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What is USMLE?

The United States Medical Licensing Examination (USMLE), also called board exam assesses whether student can apply for medical license in the US. The USMLE exam is conducted by the National Board of Medical Examiners (NBME) and Federation of State Medical Boards (FSMB).

usmle step 2 ck

This entire USMLE exam is conducted in three steps –

  1. USMLE Step 1
  2. USMLE Step 2 Clinical Knowledge (CK) and Clinical Skills (CS)
  3. USMLE Step 3

Both 1st & 2nd tests are usually taken when the student is in medical college and step 3 is after graduation. After completing 2 years of medical school and having knowledge in microbiology, pathology, genetics, biochemistry, nutrition and anatomy, students can take USMLE Step 1 exam and which has multiple choice questions.

What is USMLE STEP 2 Exam?

The USMLE Step 2 exam is further categorized into Clinical Skills (CS) and Clinical Knowledge (CK). The Step 2 examination is a two day test.

USMLE Clinical Knowledge (CK) test has clinical topics studied during last year of medical school. The USMLE Step 2 CK exam is conducted as multiple choice questions and it can be availed by students who are enrolled or passed degree from medical college authorized by the world directory of medical schools.

USMLE Clinical Skills (CS) test to see how you perform at physical exam, patient interaction, communication skills and students need to travel to one of the five testing centers in Los Angeles, Chicago, Atlanta, Philadelphia or Houston.

USMLE Step 2 TestExam PatternDuration
USMLE Step 2 – Clinical Knowledge (CK)350 Multiple Choice Questions9 hours
USMLE Step 2 – Clinical Skills (CS)1) Total 12 patient cases and 15 minutes for each patient. Must record each patient note in 10 minutes.
2) Organized across 5 testing Centers in US.
8 hours

USMLE Step 2 CK Exam Pattern

USMLE Step 2 CK is a multiple choice computerized exam that should be taken after examinees have completed core clinical knowledge like Surgery, Medicine but before the graduation from their medical school. The Step 2 Clinical Knowledge (CK) exam is a nine hour timed exam having 355* multiple choice questions with minimum of 45 minutes of break time and not more than 45 questions in each of eight blocks. The minimum passing score in USMLE Step 2 CK exam is 209*.

Note – *All these numbers may vary every year and it’s an approximation based on historical data.

Eligibility Criteria for USMLE Step 2 CK Exam

To be eligible for USMLE Step 2 CK exam, a medical student must be officially enrolled in a medical school that is listed in World Directory of Medical School. A candidate should be enrolled in or graduate of medical school outside of United States and Canada and eligible for the USMLE exam by the ECFMG.

USMLE Step 2 CK Exam Dates

There is no specific date for the USMLE step 2 exam and within a three month eligibility period, medical students have the option of selecting a date. The test date for step 2 CK exam cannot be in the first 14 days of January or on major holidays.

USMLE Step 2 CK Exam Content

Step 2 CK test includes following content topics:

  • Obstetrics/Gynecology
  • Preventive Medicine
  • Surgery
  • Psychiatry
  • Internal Medicine
  • Pediatrics
  • Dermatology/Neurology/Emergency Medicine/Ophthamology

Most USMLE Step 2 CK test describe clinical situations and require that you provide one or more of the following:

  • A Prognosis
  • Diagnosis
  • Indication of underlying mechanisms of disease
  • The next step in medical care, including preventive measures

The USMLE Step 2 CK test is classify into two verticals: physician task and disease category. Step 2 exam is integrated and broadly based exam which requires interpretation of laboratory and table data, photographs of grass, imaging studies and microscopic pathologic specimens.

USMLE Step 2 CK Exam Syllabus

General Principles of Foundational Science1% – 3%
Immune System
Blood & Lymphoreticular Systems
Behavioral Health
Nervous System & Special Senses
Skin & Subcutaneous Tissue
Musculoskeletal System
Cardiovascular System
Respiratory System
Gastrointestinal System
Renal & Urinary Systems
Pregnancy, Childbirth, & the Puerperium
Female Reproductive System & Breast
Male Reproductive System
Endocrine System
Multisystem Processes & Disorders
85% – 95%
Biostatistics & Epidemiology/Population Health
Interpretation of the Medical Literature

Note: Percentages are subject to change at any time. Kindly see the USMLE Website for the up-to date information.

Application for USMLE Step 2 CK Exam

Before applying for the Step 2 CK exam, a medical student must have an ECFMG certification and registration for USMLE Step 2 CK test can be done via Interactive Web Application. To appear for the USMLE Step 2 CK exam, candidates can select a 3 month of eligibility period.Application fee for the USMLE Step 2 CK exam is $880 and surcharge ($170-$210) depending on the country.

Preparation for USMLE Step 2 CK Exam

The main purpose of the Step 2 CK exam is to examine your readiness to apply clinical science in practice and medical student must know a lot of medical facts. There are a variety of USMLE preparation resources and to score high marks in Step 2 CK, EduPristine USMLE preparation course is the best way to study the clinical areas for USMLE Step 2 CK exam. The USP of EduPristine USMLE program are:

  • Flipbook Technology
  • 200 hours of multimedia instruction
  • 6 months access of Becker’s GuideMD
  • 3 months of U World Step 2 CK Question Bank
  • Connecting students through social channels
  • Experienced trainers from top US medical schools
  • Exam Focused Study Material with full set of textbooks in Hard Copy Format