USMLE Exam Dates 2026

The USMLE Exam Dates 2026 are highly flexible, as the United States Medical Licensing Examination (USMLE) operates year‑round rather than on fixed calendar days. Administered jointly by the NBME and FSMB, the exam is divided into USMLE Step 1, USMLE Step 2 CK, and USMLE Step 3, each offered within a three‑month eligibility period that candidates select during registration. 

In 2026, candidates can book their exam slots at Prometric test centers across 80+ countries, with Step 3 limited to centers in the United States. Scheduling is first‑come, first‑served, and peak months (June–August) often fill quickly. Understanding the USMLE exam dates, eligibility windows, and rescheduling policies is crucial for timely preparation, visa planning, and career progression.

Explore real USMLE sample questions and boost your exam readiness with expert-curated practice material. Start preparing now!  

USMLE Exam Dates and Schedule 2026

The United States Medical Licensing Examination (USMLE) is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Unlike exams such as PLAB, the USMLE does not publish fixed dates. Instead, candidates select their exam date within an eligibility period after registering.

A breakdown of the availability, structure, and special considerations of each Step is provided below: 

Step 1 Schedule 

• Year-round availability: Candidates can schedule USMLE Step 1 exam dates any time during the year at Prometric centers worldwide. 

• Exam format: Step 1 is a single-day computer-based exam consisting of multiple-choice questions. 

• Eligibility window: Once approved, candidates receive a three-month eligibility period to select their exam date. This flexibility allows students to align the test with study readiness and other academic obligations. 

• International access: Step 1 is available for both U.S. and international candidates. Candidates outside the U.S. register through ECFMG, while U.S. students use NBME portals. 

• Booking tips: High-demand months include May–July and November–December. Booking early ensures you secure your preferred date and location. 

Step 2 CK Schedule 

• Year-round testing: Similar to Step 1, USMLE Step 2 CK exam dates are offered year-round, within a three-month eligibility window. 

• Single-day exam: Step 2 CK also consists of multiple-choice questions administered in one day. 

• Residency alignment: Step 2 CK scores are required for residency applications via ERAS. Many candidates schedule Step 2 CK to ensure scores are available before submission deadlines. 

• Booking tips: Early scheduling is recommended during peak months to avoid conflicts with Step 1 or Step 3 timelines. 

Step 3 Schedule 

• U.S.-only availability: USMLE Step 3 exam dates are available only at Prometric centers in the United States. 

• Two-day exam format: Step 3 is completed over two separate days, which must both fall within your eligibility window. The first day tests foundational knowledge, while the second focuses on clinical application. 

• Eligibility requirements: Candidates must have passed Step 1 and Step 2 CK before registering for Step 3. 

• January blackout: Step 3 is not offered during January 1–14 annually. Candidates should plan around this period to avoid delays in licensing timelines. 

• Booking advice: Due to limited slots in U.S. centers, secure your dates at least 6 months in advance for peak periods. 

Blackout Dates and Holidays 

• Federal holidays: No USMLE exams are administered on major U.S. holidays, including New Year’s Day, Independence Day, Thanksgiving, and Christmas. 

• Regional closures: Prometric centers may close for local events or maintenance. Candidates should verify availability on the Prometric live calendar. 

• Planning tip: Check the Prometric portal frequently, especially if your eligibility window overlaps with a holiday or blackout period, to avoid last-minute rescheduling. 

Also Read: USMLE After PG in India: How to Apply, Timeline, and Benefits 

How to Schedule Your USMLE Exam Date in 2026

Scheduling your USMLE exam dates 2026 is a structured process that ensures candidates can secure a preferred test slot within their eligibility window.  

Here is the step-by-step guide: 

1. Apply for Eligibility 

• U.S./Canada students: Must register through NBME (National Board of Medical Examiners) to apply for Step 1, Step 2 CK, and Step 3. 

• International students: Must apply via ECFMG (Educational Commission for Foreign Medical Graduates) for Step 1, Step 2 CK, and Step 3. 

• After approval, candidates receive confirmation and instructions on the next steps. 

2. Receive Scheduling Permit 

• Once your application is approved, you are issued a scheduling permit, which defines a 3-month eligibility window. 

• The permit is mandatory; you cannot book a test date without it. 

• Make sure your personal schedule aligns with the eligibility window before proceeding to booking. 

3. Book Test Slot at Prometric 

• With the permit, candidates can schedule their exam through Prometric, choosing the date, time, and test center. 

• Availability operates on a first-come, first-served basis. Popular months (May–July, November–December) fill quickly, so early booking is crucial. 

• Use the live Prometric calendar to check real-time availability and avoid delays. 

4. Reschedule or Extend if Needed 

• If your circumstances change, rescheduling is allowed, but fees vary depending on how close to the exam date you make the change. 

• Each Step allows one eligibility extension, also with an additional fee. 

• Extensions and rescheduling must be completed through Prometric and within your eligibility window. 

