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Transcripts Overview

In response to COVID-19, the FSMB is providing official USMLE, FLEX, and SPEX transcripts to all entities and individuals in an electronic (PDF) format. See the Method of Delivery section below for details. 

Transcripts Available through FSMB 

FSMB only produces official transcripts for the FLEX, SPEX, and USMLE examinations. 

If you need scores for other examinations – NBME, NBOME, COMLEX-USA, State Board Exams, LMCC – please review the Transcripts FAQs.  

If you have taken any component of the NBME Parts Exam in conjunction with the USMLE, you must request your transcripts from the NBME. NBME will provide both transcripts (for NBME Parts and USMLE) in these instances. 

USMLE Transcripts 

If you have registered for or taken USMLE Step 3: Submit your transcript request through the FSMB

If you have not registered for or taken USMLE Step 3 and need to send a transcript to a medical licensing authority: Submit your transcript request through the FSMB.

If you have not registered for or taken USMLE Step 3 and need to send a transcript to an entity or individual other than a medical licensing authority: Submit your transcript request through the entity that registered you for Step 1 or 2 (ECFMG or NBME).

If you have taken any component of the NBME Parts Exam in conjunction with the USMLE: Submit your transcript request through the NBME. NBME will provide both transcripts (for NBME Parts and USMLE) in these instances.

Fees 

Effective June 9, 2021, the transcripts pricing structure has changed.

You can request up to 5 transcripts for $70; additional transcripts are $5 each, if ordered at the same time. Please review the example scenario below for additional clarification. 

If you need or would like a transcript sent to yourself, you must enter yourself as a recipient. We do not automatically send a copy of your transcript to you when you make a transcript request. To send a transcript to yourself, choose “Self” as a recipient when completing the online transcript request. 

Transcript fees are non-refundable. Transcripts are processed and available to recipients very quickly – usually within 24 hours of the transcript request being submitted. Therefore, we are not able to cancel, change or refund a request once it has been submitted. Please make sure you need a transcript and have entered the correct recipient(s) before making payment and submitting your request. Changes and refunds are not allowed once the request has been submitted.  

Scenario:

  • First transcript request: You start a transcript request and enter 6 state boards and yourself as recipients. This totals 7 transcripts. Your cost would be $80 ($70 for the first 5 transcripts, plus $5 for the sixth transcript, plus $5 for the seventh transcript).
  • Second request: You realize after you submit the request that you also need to send a transcript to your hospital/residency program. This would constitute a new transcript request, and the fees will “start over”. Your cost would be $70 for the one transcript.
  • Third request: You realize the next day after reviewing the receipt for your first request that you entered a wrong state board. Unfortunately, the transcript would have already been provided to the original 6 boards you requested. (Barring any unusual issues with your request, transcripts typically go out the same day they are received. We process and send out transcripts to the state boards twice daily – once in the morning and again at the end of the workday.) Therefore, you would have to start a new transcript request. If you start a request to send your transcript to a 7th state board, the fees will again “start over”. Your cost would be $70 for the one transcript.

Cancellations/Changes 

Once you submit a transcript request(s), it cannot be cancelled. Please make sure you need a transcript and have entered the correct recipients before submitting a transcript request.

Transcripts are processed and available to recipients very quickly – usually within 24 hours of the transcript request being submitted. Therefore, we are not able to cancel, change or refund a request once it has been submitted.  

Transcripts will only be sent to the recipient(s) listed on the request. The recipient(s) cannot be changed. Additional recipients cannot be added later. If you need or would like a transcript sent to yourself, you must enter yourself as a recipient. We do not automatically send a copy of your transcript to you when you make a transcript request. To send a transcript to yourself, choose “Self” as a recipient when completing the online transcript request.  

FSMB will not hold a transcript pending the release of scores at a later date. If you have recently taken a USMLE Step and need that score to appear on your transcript, do not submit a transcript request until you have received your official score report. Your transcript cannot not be cancelled, and your fees will not be refunded, if you submit a transcript request before your scores are released to you. 

Processing Time 

Transcripts are processed and available to recipients very quickly – usually within 24 hours of the transcript request being submitted. Therefore, we are not able to cancel, change or refund a request once it has been submitted.

Processing will be delayed if there is a discrepancy between the name or date of birth provided on the transcript request and what we have in our database. All discrepancies are reviewed, verified (you must provide documentation verifying your name and/or date of birth) and corrected before the transcript is released.

Transcripts are processed Monday through Friday, between 8:00 a.m. – 5:00 p.m. (Central). Any office closures will be noted on the FSMB website. 

Method of Delivery  

All exam scores are confidential; an official transcript request must be submitted in order for FSMB to provide your transcript to you or to a third party.  

Scores will not be provided over the phone.

In response to COVID-19, the FSMB is providing official USMLE, FLEX, and SPEX transcripts to all entities and individuals in an electronic (PDF) format: 

  • State Boards – State medical and osteopathic boards will continue to receive transcripts electronically through a secure website.   
  • Physician (self) – If you need or would like a transcript sent to yourself, you must enter yourself as a recipient. We do not automatically send a copy of your transcript to you when you make a transcript request. Transcript will be sent to you via email at the email address you provide via the transcript request. The email will include a link for you to access and download the transcript.
  • Entities other than state boards and individuals other than Self (e.g., residency program, hospital, employer, parents) – Transcript will be sent to the entity or individual via email at the email address you provide via the transcript request. The email will include a link for the entity/individual to access and download the transcript. 

Information Provided on Transcript 

FSMB reports all available exam history. If you have history/scores for multiple examinations (e.g., USMLE and FLEX), transcripts for all examinations will be included. 

The official transcript includes the following:

  • Biographical information (name and date of birth).
  • Complete score/attempt history, including incomplete attempts. (Some state boards count incomplete attempts toward their exam attempt limits.)  
  • Indication of whether any disciplinary action has been reported to the FSMB by a state board or other regulatory agency. If action has been reported, a FSMB Physician Data Center (PDC) profile will be included.
  • Information regarding findings of irregular behavior and actions reported to the FSMB. Individuals found to have engaged in irregular behavior during a USMLE exam will have an annotation on the transcript, and the decision letter from the USMLE Committee for Individualized Review will be included. If the irregular behavior was reported to the FSMB’s Physician Data Center, a PDC profile will also be included.

 

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