Question TypesMultiple Choice (single best answer), Computer-based Case Simulations (CCS) — Step 3 Day 2 only
FormatLinear (computer-based); Adaptive for CCS
Online ProctoringNot available
ID RequirementsTwo forms of ID required. Primary: valid, unexpired government-issued photo ID (passport strongly recommended internationally). Secondary: any ID with name. Name must match USMLE registration exactly.
RenewalNot required -- USMLE scores do not expire for licensure purposes, though some state medical boards and residency programs may have time limits on Step scores.
PrerequisitesMust be enrolled in or have graduated from an LCME- or AOA-accredited US/Canadian medical school (or equivalent ECFMG-eligible international medical school)
Retake PolicyMust wait at least 60 days before retaking the same Step exam. Maximum 3 attempts per 12-month period. Maximum 6 total attempts per Step. Full fee required for each retake.