QUICK FACTS: Irregular Behavior
DO
DON’T
Put all personal belongings, including your cell
phone and study materials, in the locker provided
Access your personal belongings only during
authorized breaks
End your patient encounter and stop typing your
Patient Note as soon as announcements are made
(Step 2 CS only)
Verify you are on an authorized break screen
before leaving the examination room for a break
Contact the USMLE program via
security@usmle.org or the
USMLE website
if you
have evidence that someone may have violated
a USMLE rule
Ask people what they saw on their examination or
share what you saw on yours, including on web
forums
Change any information on score reports,
transcripts, or any other USMLE-related
documents
Write on your skin, tissue, or any surface other
than the laminated note board provided to you by
test center staff on your examination day
Apply and/or sit for an examination if you are not
a current student or a graduate of a medical
school program, even if you are appealing your
school’s decision to withdraw or dismiss you
Provide examination content to others, including
test preparation companies or other entities
You are responsible for reading the USMLE Bulletin of Information in its entirety; contact the
USMLE
Secretariat's
office with questions or concerns.
Please see pages 24-25 for more information regarding irregular behavior.
Taking a
n exam when ineligible
STOP!
THINK BEFORE YOU ACT!
Irregular behavior includes, but is not limited to:
• Registering for or taking an exam
when ineligible
• Seeking, providing, or obtaining prior access
to exam content
• Altering exam scores
• Having unauthorized items in the testing area
• Using a proxy to take your exam
• Writing on anything other than the laminated note
boards provided
The penalties for irregular behavior may include:
• Cancelation of your exam scores
• Ban on future testing
• Permanent annotation of your USMLE transcript
• Report to the FSMB’s Physician Data Center
• Possible legal action
The USMLE program takes examination security seriously. If you have information concerning activities or behavior
that may threaten the security or integrity of the USMLE, please contact us at
security@usmle.org
.
www.usmle.org
8
2018 Bulletin of Information
OVERVIEW
PURPOSE AND MISSION OF THE USMLE
The United States Medical Licensing Examination® (USMLE®) 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®). The USMLE program supports medical licensing authorities in the United States
through its leadership in the development, delivery, and continual improvement of high-quality assessments
across the continuum of physicians’ preparation for practice.
EXAMINATION COMMITTEES
Examination committees, composed of medical educators and clinicians, create the examination materials.
Committee members broadly represent the teaching, practice, and licensing communities across the
United States. At least two committees critically appraise each test item or case, and revise or discard any
materials that are in doubt.
OWNERSHIP AND COPYRIGHT OF EXAMINATION MATERIALS
The examination materials in the USMLE are the confidential, copyrighted property of the USMLE program. If you
reproduce and/or distribute any examination materials, by any means, including by memorizing and reconstructing
them, you are violating the legal rights of the USMLE program. The USMLE program will use every legal means
available to protect the copyrighted materials and secure redress against those who violate copyright law.
THE USMLE: PURPOSE, TEST FORMAT, AND TEST LENGTHS
STEP & PURPOSE
FORMAT
LENGTH
(including breaks)
ADDITIONAL INFORMATION
STEP 1
assesses the
examinee’s understanding of
and ability to apply important
concepts of the basic sciences
to the practice of medicine,
with special emphasis on
principles and mechanisms
underlying health, disease,
and modes of therapy
Approximately 280 multiple-
choice questions, divided
into seven 60-minute blocks
Computer based –
administered at
Prometric
Test Centers
around the
world
One day test
session
STEP 2
assesses the
examinee’s ability to apply
medical knowledge, skills,
and understanding of clinical
science essential for the
provision of patient care
under supervision, with an
emphasis on health
promotion and disease
prevention
Clinical Knowledge (CK)
Approximately 318 multiple-
choice questions, divided
into eight 60-minute blocks
Computer based –
administered at
Prometric
Test Centers
around the
world
One day test
session
For more information on
Step 2 CK, including
applications, practice
materials, and updates,
visit the
USMLE website
www.usmle.org
9
2018 Bulletin of Information
-Approximately
eight hours
-Approximately
nine hours
For more information on
Step 1, including
applications, practice
materials, and updates,
visit the
USMLE website