It is the final examination in the USMLE sequence leading to a license to practice medicine without supervision. This two-day exam assesses the examinee’s ability to apply medical knowledge and the understanding of biomedical and clinical science essential for the unsupervised practice of medicine, with emphasis on patient management in ambulatory settings. Day 1: Foundations of Independent Practice (FIP) Day 2: Advanced Clinical Medicine (ACM)
| Minimum score to pass: | 196 |
| Number of questions: | Day 1: 233 multiple choice questions on a computer; Day 2: 180 multiple choice questions on a computer, followed by 13 clinical case simulations on a computer |
| Duration: | Two 8-hour days |
| Additional Information: | Most states require completion of 1 year of residency to be eligible to take an exam, but several states do not have a residency requirement.Understanding of clinical science considered essential Understanding of clinical science considered essential for the unsupervised practice of medicine |
| Exam content: | Internal Medicine, Pediatrics, OB/GYN, Surgery, Neurology, Psychiatry, |