2 CK.
If your test center is closed on your test date and you are not able to test, you must do the following.
The USMLE application fee is non-refundable and non-transferable from one eligibility period to another or from one application to another. Your application fee can only be paid by American Express, MasterCard or Visa.
2026 Fees:
Step 1: $695 USD
Step 2 CK: $695 USD
Step 3: $955 USD
You can request a one-time contiguous 3-month extension of your original eligibility period. Requests can only be submitted after your original scheduling permit is available and must be received no later than 25 days after the end of your original eligibility period.
The $70 processing fee is non-refundable.
Requests for test accommodations must be made in writing at the time each Step application is submitted.
Test accommodations are handled by Disability Services at NBME. Please visit the Test Accommodations page on the USMLE website for more information and to request accommodations.
A recheck of your USMLE score/outcome will be done upon submission of the recheck form and $80 fee. Your request must be received no more than 90 days after your score report release date.
For all Steps, standard procedures ensure that the scores reported for you accurately reflect your performance. A change in score based on a recheck is an extremely remote possibility.
The $80 fee is non-refundable.
USMLE: If the name on your government-issued identification does not match your Scheduling Permit exactly, you will not be permitted to take your exam.
Log in to FSMB's USMLE portal to change/correct your name.
Evidence of the change/correction must also be submitted.
TRANSCRIPTS: If you need to change/correct your name in relation to a Transcripts request, please follow the instructions on the Transcripts page here.
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