Over time, the exam has evolved into a more clinically-applied examination of the foundational sciences. When the three-part United States Medical Licensing Examination was launched, the NBME Part I exam was incorporated into its new format, the USMLE Step 1 examination. The exam is known for its difficulty and high stakes, as a poor performance can limit career opportunities for medical graduates.īefore 1992, the NBME Part I examination was the primary basic science examination for medical students at the end of their second year. Scores used to be reported on a three-digit scale, but as of February 2022 is reported as pass/fail. The exam covers topics such as anatomy, biochemistry, pharmacology, and physiology, among others. The USMLE Step 1 consists of 280 multiple-choice questions administered over an eight-hour period. The exam is one of three components required for medical licensure in the United States and is typically taken by students after their second year of medical school. The United States Medical Licensing Examination (USMLE) Step 1 is a standardized test that assesses a medical student's knowledge of basic science concepts and their application to clinical medicine. For the regulations, see The Health Protection (Coronavirus, Restrictions) (Steps) (England) Regulations 2021.
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