Educational commission for foreign medical graduates



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Applying for Examination 

Application for USMLE

 | 

Medical School Students



 | 

Medical School Graduates

 | 

When to Apply



 | Exam Fees | 

Examinees Who Require Personal Items in the Testing Room

 | 

Examinees with Disabilities Requesting Test 



Accommodations

 | 


Testing Locations

 | 


Step 1/Step 2 CK Eligibility Periods

 | 


Step 2 CS Eligibility Periods

 | 


Reexamination and Reapplication

  

Exam Fees 

You must pay all applicable fees at the time you apply for examination. If you apply for more than one exam at the 

same time, you must pay applicable fees for all exams at the time of application. If you do not pay all fees, your 



application will be rejected. If your application is rejected, any payment received with that application will be 

credited to your ECFMG financial account. See 



Payment

 in Your ECFMG Financial Account



For all exams, there is an examination fee. For Step 1 or Step 2 CK, there is an additional international test 

delivery surcharge, if you choose a testing region other than the United States/Canada. These surcharges 

represent the additional cost of offering Step 1 and Step 2 CK by computer outside the United States and Canada. 

If you choose to take the exam in the United States or Canada, you do not need to pay a surcharge. For 

information on Step 1/Step 2 CK testing regions, see 

Testing Locations

 in Applying for Examination. For the 

current exam fees and international test delivery surcharges, refer to the 

ECFMG website

All fees are in U.S. dollars and are subject to change without notice. 



 

 

Last updated: September 15, 2011 



 

Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

 

40



Applying for Examination 

Application for USMLE

 | 

Medical School Students



 | 

Medical School Graduates

 | 

When to Apply



 | 

Exam Fees

 | 

Examinees Who Require Personal Items in the Testing Room | 



Examinees with Disabilities Requesting Test 

Accommodations

 | 

Testing Locations



 | 

Step 1/Step 2 CK Eligibility Periods

 | 

Step 2 CS Eligibility Periods



 | 

Reexamination and Reapplication

  

Examinees Who Require Personal Items in the Testing Room 

As explained in the 

USMLE Bulletin of Information

, unauthorized possession of personal items in the secure areas 

of the test centers is prohibited. However, in certain limited circumstances, exceptions to this policy may be made 

for medical reasons, provided that permission is granted in advance of test administration. Examples of items that 

require advance permission include medication, an external appliance, or electronic device; examples of 

appliances and devices to which this policy applies include insulin pumps, inhalers, medications, TENS units, 

breast pumps, hearing aids, electronic or digitally amplified or otherwise enhanced non-standard stethoscopes (for 

Step 2 CS), wheelchairs, canes, crutches, and casts. This list is not exhaustive. If you believe that you have a 

medical condition that requires you to use any of these items in the secure areas of the test center or if you are 

unsure whether you should request an exception, see Examinees Who Require Personal Items in the Testing 



Room in the 

USMLE Bulletin of Information

 for instructions. You can contact the Personal Item Exception 

Coordinator by e-mail at 

PIE@nbme.org

 



 

Last updated: September 15, 2011 

 

Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.



 

41



Applying for Examination 

Application for USMLE

 | 

Medical School Students



 | 

Medical School Graduates

 | 

When to Apply



 | 

Exam Fees

 | 

Examinees Who Require Personal Items in the Testing Room



 | Examinees with Disabilities Requesting Test 

Accommodations | 

Testing Locations

 | 


Step 1/Step 2 CK Eligibility Periods

 | 


Step 2 CS Eligibility Periods

 | 


Reexamination and Reapplication

  

Examinees with Disabilities Requesting Test Accommodations 

The USMLE program provides reasonable accommodations for examinees with disabilities who are covered under 

the Americans with Disabilities Act as amended (ADA). If you are a disabled individual covered under the ADA 

and require test accommodations, you must obtain information regarding procedures and documentation 

requirements before applying for each Step or Step Component. 

Detailed information and the required forms are available on the 

USMLE website

. Submit official requests and 

documentation, following the instructions on the USMLE website. NBME processes requests for test 

accommodations in accordance with USMLE policies and procedures and renders a decision. You will not be 

registered until your request has been evaluated and a decision rendered. As a result, you may be assigned an 

eligibility period that is later than the eligibility period you selected at the time of application. Requesting test 

accommodations will delay the release of your scheduling permit up to eight weeks. 

Once your request has been processed, NBME will inform you of the outcome of your request. If you take USMLE 

Steps or Step Components with test accommodations, your score reports and transcripts may include an 

annotation that an accommodation was granted. Score recipients who inquire about the annotation will be 

provided with information about the nature of the accommodation only. 

All requests and accompanying documentation must be in English. If you request test accommodations, you must 

send your official request/documentation, following the instructions on the USMLE website, at the same time that 

you apply for the exam. To protect your privacy, do not send your request for test accommodations to the 

same address or in the same envelope with application materials. 

For additional information, see Examinees with Disabilities Requesting Test Accommodations in the 

USMLE 

Bulletin of Information

 



 

Last updated: September 15, 2011 

 

Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.



 

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