Last Updated on April 9, 2024

International Medical Graduates


The United States Medical Licensing Examination (USMLE®) is a three-step examination for medical licensure in the United States. This is a mandatory examination for American Medical Students, Canadian Medical Students and International Medical Graduates, prior to practicing medicine in the United States of America. The USMLE® is sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME).


United States Medical Licensing Examination

The USMLE Step 2 CS, is perhaps the most challenging of all USMLE Steps, incorporating both clinical knowledge and advanced clinical skills in live time. The USMLE Step 2 CS assesses the ability of examinees to apply medical knowledge, skills, and understanding of clinical science in a simulated format in front of medical examiners. Like many OSCE examinations, the USMLE Step 2 CS uses standardized patients to test medical students and graduates on their ability to gather information from patients, perform physical examinations, and communicate their findings to patients and colleagues.

Volunteers drawn from the academic, licensing and private-practice communities as well as representatives of the public make up the USMLE Management Committee. This committee governs exam content. Program staff, who include NBME psychometricians (specialists in the science of testing), and physicians and medical scientists from this nation’s medical schools, work closely with these volunteers to ensure that the cases are testing intended skills, and are doing so reliably across sites and different groups of test-takers.



USMLE Step CS Pass Rate:

In 2013-14, there were 18,874 examinees from MD-granting US medical schools that took the examination for the first time. Of these, 18,035 passed (96%) and 839 failed (4%). The failing examinees would need to remediate their deficiencies and retake the examination. To understand the seriousness behind Step 2-CS, consider the number of patients who might be treated by 839 future physicians who would not have been identified if there had not been a minimum standard set by Step 2 CS.

How is the USMLE Step 2 CS Exam Scored?

Step 2 CS is designed to evaluate your ability to gather information that is important for a given patient presentation. During your physical examination of the standardized patient, you should attempt to elicit important positive and negative signs. Make sure you engage the patient in discussion of your initial diagnostic impression and the diagnostic studies you will order.

How can MedApplications Help me

on my USMLE Step 2 CS?

The USMLE Step 2 CS exam is uniquely challenging as it focused on testing core clinical skills, note taking, critical thought and general professionalism. While many students successfully complete OSCE examinations at their home school, many do not face the intensity of the USMLE Step 2 CS. Having successfully trained many medical students in acing the USMLE Step 2 CS examination, we focus on sound clinical approaches to common clinical topics known to be tested on the USMLE. We use a straightforward framework to successfully navigate even the most challenging of clinical scenarios. Our trained physicians can help expertly prepare you for your upcoming exam and build your confidence to succeed.

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