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United States Medical Licensing Examination

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2494: 631:(223) with Black and Hispanic applicants (216). Depending on the threshold score, an African American was 3–6x less likely to be offered an interview." "61% of minority applicants were accepted into an orthopaedic residency versus 73% of White applicants. White and Asian applicants and residents had higher USMLE Step 1. White applicants and matriculated candidates had higher odds of 2482: 1787:
Poon, Selina; Nellans, Kate; Rothman, Alyssa; Crabb, Rocio A.L.; Wendolowski, Stephen F.; Kiridly, Daniel; Gecelter, Rachel; Gorroochurn, Prakash; Chahine, Nadeen O. (November 2019). "Underrepresented Minority Applicants Are Competitive for Orthopaedic Surgery Residency Programs, but Enter Residency
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A study conducted in 2020 showed differences in USMLE Step 1 scores attributable to race and ethnicity, with lower mean scores for self-identified Black, Asian, and Hispanic examinees when compared with self-identified White examinees. The mean effect was larger when comparing Caucasian applicants
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The USMLE is sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). They developed it originally to provide state medical boards in the United States with a common examination for all licensure applicants. However, over time it has also been
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A review of the program was enacted in 2009. USMLE claimed it was done with the intention of orienting the examination to support the licensing decisions made by medical boards, transitioning the exam to a competencies schema and emphasizing the importance of scientific foundations of medicine
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Even though it was estimated that at least 60% of osteopathic medical students took at least one USMLE exam in 2020, physicians with D.O. degree are not required to take the USMLE for licensure or graduation. They are licensed as physicians by passing Parts I, II, and III of the
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The United States Medical Licensing Examination (USMLE) is required for medical licensure in the United States by all graduates of M.D.-granting American medical schools as well as all graduates of international medical schools. It consists of three examinations:
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wrote that this "multimillion-dollar industry has exploited the opportunity to extract thousands of dollars from already overly indebted students. Registering for STEP exams test cost $ 645–1300, while Step preparation materials and courses run much higher."
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The USMLE program also recommends that applicants for Step 3 have completed, or be near completion of, at least one year of postgraduate training in an accredited U.S. graduate medical education program that satisfies state board licensing requirements.
622:. Second, the pandemic crisis exacerbated existing resentment towards the high-stakes nature of the exam: namely, several students and physicians were upset that the USMLE refused to move up the 2022 deadline of making Step 1 into a pass or fail exam. 268:
In 2004, an examination with standardized patients to assess clinical-skills was added to Step 2 of the USMLE (Step 2 Clinical Skills), and required for licensure beginning with the medical school graduating class of 2005. During the
1888: 463:-accredited U.S. or Canadian medical school, or an equivalent MD degree from an international medical school listed in the World Directory of Medical Schools that meets ECFMG eligibility requirements and obtain ECFMG Certification. 1470:
Thundiyil, Josef G.; Modica, Renee F.; Silvestri, Salvatore; Papa, Linda (January 2010). "Do United States Medical Licensing Examination (USMLE) Scores Predict In-Training Test Performance for Emergency Medicine Residents?".
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Step 1 and 2 are typically completed by U.S. medical students during medical school, while Step 3 is usually taken by the end of the first year of residency. While the USMLE Step 1 and Step 2 CK exams can be taken at
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Haist, Steven A.; Katsufrakis, Peter J.; Dillon, Gerard F. (4 December 2013). "The Evolution of the United States Medical Licensing Examination (USMLE): Enhancing Assessment of Practice-Related Competencies".
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Rajesh, Aashish; Desai, Tej J.; Patnaik, Ronit; Asaad, Malke (September 2021). "Termination of the USMLE Step 2 CS: Perspectives of Surgical Residents with Diverse Medical Backgrounds".
2342: 2398: 2367: 1688:"The impact of United States Medical Licensing Exam ( USMLE ) step 1 cutoff scores on recruitment of underrepresented minorities in medicine: A retrospective cross-sectional study" 364:
As of 2024, to be eligible for the United States Medical Licensing Examination (USMLE), candidates must meet specific criteria based on the step of the exam they are applying for:
618:. The criticism was two-fold: First, for the mishandling and poor communication of exam cancellations by both USMLE program administrators and the third-party exam administrator, 2514: 2377: 2352: 2098: 422: 2519: 773: 737: 2454: 2362: 2091: 460: 404: 353: 1304:
DeZee, Kent J.; Artino, Anthony R.; Elnicki, D. Michael; Hemmer, Paul A.; Durning, Steven J. (July 2012). "Medical education in the United States of America".
