The USMLE® is a three-step exam required for U.S. medical licensure, testing foundational sciences, clinical knowledge, and independent practice. This complete guide covers eligibility, exam structure, preparation strategies, fees, scheduling, and global recognition, helping students and IMGs plan and pass on their first attempt.

NBME and USMLE are not the same: NBME develops exams and practice tools, while USMLE is the official U.S. medical licensing exam. This guide explains their roles, formats, scoring, high-yield subjects, and how using NBME assessments strategically can help you pass the USMLE on your first attempt.