USMLE for doctors in Latin America and the Caribbean
Graduates from Mexico, the Caribbean, Colombia, Brazil and the wider region are a large share of IMGs in the US. Here is where you can test, what it costs, and how to practise for the current format.
Where you can test
Caribbean schools supply about 18% of the international graduates licensed in the US, and Mexico about 5%, according to FSMB census figures cited in a 2024 BMC Medical Education study.
| Region to select | Countries with Prometric centres |
|---|---|
| Latin America | Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Dominican Republic, Guatemala, Mexico, Peru, Trinidad and Tobago and Venezuela |
| United States and Canada | Every US state plus Guam, Puerto Rico and the Virgin Islands, and eight Canadian provinces. There is no international surcharge for this region |
Source: ECFMG testing regions, updated 22 December 2025. Centres can change, so confirm with Prometric before you choose.
What the exam costs
| Exam | Exam fee | Test-delivery surcharge | Total |
|---|---|---|---|
| Step 1 | US$ 695 | US$ 210 | US$ 905 |
| Step 2 CK | US$ 695 | US$ 235 | US$ 930 |
| Step 3 | US$ 955 | None (US test centres only) | US$ 955 |
Sources: fsmb.org and the ECFMG fees page, checked October 2026. Fees can change, so confirm when you register.
Practise with the Qbank
3 months
about US$ 20 a month
6 months
about US$ 15 a month
12 months
about US$ 11 a month
24 months
about US$ 8 a month
Step 2 CK and Step 3 plans are on the pricing page.
Past papers and syllabus
USMLE does not release past papers, and remembered exam questions are unlawful to share, so none are used here. Study the official content outline for each Step as your syllabus, and practise with original questions written to it.