How to register for the USMLE
Students and graduates of US and Canadian medical schools register for Step 1 and Step 2 CK through NBME; international graduates register through the FSMB, which took over IMG services in January 2026, as reported. Step 3 is registered through the FSMB. You pick an eligibility period, pay, receive a scheduling permit and book at Prometric.
Sources: NBME and USMLE; FSMB change as reported. Checked October 11, 2026.
NBME for US/Canadian school students and graduates; FSMB for IMGs and for Step 3.
A three-month window for Step 1 or Step 2 CK.
$695 for Step 1 or Step 2 CK, $955 for Step 3 (2026, NBME), plus any international surcharge.
Your scheduling permit lets you book a Prometric date inside your eligibility period.
Book early; extend your eligibility period ($70) if you need to.