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State Medical Board

PGT for Domestic Grads

PGT for International Grads

ABMS/SPEX/10 Year Rule

Step 3 USMLE Attempts

USMLE 7 Year

1 year

3 years

Yes

3 (10 total attempts)

7

2 year

3 years

No

2 attempts per step

7 or 10 (MD/PhD)

1 year

3 years

No

3 attempts per step

7 or 10 (MD/PhD)

1 year

3 years

Yes
Exempt if Board Certified

none

7 if first license
None if licensed

1 year

2 years

Yes
Exempt if NBME or ABMS

4

10

1 year

3 years

No

none

7 or 10 (MD/PhD)

2 years

2 years

No

none

7

1 year

3 years

No

6

7+

1 year

3 years

No

3 +

7

1 year

2 years

No

none

none

1 year

1 or 3 years. 1 year if Med. Sch. approved by California. 3 years if Med. Sch. not approved by California.

No

3

7 or 9 (Md/PhD)

1 year

2 years

No

none

7

1 year

3 years

No

2 per step

7 or 10 (MD/PhD)

1 year before 1988
2 years after 1987

1 year before 1988
2 years after 1987

No

5 attempts allowed on all steps combined - total

7

1 year

2 years

No

3 per step

10

1 year

2 years

No

6-step 1&2
3-step 3
*3 yrs of approved PGT required if outside of attempt limits

10
If Board Certified then None

1 year

3 years

No

3+

10

2 years

2 years

No

4 per step

none

1 year

3 years

Yes

4-step 2 & 3

10

1 year if graduated by 07/04
2 years if after 07/04

3 years

No

3
*Waiver required if more than 3

7

1 year

2 years

Yes
Exempt if Board Certified

4

10

1 year

2 years

No

6

7+

2 year

2 years

No

none

None - 5 years to pass Step 3

1 year

2 years

Yes

3 (if not licensed)
4 (if licensed and board certified)

  Step 3 must be passed within 5 years of Step 2 or before the end of the residency training

1 year

1 to 3 years

Yes

3

7

1 year

3 years

No

3

7

2 years

3 years

No

3

7

1 years

3 years

No

4 (each step)

10

3 years

3 years

Yes
Exempt if Board Certified

9 total attempts for all steps combined
Step 3 in 3 attempts

7 or 10 (MD/PhD)

2 years

2 years

No

3

none

1 year if before 07/03
3 years if after 07/03

3 years

No

5

7

2 years

2 years

No

6

7 or 10 (MD/PhD)

1 year

3 years

No

none

none

1 year

3 years

Yes
Exempt-150 CME Hrs 3yrs

3 attempts per step

7 or 10 (MD/PhD)

1 year

3 years

No

3 attempts per step

7

1 year

2 years

No

4 attempts per step

10

1 year

2 years

No

3 attempts per step

10

1 year

3 years

Yes
Waiver if ABMS and 150 CME Hrs in 3 years

3 or 4 w/Board Certification

7

2 years

3 years

No

none

none

1 year

1 year

No

none

7

2 years

3 years

No

3 attempts per step

7

1 year

3 years

Yes
Waiver if 150 cme hrs 3 yrs

4 attempts per step

10

Complete a Residency

Complete a Residency

No

3

7

1 year

3 years

No

3

7 (waived if licensed in 3 States)

1 year

3 years

Yes

3 attempts per step

7

2 years

2 years

No

3

7 or 10 (MD/PhD)

1 year

3 years

No

3

7

1 year

2 years

No

none

10+

1 year

2 years

No

SPEX Required

SPEX

2 years

2 years

No

3

7+

1 year

3 years

No

3

10

1 year

1 year

No

3+

10

1 year

1 year

No

7 total USMLE attempts

7

1 year AOA PGT

AOA PGT Required

1 year AOA PGT

AOA PGT Required

1 year AOA PGT

AOA PGT Required

1 year AOA PGT

AOA PGT Required

3 years for a full license, 2 years if a Resident w/contract in NV

(see notes)

1 year AOA PGT

AOA PGT Required

1 year AOA PGT

AOA PGT Required

1 year AOA PGT

AOA PGT Required

1 year AOA PGT

AOA PGT Required

2 years of PGT

AOA PGT Required

1 year AOA PGT or 3years of ACGME PGT

AOA PGT Required

1 year AOA PGT

AOA PGT Required

1 year AOA PGT

AOA PGT Required