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USMLE Step 3

Step 3 is the final examination in the USMLE sequence leading to a license to practice medicine in the United States without supervision. Step 3 provides a final assessment of physicians assuming independent responsibility for delivering general medical care.


Step 3 Score Delay

Scores for examinees taking Step 3 in early 2022 will be released March 16.

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Updates To Step 3 Eligibility

Effective April 29, Step 3 eligibility requirements conform with criteria established before Step 2 CS became part of the USMLE.

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STEP 3 CID Changes

FSMB now accepts electronic/digital signatures on the Step 3 CID. You should email us a color copy of your CID to

CID Form

Step 3 Forms and Fees

Step 3 Application Fees

The Step 3 application fee is non-refundable and non-transferable from one eligibility period to another or from one application to another. Your application fee can only be paid by American Express, MasterCard or Visa.

The 2021 fee is $895.

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Name Change/Correction

If the name on your government-issued identification does not match your Scheduling Permit exactly, you will not be permitted to take your exam.

Use the Name Change/Correction Authorization Form to change or correct your name. Evidence of the change/correction must also be submitted.

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Step 3 Certification of Identity

Submission of a CID does NOT constitute an application for Step 3. You must ALSO submit an online Step 3 application and fees in order for FSMB to complete your Step 3 registration. Communication about the status of your Step 3 registration does not begin until your online application has been submitted.

A CID is required for all Step 3 applications unless a valid one is already on file. Approved CIDs from prior Step 3 applications are valid for 5 years

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Score Recheck

A recheck of your Step 3 score will be done upon submission of the recheck request and $80 fee. Your request must be received no more than 90 days after your score report release date.

For all Steps, standard procedures ensure that the scores reported for you accurately reflect your performance. A change in score based on a recheck is an extremely remote possibility.

The $80 fee is non-refundable.

Request Score Recheck

Step 3 Eligibility Extension

You can request a one-time contiguous 3-month extension of your original eligibility period. Requests can only be submitted after your original scheduling permit is available and must be received no later than 25 days after the end of your original eligibility period. 

The $70 processing fee is non-refundable.

Request Extension

Test Accommodations

Requests for test accommodations must be made in writing at the time the Step 3 application is submitted.

Test accommodations are handled by NBME’s Office of Disability Services. Please visit the Test Accommodations page on the USMLE website for more information and to request accommodations.

Request Accommodations

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