Step 3 · Eligibility and criteria
Who can sit Step 3
Step 3 comes last. Here is what you typically need before you register, in plain English.
The checklist
What you typically need
For every candidate
- Passed Step 1 and Step 2 CK
- Graduated with a qualifying medical degree
- Met the requirements of the state medical board you apply through
Extra for IMGs
- A degree from a school listed in the World Directory of Medical Schools
- ECFMG certification completed and verified before you apply
Based on the USMLE Bulletin of Information and FSMB guidance, checked October 2026. Confirm with your state board before you register.
The order that works
How to register
- Choose your state boardStep 3 is registered through FSMB with a state medical board.
- Wait for verificationFSMB may need several weeks to verify your degree.
- Pick your eligibility periodOnce submitted, an eligibility period cannot be changed.
- Book both daysSchedule Day 1 and Day 2 at a US test centre.
Read the full route in the international medical graduate guide.
Eligibility does not change the syllabus
Past papers and syllabus
Every candidate faces the same official content outline, and USMLE does not release past papers. Start from the outline and practise with original questions.
FAQ
Step 3 eligibility questions
Do IMGs need ECFMG certification before Step 3?
In the usual route, yes. IMGs complete ECFMG certification before applying for Step 3. Always confirm in the USMLE Bulletin of Information and with your state medical board.
Who registers me for Step 3?
FSMB handles Step 3 registration, and you apply through the state medical board you choose. Requirements can differ slightly between boards.
Can I take Step 3 outside the US?
No. Step 3 is given only at Prometric centres in the United States.
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