Step 1


  • Students must complete the preclerkship curriculum before attempting Step 1
  • Students must be enrolled or on an approved LOA to attempt Step 1
  • Students in the dual MD/PhD degree program must take USMLE Step 1 prior to entering the PhD portion of the program and must pass Step 1 in order to continue in the graduate program.


In order to advance to the clerkships, a student must have taken USMLE Step 1 at least 10 days before the beginning of the Transition course.  A student may begin the clerkships pending notification of their Step 1 score.

The college deans (in consultation with the Director of Academic Enhancement) may determine, based on a student’s academic performance, that the student is at risk of failing USMLE Step 1 and may recommend that the student delay sitting for the examination in order to have more time for preparation.  In this circumstance, the student will complete the Transitions Course so the student can return to the clerkships upon satisfactory completion of USMLE Step 1.

How to Sign Up

Students may signup online at

After completing the online portion, the application will prompt you to download a copy of the “Certification of Identification and Authorization Form”.  Bring this to the Office for Student Affairs, along with a passport style 2X2 in color photo to attach you your application.  If you choose to do this yourself, rather than having it taken (anywhere that does passport photos), be sure that it is a color photo with a high resolution.

Do not sign this form until you bring it to our office so that an authorized staff member can verify your in-person signature

Current fees

Testing Accomodations

If you are applying for accommodations, please plan to apply very early for USMLE, review of accommodations can take 10 weeks or more.

Step 1 Failures

If notification of a failing score on Step 1 is received after a student has begun a clerkship, they generally will be allowed to complete that clerkship.  The student then will discontinue clerkships in order to concentrate on retaking and passing Step 1.  The Step 1 examination may be taken no more than three times.  Three failures of Step 1 will result in the student’s dismissal from the School of Medicine, without recourse to the appeals process.