The United States Medical Licensing Examination (USMLE)

The following information will help guide you through the registration process for the United States Medical Licensing Examination (USMLE). For additional information about this process, please see the United States Medical Licensing Examination website. The United States Medical Licensing Examination is a three-step examination for medical licensure in the United States and is sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME).


Step 1: Assesses a student's ability to apply important concepts of the sciences basic to the practice of medicine. All Year 2 students must pass the USMLE Step 1 examination before they are elgible for promotion to Year 3. It is recommended that students take the exam. Students have one year following the completion of their Year 2 coursework to report a passing score for Step 1. Please see the policies here.

Step 2: This is divided into two exams that test clinical knowledge and clinical skills. Year 4 students must report a passing score for both by May 1 prior to certification of graduation.

Step 3: Assesses whether a medical school graduate can apply medical knowlege and understanding of biomedical and clinical science essential for the unsupervised practice of medicine. This exam is typically taken at the end of the first year of residency.

Passing Step 1 and both parts of Step 2 is required for graduation from the Wayne State University School of Medicine. Students who fail Step 1 are designated Special Matriculation students. Please refer to the policies and procedures here.


USMLE Step 1

Completing the Step 1 application process is done in two parts:
Part A is done online. Part B is a certification page you print after completing Part 1. You will bring the certification page to the Office of the Registrar for signature with your photo and check, if you didn't pay by credit online.

Set up USMLE Account

  1. Go to NBME website for applications:
    1. https://www.nbme.org/students/licensing.html
    2. Follow the instructions for "First-time user?"
  2. You will be directed to enter:
    1. Social Security number, first and last name, birth date, email address
    2. Medical school (Michigan – Wayne State University School of Medicine) and graduation year
  3. Once submitted, you will immediately receive an email with your USMLE identification number and a temporary password from the National Board. You will use this ID number in all future correspondence regarding USMLE.
  4. Use your USMLE ID and and temporary password to log in. You will be required to change your password and create clues in case you forget your password.

Part A

  1. Log in to NBME website for applications:
    1. https://www.nbme.org/students/licensing.html
  2. Proceed to Apply for USMLE. Read application instructions. The examination you are applying for is Step 1.
  3. Confirm Medical School : Michigan – Wayne State University School of Medicine
  4. Enter:
    1. Date enrolled
    2. Date medical degree expected
  5. Review:
    1. Eligibility period (period of time you are elgible to take the exam)
    2. Region (the default is U.S. and Canada)
    3. Enter address. Use the address where you wish to receive your score.
  6. Name
    1. It is essential that the name on your USMLE Application/Scheduling Permit matches your medical school record and your photo ID (driver's license or passport).
    2. The name that will be pre-populated on your application is in most cases your name as it appeared in your medical school record at the time of acceptance. If you have changed your name since matriculation, your name with the National Board may need to be changed.
      1. First-time applicants: Your name change/correction will be accepted automatically. Check Named Changed box.
      2. Previous applicants: After you print Part B of the application, also print a Name Change Authorization form and submit with supporting documentation to the Office of Records and Registration.
  7. Test Accommodations
    1. If you have a documented disability covered under the Americans with Disabilities Act and require test accommodations you must check that item on your application to indicate that you are submitting a request for accommodations with supporting documentation.
    2. For complete information on procedures and required documentation, consult: http://www.usmle.org/test-accommodations/.
  8. After completing all the information, carefully review the Summary Page.
    1. Make note of reference number in case something goes wrong and you have to go back in.
  9. After submitting, you will be prompted to print Part B of the application.

Part B

  1. Bring Part B to the Office of Records and Registration.
    1. The Office of Records and Registration will take care of photo requirements.
    2. The 2018 fee is $560
      1. If you are paying by check or money order, make it payable to "NBME."
      2. For current examination fees, consult: http://www.nbme.org/students/examfees.html
  2. The Office of Records and Registration will mail applications to the NBME for processing.
  3. Remember to sign and date your application.

USMLE Step 2

Students are required to pass USMLE Step 2CS by May 1 to graduate on time. Students who have not posted a passing score for USMLE Step 2CS by the following May 1 (one‐year after their initial graduation year) will be dismissed. The one-year period is not altered for any leave of absence once the one‐year period has started.

USMLE Step 2CK – Required to take the examination by the end of December to allow for a first attempt result to be reported by the end of January.

USMLE Step 2CS – Required to take the examination by the end of October to allow for a first attempt result to be reported by the beginning of January.

The "take by" dates for these exams were developed based on the reporting schedules to allow for a second attempt before graduation if the first attempt is unsuccessful.

To be certified for graduation, allow sufficient time to have medical licensing forms completed. To be allowed to participate in commencement and other graduation-related activities, a passing result for both examinations must be received by May 1.

USMLE Examinations Deadline
First Attempt USMLE Step 2CK Take by the end of December of senior year
First Attempt USMLE Step 2CS Take by the end of October of senior year
For students whose first attempt is unsuccessful, posting of passing results for USMLE Step 2CK May 1 of senior year – approximately one month before graduation
For students whose first attempt is unsuccessful, posting of passing results for USMLE Step 2CS  

Scheduling an Exam

Once your application is registered and eligibility status approved, a Scheduling Permit notification email will be sent to you at the email address you provided on your application.

The Scheduling Permit includes your assigned eligibility period, which begins immediately. It is essential you schedule your exam date as soon as you receive your Scheduling Permit from the NBME.

The three USMLE tests are administered by computer at Prometric Testing centers. You may apply for the USMLE online at the NBME.

To locate a test center and schedule your appointment, go to: https://securereg3.prometric.com/ or call the toll-free number on the permit.