Intealth ECFMG

Educational Commission for Foreign Medical Graduates


COVID-19 Update for the USMLE Program

Delayed Change to USMLE Attempt Limit Policy

In February 2020, the United States Medical Licensing Examination® (USMLE®) program announced a reduction in the allowable number of exam attempts on each Step or Step Component from six to four that would go into effect no earlier than January 1, 2021. Due to the reduced testing capacity caused by COVID-19 (Coronavirus), the USMLE program is delaying the implementation of this policy change to no earlier than July 1, 2021.

Step 2 Clinical Skills (CS) Refunds

Last week, NBME and ECFMG sent e-mails to examinees who were registered to take Step 2 CS and were unable to test due to suspension of the exam. These e-mails included information about the refund process and timeline.


As the USMLE program continues its plans to expand USMLE testing, Prometric states that their testing capacity continues to increase as well. Since May 1, more than 21,000 USMLE examinees have tested. For examinees looking to secure a Prometric appointment, please continue to check the Prometric website for updated information, site openings/closings, and available appointments.

Examinees should continue to monitor the USMLE COVID-19 Resource Center, the USMLE website, and USMLE social media for updates.

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