美国执业医师资格考试(USMLE)指南2012

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A Joint Program of the Federation of State Medical Boards of the United States, Inc., and the National Board of Medical Examiners®

TABLE OF CONTENTS

OVERVIEW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Purpose of the USMLE. . . . . . . . . . . . . . . . . . . . . . . . . 1 The Three Steps of the USMLE. . . . . . . . . . . . . . . . . . 2 Examination Committees. . . . . . . . . . . . . . . . . . . . . . . . 2 Ownership and Copyright of

Examination Materials. . . . . . . . . . . . . . . . . . . . . . . 2 Computer-Based Testing (CBT). . . . . . . . . . . . . . . . . . 2 USMLE Step 2 Clinical Skills (CS) . . . . . . . . . . . . . . . 2 The Comprehensive Review of USMLE. . . . . . . . . . . 3

ELIGIBILITY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Step 1, Step 2 CK, and Step 2 CS. . . . . . . . . . . . . . . . . 4 Step 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Who Is Required to Take Step 2 CS?. . . . . . . . . . . . . . 4 Graduates of Unaccredited Medical Schools in the United States and Canada. . . . . . . . . . . . . . . 5 Sequence of Steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Number of Attempts Allowed to Complete

All Steps and Time Limits . . . . . . . . . . . . . . . . . . . . 6 Retakes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Official Performance of Record for Examinees Retaking a Previously Passed Step . . . . . . . . . . . . . 8 Formerly Administered Examinations. . . . . . . . . . . . . 8 Change in Eligibility Status. . . . . . . . . . . . . . . . . . . . . . 8

EXAMINATION CONTENT. . . . . . . . . . . . . . . . . . . . 9 Step 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Step 2 Clinical Knowledge (CK). . . . . . . . . . . . . . . . . 10 Step 2 Clinical Skills (CS). . . . . . . . . . . . . . . . . . . . . . 11 Step 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

PREPARING FOR THE TEST. . . . . . . . . . . . . . . . . 14 Materials Available Through USMLE. . . . . . . . . . . . 14 Materials Available Through Third Parties. . . . . . . . 14 Test Lengths and Formats. . . . . . . . . . . . . . . . . . . . . . 14 Practicing with the Software. . . . . . . . . . . . . . . . . . . . 14 Practice at Prometric Test Centers. . . . . . . . . . . . . . . 15 APPLYING FOR THE TEST AND SCHEDULING YOUR TEST DATE. . . . . . . . . . . . . . . . . . . . . . . . 16 Application Materials. . . . . . . . . . . . . . . . . . . . . . . . . . 16 Applying for Step 1, Step 2 CK, and Step 2 CS. . . . . 16Applying for Step 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Examinees Who Require Personal Items in the Testing Room. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Examinees with Disabilities Requesting Test Accommodations. . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Obtaining an Eligibility Period

for Step 1 and Step 2 CK. . . . . . . . . . . . . . . . . . . . 17 Obtaining an Eligibility Period for Step 2 CS. . . . . . 18 Obtaining an Eligibility Period for Step 3. . . . . . . . . 18 Scheduling Step 1, Step 2 CK, and Step 3. . . . . . . . . 18 Scheduling Step 2 CS. . . . . . . . . . . . . . . . . . . . . . . . . . 20 Summary of Process. . . . . . . . . . . . . . . . . . . . . . . . . . . 22

TESTING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Testing Regulations and Rules of Conduct. . . . . . . . 23 Personal Items. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Admission to the Test. . . . . . . . . . . . . . . . . . . . . . . . . . 25 Step 1, Step 2 CK, and Step 3. . . . . . . . . . . . . . . . . . . 25 Step 2 CS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

SCORING AND SCORE REPORTING. . . . . . . . . . 29 Examination Results and Scoring. . . . . . . . . . . . . . . . 29 Minimum Passing Scores. . . . . . . . . . . . . . . . . . . . . . . 30 Examinee Score Reports. . . . . . . . . . . . . . . . . . . . . . . 31 Score Rechecks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Score Reporting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Official USMLE Transcripts and Providing

Scores to Third Parties. . . . . . . . . . . . . . . . . . . . . . 32 Electronic Residency Application Service

(ERAS®). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

SCORE V ALIDITY AND

IRREGULAR BEHA VIOR. . . . . . . . . . . . . . . . . . 35 Validity of Scores. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Irregular Behavior. . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Anomalous Performance. . . . . . . . . . . . . . . . . . . . . . . 37 COMMUNICATING ABOUT USMLE. . . . . . . . . . . 38 Application and Registration Inquiries. . . . . . . . . . . 38 Scheduling and Test Center Inquiries. . . . . . . . . . . . 39 Test Administration Problems/Inquiries. . . . . . . . . . 39 General Inquiries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Step 3 and Medical Licensure Inquiries. . . . . . . . . . . 39

Copyright © 2012 by the Federation of State Medical Boards of the United States, Inc., and the National Board of Medical Examiners®(NBME®). The USMLE is a joint program of the Federation of State Medical Boards of the United States, Inc.,

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