Also Read: USMLE Exam Centres in India – Check Complete List of Test Locations 

USMLE Exam Fees, Extensions, and Rescheduling in 2026

Understanding the USMLE exam fees 2026, eligibility extensions, and rescheduling policies is essential for proper planning and budgeting. Here’s a comprehensive guide: 

Registration Fees:  

Exam Step	Fee (USD)	Fee (INR)
Step 1	USD 695	₹61,160
Step 2 CK	USD 695	₹61,160
Step 3	USD 955	₹84,140

Eligibility Extensions:  

• Step 1 & Step 2 CK: One extension allowed per Step. 

• Request: Must be submitted before the original eligibility window ends. 

USMLE Rescheduling Policies (2026)

You can reschedule your USMLE Step exam through the Prometric website. Fees depend on how early or late you make the change. Below is the updated fee structure (Effective January 1, 2026):

Reschedule Timing	Fee (USD)	Fee (INR approx.)
46+ days before exam	$0	₹0
31–45 days before exam	$35	₹3,050
6–30 days before exam	$100	₹8,700
≤5 days before exam (US & Canada)	$142–$285	₹12,350–₹24,800
≤5 days before exam (Outside US & Canada)	$365–$410	₹31,750–₹35,670

Also check: How to Schedule Prometric USMLE

Peak Months and Best Time to Book the USMLE Exam Date 

Timing is critical when planning your USMLE exam dates 2026. Certain months experience high demand, so early booking ensures access to preferred test centers and slots. 

High-Demand Periods 

• May–July (Summer): Many students aim to finish Step 1 or Step 2 CK before the residency application season. 

• November–December (Year-End): Candidates often schedule Step 2 CK or Step 3 before the new year. 

• Impact: Slots during these months fill quickly. Late booking can limit location choices and preferred dates. 

Ideal Booking Strategy 

• Book at least 6 months in advance for high-demand months to secure your preferred test center. 

• Avoid scheduling near ERAS deadlines, especially for Step 2 CK, to allow time for score reporting. 

• Use the Prometric portal regularly to monitor live slot availability. 

Check out: USMLE Eligibility Complete Guide 

Score Release Timeline After USMLE Exam Dates 

Knowing when you’ll receive results is crucial for planning residency applications or next Steps. Here’s a breakdown for USMLE exam dates 2026: 

1. Standard Release 

• Step 1 & Step 2 CK: Scores are typically released 2–4 weeks after the exam date. 

• Step 3: Scores are usually available within 3–4 weeks. 

• This timing allows candidates to plan for residency applications, licensing, or next Step registration. 

2. Delays During Peak Periods 

• During high-demand months (May–July, November–December), processing times can extend to 6–8 weeks. 

• Factors affecting delays include volume of exams, holidays, and Prometric reporting schedules. 

3. Weekly Release Schedule 

• Scores are generally released on Wednesdays. 

• Candidates receive email notifications when results are available on the USMLE portal. 

Also Read: USMLE Exam Fees: For Step 1, 2 & 3  

Key Differences Between USMLE Steps for Scheduling 

Understanding the unique rules for each USMLE Step helps candidates plan efficiently and avoid scheduling conflicts. Here’s a breakdown for USMLE exam dates 2026: 

1. International vs U.S. Availability 

• Step 1 & Step 2 CK: Available at Prometric centers worldwide, making it accessible for both U.S. and international candidates. 

• Step 3: Can only be taken at U.S. Prometric centers, requiring careful planning for location and travel. 

2. Exam Day Format 

• Step 1 & Step 2 CK: Single-day exams consisting of multiple-choice questions. 

• Step 3: Two-day exam with separate testing sessions. Day 1 focuses on foundational knowledge, and Day 2 tests clinical application. 

3. Eligibility Order 

• Candidates must follow a strict sequence: 

1. Pass Step 1 

2. Pass Step 2 CK 

3. Then take Step 3 

• This order ensures readiness for each Step and aligns with licensing requirements. 

How should you prepare? Use these USMLE preparation tips and study strategies for a realistic and focused plan.  

Resources for Checking USMLE Exam Dates 2026

Using official, trustworthy sources ensures you have accurate and up-to-date information when planning your USMLE exam dates 2026. 

Resource	Purpose	Link
USMLE Official Website	Central source for exam announcements, policies, and updated scheduling information	www.usmle.org
NBME Registration Portal	For U.S./Canada students, handles registration, eligibility verification, and scheduling permits	www.nbme.org
ECFMG	For international applicants, handles registration, eligibility verification, and international test delivery	www.ecfmg.org
Prometric	Live test availability, booking, and rescheduling for all Steps	www.prometric.com/usmle

Conclusion

You have to plan your USMLE exam dates 2026 based on availability, eligibility windows, fees, and peak periods. Step 1 and Step 2 CK are available all year round on a global basis, but Step 3 is only available in the U.S. and not during the period between January 1 and January 14. Booking early, particularly in high-demand months such as May- July and November- December, would secure the choice of test centers and prevent scheduling clashes. 

Know registration costs, rescheduling options, and time limits, and match exam dates with score release dates to keep your eye on residency applications or licensing. Confirm dates and errors by using USMLE, NBME, ECFMG, and Prometric as official resources. 

Future planning and staying up to date can help you plan your USMLE Step 1, Step 2 CK, and Step 3 exam dates effectively, decrease stress, and increase your likelihood of success. 

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