United States Medical Licensing Examinations® (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, students 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. CompletedECFMG Form 186 and submitted to 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 NBME 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 Students who fail to sit for their first attempt by this deadline will be Administratively Withdrawn from RUSM.

Students who fail to sit for their first attempt by the six month deadline will be Administratively Withdrawn from RUSM. USMLE Step 1 in a maximum of six attempts.

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, they 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 Any student who fails to sit for their USMLEStep 1 retake by this deadline will be administratively withdrawn from RUSM.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 USMLEStep 1 prior to the start of IMF are strongly encouragedto defer IMF to allow time to prepare and retake USMLEStep 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 Withdrawal(TW) status until they passUSMLEStep 1 and resume theirclinical clerkships.

Effective 9/1/18, students who matriculate into RUSM on or after 9/1/18 will have up to four (4) attempts to pass USMLE Step 1. Studentswho matriculated into RUSM prior to 9/1/18 will have up to six (6) attempts to pass USMLEStep 1. Students who fail to pass USMLE Step 1 on their final attempt will be subject to dismissal.

Students who matriculate into RUSM on or after 9/1/18 and are subsequently dismissed for failing to pass USMLE Step 1 on their final attempt are not eligible to appeal.

Theseattempts must be in accordance with the requirement for the student to completetheirdegree requirements within seven (7) years of matriculation. If it is determined that the student will not be able to complete theirdegree requirements within the seven year timeframe, theywill be dismissed from RUSM.

Please refer to “Appeals Process for Academic Dismissals” section for more information.

Students who are dismissed or withdrawn (personally or administratively) will have theirECFMG status revoked. If the student is reinstated or readmitted, theywill 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:

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.

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. USMLE Step 2 CK is taken in a student’s clerkship years following completion of required clinical training.

Eligibility

Students are eligible to schedule and sit for the USMLE Step 2 CK after passing the NBME CCSE.

Timeframe

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

Students must pass USMLEStep 2 CK in order to receive the MD degree. Students may requestan AA for a period of up to ten weeks to prepare for USMLE Step 2 CK. Please note that taking an AA does not extend the deadline to sit for the exam.

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

USMLE Step2 CK Failures

Students who fail USMLEStep 2 CK 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 USMLEStep 2 CK retake by this deadline will be administratively withdrawn from RUSM.

Students must submit their failing USMLE Step 2 CK Score report to Office of the Registrar prior to being verified for the retake.

Effective 9/1/18, students who matriculate into RUSM on or after 9/1/18 will have up to four (4) attempts to pass the USMLEStep 2 CK.  Students who matriculated prior to 9/1/18 will have up to six (6) attempts to pass USMLEStep 2 CK. Students who fail to pass USMLE Step 2 CK on their final attempt will be subject to dismissal. Students who matriculate into RUSM on or after 9/1/18 and are subsequently dismissed for failing to pass USMLE Step 2 CK on their final attempt are not eligible to appeal.

These attempts must be in accordance with the requirement for the student to complete their 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 (7) year timeframe, they will be dismissed from RUSM.

Please refer to “Appeals Process for Academic Dismissals” section for more information.

Students who are dismissed or withdrawn (personally or administratively) will have their ECFMG status revoked.  If the student is reinstated or readmitted, they will need toreapply to ECFMG and register for a new exam. Students reinstated or readmitted for USMLE Step 2 CK will be given a deadline and will be required to submit:

Please refer to “Appeals Process for Academic Dismissals” section for more information.

USMLE Step 2 CS

Overview

USMLEStep 2 CS assesses a student’s 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 a student’s ability to communicate effectively using the English language. The USMLEStep 2 CS is taken during the clinical clerkship portion of medical studies.

Eligibility

Students are eligible to sit for the USMLE Step 2 CS after passing the CSA (Becker or RUSM).

Timeframe

Students must sit for USMLE Step 2 CS within one (1) year of passing the CSA.   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 order to receive the MD degree.

Studentsmay request an AA for a period of up to ten weeks to prepare for the USMLE Step 2 CS. Please note that taking an AA does not extend the deadline to sit for the exam.

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.

USMLE Step 2 CS Failures

Students who fail USMLEStep 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 their USMLEStep 2 CS retake by this deadline will be administratively withdrawn from RUSM.

Studentsmust submit their failing USMLE Step Score 2 CS report to Office of the Registrar prior to being verified for the retake.

Effective 9/1/18, students who matriculate into RUSM on or after 9/1/18 will have up to four (4) attempts to pass the USMLE Step 2 CS. Students who matriculated prior to 9/1/18 will have up to six (6) attempts to pass USMLEStep 2 CS. Students who matriculate into RUSM on or after 9/1/18 and are subsequently dismissed for failing to pass USMLE Step 2 CS on their final attempt are not eligible to appeal.

These attempts must be in accordance with the requirement for the student to complete their 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, they will be dismissed from RUSM.

Please refer to “Appeals Process for Academic Dismissals” section for more information.

Students who are dismissed or withdrawn (personally or administratively) will have their ECFMG status revoked.   If the student is reinstated or readmitted, they 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:

Early Verification Agreement (EVA) Form – USMLE Step 2 CS

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

Formal requests to be verified before meeting all eligibility criteria must be submitted on the “RUSM Step 2CS EarlyVerification Agreement” form, which is available online or provided once a student speaks with theiradvisor.

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 the USMLEStep 2 CS examination until meeting all eligibility requirements.

Sitting for theStep2 CSexam 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 the CSA, needs additional time to study, etc.), the student is responsible for any costs associated with moving the window or rescheduling the Step exam.

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 on their account.