Foreign medical graduates educational commission for foreign medical graduates

Testing Locations

Step 1 and Step 2 CK are delivered at Prometric test centers worldwide. Prometric's test centers are grouped into

defined testing regions. When you apply for Step 1 or Step 2 CK, you must choose the testing region where you want

to take the exam. A 

list of Prometric testing regions

 is available on the ECFMG website.

You can take the exam at any test center in your testing region that offers USMLE, provided there is space available

on the date you choose. The test centers available for USMLE Step 1 and Step 2 CK are subject to change. To

obtain current information on specific test centers, visit the 

Prometric website

 or follow instructions on the scheduling

permit for contacting Prometric.

If you are unable to keep your Step 1 or Step 2 CK testing appointment at the test center you select, you can

reschedule for a different test center within your testing region, subject to availability. To avoid a rescheduling fee, you

must reschedule more than 30 calendar days before your scheduled testing appointment. Refer to your scheduling

permit for details.

If you are unable to take Step 1 or Step 2 CK in the testing region you selected, you may request a change to your

testing region. For more information, see the 

Request to Change USMLE

®

 Step 1/Step 2 CK Testing Region (Form

312)

, available in the Resources section of the ECFMG website and from ECFMG, upon request.

Step 2 CS is administered at six test centers in five cities in the United States. Once you are registered for the exam,

you will select a test center, subject to availability, when you schedule your testing appointment. If you are unable to

keep your testing appointment at the test center you select, you can reschedule for a different center, subject to

availability. To avoid a rescheduling fee, you must cancel or reschedule more than 14 calendar days before your

scheduled testing appointment. Access 

Step 2 CS Calendar and Scheduling

 on the ECFMG website for more

information.

Examinees with Disabilities Requesting Test Accommodations

The USMLE program provides reasonable accommodations for examinees with disabilities under the Americans with

Disabilities Act (ADA). If you are an individual with such a disability and require test accommodations, visit the 

USMLE

website

 before you apply for each Step or Step Component for information regarding test accommodations, including

procedures and documentation requirements.

Examinees Who Require Additional Break Time

Examinees with physical or health conditions, such as lactation (to express breast milk) and diabetes (to monitor/treat

blood glucose), may apply for additional break time. See the 

USMLE Bulletin of Information

 for more information.

Personal Item Exceptions (PIE)

Unauthorized possession of personal items while you are in the secure areas of the testing center is prohibited.

Exceptions to this policy may be made in certain limited circumstances. See the 

USMLE Bulletin of Information

 for

more information.

Important Note: Please note that ECFMG will not provide services of any kind if doing so would be

considered violative of any applicable federal, state, or local laws or regulations. Additionally, ECFMG may

delay provision of services while investigating whether the services or surrounding circumstances violate

such laws, regulations, or ECFMG's policies and procedures.

Last updated: September 7, 2017

Copyright © 2017 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

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The United States Medical Licensing Examination (USMLE)

About USMLE

 | 

Registration and Test Delivery Entities

 | 

Applying for Examination

 | Scheduling the Examination |

Preparing for Examination

 | 

Taking the Examination

 | 

USMLE Program and Irregular Behavior

 | 

Examination Results

 |

Reexamination and Reapplication

Scheduling the Examination

Once ECFMG verifies that you are eligible and your registration is complete, your scheduling permit will be issued. If

you apply for more than one exam at the same time, you will be issued separate scheduling permits for each exam.

Once your scheduling permit is available, ECFMG will send a notification to the e-mail address in your ECFMG record.

You will not receive the scheduling permit or notification by postal mail.

Important Note: For Step 1 and Step 2 CK, if the beginning of your assigned eligibility period is more than

six months in the future, your scheduling permit will not be available and the notification e-mail will not be

sent until approximately six months before the beginning of the assigned eligibility period.

The scheduling permit is a very important document; it includes your assigned eligibility period, a description of

the form(s) of identification you must bring to the test center on your exam date, and instructions for scheduling your

testing appointment. You must bring your scheduling permit to the test center on your exam date. Your name, as it

appears on your scheduling permit, must exactly match the name on your form(s) of identification. Please review your

scheduling permit for details and limited exceptions. If you do not bring a copy of your scheduling permit

(electronic or paper) and required identification on each day of your exam, you will not be allowed to take the

exam. If you are not allowed to take the exam, you must pay a fee to reschedule your exam. Your rescheduled testing

appointment must fall within your assigned eligibility period.

If the name listed on your scheduling permit is not correct, 

contact ECFMG

 immediately by e-mail, telephone, or fax.

Use the contact information for General Inquiries on the Contact ECFMG page of the ECFMG website.

If the name in your ECFMG record is changed while you are registered for an exam, a revised scheduling permit

reflecting this change will be issued. ECFMG will send you an e-mail notification when your revised scheduling permit

is available. You must bring the revised scheduling permit to the test center. Name changes must be received and

processed by ECFMG no later than seven business days before your testing appointment, or you will not be able to

test. For Step 1 or Step 2 CK, if your eligibility period is extended or your testing region is changed while you are

registered, a revised scheduling permit reflecting this change will be issued. You must bring the revised scheduling

permit to the test center.

If you lose your scheduling permit, you can access it through 

IWA

.

Scheduling

You can schedule your testing appointment as soon as you obtain your exam scheduling permit. Please refer to your

scheduling permit for instructions on reviewing available test dates and centers and scheduling a testing appointment.

If you do not schedule and take the exam within your eligibility period, you must reapply by submitting a new

application and exam fee(s), if you wish to take the exam.

Please refer to the schedule for reporting Step 2 CS results, available on the 

ECFMG

 and 

USMLE

 websites, before

scheduling a testing appointment if you need your Step 2 CS results by a specific deadline.

Rescheduling

If you are unable to keep your Step 1 or Step 2 CK testing appointment, you are permitted to reschedule your

appointment within your eligibility period. A fee is charged if a change is made during the 30 calendar days before your

scheduled testing appointment. A fee schedule is posted on the 

USMLE website

. Refer to your scheduling permit for

details on contacting Prometric to change your appointment.

If you cannot take the Step 1 or Step 2 CK exam during your assigned eligibility period, you may request a one-time,

contiguous eligibility period extension (EPEx) using ECFMG's IWA. Refer to the 

EPEx Overview

 in IWA for more

information and instructions.

If you cannot take the Step 1 or Step 2 CK exam in the testing region you selected, you may request to change your

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