USMLE preparation for international medical graduates
Preparation for every USMLE Step, plus the OET Medicine score ECFMG certification needs, planned around your Match year.
- Step 1
- Pass or fail
- Step 2 CK
- Scored
- ECFMG
- Step 1, Step 2 CK, OET Medicine and a Pathway
USMLE courses
A new batch of each course starts every month. Open a course for full details, the fee and a PDF you can keep.
The route, step by step
USMLE and ECFMG certification
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.
-
Check eligibility
Your medical school must be listed in the World Directory of Medical Schools with an ECFMG sponsor note.
-
USMLE Step 1
Foundational science applied to clinical practice. Reported as pass or fail.
-
USMLE Step 2 CK
Clinical knowledge and patient care. Scored, and the USMLE result residency programmes compare most closely.
-
OET Medicine and a Pathway
350 in Listening, Reading and Speaking and 300 in Writing, in one sitting, plus one of ECFMG's Pathways.
-
The Match, then Step 3
Apply for residency through the Match. Step 3 is a two-day exam taken in the United States.
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.
Why does Step 2 CK matter so much now?
With Step 1 reported as pass or fail, Step 2 CK is the main USMLE score residency programmes can compare.
Do I also need OET?
Yes. ECFMG certification also requires OET Medicine (350 in Listening, Reading and Speaking, 300 in Writing) and one of ECFMG's Pathways.
Where can I take Step 3?
Step 3 is offered only in the United States.
When should I take Step 3?
Many doctors take it during residency. Check what your programme expects before you book.
Often taken together
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.