The USMLE Step 2 CK exam assesses clinical knowledge for supervised patient care, focusing on disease prevention and health promotion. Registration requires an account with the NBME, costs $1,000, and has rules for scheduling, rescheduling, and cancellation. Eligibility includes being a graduate or current student of an accredited medical school, and a maximum of four attempts are allowed to pass the exam.

1. USMLE Step 2 CK
Overview:
Administered over the course of one day, the USMLE Step 2 CK (Clinical Knowledge)
examination assesses a medical student's ability to apply clinical science knowledge, skills, and
comprehension essential for supervised patient care. Emphasizing disease prevention and health
promotion, this exam is administered by the National Board of Medical Examiners (NBME).
To enroll for the USMLE Step 2 CK, you need to establish an account with the National
Board of Medical Examiners (NBME). Once your account is set up, follow these steps to
register for the exam:
1. Log in to your NBME account.
2. Click on the "Register for an Exam" option.
3. Choose the "Step 2 CK" exam from the available options.
4. Review the eligibility requirements and exam details.
5. Select a suitable test date and time.
6. Complete the registration by paying the registration fee. Upon registration, you will
receive a scheduling permit, which is required to be presented at the test center on
the exam day. Here are some important points to consider:
 The registration fee for Step 2 CK is $1,000.
 You can register for Step 2 CK up to 6 months prior to the exam date.
 Rescheduling of the exam is permissible up to 30 days before the scheduled test date,
with a rescheduling fee of $90.
 If you need to cancel your exam, you must do so at least 30 days before the scheduled
test date, with a cancellation fee of $100.
For application to the USMLE Step 2 CK, follow these steps after creating an account with
the NBME:
1. Log in to your NBME account.
2. Click on the "Apply for an Exam" option.
3. Select the "Step 2 CK" exam from the available choices.
4. Review the eligibility criteria and exam details.

2. 5. Complete the application form.
6. Submit your application and pay the required fee.
Eligibility Criteria for USMLE Step 2 CK The requirements for eligibility to take the
USMLE Step 2 CK are outlined as follows:
You must be a graduate of a US or Canadian medical school accredited by the Liaison
Committee on Medical Education (LCME), or a currently enrolled medical student at one of
these institutions. You must meet the qualifying standards set by the Educational Commission
for Foreign Medical Graduates (ECFMG) and be a graduate of or a medical student formally
enrolled in a medical school outside of the United States and Canada listed in the World
Directory of Medical Schools. Successful completion of USMLE Step 1 is required. For medical
students outside of the US and Canada, additional criteria include:
Current ECFMG sponsorship. To register for the Step 2 CK exam, you must create an account
with the National Board of Medical Examiners (NBME). Once your account is established, you
can proceed with the registration process by following these steps:
Log in to your NBME account. Access the "Register for an Exam" section. Choose the "Step 2
CK" exam from the available options. Review the eligibility criteria and exam details. Select a
preferred test date and time. Complete the registration by paying the registration fee. Upon
registration, you will receive a scheduling permit, which is essential to present at the test center
on the exam day. It's important to note the following details regarding the Step 2 CK registration
process:
The registration fee for Step 2 CK is $1,000. Registration can be done up to 6 months in
advance. Rescheduling of the exam is allowed up to 30 days before the scheduled test date, with
a fee of $90. Cancellation of the exam must be done at least 30 days before the scheduled test
date, with a fee of $100.
Application for USMLE Step 2CK To apply for the USMLE Step 2 CK, you need to create an
account with the National Board of Medical Examiners (NBME). After account creation, follow
these steps:
Log in to your NBME account. Access the "Apply for an Exam" section. Choose the "Step 2
CK" exam from the available options. Review the eligibility criteria and exam information.
Complete the application form. Submit the application along with the required fee. The
application fee for Step 2 CK is $1,000. For medical students outside the US and Canada,
additional documents required include:
Copy of ECFMG certificate. Copy of ECFMG sponsorship letter. Applications and
accompanying materials can be submitted online or by mail to the following address:
National Board of Medical Examiners 3750 Market Street Philadelphia, PA 19104 Upon
processing of the application, you will receive a scheduling permit, which must be presented at

3. the testing location on the exam day. Important details to remember during Step 2 CK
application include:
Application deadline is 30 days before the desired test date. Registration can be done up to 6
months in advance. Rescheduling of the exam is allowed up to 30 days before the scheduled test
date, with a fee of $90. Cancellation of the exam must be done at least 30 days before the
scheduled test date, with a fee of $100.
USMLE Step 2 CK Cost The cost of the USMLE Step 2 CK exam is $1,000 for students testing
in the United States. Additionally, there is an international test delivery surcharge of $220 for
students testing outside of the United States. In addition to the exam fee, other associated costs
include:
Travel and accommodation expenses for students traveling to the exam location. Cost of review
materials and courses. Cost of applying for residency programs. The total expense of Step 2 CK
may vary based on factors such as location, expenditure on review materials, and number of
residency programs applied to.
Exam Pattern for USMLE Step 2 CK The USMLE Step 2 CK is a 9-hour exam divided into eight
blocks of 60 minutes each. Each block contains up to 40 questions, with a total of no more than
318 Step 2 questions. The exam includes a 45-minute break and a 15-minute optional tutorial.
Additional breaks can be taken by finishing blocks early. The Step 2 Clinical Skills Exam
evaluates a medical student's ability to apply medical knowledge, skills, and clinical science
comprehension necessary for supervised patient care, with a strong focus on disease prevention
and health promotion.
Attempts for USMLE Step 2 CK A maximum of four attempts are permitted for the USMLE
Step 2 CK exam. If a candidate has attempted the exam four times without success, they are
ineligible to apply for any Step in the USMLE exam sequence. This limitation was introduced in
2021 by the USMLE Composite Committee to uphold the exam's integrity and align with
attempt restrictions set by most state medical boards.
Score Report for USMLE Step 2CK The USMLE Step 2 Clinical Knowledge (CK) score
report provides the following information:
Overall score: Ranging from 200 to 400, with a passing score of 209. Percentile rank: Indicates
the examinee's performance compared to others, e.g., a percentile rank of 80 indicates
outperforming 80% of test-takers. Pass/fail status: Indicates whether the exam was passed or
failed. The score report is valid for seven years and can be forwarded to other organizations, such
as residency programs, upon request.
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