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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.
They will also prep you for the first of your licensing exams, which you must pass to move on to the third and fourth years of medical school. After you complete your first two years of school, you must take Step 1 of the USMLE, which measures your ability to understand and apply basic science concepts to medicine.