USMLE for Pakistani doctors: pathway, costs and practice
Plan your USMLE journey from Pakistan with real fees, the test-centre facts and a question bank priced in rupees. It is built by the MedMasters team, trusted by 27,000+ doctors for their medical exam preparation in Pakistan.
The pathway at a glance
- Check your collegeConfirm that your school and graduation year are in the World Directory of Medical Schools.
- Pass Step 1 and Step 2 CKStep 1 is pass/fail. Step 2 CK is the score residency programmes see.
- Complete a Pathway and OETECFMG verifies clinical and communication skills through a Pathway that includes OET Medicine.
- Apply through ERAS and the MatchECFMG certification opens the door to residency applications.
What it costs from Pakistan
| Exam | Exam fee | Test-delivery surcharge | Total | In rupees |
|---|---|---|---|---|
| Step 1 | US$ 695 | US$ 210 | US$ 905 | about PKR 251,000 |
| Step 2 CK | US$ 695 | US$ 235 | US$ 930 | about PKR 258,000 |
| Step 3 | US$ 955 | None (US test centres only) | US$ 955 | about PKR 265,000 |
Sources: fsmb.org and the ECFMG fees page, checked October 2026. A Pakistani candidate selects the Asia testing region. Fees can change, so confirm when you register.
Rupee figures use about PKR 277 per US dollar (October 2026) and are rounded.
Test centres and timing
Test centres
Pakistan is on the official list of countries with Prometric centres for Step 1 and Step 2 CK, in the Asia testing region with Bangladesh, Malaysia, Nepal, the Philippines, Singapore and Hong Kong. Availability changes, so check Prometric before you choose dates.
Book early
Candidates report that slots in Pakistan can fill quickly, and some test in another country within their region. Decide your target month first, then work backwards for your study plan.
Practise with the Qbank
3 months
PKR 15,999 in Pakistan
6 months
PKR 23,999 in Pakistan
12 months
PKR 35,999 in Pakistan
24 months
PKR 53,999 in Pakistan
What MedMasters USMLE Qbank costs next to the exam
A 12-month MedWorld Step 1 plan is PKR 35,999 (US$ 129). The Step 1 exam alone costs about PKR 251,000 including the surcharge, so a full year of practice is about 14% of the exam fee.
Find a mentor
Mentors help
Pakistani physician associations in North America, such as APPNA, run mentorship sessions at colleges in Pakistan. Join them, ask questions early, and keep a written plan you can show a mentor.
Past papers and syllabus
Doctors in Pakistan are used to past papers. USMLE publishes none, and remembered exam questions are unlawful to share. Your syllabus is the official content outline, and MedMasters USMLE Qbank practice follows it, subject by subject.
Pakistan questions answered
Which Pakistani degrees are accepted?
How hard is Step 1 for international graduates?
Can I pay in rupees?
Is there Urdu support?
Start from Pakistan
Message us in English or Urdu and we will help you choose a plan.