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You may take the USMLE Step 1 exam a maximum of three times within a 12-month period. Your fourth attempt must be at least 12 months after your first attempt, and at least six months after your most recent attempt.
The Exam. As a pre-med, one of the most daunting and time consuming aspects of applying to medical school is studying for and taking the MCAT or Medical College Admission Test. When considering you for admission, medical schools look at this exam as a future reflection of how you may do on your USMLE Step 1 exam.