United States Medical License Exams
Ross Med students can rely on a full range of academic and personal support throughout the academic journey—from the preclinical aspects of the program to application for licensure. Designed to encourage active learning, critical thinking, and leadership, a degree from Ross Med supplies students with the tools needed to successfully meet and exceed standards for graduation, residency attainment, licensure, and entry into their medical careers.
The United States Medical Licensing Examination® (USMLE®) Steps 1 and 2 are taken after the Medical Sciences curriculum and during the Clinical Sciences curriculum respectively. Step 3 occurs after graduation, typically during medical residency. After passing all three exams and completion of their medical residencies, doctors may apply for licensure.
Ross University School of Medicine's first-time residency attainment rate for 2024-2025 graduates.1
Ross Med graduates attained residencies in 2024.
Ross Med students' five-year cumulative USMLE Step 1® first-time pass rate.2
1 First-time residency attainment rate is the percent of students attaining a 2025-26 residency position out of all graduates or expected graduates in 2024-25 who were active applicants in the 2025 NRMP match or who attained a residency position outside the NRMP match.
2First-time pass rate is the number of students passing the USMLE Step 1 exam on the first attempt divided by the number of students whose first attempt was in 2019-2023. In order to sit for the USMLE Step 1 exam students must successfully complete the Medical Sciences curriculum and earn a satisfactory score on the NBME CBSE exam as listed in the student handbook.
USMLE STEP 1
A medical school might measure its success by the number of students who pass their first USMLE exam, and Ross Med students do well.
Students must pass USMLE Step 1 to begin their clinical training. The exam tests the general principles of the basic medical sciences. Students don’t need to know it all, but they do need a solid foundation of medical knowledge and skills.
Ross Med Clinical Academy of Teaching and Learning (cATL)
Aside from classroom learning, the Ross Med Clinical Academy of Teaching and Learning (cATL) helps students prepare for the USMLE Step 1. The cATL does this by working with students to develop a comprehensive plan to meet their preparation goals.
Providing individual or group support to help with test taking strategies, reasoning skills, concept clarification, and content specific review. In addition, students have access to:
- The Step 1 Rapid Synthesis Program: An 8-week program reviewing topics that are difficult to understand and need more in-depth study
- Four USMLE NBME-Style multiple choice question (MCQ) review sessions per week,
- Five National Board of Medical Examiners® (NBME®) practice exams
- Two Comprehensive Clinical Science Self-Assessment (CCSSA) tests
- Up to three Comprehensive Basic Science Subject Exams (CBSE)
- Access to online preparation tools such as UWorld and USMLE-Rx™
Many students take the USMLE Step 1 in April around the end of their second year of medical school, but Step 1 can be taken year-round. Students are expected to sit for Step 1 within 15 weeks after completion of the Medical Sciences curriculum.
USMLE Step 2
Students may take the USMLE Step 2 Clinical Knowledge (CK) during Clinical Sciences. Step 2 CK focuses on the clinical application of your expanding medical knowledge. The test assesses a student’s ability to apply medical knowledge, skills, and understanding of clinical science to the provision of patient care.
The USMLE Step 2 CK also probes students’ knowledge of disease prevention and health promotion, and ensures students are learning the principles of clinical sciences and basic patient-centered healthcare skills. Ross Med students' five-year cumulative first-time pass rate for the USMLE Step 2 CK exam is 93.6% from 2019-2023.*
*First-time pass rate is the number of students passing the USMLE Step 2 CK exam on the first attempt divided by the number of students whose first attempt was in 2019-2023. In order to sit for the exam students must earn an acceptable score on the NBME CCSE as listed in the catalog.
Ross Med Proactive Approach
Clinical training requires a steep learning curve, and with it comes vast amounts of new and important information. This requires students to remember and repeat a wide range of new skills and procedures—all of which will help them on the nine-hour-long multiple choice USMLE Step 2 CK.
Students must demonstrate their knowledge and ability across such disciplines as internal medicine, obstetrics and gynecology, pediatrics, preventive medicine, psychiatry, and surgery.
Recognizing this need, Ross Med takes a proactive approach to help students prepare for Step 2 CK with tutoring and study sessions as well as practice and sample cases and tests and web-based tutorials. Examples of available resources are the NBME CCSSA and CBSE as well as MCQ reviews. Further information and explanations can be found in the USMLE Bulletin of Information.
USMLE Step 3
In the fourth and final year of medical school, students begin applying to medical residencies. Qualifying students then graduate with a Doctor of Medicine (MD) degree, complete a medical residency—a minimum of three years—and pass the USMLE Step 3 prior to applying for licensure.
Most doctors-in-training take Step 3—a combination of multiple-choice questions and simulated clinical cases—during or after post-graduate year one (PGY-1). Preparing for Step 3—which is now more in the hands of individual doctors and their residency programs—includes absorbing volumes of notes, listening to audio study guides, watching video study aids, using flash cards and quick tables, answering thousands of sample questions, and taking sample tests—over and again. For RUSM students, passing the USMLE Step 3 is the reward for many years of hard work and the realization of achieving a lifelong dream.
Frequently Asked Questions
The USMLE has three steps: two typically taken during Clinical Sciences and one during residency.
The USMLE Step 3 is not required for residency, but doctors-in-training must pass the exam to be licensed to practice medicine.
USMLE costs for each step can be found through the usmle.org “Apply for Exams” page. A breakdown of USMLE costs for foreign medical graduates can be found on the ECFMG™ “Fees Overview” page.
Physicians must pass all three USMLE steps to become eligible to apply for a license to practice medicine in the United States.
Why Ross Med
Curriculum
The Ross University School of Medicine curriculum is designed to enable students to acquire and master basic sciences concepts and prepare to integrate knowledge of these concepts into clinical care.
Student Support
The Ross Advantage: Personalized support throughout your medical education. We support your success every step of the way.
Residency
The majority of our graduates secure residencies through the National Resident Matching Program.