United States Medical License Examinations - USMLE is the Only way the International medical graduates can practice medicine in America. It is a very competitive Score based evaluating process the main target of which is to distinguish the most brilliant and promising medical minds in the world and open them an access to practice and develop their career within the huge Healthcare facilities in America. It is formed of 3 steps: Step 1 Step 2 CK 'Clinical Knowledge' Step 2 CS 'Clinical Skills' Step 3

1. How to act as a
DOCTOR in USA?

2. How to act as a
DOCTOR in USA?
An
Prepared & Delivered by
Dr. Mohamed Helmi
Identification of

3. International medical
graduates constitute about
30% of physicians in the
United States, the United Kingdom,
Canada, and Australia
Downloaded from www.nejm.org at DAHLGREN MEMORIAL LIBRARY
Massachusetts Medical Society

4. • In most countries, only persons with
a medical license are authorized to
practice medicine.
• Licenses are not granted automatically
to all people with medical degrees.
• A medical school graduate must receive
a license to practice medicine before
he or she can be called a physician in a
legal sense.
The medical
license is the
documentation
of authority to
practice medici
ne within a
certain locality.
MEDICAL
LICENSE

5. U.S. doctors totals about
954,000
The U.S. has 352,908 primary-care doctors now,
and the college association estimates that
45,000 more will be needed by 2020
USA could face a shortage of as many as 150,000 doctors
in the next 15 years, according to the Association of American Medical
Colleges.

6. How to act as a
DOCTOR in USA?
The United States Medical Licensing Examination®
(USMLE®)
isa three-step examination for medical
licensure in the United States
- Step 1
- Step 2 CK
- Step 2 CS
- Step 3

7. How to act as a
DOCTOR in USA?
Eligibility :
STEP 1, STEP 2 CK, AND STEP 2 CS
To be eligible, you must be
 A medical student officially enrolled in, or a graduate of, a medical
school outside the United States and Canada who meets the
eligibility criteria of the ECFMG.
at the time of application and on the test day
FAIMER® www.faimer.org

8. How to act as a
DOCTOR in USA?
STEP 3
To be eligible for Step 3, prior to submitting your application, you must:
pass Step 1, Step 2 CK, and Step 2 CS.
obtain certification by the ECFMG or successfully complete a
"Fifth Pathway" program if you are a graduate of a medical
school outside the United States and Canada, and
meet the Step 3 requirements set by the medical licensing
authority to which you are applying.
Eligibility (Con.):

9. How to act as a
DOCTOR in USA?
SEQUENCE OF STEPS :
If eligibility
requirements are met, you may
take Step 1, Step 2 CK, and Step 2
CS in any sequence.

10. How to act as a
DOCTOR in USA?
TIME LIMIT AND NUMBER OF ATTEMPTS
ALLOWED TO COMPLETE ALL STEPS
Passing Step 1, Step 2, and Step 3 examinations occur
within a 7 year period; and
Allow no more than 6 attempts to pass each Step
or Step Component.

11. How to act as a
DOCTOR in USA?
STEP 1
Step 1 includes test items in the following content areas:
 Anatomy,
 Behavioral sciences,
 Biochemistry,
 Microbiology,
 Pathology,
 Pharmacology,
 Physiology,
 Interdisciplinary topics, such as nutrition,
genetics, and aging.

12. How to act as a
DOCTOR in USA?
STEP 2 CLINICAL KNOWLEDGE (CK)
Step 2 CK includes test items in the following content areas:
Internal medicine,
Obstetrics and gynecology,
Pediatrics,
Preventive medicine,
Psychiatry,
Surgery,
Other areas relevant to
provision of care under
supervision.
15%–20% Promoting preventive medicine and health maintenance.
20%–35% Understanding mechanisms of disease.
25%–40% Establishing a diagnosis.
15%–25% Applying principles of management.

13. How to act as a
DOCTOR in USA?
STEP 2 CLINICAL SKILLS (CS)
Integrated Clinical Encounter (ICE)
• Data gathering – patient information
collected by history taking and physical
examination
• Documentation – completion of a
patient note summarizing the findings
of the patient encounter, diagnostic
impression, and initial patient workup
Communication and Interpersonal Skills (CIS)
 Questioning skills
 Information-sharing skills
 Professional manner and rapport
Spoken English Proficiency (SEP)
• Clarity of spoken English communication within the context of the doctor-
patient encounter

14. How to act as a
DOCTOR in USA?
STEP 3
Clinical Encounter Frame
20%–30% Initial care 50%–60% Continued care 15%–25% Emergency care
Physician Task
Obtaining history and performing physical examination
Using laboratory and diagnostic studies
Formulating most likely diagnosis
Evaluating severity of patient's problems
Applying scientific concepts and mechanisms of disease
Managing the patient

15. How to act as a
DOCTOR in USA?
TEST FORMATS
Step 1: 322 MCQs , divided into 7/60-minute blocks, administered in 8-
hour testing session.
Step 2 CK 352 MCQs, divided into 8/60-minute blocks, administered in 9-
hour testing session.
 Step 2 CS has 12 patient cases/15 minutes for each patient encounter and
10 minutesto record each patient note. The testing session is 8-hours.
 Step 3has 480 MCQs/35 to 50 blocks/45 to 60 minutes. + 9
computer-based case simulations/25 minutes.
Step 3 is administered in 2/8-hour testing sessions.

16. How to act as a
DOCTOR in USA?
2- www.ecfmg.org
1- www.usmle.org
3- www.prometric.com
Apply for the Exam:

17. How to act as a
DOCTOR in USA?
Availability in EgyptFEE
Yes1050 $Step 1
Yes1065 $Step 2 CK
No1440 $Step 2 CS
No870 $Step 3

18. How to act as a
DOCTOR in USA?
SCORE Plan For YOU !!!!
3rd 4th 5th 6th House
Officer
Step 2 ExamStep1 Exam
Starting Step1
Preparation
Starting Step2
CK Preparation CS Exam

19. How to act as a
DOCTOR in USA?
ATTEND THIS SESSION LIVE !
Next Friday 27 Feb at 4:00 PM
SCORE Giza @ 66 Gameat Aldowal Alarabyea
Street, Mohandessen – GIZA
10th floor Above Kaddora
Al Hegaz station at Gameat Aldowal Street
Nearest Metro station : Albohos station on Line 2

20. How to act as a
DOCTOR in USA?
SCORE Training Centre
www.scoretraining.net
THANK
You