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Chaudhry, Humayun J.; Katsufrakis, Peter J.; Tallia, Alfred F. (26 May 2020). "The USMLE Step 1 Decision: An Opportunity for Medical Education and Training".
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Part Examination program and the FSMB's Federation Licensing Examination (FLEX) program, that offered paths to medical licensing in the medical profession.
224: 2212: 2203: 684: 1191: 2337: 1604: 2459: 728: 73:
STEP 3: Application of medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine
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throughout the examination sequence. They also aimed to continue the assessment of clinical skill and interpretation of clinical information.
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and the Association of American Medical Colleges expressed their support for changing Step 1 to pass or fail, in part to reduce racial bias.
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USMLE announced a move to a pass/fail model on February 12, 2020, along with other changes. They claimed this was done in an attempt by the
978:"An Investigation of the Relationship Between COMLEX-USA Licensure Examination Performance and State Licensing Board Disciplinary Actions" 1870: 2133: 2016: 285: 232: 59: 647:
The US Medical Licensing Examinations have received criticism due to their high cost. As of 2023, the USMLE charges (in U.S. dollars):
2347: 418: 341: 281: 228: 55: 1423:"Are United States Medical Licensing Exam Step 1 and 2 Scores Valid Measures for Postgraduate Medical Residency Selection Decisions?" 976:
Roberts, William L.; Gross, Gretta A.; Gimpel, John R.; Smith, Larissa L.; Arnhart, Katie; Pei, Xiaomei; Young, Aaron (June 2020).
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Williams, Myia; Kim, Eun Ji; Pappas, Karalyn; Uwemedimo, Omolara; Marrast, Lyndonna; Pekmezaris, Renee; Martinez, Johanna (2020).
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STEP 2: Application of medical knowledge, skills, and understanding of clinical science essential for supervised patient care
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The examination was originally imparted using pencil and paper. In 1999, computerized examination delivery was included.
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Candidates must fall into one of the following categories at the time of application and on the day of the examination:
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extensively used by residency programs to predict residency performance and screen residents for selection during the
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Must be officially enrolled in, or a graduate of, a medical school outside the U.S. and Canada that is listed in the
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Cangialosi, Peter T.; Chung, Brian C.; Thielhelm, Torin P.; Camarda, Nicholas D.; Eiger, Dylan S. (March 2021).
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Must be officially enrolled in, or a graduate of, a U.S. or Canadian medical school program leading to the
626:
Racial differences in outcome associated with the use of USMLE Step 1 scores to grant residency interviews
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The USMLE was created in the early 1990s. The program replaced the multiple examinations, including the
304:: Assesses foundational medical science typically obtained during the first two years of medical school 2498: 2160: 1579: 2438: 2172: 1176: 288:(NBME) to balance focus between exams and actual coursework. The change became effective in 2022. 2229: 2198: 2138: 1813: 1769: 1452: 1329: 1286: 1080: 1007: 382: 236: 793: 786:
Ujian Kompetensi Dokter Indonesia (UKDI) Indonesian Doctor Competence Examination, in Indonesia.
17: 1831: 1508:"COMLEX-USA and USMLE for Osteopathic Medical Students: Should We Duplicate, Divide, or Unify?" 399:
Must be officially enrolled in, or a graduate of, a U.S. medical school program leading to the
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Edmond, Michael B.; Deschenes, Jennifer L.; Eckler, Maia; Wenzel, Richard P. (December 2001).
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Fulfill all other eligibility requirements as outlined in the USMLE Bulletin of Information.
