Not yet authorisedLearn more about our status with test providers

GAPICTInternational Testing Centre
MedicalOwned by Federation of State Medical Boards (FSMB) and NBME

USMLE Step 2 CK

United States Medical Licensing Examination Step 2 Clinical Knowledge

The USMLE exam of clinical knowledge needed for supervised patient care.

Facts checked 21 October 2026

Duration
9h
Delivered through
Prometric
Results
Typically 2 to 4 weeks after the test date; USMLE advises allowing at least 8 weeks.

Not yet available at GAPICT

Register your interest and we will contact you if USMLE Step 2 CK becomes available in Lahore.

Register interestHow to book

Overview

USMLE Step 2 CK tests whether you can apply medical knowledge, skills and clinical science to patient care under supervision. It is a one-day computer-based exam at Prometric test centres. Results are given on a three-digit scale.

Who it is for

  • Medical students and graduates applying for US residency
  • International medical graduates seeking ECFMG Certification
  • Doctors preparing for US licensure

Where it is accepted

  • US medical licensure (USMLE sequence)
  • ECFMG Certification (medical science requirement)
  • US residency applications

Always check the current requirements of the university, employer, regulator or visa authority you are applying to.

Test format

USMLE Step 2 CK sections
SectionWhat it involves
Test session (from 7 May 2026)One 9-hour session: sixteen 30-minute blocks of up to 20 multiple-choice questions each, at least 55 minutes of break time and an optional 5-minute tutorial.
ContentClinical science for patient care, with emphasis on health promotion, disease prevention and patient-centred skills.

Total time: One 9-hour testing session.

Scores and validity

Scoring
Three-digit score scale. The minimum passing score is 218 for exams taken on or after 1 July 2025.
Validity
USMLE does not set an expiry for a pass. Licensing boards and residency programmes may set their own time limits. You are ineligible for any Step after four failed attempts at the same Step.

How long results take is shown at the top of this page.

Fees

Fees are set by the test owner, were checked on 21 October 2026, and can change. Confirm the price when you book. GAPICT never takes exam fees.

On test day

Identification

Scheduling permit plus a valid, unexpired government-issued photo ID (for example a passport or national identity card). The name must match the permit and be in Latin letters.

Arrive early, bring only what the test owner allows, and expect identity checks and a photo at check-in. Read our test day guide and exam day FAQs.

How to book

Exam seats for USMLE Step 2 CK are booked and paid on the test owner's own system. Delivered through: Prometric.

  1. 1

    Apply through the FSMB USMLE portal (international students and graduates). Then book a seat on the Prometric website within your 3-month eligibility period.

  2. 2

    Create or sign in to your account on the official booking site.

  3. 3

    Choose your exam, then a test centre, date and time.

  4. 4

    Pay the exam fee to the test owner and keep your confirmation email.

  5. 5

    Check the ID rules and arrive early on test day.

Book on official USMLE Step 2 CK website (opens in a new tab)

You book and pay with Prometric (ProScheduler) or the exam sponsor. Changes close to the test date usually cost a fee, set by the sponsor.

GAPICT cannot take bookings for this exam. Exam seats are booked and paid on the test owner's system.

Need help booking?

We can walk you through the test owner's registration, step by step.

Book a free registration help session

GAPICT's status with these organisations

USMLE Step 2 CK FAQs

What is the pass mark?
218 on the three-digit scale, for exams taken on or after 1 July 2025. It was 214 before that.
What changed in 2026?
From 7 May 2026 the exam uses sixteen 30-minute blocks instead of eight 60-minute blocks. The session is still 9 hours.
Can I reschedule within my eligibility period?
Yes, but a fee applies for changes made within 45 calendar days of your appointment. The new date must still fall within your eligibility period.
Do I also need an English test?
ECFMG Certification pathways require OET Medicine. Check ECFMG's current requirements.

Sources

Facts on this page were checked against these official sources on 21 October 2026. If anything here differs from the test owner's website, the owner's website is correct.

USMLE Step 2 CK and related names are trademarks of their owners and are used here only to describe the test. GAPICT is independent of Federation of State Medical Boards (FSMB) and NBME, is not endorsed by it, and is not currently an authorised centre for this test.

Related tests

Want to sit USMLE Step 2 CK in Lahore?

We are preparing to open in Lahore. Register your interest and we will contact you when your test becomes available at our centre.

Register your interestBook a free advice call