The USMLE program requires the following to be completed prior to submitting a Step 3 application:

• Obtain an M.D. degree (or its equivalent) or a D.O. degree (or its equivalent). You may apply only apply after the date of graduation on your diploma. (Recent graduates can take up to six weeks to verify the degree before approval for Step 3)
• Pass both USMLE Steps 1 and 2 (CK and CS).
• If a graduate of a foreign medical school, obtain certification by the ECFMG or successfully complete a "Fifth Pathway" program. (You may only apply after the issue date on your ECFMG or Fifth Pathway certificate)
• Meet the requirements for taking Step 3 imposed by the individual licensing authority to which you are applying to sit Step 3.

You must be eligible to sit for Step 3 at the time you submit the application.

• You may only apply after the date of graduation on your MD diploma, DO diploma or issue date on your ECFMG or Fifth Pathway certificate, to be eligible to apply for Step 3. If you apply before you have graduated or the issue date of the ECFMG or Fifth Pathway certification your application will be cancelled and a portion of your fees forfeited.
• The USMLE program limits all individuals to four (4) attempts at a Step within a 12-month period. You may not apply for a fifth attempt at Step 3 prior to the expiration of 12 months from the date of the first Step 3 administration.

If you have questions concerning your eligibility, please contact the FSMB at 817-868-4041 or via email: usmle@fsmb.org