Introduction to USMLE Step 1: Overview of the Examination

The USMLE step 1 breakdown is designed to measure the medical knowledge of those pursuing a medical career. It is composed of multiple-choice questions (MCQs) created by committees of faculty members, investigators, and clinicians.

Questions test the examinee’s fund of information and their ability to interpret graphic and tabular material, identify pathologic and normal specimens, and solve problems with basic science principles.

The content outline for the exam includes 18 major topics weighted according to the importance and subdivided into normal and abnormal processes. Test questions may not cover all topics listed in the content outline, but overall coverage is comparable among the forms.

Examinees are encouraged to become familiar with the test software by completing the Step 1 interactive testing experience prior to the exam.

USMLE Step 1 Format of the Examination: Number of Blocks, Time Allotment, and Break Times

USMLE Step 1 is a one-day examination, divided into seven 60-minute blocks and administered in an 8-hour testing session. The number of questions per block on a given examination form may vary but will not exceed 40.

The total number of items on the overall examination form will not exceed 280. The examination also includes a minimum allotment of 45 minutes of break time and a 15-minute optional tutorial.

The amount of time available for breaks may be increased by finishing a block of test items or the optional tutorial before the allotted time expires.

reference: Brocali