Educational Commission for Foreign Medical Graduates
Educational Commission for Foreign Medical Graduates
When you apply for Step 1 or Step 2 CK, you must select one of the testing regions from the list below where you will take the exam. Test centers offering Step 1/Step 2 CK are located in the countries listed below for each testing region. However, the availability of test centers is subject to change without notice. Before selecting your testing region, visit the Prometric website or contact Prometric for current information on the availability and location of test centers for Step 1 and Step 2 CK.
There is no international test delivery surcharge for the United States and Canada testing region. Effective January 1, 2025, if you select any testing region other than the United States and Canada, you must pay the international test delivery surcharge of $205 for USMLE Step 1 and $230 for USMLE Step 2 CK. This surcharge is in addition to the examination fee.
Note for applicants who select India testing region: Pursuant to Notification No. 28/2023-Central Tax, the USMLE program is required by the Indian government to collect and remit goods and services taxes for online information database access and retrieval (OIDAR) services provided in India, which include Steps 1 & 2 of the USMLE taken in India. Effective December 4, 2024, this 18% tax will be collected and remitted directly to India, and no amount will be retained by the USMLE program.
| Testing Regions | Location of Prometric Testing Centers |
|---|---|
| United States and Canada | Test centers are located in every U.S. state, as well as Guam, Puerto Rico, and the Virgin Islands. Test centers are located in the Canadian provinces of Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Nova Scotia, Ontario, Quebec, and Saskatchewan. |
| Africa | Ghana, Kenya, South Africa, and Uganda (For centers in Egypt, select Middle East testing region.) |
| Asia | Bangladesh, Malaysia, Pakistan, People’s Republic of China (For Hong Kong, select Asia testing region. For centers in other available cities in the PRC, select China testing region.), Philippines, and Singapore (For centers in India, select India testing region.) |
| Australia | Australia and New Zealand |
| China | People’s Republic of China (For Hong Kong, select Asia testing region. For centers in other available cities in the PRC, select China testing region.) |
| Europe | Armenia, Croatia, Denmark, France, Germany, Greece, Ireland, Israel, Italy, Latvia, Netherlands, Portugal, Spain, Switzerland, Turkey, and the United Kingdom |
| India | India (Please see above note for applicants who select India testing region.) |
| Indonesia | Indonesia |
| Japan | Japan |
| Korea | Korea |
| Latin America | Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Dominican Republic, Guatemala, Mexico, Peru, Trinidad and Tobago, and Venezuela |
| Middle East | Egypt, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, and United Arab Emirates (For centers in Israel, select Europe testing region.) |
| Taiwan | Taiwan |
| Thailand | Thailand |
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[Last update: December 31, 2024]
