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The United States Medical Licensing Examination (USMLE) is a three-step examination for medical licensure in the United States. It is designed to ensure that physicians have the necessary knowledge, skills, and understanding of clinical science to practice medicine safely and effectively.

### Components of the USMLE:

1. **Step 1**:
– Focuses on the basic sciences, including anatomy, biochemistry, microbiology, pathology, pharmacology, and physiology.
– Assesses the examinee’s understanding of the mechanisms underlying health, disease, and modes of therapy.

2. **Step 2**:
– Divided into two sub-parts:
– **Clinical Knowledge (CK)**: Assesses the medical knowledge and understanding of clinical science necessary for the provision of patient care.
– **Clinical Skills (CS)**: Evaluates the examinee’s ability to gather information from patients, perform physical examinations, and communicate findings to patients and colleagues (Note: CS testing was suspended in 2020 and has undergone changes; check for the latest updates).

3. **Step 3**:
– Evaluates whether the examinee can apply medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine, with an emphasis on patient management in ambulatory settings.
– Includes both multiple-choice questions and computer-based case simulations.

### Eligibility:
To take the USMLE, candidates typically need to be enrolled in or graduated from a recognized medical school or program. Steps have specific eligibility requirements, often determined by the policies of the medical schools.

### Preparation:
– Preparation often involves studying comprehensive resources, including textbooks, study guides, and practice exams like UWorld or Kaplan.
– Many examinees also take review courses to help consolidate knowledge and practice test-taking techniques.

### Licensing:
Passing all three steps is required to obtain a medical license in the U.S. The process also includes obtaining a degree from an accredited medical school, completing residency training, and meeting state regulations.

### Important Notes:
– Always check the official USMLE website or the Educational Commission for Foreign Medical Graduates (ECFMG) for the most current information, updates, and potential changes to exams or policies.

If you have specific questions about any part of the USMLE or need further details, feel free to ask!

Even though it was estimated that at least 60% of osteopathic medical students took at least one USMLE exam in 2020, physicians with D.O. degree are not required to take the USMLE for licensure or graduation. They are licensed as physicians by passing Parts I, II, and III of the COMLEX examination from the National Board of Osteopathic Medical Examiners.

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