USMLE Step Exams

USMLE STEP 1 EXAM

Overview

USMLE Step 1 assesses fluency in basic medical science. Students must sit for USMLE Step 1 to start IMF. Students must pass USMLE Step 1 in order to continue the core clinical clerkships portion of the curriculum.

Eligibility

In order take USMLE Step 1, you must be ECFMG verified by the Office of the Registrar. Eligibility for verification includes the following:

  1. Enrollment as a full-time student in good standing;
  2. Have met all financial obligations; students with a Bursar hold will not be certified or verified;
  3. Passed all courses in the Foundations of Medicine curriculum;
  4. Passed NBME CBSE; and
  5. Submitted a completed ECFMG Form 186 to the Office of the Registrar. Applications and forms are available on the ECFMG website: www.ecfmg.org.

Timeframe

Students must sit for the USMLE Step 1 exam for the first time within six (6) months of passing the CBSE and pass within six attempts. No extensions will be granted to this rule. Students who fail to sit for their first attempt by this deadline will be Administratively Withdrawn from RUSM.

Students must pass USMLE Step 1 in a maximum of six attempts. Failure to pass the test within six attempts will

result in dismissal. Students who are dismissed or withdrawn (personally or administratively) will have their ECFMG status revoked. If the student is reinstated or readmitted, he/she will need to reapply to ECFMG and register for a new exam. Students reinstated or readmitted for USMLE Step 1 will be given a deadline and will be required to submit:

Enrollment in Internal Medicine Foundations (IMF)

Students scheduled to begin IMF must sit for the USMLE Step 1 no later than two weeks before starting IMF. Students who start the exam but do not finish the exam may not begin IMF. Students may defer IMF to allow remediation of the NBME CBSE or to prepare to sit for Step 1. Once a student passes the CBSE, he/she must sit for USMLE Step 1 within six (6) months, regardless if the student is deferring IMF.

Step 1 Failures

Students who fail USMLE Step 1 will be required to sit for their retake within six (6) months of their prior exam attempt. Any student who fails to sit for their USMLE Step 1 retake by this deadline will be administratively withdrawn from RUSM.

Please note that all USMLE scores (pass or fails) must be submitted to the Office of the Registrar within 30 days of receipt. Students who fail to submit their score reports will have a Registrar Hold placed on their account.

Students must submit their failing USMLE Step Score report to Registrar prior to being verified for the retake.

Students who fail USMLE Step 1 prior to the start of IMF are required to defer IMF to allow time to prepare and retake Step 1.

Students who are notified of a failure while enrolled in IMF will be allowed to complete IMF but will be placed in a Temporary Withdraw (TW) status until he/she passes USMLE Step 1 and begin the remainder of their clinical clerkships.

Students have up to six (6) attempts to pass USMLE Step 1, however these attempts must be in accordance with the requirement for the student to complete his/her degree requirements within seven (7) years of matriculation. If it is determined that the student will not be able to complete his/her degree requirements within the seven year timeframe, he/she will be dismissed from RUSM.

Students who are dismissed or withdrawn (personally or administratively) will have their ECFMG status revoked. If the student is reinstated or readmitted, he/she will need to reapply to ECFMG and register for a new exam.

USMLE STEP 2 EXAMS

ECFMG Certification & Verification for the USMLE Step 2 CK and USMLE Step 2 CS

RUSM will automatically verify a student as eligible to sit for the USMLE Step 2 CK or CS as soon as all eligibility criteria are met.

As a convenience to students, RUSM will permit students to register and be verified for the USMLE Step 2 CK and CS prior to completing the eligibility requirements simply to help facilitate a students’ ability to obtain a sitting window for Step exams.

Formal requests to be verified before meeting all eligibility criteria must be submitted on the “RUSM Step 2CK and/or CS Verification Agreement” form, which is provided once a student speaks with his/her advisor.

Please note that all students, regardless of whether they are verified early or not, are still required to follow the eligibility policies and may not sit for a Step examination until meeting all eligibility requirementsSitting for any Step exam prior to meeting all RUSM eligibility requirements is a violation of RUSM academic policy and will be considered a conduct violation that is not appealable. Conduct violations are reported on MSPEs and will be reported to state licensing agencies.

If a student requests early verification and is unable to sit for an examination in that window for any reason (fails a SCE, repeats a clerkship, needs additional time to study, etc.), the student is responsible for any costs associated with moving the window or rescheduling the Step exam. Additionally, any student who fails a SCE must immediately contact his/her advisor to see how the failure impacts the student’s ability to progress in the curriculum.

