دوره های آمادگی  USMLE در انگلستان

USMLE چیست؟

The United States Medical Licensing Examination, or USMLE for short, is a three-part licensing examination that is required in order to receive a license to practice medicine within the United States. This exam is designed by the Federation of State Medical Boards and the National Board of Medical Examiners to determine whether or not an individual understands and can apply the knowledge necessary to practice medicine safely and intelligently. The USMLE is actually comprised of three different exams that are referred to as steps, which examine the individual's knowledge of specific topics related to the field of medicine such as basic science, medical knowledge, medical skills, clinical science, and the application of all of these skills and areas of knowledge in the medical field. All three steps of the USMLE include a series of computerized multiple-choice questions, but the format of the exam and the information covered in each multiple-choice section is different for each step of the USMLE. The USMLE Step II also has a clinical skills portion that examines an individual's ability to work with real patients and the USMLE Step III has a computerized patient simulation portion in addition to the multiple-choice section of the exam. In order for an individual to receive a license to practice medicine, the individual must pass all three steps of the USMLE

USMLE Step 1

The USMLE Step 1 is the first test of the three-part United States Medical Licensing Examination that is required in order to receive a license to practice medicine within the United States. The test is a computerized exam consisting of 350 multiple-choice questions split into seven sections that are primarily related to knowledge of basic science. The exam takes approximately eight hours to complete with one hour being allotted to each section and an hour break. Each section is not separated by topic, but rather contains 50 randomly distributed questions that pertain primarily to information about Anatomy, Biochemistry, Biology, Behavioral Science, Micro-Immunology, Pathology, Pharmacology, and Physiology. These questions include information related specifically to general principles related to the above areas, the cardiovascular system, the central and peripheral nervous systems, the endocrine system, the gastrointestinal system, the hematopoietic and lymphoreticular systems, the musculoskeletal system, the renal system, the reproductive system, the respiratory system, and the integumentary system.

The USMLE Step 1 exam is scored based on the number of correct responses and then scaled so that the individual will receive a three-digit and a two-digit scaled score. Scores for the three-digit scale usually fall between 140 and 260 with 185 set as the minimum score required to pass the exam. The two-digit scale is not actually an exact percentage score, but still ranges from 0 - 100 with 75 representing the minimum score necessary to pass the exam. The current registration fee for the exam is $470, which will be raised to $480 in 2008

USMLE Step 2 - Clinical Knowledge Exam

The USMLE Step 2 Clinical Knowledge Exam is part of the second test of the three-part United States Medical Licensing Examination that is required in order to receive a license to practice medicine within the United States. The USMLE Step II Clinical Knowledge Exam is a computerized examination that consists of 368 multiple-choice questions that cover a variety of different topics related to the medical field. The USMLE Step 2 Clinical Knowledge Exam, also known as the Step II CK, is split into 8 sections that are not separated by topic, but rather are 46 randomly distributed questions related to disease mechanisms, differential diagnosis, emergency medicine, neurology, patient care management principles, preventative medicine, radiology, and surgical subspecialties. These questions include information specifically related to human development, conditions and disorders occurring during pregnancy, childbirth, and the perinatal period, congenital abnormalities, disorders of the puerperium, diseases of the blood and blood-manufacturing organs, diseases of the musculoskeletal system, nervous system, respiratory system, and infectious and parasitic diseases. It also includes information related to cardiovascular disorders, endocrine and metabolic disorders, gynecologic disorders, immunologic disorders, mental disorders, nutritional and digestive disorders, skin disorders, neoplasms, the renal system, the male reproductive system, and questions related to symptoms, signs, and ill-defined conditions

The Clinical Knowledge Exam is scored based on the number of correct responses and then scaled so that the individual will receive a three-digit score and a two-digit score. Scores for the three-digit scale usually fall between 140 and 260 with 184 set as the minimum score considered as passing for the exam. The two-digit scale is not actually an exact percentage score, but still ranges from 0 - 100 with 75 representing the minimum score necessary to pass the exam. The individual must pass both the Clinical Knowledge Exam and the Clinical Skills Exam in order to pass Step II of the USMLE. The current registration fee for the Step II - CK is $470, which will be raised to $480 in 2008

USMLE Step 3 - Day 1

The USMLE Step 3 is the third and final test of the three-part United States Medical Licensing Examination that is required in order to receive a license to practice medicine within the United States. This test, unlike the other two steps of the USMLE, takes two days to complete as the exam is actually administered in two separate sessions. The first session of the Step III test consists of 336 multiple-choice questions split into seven sections that are related to evaluating patients, applications of clinical skills and clinical science, biostatistics, common diseases and disorders, human development, interpreting medical literature, medical ethics, patient safety, and the management systems, quality control systems, and other systems required in a medical practice to maintain a high level of care. Each section of the test is not separated by topic, but rather contains 48 randomly distributed questions that pertain to the above topics

The first day of the USMLE Step 3 exam takes approximately eight hours to complete as the exam-taker will have 60 minutes to complete each section of the test, 15 minutes allotted for a tutorial explaining how to use the computerized exam system, and a 45 minute break. The test is scored based on the number of correct responses and then scaled so that the individual will receive a three-digit and a two-digit score. The three-digit and two-digit scores are based on the scores achieved from the first and second day of the exam. Scores for the three-digit scale usually fall between 140 and 260 with 184 set as the minimum score required to pass the exam. The two-digit scale is not actually an exact percentage score, but still ranges from 0 - 100 with 75 representing the minimum score necessary to pass the exam. The current registration fee for the exam, which includes both days, is $655, which will be raised to $670 in 2008

USMLE Registration - Other Fees, Rescheduling Exams, and Retaking Exams

The total registration cost for all three Steps of the USMLE will be approximately $2,655 for individuals planning on taking the exam in 2008. However, these fees are usually raised annually and there are other fees that an individual may have to pay in addition to these fees in order to take a particular exam. Some of the additional fees that an individual may have to pay in order to take one of the USMLE Exams include general rescheduling fees, rescheduling fees associated with missing a test date, and fees associated with other certifications such as the ECFMG Certification if the individual that is applying for the exam is a student or graduate from somewhere other than the United States or Canada. An individual that has already scheduled a testing date with Thomson Prometric can reschedule if there is a problem with the date that the individual has chosen, without penalty, if the individual cancels the test appointment with the testing center no later than 14 days before the testing date. The individual taking the exam may also cancel the test appointment during the 14 days prior to the exam date, but Thomson Prometric will assess a $150 rescheduling fee when the individual attempts to choose another date to take the exam. If the individual attempts to cancel his or her test appointment on the day of the test or simply does not show up for the test, Thomson Prometric will assess a $400 rescheduling fee when the individual attempts to choose another date to take the exam

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