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The USMLE Step 1 (more commonly just Step 1 or colloquially, The Boards) is the first part of the United States Medical Licensing Examination. It aims to assess whether medical school students or graduates can apply important concepts of the foundational sciences fundamental to the practice of medicine.

US medical students who wish to seek licensure to practice medicine in the US typically take Step 1 at the end of the second year of medical school. Graduates of international medical schools (i.e., those outside the US or Canada) must also take Step 1 if they want to practice in the US. Graduates from international medical schools must apply through ECFMG, and the registration fee is $915. For 2020, the NBME registration fee for the test is $645, with additional charges for applicants who choose a testing region outside the United States or Canada.

During COVID-19 pandemic and George Floyd Protests, the medical community criticized the USMLE for their refusal to revert Step 1 scoring to pass/fail before 2022 and for the gross mishandling of Step examinations during the pandemic, creating “chaos,” further “disadvantages,” “harm,” “bias” and “inequity;” and called for an emergency committee (that included student representatives) who could address these issues in a timely manner without financial or other conflict of interests.Buy USMLE certificate online

Current recommendations under consideration include retroactive step 1 pass/fail reporting for the class of 2022, or having each student choose how their Step 1 score is reported on their ERAS transcript (pass/fail or scored) beginning with the class of 2021. As per an official announcement from USMLE, scores will never be retroactively masked. The announcement reads “ All scores for Step 1 exams taken prior to the date of the policy change will continue to be reported using the three-digit numeric score on all USMLE transcripts. Buy USMLE certificate online

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