USMLE Guide for IMGs: Step 1, Step 2 CK and Step 3

General Residency Interview tips

For international medical graduates, the USMLE exams and ECFMG certification are the foundation of a US residency application. Below you will find study tips, registration links and paid and free resources for each Step, collected by Resiyay's physician advisors.

Step 1

Pass/fail. Tests the basic sciences. Plan to take it before you graduate from medical school.

Step 1 tips and resources ↓

Step 2 CK

Scored. Tests clinical knowledge, and programs look closely at this score when reviewing applications.

Step 2 CK tips and resources ↓

Step 3

For IMGs, ECFMG certification is required to register. Includes CCS clinical case simulations.

Step 3 tips and resources ↓

What is ECFMG certification?

IMGs need ECFMG certification to start an accredited US residency. It includes passing Step 1 and Step 2 CK, verified medical education credentials and the communication skills requirement. Requirements change, so always confirm the current rules on the official ECFMG website.

Exam 1

USMLE Step 1

General Advice

For International Medical Graduates

Tips

  • Register before preparation
  • Acquire Permit for Scheduling
  • Plan to take prior to med school graduation
  • Focus on understanding the material
  • Utilize appropriate quantity of resources and increase reviews Avoid resource hoarding
  • Annotate in First Aid for Step 1 or Notes

Registration

Paid Resources

  • First Aid Step 1 Text
  • UWorld Question Bank and Assessments
  • Pathoma Text and Videos
  • Sketchy Micro Videos
  • Boards and Beyond Text and Videos
  • NBME Assessment

Free Resources

Exam 2

USMLE Step 2 CK

General Advice

For International Medical Graduates

Tips

  • Register before preparation
  • Acquire Permit for Scheduling
  • Plan to take prior to med school graduation
  • Commit to limited resources and increase reviews Avoid resource hoarding
  • Annotate in Step 2 CK Text or Notes*
  • Highlight with purpose unique colors for topics or passes

Registration

Paid Resources

  • UWorld Question Bank and Assessments
  • Amboss Qbank and Ethics articles
  • Pathoma Text and Videos
  • Sketchy Micro Videos
  • NBME Assessments
  • Subject Exams: CMS forms
  • Assessments: CCSSA forms
  • Boards and Beyond Text and Videos for Review

Free Resources

Exam 3

USMLE Step 3

General Advice

For International Medical Graduates

Tips

  • ECFMG Certification required for registration

Registration

  • ECFMG Certification
  • FSMB

Paid Resources

  • UWorld Question Bank and Assessments
  • Amboss Qbank and Ethics articles
  • Pathoma Text and Videos
  • Sketchy Micro Videos
  • NBME Assessments
  • Subject Exams: CMS forms
  • Assessments: CCSSA forms
  • Boards and Beyond Text and Videos for Review

Free Resources

FAQ

USMLE questions

Is Step 1 still scored?

No. Step 1 is pass/fail, so programs pay more attention to your Step 2 CK score and the rest of your application.

Should I take Step 1 before graduating?

Our advisors recommend planning to take it before you graduate from medical school, when the basic sciences are still fresh.

How many resources should I use?

Choose a small number of trusted resources and review them several times, rather than collecting many resources you never finish.

Do I need Step 3 before applying to residency?

Most programs do not require it. Some applicants take it to strengthen their application, especially for visa reasons. Check the requirements of the programs you are applying to.

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