425:(ECFMG) eligibility requirements, and must meet all other eligibility criteria of the ECFMG. 191: 156: 2486: 2414: 2177: 1740:"Racial Bias in Using USMLE Step 1 Scores to Grant Internal Medicine Residency Interviews" 1622: 665:
As part of a broader public plea for systemic changes to the improper use of USMLE exams,
658:$ 660 for Step 2 CK for US/Canada students (increasing to $ 670 in 2024), $ 1,000 for IMGs 2083: 1555: 1347: 239:(MD) degree are required to pass the USMLE for medical licensure. However, those with a 2420: 2143: 1980: 1889:"USMLE Step 1 Scoring Change Removes a Harmful Barrier to Holistic Specialty Selection" 1712: 1687: 1532: 1507: 1398: 1374:"Not the Last Word: Ending The Residency Application Arms Race—Starting with the USMLE" 1373: 1238: 1213: 777: 666: 878: 2508: 2428: 1756: 1739: 1290: 1084: 1011: 691: 187: 82: 1817: 1456: 1333: 2286: 2271: 1773: 1484: 651:$ 660 for Step 1 for US/Canada students (increasing to $ 670 in 2024), $ 1,000 for 313: 301: 1439: 1422: 1317: 1229: 994: 977: 2128: 2239: 1025: 958: 2314: 2309: 2304: 2299: 2293: 1668: 1641: 1523: 1389: 1274: 687: 680: 349: 244: 69:
STEP 1: Application of scientific principles basic to the practice of medicine
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The USMLE was met with criticism for their lack of adaptability during the
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test centers worldwide, the Step 3 can only be taken in the United States.
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membership compared with Black, Hispanic, and other groups. In 2020, the
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Overall pass rates for the individual Step exams that comprise the USMLE
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McGaghie, William C.; Cohen, Elaine R.; Wayne, Diane B. (January 2011).
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centers for Step 1 and Step 2 CK; at a U.S. Prometric centers for Step 3
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Papadakis, Maxine A. (2004). "The Step 2 Clinical-Skills Examination".
1026:"FSMB | State Specific Requirements for Initial Medical Licensure" 959:"FSMB | State Specific Requirements for Initial Medical Licensure" 865:"Change to Step 2 CK Passing Standard Begins July 1, 2022 | USMLE" 1733: 1731: 316:: Assesses the application of clinical knowledge to patient management 1703: 719:
Examen Nacional de Aspirantes a Residencias Médicas (ENARM) in Mexico
1605:"Delays, miscommunications add even more stress to USMLE Step exams" 1192:"USMLE Step 1 Is Now Pass/Fail - Who Benefits From This Big Change?" 250:
States may enact additional testing and/or licensing requirements.
273:, USMLE Step 2CS was initially suspended and later discontinued. 445:
Successfully obtain passing scores on both Step 1 and Step 2 CK.
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The "Comprehensive Osteopathic Medical Licensing Examination" (
661:$ 915 for Step 3 for all students (increasing to $ 925 in 2024) 413:
Medical Students or Graduates of International Medical Schools:
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Medical Students or Graduates of U.S. or Canadian MD Programs:
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More than 100,000 medical school students and graduates (2020)
1871:"USMLE Step 1 moves to pass-fail: Answers to 7 key questions" 1669:"Students Upset by USMLE Response to COVID-19 Demand Changes" 1177:"Work to relaunch USMLE Step 2 CS discontinued | USMLE" 320:
Previously, USMLE included a clinical skills portion called
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Examination for Provisional Registration (EPR) in Malaysia.
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Saudi Medical Licensing Examination (SMLE) in Saudi Arabia
310:: Evaluates the applicant's knowledge of clinical medicine 1642:"USMLE Testing Chaos May Harm Current and Future Doctors" 2343:
American Association of Colleges of Osteopathic Medicine
2078: 2071: 1928:"Exam Fees: United States Medical Licensing Examination" 1907:"USMLE Change Benefits Students, Reflects AAFP Guidance" 789:
Bahrain Medical Licensure Examination (BLME) in Bahrain.