USMLE Step 2 CK

Overview

USMLE Step 2 CK assesses the application of medical knowledge and clinical science in the care of patients. It specifically emphasizes health promotion and disease prevention. Step 2 CK is taken in a student’s clerkship years following completion of required clinical training.

Eligibility

Students are eligible to sit for the USMLE Step 2 CK after:

Timeframe

Students must sit for USMLE Step 2 CK within one year of passing all six (6) SCEs.   Students need to plan accordingly and schedule the NBME CCSE in advanced of the deadline to sit for USMLE Step 2 CK. Students who fail to sit for their first attempt by this deadline will be Administratively Withdrawn from RUSM.

Students must pass USMLE Step 2 CK in a maximum of six (6) attempts in order to receive the MD degree. Students may request an AA for a period of up to ten weeks to prepare for USMLE Step 2 CK. Failure to pass the test within six attempts will result in dismissal.

Students who are dismissed or withdrawn (personally or administratively) will have their ECFMG status revoked. If the student is reinstated or readmitted, he/she will need to reapply to ECFMG and register for a new exam.

USMLE Step 2 CK Failures

Students who fail USMLE Step 2 CK will be required to sit for their retake within one (1) year of their prior exam attempt. Any student who fails to sit for their USMLE Step 2 CK retake by this deadline will be administratively withdrawn from RUSM. Students must submit their failing USMLE Step Score report to Office of the Registrar prior to being verified for the retake. Students have up to six attempts to pass USMLE Step 2 CK, however these attempts must be in accordance with the requirement for the student to complete his/her degree requirements within seven (7) years of matriculation.

If it is determined that the student will not be able to complete his/her degree requirements within the seven (7) year timeframe, he/she will be dismissed from RUSM. Students who are dismissed or withdrawn (personally or administratively) will have their ECFMG status revoked. If the student is reinstated or readmitted, he/she will need to reapply to ECFMG and register for a new exam. Students reinstated or readmitted for Step 2 CK will be given a deadline and will be required to submit:

USMLE Step 2 CS

Overview

USMLE Step 2 CS assesses your ability to obtain a relevant medical history, perform a proper physical examination in a clinical setting, and compose a competent written record of the experience. It also evaluates your ability to communicate effectively using the English language. The USMLE Step 2 CS is taken during the clinical clerkship portion of your medical studies.

Eligibility

Students are eligible to sit for the USMLE Step 2 CS after:

Timeframe

Students must sit for USMLE Step 2 CS within one (1) year of passing all six (6) SCEs. Students who fail to sit for their first attempt by this deadline will be Administratively Withdrawn from RUSM.

Students must pass the USMLE Step 2 CS in a maximum of six attempts in order to receive the MD degree. Students may request an AA for a period of up to ten weeks to prepare for the USMLE Step 2 CS. Failure to pass the test within six attempts will result in dismissal.

Students who are dismissed or administratively withdrawn will have their ECFMG status revoked. Students who are reinstated or readmitted will need to reapply to ECFMG.

Step 2 CS Failures

Students who fail USMLE Step 2 CS will be required to sit for their retake within one (1) year of their prior exam attempt. Any student who fails to sit for his/her USMLE Step 2 retake by this deadline will be administratively withdrawn from RUSM.

Students must submit their failing USMLE Step Score report to Office of the Registrar prior to being verified for the retake. Students have up to six (6) attempts to pass USMLE Step 2 CS; however these attempts must be in accordance with the requirement for the student to complete his/her degree requirements within seven (7) years of matriculation.

If it is determined that the student will not be able to complete their degree requirements within the seven year timeframe, he/she will be dismissed from RUSM. Students who are dismissed or withdrawn (personally or administratively) will have their ECFMG status revoked.   If the student is reinstated or readmitted, he/she will need to reapply to ECFMG and register for a new exam. Students reinstated or readmitted for USMLE Step 2 CS will be given a deadline and will be required to submit:

USMLE Score Reports

Students must submit USMLE Step 1, Step 2 CK, and Step 2 CS score reports to the Office of the Registrar – Exam Administration (ExamAdministration@RossU.edu) within 30 days of receiving exam results.

For those seeking to start a clinical clerkship after IMF, score reports need to be submitted 30 days prior to the start of the clerkship.

Students who fail to submit their USMLE Step score reports within 30 days of receipt have a Registrar Hold placed their account.