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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.


Stethoscope and diploma

New & Upcoming Graduates

Do not apply for Step 3 until after the date of graduation on your diploma. If you apply before you graduate, your application will be cancelled and a portion of your fees will be forfeited.

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Test Center Closures

If your test center is closed on your test date and you are not able to test, you must do the following.

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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 2024 fee is $925.

The 2025 fee is $935.

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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

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.

Submit Request

Name Change/Correction

STEP 3: If the name on your government-issued identification does not match your Scheduling Permit exactly, you will not be permitted to take your exam.

Log in to the Step 3 site to change/correct your name.

Evidence of the change/correction must also be submitted.

TRANSCRIPTS: If you need to change/correct your name in relation to a Transcripts request, please follow the instructions on the Transcripts page here.

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