In the United States of America , the medical
licensing authorities of the various states grant a
license to practice medicine and surgery. Each medical
board sets its own rules and regulations and requires
a passing score on an examination that demonstrates
qualification for being granted a license. Results of
the USMLE are then reported to these agencies for use
in issuing the initial license to practice medicine.
The USMLE provides the state boards with a integrated
evaluation system for doctors for initial medical
licensure. The USMLE examinations are sponsored by the
Federation of State Medical Boards (FSMB), and the
National Board of Medical Examiners (NBME).

The USMLE evaluates a doctor's skill in applying
knowledge, concepts, and principles, and to provide
evidence of basic patient skills, that are important
in healthcare and it is this knowledge that
constitutes the basis of safe and effective patient
care. Each of the three Steps of the USMLE is
important; no Step can stand alone in the evaluation

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