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USMLE Step 1 preparation course

Our USMLE Step 1 course covers the foundational sciences Step 1 tests, taught through clinical vignettes, for international medical graduates working towards ECFMG certification.

Reserve your seat Course details (PDF)

About the exam

Tests foundational science and how it applies to clinical practice. Results are reported as pass or fail.

Result
Pass or fail
Content
Foundational science applied to clinical practice
Where
Prometric test centres, including outside the US
Needed for
ECFMG certification, with Step 2 CK, OET Medicine and a Pathway

Who the course is for

Students and graduates of medical schools listed in the World Directory of Medical Schools with an ECFMG sponsor note.

What you will study

High-yield basic science taught through clinical vignettes, with question-bank strategy and timed blocks.

  • Anatomy and embryology
  • Physiology
  • Biochemistry and genetics
  • Pathology
  • Pharmacology
  • Microbiology and immunology
  • Behavioural science and biostatistics
  • Solving clinical vignettes against the clock

What your course includes

  • Live online classes. Every class is taught live by your tutor, with interactive sessions where you ask questions as you go.
  • Recordings for 6 months. Missed a class on a night shift? Every session is recorded and stays available to you for six months.
  • PDF notes from your tutor. Your tutor shares PDF notes for the course, so you revise from the same material you were taught.
  • MCQ solving together. Your tutor works through exam-style questions with you and explains the reasoning behind each answer.
  • Free mock exams. Mock exams in the format of your exam are included in your course at no extra cost.
  • One-to-one classes. Prefer to study alone with a tutor? One-to-one classes are available for every course on request.

The green signal

Booking an exam too early is expensive. Your tutor follows your mock results and your work in class, and gives you the green signal when you are ready to book. The green signal is your tutor's honest judgement of your readiness. It is not a guarantee of a pass.

Where this exam fits

ECFMG certification opens the way to US residency: USMLE Step 1 and Step 2 CK, OET Medicine and one of ECFMG's Pathways, then the Match.

  1. Check eligibility

    Your medical school must be listed in the World Directory of Medical Schools with an ECFMG sponsor note.

  2. USMLE Step 1 This course

    Foundational science applied to clinical practice. Reported as pass or fail.

  3. USMLE Step 2 CK

    Clinical knowledge and patient care. Scored, and the USMLE result residency programmes compare most closely.

    USMLE Step 2 CK course

  4. OET Medicine and a Pathway

    350 in Listening, Reading and Speaking and 300 in Writing, in one sitting, plus one of ECFMG's Pathways.

    OET course

  5. The Match, then Step 3

    Apply for residency through the Match. Step 3 is a two-day exam taken in the United States.

    USMLE Step 3 course

Questions about USMLE Step 1

Is USMLE Step 1 still scored?

No. Step 1 results are reported as pass or fail.

Can I take Step 1 outside the United States?

Yes. Step 1 and Step 2 CK are offered at Prometric test centres in many countries.

Join the next batch

Tell us your exam and your target date. We will reserve your seat in the December 2026 batch and send you the payment link.

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