USMLE changes tracker
Recent USMLE changes: new test software and 30-minute blocks in 2026, a higher Step 2 CK passing standard (218) from July 2025, IMG services moving to the FSMB in January 2026, new international surcharges, and Step 1 reported pass/fail since 2022.
Sources: usmle.org (software and blocks), NBME (fees), ECFMG (surcharges); other items as reported. Checked October 11, 2026.
| Change | When | Source |
|---|---|---|
| Step 1 moves to 14 blocks of 20 questions, 30 minutes each | May 14, 2026 | USMLE |
| Step 2 CK moves to 16 blocks of 18-20 questions, 30 minutes each | May 7, 2026 | USMLE |
| Step 3 on the new software | March 2026 | As reported |
| IMG USMLE services move to the FSMB | January 2026 | As reported |
| International surcharge: $210 (Step 1), $235 (Step 2 CK) | January 1, 2026 | ECFMG |
| 2026 fees: $695 Step 1 and Step 2 CK, $955 Step 3 | 2026 | NBME |
| Step 2 CK passing standard rises from 214 to 218 | July 1, 2025 | As reported |
| Step 3 passing standard rises to 200 | 2024 | As reported |
| Step 1 reported pass/fail | January 2022 | USMLE |
| Step 2 CS discontinued | 2021 | USMLE |
Official source & community discussion
USMLE: 2026 test software update (official) →
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