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Journal of the American Academy of Orthopaedic Surgeons
247:(COMLEX) exams but may also sit for the USMLE as well. 202: 2368:
Accreditation Council for Continuing Medical Education
2003:"Step 1 test for medical students should be pass/fail" 752:(MCI-FMGE conducted by National Board of Examinations) 47:
Computer-based, three-part sequence, standardized test
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Educational Commission for Foreign Medical Graduates
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Accreditation Council for Graduate Medical Education
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Educational Commission for Foreign Medical Graduates
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Bryan (February 2022). 395:Medical Students or Graduates of U.S. DO Programs: 223:) is a three-step examination program for medical 1207: 1205: 774:Professional and Linguistic Assessment Board test 738:Medical Council of Canada Qualifying Examination 2363:Commission on Osteopathic College Accreditation 1050: 1048: 1046: 405:Commission on Osteopathic College Accreditation 354:National Board of Osteopathic Medical Examiners 768:National Examination for Medical Practitioners 27:U.S. examination program for medical licensure 2099: 8: 1950: 1948: 1378:Clinical Orthopaedics & Related Research 1100: 1098: 1096: 1094: 600:Comparison of MD and DO in the United States 436:To be eligible for Step 3, candidates must: 30: 2515:United States Medical Licensing Examination 1922: 1920: 217:United States Medical Licensing Examination 31:United States Medical Licensing Examination 2455:Issues in higher education inside the U.S. 2106: 2092: 2084: 29: 2520:1990s establishments in the United States 1755: 1711: 1531: 1438: 1397: 1237: 993: 2338:Association of American Medical Colleges 804:https://sanjeshp.ir/Content.aspx?click=7 487: 2477: 1556:"Bulletin of Information | Eligibility" 814: 729:Hong Kong Medical Licensing Examination 511:Examinees from Non-US/Canadian Schools 2358:Liaison Committee on Medical Education 2115:Medical education in the United States 756:National Eligibility and Entrance Test 387:Liaison Committee on Medical Education 227:in the United States sponsored by the 1512:Journal of Graduate Medical Education 792:Kunskapsprov för läkare, overseen by 637:American Academy of Family Physicians 243:degree (DO) are required to take the 7: 1983:. Federation of State Medical Boards 2079:For International medical graduates 1372:Bernstein, Joseph (December 2016). 505:U.S. D.O. medical school examinees 499:U.S. M.D. medical school examinees 455:Possess an MD or DO degree from an 286:National Board of Medical Examiners 233:National Board of Medical Examiners 60:National Board of Medical Examiners 2460:Physician shortage inside the U.S. 2348:National Resident Matching Program 851:"Step 3 Exam Content | USMLE" 419:World Directory of Medical Schools 342:National Resident Matching Program 282:Federation of State Medical Boards 229:Federation of State Medical Boards 56:Federation of State Medical Boards 25: 1473:The Journal of Emergency Medicine 441:Have Passed Step 1 and Step 2 CK: 324:. It was discontinued during the 2492: 2480: 2373:American Osteopathic Association 1832:"Should the USMLE be pass/fail?" 1757:10.1097/00001888-200112000-00021 716:(AMC) examinations in Australia. 18:US Medical Licensing Examination 1667:Frellick, Marcia (4 May 2020). 1603:Murphy, Brendan (2 June 2020). 1143:New England Journal of Medicine 907:"Taking the USMLE® | NBME" 893:"Performance Data | USMLE" 653:International medical graduates 2235:Doctor of Osteopathic Medicine 2209:International medical graduate 2017:"Saudi Medical Licensing Exam" 1485:10.1016/j.jemermed.2008.04.010 723:Épreuves classantes nationales 241:Doctor of Osteopathic Medicine 1: 1623:"Step 1 in the Time of COVID" 799:National Medical Exam in Iran 2333:American Medical Association 2183:Continuing medical education 2053:"Knowledge test for doctors" 2031:"Medical Examination - LMRA" 1875:American Medical Association 1640:Krupp, Lexi (15 June 2020). 