Yes, USMLE Step 1 is currently reported as a pass or fail exam. While a numeric score is no longer provided, passing Step 1 is essential to continue in the USMLE pathway. Residency programs still value a strong knowledge base, but greater emphasis has shifted toward USMLE Step 2 CK scores, clinical experience, and overall application strength.

International medical graduates typically take USMLE Step 1 during their pre-clinical or early clinical years. Many IMGs aim to pass Step 1 before starting intensive clinical rotations or preparing for Step 2 CK. Early completion of Step 1 allows candidates to focus on building clinical experience and strengthening other parts of their residency application.

Preparation time for USMLE Step 1 usually ranges from four to six months, depending on the student’s academic background and study schedule. A structured study plan with consistent revision and question-based learning is crucial. Most candidates rely on standard resources and regular self-assessment to ensure readiness before taking the exam.

Program Insider provides complete, end-to-end Residency Match support for medical graduates applying to ACGME-accredited U.S. residency programs. The support covers the entire Match journey, including USMLE Step1, Step2ck, Step3 Exam training, residency program research, ERAS application guidance, clinical rotation planning, CV and profile optimization, interview preparation, Rank Order List (ROL) strategy, NRMP Match compliance, and post-Match or SOAP guidance if required. The approach is data-driven and Match-focused, helping applicants make informed decisions at every stage-from early planning to final Match outcomes-while aligning with ACGME, ERAS, NRMP, and ECFMG requirements.