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General Requirements

  • The college of medicine must receive official Step 1 results directly from the USMLE.
  • Students who elect not to release their Step 1 results to the college may be ineligible to begin clerkships, which may delay academic progression and graduation.
  • Preparation for or administration of Step 1 does not constitute grounds for a grade appeal.
  • Students must not schedule Step 1 during required curricular activities.

Actively Enrolled Students

  • Students must establish a MyUSMLE account and submit the Step 1 application and required fee before the Phase 2 clerkship lottery in December of Phase 1.
  • Students who fail to submit a Step 1 application by the clerkship lottery deadline will be excluded from the lottery process and assigned a clerkship schedule based on available placements.
  • Students must complete Step 1 before the start of the Acute Care and Clinical Transitions (ACCT) block.
  • Students whose first-attempt Step 1 results are pending on the first day of clerkships may be permitted to complete their first clerkship. To continue beyond the first clerkship, the college of medicine must receive official notification of a passing Step 1 result no later than the last day of that clerkship.
  • Requests to delay Step 1 beyond the start of the ACCT block due to exceptional and extenuating circumstances must be submitted to and approved by the office of admissions and student affairs (OASA). Approved students must:
    • Obtain an alternative clerkship schedule through OASA.
    • Work with their director of academic advising (DAA) to develop and adhere to a Step 1 completion plan.
    • Understand that a delay extending more than twelve (12) weeks beyond the ACCT block end date will require a leave of absence and will delay graduation.

Students Reattempting Step 1 or Returning from a Leave of Absence (LOA)

  • The college of medicine must receive an official notification of a passing Step 1 result no later than two (2) weeks before the start of the student’s alternative clerkship schedule.
  • Students are responsible for understanding and accounting for USMLE result reporting timelines when scheduling Step 1.

Approved by the Curriculum Committee: May 28, 2024
Approved by the Curriculum Committee: January 28, 2025
Approved by the Curriculum Committee: July 22, 2025
Approved by the Curriculum Committee: October 9, 2026