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USMLE Step 1 Course Details and Benefits of USMLE Exam


USMLE Step 1 Exam

United States Medical Licensing Examination (USMLE) is a three-step exam for medical licensure in the United States and is sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME).
USMLE measures a physician's ability to apply knowledge, concepts and principles. USMLE helps the medical students in demonstrating the fundamental patient-centered skills, which are important in health and diseases. It constitutes the basis of safe and effective patient care.

USMLE Step 1

First step in the USMLE Exams is USMLE Step 1 exam which includes the concepts of basic sciences. It ensures mastery of sciences that provides safe and competent practice of medicine in the present.
An MBBS student can write the Step 1 exam after 2nd year of his MBBS, the exam can be written on any working day at Prometric centres in India.
Edupristine & Becker have partnered to offer updated curriculum with latest technology by Expert instruction of a Live course and flexibility of preparing Online


If you are an MBBS student and wish to settle in the USA in future, USMLE is the only option for you to get certified and start medical practice.

  • You can earn way more than what you would do in India. During residency the doctors are paid an average salary of USD 50,000 per year. On completion of residency the average salary of a doctor in USA is USD 1,80,000 per year.
  • USMLE not only gives you exposure of less stressed work system in the USA but also broad knowledge of working in a different standard.
  • The application process in the USA is very transparent and organized.
  • After clearing USMLE Step 1, Step 2CK , Step 2CS , candidates are eligible for applying for matching process to qualify for Residency programs in the USA
  • After completing your residency and clearing your Step 3 exam, you can practice or work as doctor in USA. Also you can apply for licensure in the UAE, Qatar, New Zealand as well.
  • On completion of USMLE and Residency, successful candidates can apply for fellowships in the USA


You need to be under one of these three categories to be eligible for the Step 1 examination

  • A medical student officially enrolled in, or a graduate of, a US or Canadian medical school program leading to the MD degree that is accredited by the Liaison Committee on Medical Education (LCME)
  • A medical student officially enrolled in, or a graduate of, a medical school outside the United States and Canada and eligible for examination by the ECFMG – Indian MBBS students after completion their 2nd year
  • A medical student officially enrolled in, or a graduate of, a US medical school leading to the DO degree that is accredited by the American Osteopathic Association (AOA)

Exam Pattern for USMLE Step 1

No of question Question type Subject Min Passing Score Time
280*(Divided into 7 blocks of 44 items in each) MCQ MBBS 1st year and 2nd year 192* 60 min for each block (8 hours exam with 45 min break)

If you pass the Step 1 exam, you cannot retake the exam. 192* is the minimum passing score but one cannot expect a match with a passing score.

  • During the defined time candidates have to complete the whole items of each block
  • You may answer the items in any order
  • You can review your responses, and change answers also
  • If you take Step 1 and receive a passing score, you cannot retake the examination to improve your score. However if you fail in the exam USMLE program limits to six the total number of times an examinee can take the same Step or Step Component.
  • You cannot take the same examination more than three times within a 12-month period. Your fourth and subsequent attempts must be at least 12 months after your first attempt at that exam and at least six months after your most recent attempt at that exam.
  • Indian MBBS doctors have to apply for ECFMG Certification, so they have to pass all the USMLE Steps and Step Components within a 7 year period. If you do not pass all Steps and Step Components required for ECFMG Certification within a maximum of seven years, your earliest USMLE passing performance will no longer be valid for ECFMG Certification

Note: * These numbers vary every year. This is just an approximation based on historical data.


The purpose of the Step 1 exam is to assess whether you understand and can apply the basic sciences to the practice of medicine, with a focus on principles and mechanisms of health, disease, and therapeutic interventions in medicine.It includes all Science subjects of MBBS 1st and 2nd year. The subjects are as follows:

  • Anatomy
  • Neurology
  • Behavioral Science
  • Biochemistry
  • Genetics
  • Physiology
  • Microbiology
  • Immunology
  • Pharmacology
  • Pathology

Most of the questions examine your knowledge of basic facts and definitions. Major part of the questions deal with your ability to solve problems using basic scientific principles.


Access to 6 months of Becker's GuideMD

Our interactive series of eBooks, for self-directed learning and preparation

Multimedia e-coach

200 hours of multimedia instruction from Expert faculty, including video introductions, animations and Graphics, summaries and audio lectures

Flipbook technology

which lets you highlight, underline and take notes as lectures are playing

Fast play mode

which lets you view annotated audio lectures at regular, 1.25x and 1.5x speed

Full-color illustrations

Embedded motion graphics and 3D animations demonstrating complex concepts

Updated content

Which ensures that the curriculum covers the most relevant high-yield topics

Step 1 Question Bank

Becker providing content-rich practice questions for exam-readiness (2000 Questions with explanatory answers)

Text Book

Full set of textbooks in hard copy format

Personalised Support upto 10 hrs

Doubt clarification by EduPristine faculty on difficult topics

Extension policy

3 months for INR 10,000

Social Media

Getting Social by connecting student community through Facebook

Personalised Study Plan

by our Career Guide

Personalised Residency Plan

by our Residency Guide

Exam Application guidance

by our Career Guide


Access to 6 months of Becker's QMD

Becker's Step 1 Question Bank for USMLE Features:

