Question Formats

In an effort to make the Step 1 exam more medically relevant, the USMLE items often assess basic medical science concepts in a clinical context. While some points are asked in a fairly traditional, straightforward manner, you will also be presented with many clinical vignettes. This style typically involves fairly long lead-in scenarios followed by relatively brief response options.

1. Secure the application materials.
US medical students can get the registration materials from their medical schools or from the National Board of Medical Examiners. International medical graduates must apply through the ECFMG. Note: neither of these organizations currently register the students over the web; you'll need to fill out the paper application and send it in by mail.

2. Complete the application and submit with your application fee and a recent photo.
As part of the application process you will be asked to choose a three month "eligibility period" during which you want to take the exam. Once your eligibility period has been assigned, you will need to take your exam during that period of time or you will lose your application fee (hundreds of dollars). Once you submit your application, it will take 4-6 weeks for processing. Note: If the processing of your application is not completed before the START of the eligibility period you selected, you will not be assigned that 3-month period.

3. Receive your Scheduling Permit.
Once your application is processed, you will receive a Scheduling Permit in the mail. This permit will tell you the start and end dates of your three- Month eligibility period, instructions on scheduling your exam, as well as your Scheduling Number and your Candidate Identification Number.

4. Schedule your test date directly with Sylvan Prometric.
Your Scheduling Permit will have instructions on contacting Sylvan to select your test date (must be within eligibility period). Before making the call, you should decide on several dates and your preferred location.