How to Register for USMLE STEP 1? Step-by-Step Guidance

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How to Register for USMLE STEP 1? Step-by-Step Guidance for USMLE STEP1 Registration.


If you are looking to register for the USMLE STEP 1, this post will provide you with a Step-by-Step Guidance on the USMLE STEP1 Registration

Step 1: The basic requirements:


1.  A Valid Passport

C:UsersmikeDownloadsboarding-pass (1).png

    • Use the exact printed name, if any changes are to be made, do so prior to registration.

    • Example: “William Bradley Pitt” is registered on ECFMG as: Last name = Pitt, Rest of the name = William Bradley.


2.  A Medical School RegisteredC:UsersmikeDownloadsschool.png on the World Directory of Medical Schools

    • Warning: Effective 2024, only schools with ECFMG accreditation will be allowed to participate in USMLE exams.


3.  A Credit/Debit Card with transferC:UsersmikeDownloadscredit-card.png limit of around $1100. If not available, you can link your bank account to PayPal and pay from there.

    • Read more about registration fees here .

4.  If graduatedC:UsersmikeDownloadsgraduated.png:

    • A Copy of your degree certificate PLUS a certified English translation.
    • A Performance transcript from your university.

5. Further info regarding eligibility can be found here .


Interview Preparation
The best way to learn something is to do it. That’s why we divide our one-hour interview preparation sessions into two parts. The first half of the session would be a mock interview as if you are interviewing with a program while the second half would provide you with feedback on your performance.

Step 2: Obtaining an ECFMG identification number


To start your USMLE STEP 1 registration, you will need to request a USMLE/ ECFMG identification number

First, go to the ECFMG website and select On-line services (as shown in 1) then choose IWA – Interactive Web Applications as shown in (2):




Click on “If you have never been issued a USMLE/ ECFMG identification number and want to request one, click here” as shown below (arrow):


Once you get redirected to the online portion of the application (Form 186),
fill in all details as appropriate, then pay the initial $150 fee.

Next, you will need to complete and notarize the Certification of Identification (Form 186).

Prior to the pandemic, notarization was a difficult and lengthy process. Luckily, it has been simplified to great extents.

  • First, visit NotaryCam and create an account.

  • Upload a scanned copy of your completed form 186 as well as the first page of your passport.

  • You will then receive an email to schedule for a video call, where you will verify your identity and sign the needed statements.

  • Following the notary call, you can check the status of your application through ECFMG’s Online Applicant Status and Information System (OASIS) or the mobile app (MyECFMG).

  • Tip: Make sure to dress appropriately, your profile picture is taken during this call!

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Step 3: Completing the application form and paying the fees.

  • Following the notary confirmation, you will receive an ECFMG Identification Number in 5 business days. Once you have it, go back to the IWA page and Login.



  • Click on “Begin New Application”. Choose the exam you want to apply for and fill in the required information accurately. Here are the instructions to fill the application. Note that only starred fields are necessary to fill in, the rest is up to you.
  • You will be asked about an eligibility period for your intended exam, this typically spans 3 months, but due to the pandemic, it may be longer. Very important to ensure that it is appropriate to your schedule.
  • It is crucial to choose an appropriate testing venue for the exam. Just choose your testing area after checking the Prometric website for the most up-to-date details on availability and testing center locations.
  • You must pay the examination fees at the end, which is currently $975. If you’re testing outside the US or Canada, an additional fee of $180 is imposed.
  • Note: You can postpone the date of your exam up to 3 times (the closer to the exam however, the higher the penalty fee). More information about rescheduling fees here .

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Step 4: Status Verification via the Student affairs at your Medical School

  • If your school is registered in the Medical School Web Portal (MSWP), ECFMG will send the request electronically. You just need to contact the academic affairs office at your college for confirmation. Once confirmed, you will receive a notification email.
  • Otherwise, you can complete the paper-based Certification Statement (Form 183). It will be provided at the end of the online application through Interactive Web Applications (IWA) after paying the fees. In addition, detailed instruction will be provided about how to fill the form.

Step 5: Further required documents.

  • If you have already graduatedC:UsersmikeDownloadscertificate.png from medical school, you must send a copy of your certified medical diploma in addition to a performance transcript, in English translation. If your school has a compulsory transitional (internship) year, you can provide your temporary certificate instead.
  • These documents can be submitted through the address below, by mail, or through the mobile app (MyECFMG).

Step 6: Issuing the scheduling permit from ECFMG.


This is simply an official document containing the exam instructions and eligibility period, you will receive it once your registration is complete. Nevertheless, it is important to have it on your exam day! 

Step 7: Scheduling your exam.


After receiving the scheduling permit, you can apply for the exact exam date through PROMETRIC . You can only choose dates within your previously selected eligibility period.

Prometric Global on Twitter: "Prometric has announced a temporary closure of their test centers in the United States and Canada for a period of 30 days, starting March 18. We anticipate re-opening

I hope this article helps you in your registration for the USMLE STEP 1. It is definitely an exciting time in your medical journey. I would love to hear your thoughts and comments below. If you find any value in this article, share it with your friends and colleagues. GOOD LUCK everyone!

By Rami Elmorsi, Hassan Ahmed A Alsahaf and Malke Asaad

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