  • Integrated high-yield questions covering all USMLE tested subjects
  • Top quality content written and reviewed by MDs and PhDs with decades of experience in USMLE prep
  • Frequent updates and new question additions that match the format of the current USMLE,so you can approach the exam with confidence
  • Thorough explanation so you fully understand the whys behind the answers - and the reasons why other responses are incorrect
  • Build-in guidance and results tracking, so you can monitor your progress and focus your study time where you need it the most
  • Integration with Becker's existing curriculum, so you can easily refer to other study materials for additional reviews

USMLE Registration

Indian MBBS doctors who are interested in USMLE course have to register with ECFMG. To apply for USMLE examinations, you must submit an application through the appropriate registration entity to the following link:

ECFMG Online Services
ECFMG Fees Details

USMLE Live Virtual Classes Step1 Features

  • Online LVC: 245Hrs of Live lectures by Becker's Expert Faculty in Delhi, Bangalore, Mumbai, Hyderabad, Ahmedabad and Mangalore
  • Integrated Classes: 30Hrs of Integrated cases with Dr Lionel Raymon
  • Becker's GuideMD: 6 Months access Interactive series of 200 hrs videos for self-directed learning and preparation
  • Becker’s hard copy of updated textbooks featuring comprehensive curriculum.
  • Becker's QMD: 2000 questions providing content rich practice questions for exam readiness


Learn from the "best Faculties of the USA", who have combined experience of more than 100 years in preparing students for USMLE across the world.

Know More About Our Faculty...

USMLE training details
Offerings Becker's QMD Becker's GuideMD Classroom in USA LVC in India
Course Fees Rs.11000 Rs.70000 Rs.190000 Rs.160000
Becker's Step 1 QMD (2000 Questions)
6 months of Becker's GuideMD
200 hours of multimedia instructions videos
Becker’s Full set of textbooks in hardcopy format
Connecting students through social media
Extension of Course
Frequently updated content
Flipbook Technology
30 hours of Integrated classes by Dr Lionel Raymon
10 hrs. Personalized Doubt clarification, Study Plan, Residency Plan and Exams Application support
245 hours Live Virtual class in Delhi, Mumbai, Bangalore, Hyderabad, Mangalore & Ahemdabad
275 hours Classroom Trainings in Dallas, Chicago, New York & Saudi Arabia
Buy Buy Buy Buy
Add a NBME Rs.3500 per exam
Add Uworld Rs.13,500 for 3 months Access or
Rs.15,000 for 3 months plus an assessment


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What is covered in the USMLE step 1 Exam?

Step 1 tests your understanding of basic facts and definitions. But the majorly deals with your ability to solve problems using basic scientific principles. For example, you'll be asked to interpret graphs, identify gross and microscopic pathology and normal specimens, and apply concepts and principles relevant to individual organ systems.

Most people take the test between their second and third years in medical school, after finishing basic science courses and before a clinical clerkship. Many have success taking it within two months of finishing basic courses because material is still fresh in their minds, combined with an extra month or two of studying.

Scores for Step 1 are released each Wednesday. It usually takes three to four weeks for scores to be released. You will receive an email from the entity you registered with (NBME or ECFMG) when your score is available. It will also be posted on that entity's website. If you don't receive an email within two months, it's recommended that you contact the registration entity directly. The current pass rate is about 85%.

Medical schools outside the United States and Canada vary in their educational standards. The purpose of ECFMG Certification is to assess whether graduates of these schools are ready to enter U.S. residency and fellowship programs that are accredited by the Accreditation Council for Graduate Medical Education (ACGME). To be certified by ECFMG, you must complete the Application for ECFMG Certification, pass a series of exams, and fulfill ECFMG's medical education credential requirements. These requirements include providing ECFMG with copies of your medical education credentials, which ECFMG will verify directly with your medical school.

Yes. The USMLE program sets rules on how quickly an examinee can retake the same Step or Step Component. You may not take the same examination more than three times within a 12-month period. Your fourth and subsequent attempts must be at least 12 months after your first attempt at that exam and at least six months after your most recent attempt at that exam.

No. Once the Certification of Identification Form (Form 186) is accepted by ECFMG, it is valid for five years. Applicants with a valid Form 186 can apply for exams or request eligibility period extensions by completing only the on-line part of the application.


I am writing this just an hour after writing the actual step 1 exam, so I believe that makes me a better judge of the quality of this product. I have tried most of the available qbank products around, and Becker was the last one that I had tried before my exam. I was pleasantly surprised with the close resemblance of the question stems to the Becker qbank format. By that yardstick alone, Becker qbank is the one that a step 1 examinee should be solving in the days leading up to their actual exam. The questions are designed to not be a mere repetitive exercise of the other existing qbanks around. The questions are designed to fill in the lacunae left after one has almost exhausted their preparation — I found so many questions that ended up either correcting my previous understanding of a concept, or filling in the voids that had crept in my preparation, unknown to me. The prompt feedback replies to the queries from their faculty is noteworthy.

When I was looking for test prep options for the USMLE, I wanted something that could help "connect the dots" between the different subjects I learned in school. After a few webinars, I signed up for Becker's Integrated Cases with Dr. Raymon, intending to use it near the end of my test prep period to tie concepts together. Integrated Cases, fit my learning style perfectly by combining interactive questions and whiteboard-style lectures, and building "cases" that often showed the overlap of concepts between different disciplines. The deeper understanding of core concepts definitely helped my final test score. Elijah Lackey, USA, Ross University School of Medicine I used Becker's question bank and eCoach to study for Step 1 and was impressed by the quality of the instructors and the material they've put together. I ended up getting over 250 on Step 1 and I know Becker helped make that possible. Thanks!

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