Who is Eligible to take the USMLE?

Step 1, Step 2 CK, and Step 2 CS to be eligible, you must be in one of the following categories at the time you apply ANS on the day of your examination:


  1. A medical student officially enrolled in, or a graduate of , a US or Canadian medical school program leading to the MD degree that is accredited by Liaison Committee Education (LCME).
  2. A medical student officially enrolled in, or a graduate of a US medical school leading to the DO degree that is accredited by the American Osteopathic Association (AOA), or
  3. A medical student officially enrolled in, or graduate of, a medical school that is outside the US and Canada, listed in the International Medical Education Directory (IMED ), who meets the eligibly criteria of the ECFMG.


Individuals who passed Step 2 prior to the implementation of Step 2 CS are not permitted to take Step 2 CK,except under the specific exceptions to the retake policy approved by the Composite Committee., but are permitted to take Step 2 CS, provided they meet all other eligibility requirements.

Individuals who not required to pass Step 2 CS for Step 3 eligibility but elect to take Step 2 CS and fail the examination are not eligible for Step 3 until such time as the individuals Step 2 CS performance of record (i.e, most recent performance) is a pass and the individual meets all other step 3 requirements.


If you are dismissed or withdraw from medical school, you are not eligible for the USMLE, even if you are appealing the school’s decision to dismiss you or are otherwise contesting your status.

Step 3

to be eligible for 3, prior to submitting you are application, you must:

  1. obtain the MD degree 9 or it’s equivalent) or the DO degree from an LCME or AOA accredited US or Canadian medical school, or from a medical school outside the US and Canada that is listed in IMED,
  2. Pass Step 1, Step 2 CK and Step 2 CS
  3. Obtain certificate by the ECFMG or successfully complete a “Fifth pathway” program if you are a graduate of a medical school outside the US and Canada.


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. Effective January 1, 2017, the USMLE program will no longer accept Fifth Pathway certificates of the purpose of meeting Step 3 eligibility requirements.

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