Educational commission for foreign medical graduates



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If you are unable to keep your scheduled testing appointmentyou should cancel your appointment as soon as 

possible to avoid a rescheduling fee, regardless of whether you are ready to reschedule. 

 

 



Last updated: September 15, 2011 

 

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



 

55



Preparing for Examination 

Format of the Exams | 

Orientation and Practice Materials

 | 


NBME Self-Assessments

 | 


Step 1/Step 2 CK Practice 

Session at a Prometric Test Center

  

Format of the Exams 

Step 1 and Step 2 CK are each one-day, multiple-choice exams that are administered by computer. Each exam 

consists of multiple-choice questions divided into 60-minute blocks. The Step 1 testing session lasts approximately 

eight hours. The Step 2 CK testing session lasts approximately nine hours. 

Step 2 CS is a one-day exam that consists of 12 simulated patient cases. The Step 2 CS testing session lasts 

approximately eight hours. 

For detailed information on test lengths and formats, see Preparing for the Test in the 

USMLE Bulletin of 



Information

. You should also review the orientation materials and run the sample test materials available on the 

USMLE website



Important Note: The Comprehensive Review of USMLE (CRU) was initiated in 2004. The goal of this 

review was to determine if the mission and purpose of USMLE were effectively and efficiently 

supported by the current design, structure, and format of USMLE. This review resulted in proposed 

changes. In 2009, the proposed changes were approved by the USMLE sponsoring organizations, 

FSMB and NBME. 

Planning, research, and development efforts have been underway for the last three years. Initial 

modifications are being introduced into the upcoming exams. Regular updates on the CRU process are 

posted to the 

USMLE website

Changes resulting from CRU are planned for all USMLE Steps and Step Components. These changes 



may affect both content and item formats. As changes are implemented, the orientation and practice 

materials available on the USMLE website may be updated to reflect these changes. If you plan to take 

USMLE examinations, you should monitor the 

USMLE


 and 

ECFMG


 websites for the latest information 

on changes related to CRU. 

 

 

Last updated: September 15, 2011 



 

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

 

56



Preparing for Examination 

Format of the Exams

 | Orientation and Practice Materials | 

NBME Self-Assessments

 | 

Step 1/Step 2 CK Practice 



Session at a Prometric Test Center

  

Orientation and Practice Materials 

Orientation and practice materials for all Steps and Step Components are available on the 

USMLE website

.  

The sample Step 1/Step 2 CK test materials will help you become familiar with the types of questions and exam 



software that you will encounter on the date of your exam. It is recommended that you practice with the exam 

software before taking the exam. You should also review the additional information on examination content and 

test formats available on the 

USMLE website

For Step 2 CS, the materials include the Step 2 Clinical Skills (CS) Content Description and General Information 



booklet, a simulation of the computerized patient note-taking program that you will use to type your post-encounter 

patient notes, and an orientation video. 



Important Note: There are no test preparation courses affiliated with or sanctioned by the USMLE 

program. Information on such courses is not available from ECFMG, FSMB, NBME, USMLE 

Secretariat, or medical licensing authorities. Test preparation courses and materials are available from 

individuals and companies not associated with USMLE. It is unlawful for any test preparation service 

or program to use, disclose, distribute, or otherwise provide access to questions or answers from 

actual USMLE exams. If you are involved with any enterprise that disseminates USMLE content, you 

should be aware of the consequences to you, regardless of whether your exposure to USMLE content 

was advertent or inadvertent. If there is evidence that you enrolled, participated in, or used any 



test preparation program or service that distributes, provides access to, or uses USMLE 

questions or answers, or provides a forum for others to share such information, your 

registration and/or testing may be canceled; your scores on the USMLE may be withheld or 

canceled; and you may be subject to further sanctions. 

 

 



Last updated: September 15, 2011 

 

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



 

57



Preparing for Examination 

Format of the Exams

 | 

Orientation and Practice Materials



 | NBME Self-Assessments | 

Step 1/Step 2 CK Practice 

Session at a Prometric Test Center

  

NBME Self-Assessments 

The NBME offers web-based self-assessments to help medical students and graduates evaluate their readiness 

for computer-based Steps and Step Components (Step 1, Step 2 CK, and Step 3). 

The Comprehensive Basic Science Self-Assessment (CBSSA), which is built to the same content 



specifications as Step 1, covers material in basic science medical education courses. There are six unique 

CBSSA forms available, each featuring 200 multiple-choice questions divided into four sections.  

The Comprehensive Clinical Science Self-Assessment (CCSSA), which is built to the same content 



specifications as Step 2 CK, covers material in core clinical clerkships. There are four unique CCSSA forms 

available, each featuring 184 multiple-choice questions divided into four sections.  

A self-assessment built to the same content specifications as the multiple-choice component of Step 3 is also 

available. 

NBME research demonstrates that under certain circumstances there is a moderate relationship between 

performance on the CBSSA and CCSSA and subsequent Step 1 or Step 2 CK exams. Medical students and 

graduates may find these self-assessments to be valuable tools as they prepare for USMLE Step 1 and Step 2 

CK. 


All questions have appeared previously in the USMLE, and no questions are duplicated across forms. Users can 

choose to take the self-assessments under two timing conditions: standard USMLE pacing or self-pacing. 

Users receive immediate performance feedback in the form of a performance profile showing content areas of 

strength and weakness. For the CBSSA (Step 1) and CCSSA (Step 2 CK), feedback also includes a table that 

“translates” the self-assessment score to an approximate score on the USMLE scale. An expanded feedback 

option is available for four CBSSA forms and one CCSSA form. Expanded feedback includes information on 

incorrect items and the opportunity to review them, as well as longitudinal performance profiles for recently 

completed self-assessments. 

The self-assessments are available for $50.00 per form for standard forms and $60.00 per form for expanded 

feedback forms. 

For complete information, to view a sample assessment, or to purchase an assessment, access the 

NBME Self-

Assessment Services website

 



 

Last updated: September 15, 2011 

 

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



 

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