Applying for Step 3

Confirm that you meet the Step 3 requirements

  • Possess an MD, DO or equivalent degree. (For recent graduates, apply only after the date of graduation on your diploma.)
  • Pass USMLE Step 1, Step 2 CK and Step 2 CS.
  • If a graduate of a medical school outside of the US or Canada, obtain ECFMG certification or successfully complete a Fifth Pathway program. (Apply only after the issue date on your ECFMG or Fifth Pathway certificate.)  NOTE: Effective January 1, 2017, the USMLE program will no longer accept Fifth Pathway certificates for the purpose of meeting Step 3 eligibility requirements. Individuals who hold valid Fifth Pathway certificates issued through December 31, 2009, and are otherwise eligible, may use their Fifth Pathway certificates to meet Step 3 eligibility requirements for applications submitted through December 31, 2016.
  • The USMLE program limits all individuals to three attempts per Step within a 12 month period.
  • Your 4th and subsequent attempts must be at least 12 months after your first attempt and at least six months after your most recent attempt at the exam.


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