1609:American Medical Association 1440:10.1097/ACM.0b013e3181ffacdb 1318:10.3109/0142159X.2012.668248 1263:Journal of Surgical Research 1230:10.1097/ACM.0000000000003847 995:10.1097/ACM.0000000000003046 322:USMLE Step 2 Clinical Skills 186:State medical boards in the 163:Annual number of test takers 744:Pakistan Medical Commission 128:STEP 3: 1-300 (198 to pass) 126:STEP 2: 1-300 (214 to pass) 94:; 32 years ago 2536: 2151:Graduate medical education 714:Australian Medical Council 610:USMLE response to COVID-19 597: 235:(NBME). Physicians with a 2204:Osteopathic Medicine (DO) 1981:"Step 3 Application Fees" 1524:10.4300/JGME-D-21-01196.1 1390:10.1007/s11999-016-5108-5 1275:10.1016/j.jss.2021.03.031 469:Meet Additional Criteria: 81:Medical licensure in the 1802:10.5435/JAAOS-D-17-00811 1120:10.1001/jama.2013.282328 921:"FSMB | Step 3 FAQ" 837:"Step 2 CK | USMLE" 750:Medical Council of India 746:NEBand NLE Exam,Pakistan 643:Financial considerations 451:Hold an MD or DO Degree: 2434:William Stewart Halsted 1580:"2019 Performance Data" 879:"Overview | USMLE" 292:Description and purpose 116:STEP 3 (Day 2): 9 hours 114:STEP 3 (Day 1): 7 hours 1692:Health Science Reports 1069:10.1001/jama.2020.3198 776:(similar exam used in 823:"Step 1 | USMLE" 762:Nepal Medical Council 731:(HKMLE) in Hong Kong. 598:Further information: 502:(US 1st-time takers) 368:Step 1 and Step 2 CK: 352:examination from the 403:, accredited by the 385:, accredited by the 2439:Andrew Taylor Still 2173:Board certification 1155:10.1056/NEJMp038246 704:Ärztliche Prüfungen 490: 174:STEP 1: US$ 645.00 32: 2399:Specialty colleges 2230:Doctor of Medicine 706:, overseen by the 698:In other countries 683:) is required for 488: 484:Pass rates by exam 237:Doctor of Medicine 178:STEP 3: US$ 895.00 176:STEP 2: US$ 645.00 2468: 2467: 2326:Regulatory bodies 1796:(21): e957–e968. 1788:at Lower Rates". 1750:(12): 1253–1256. 1744:Academic Medicine 1427:Academic Medicine 1384:(12): 2571–2576. 1218:Academic Medicine 1149:(17): 1703–1705. 1114:(21): 2245–2246. 1063:(20): 2017–2018. 982:Academic Medicine 633:Alpha Omega Alpha 616:COVID-19 pandemic 596: 595: 514:(Int'l 1st time) 508:(US DO 1st time) 326:COVID-19 pandemic 271:COVID-19 pandemic 213: 212: 124:STEP 1: pass/fail 16:(Redirected from 2527: 2497: 2496: 2495: 2485: 2484: 2483: 2476: 2108: 2101: 2094: 2085: 2075: 2074: 2072:Official website 2057: 2056: 2049: 2043: 2042: 2040: 2038: 2027: 2021: 2020: 2013: 2007: 2006: 2005:. March 8, 2019. 1999: 1993: 1992: 1990: 1988: 1977: 1971: 1970: 1968: 1966: 1952: 1943: 1942: 1940: 1938: 1924: 1915: 1914: 1903: 1897: 1896: 1891:. Archived from 1885: 1879: 1878: 1867: 1861: 1860: 1858: 1856: 1846: 1840: 1839: 1828: 1822: 1821: 1784: 1778: 1777: 1759: 1735: 1726: 1725: 1715: 1704:10.1002/hsr2.161 1683: 1677: 1676: 1664: 1658: 1657: 1655: 1653: 1637: 1631: 1630: 1619: 1613: 1612: 1600: 1594: 1593: 1591: 1590: 1576: 1570: 1569: 1567: 1566: 1552: 1546: 1545: 1535: 1503: 1497: 1496: 1467: 1461: 1460: 1442: 1418: 1412: 1411: 1401: 1369: 1363: 1362: 1360: 1358: 1348:"Test Locations" 1344: 1338: 1337: 1301: 1295: 1294: 1258: 1252: 1251: 1241: 1209: 1200: 1199: 1187: 1181: 1180: 1173: 1167: 1166: 1138: 1132: 1131: 1102: 1089: 1088: 1052: 1041: 1040: 1038: 1036: 1022: 1016: 1015: 997: 973: 967: 966: 955: 949: 948: 946: 945: 931: 925: 924: 917: 911: 910: 903: 897: 896: 889: 883: 882: 875: 869: 868: 861: 855: 854: 847: 841: 840: 833: 827: 826: 819: 491: 209: 206: 204: 192:U.S. Territories 102: 100: 95: 33: 21: 2535: 2534: 2530: 2529: 2528: 2526: 2525: 2524: 2505: 2504: 2503: 2493: 2491: 2481: 2479: 2471: 2469: 2464: 2443: 2415:Abraham Flexner 2403: 2394:Medical schools 2382: 2321: 2249: 2218: 2187: 2117: 2112: 2070: 2069: 2066: 2061: 2060: 2051: 2050: 2046: 2036: 2034: 2033:. 28 March 2021 2029: 2028: 2024: 2015: 2014: 2010: 2001: 2000: 1996: 1986: 1984: 1979: 1978: 1974: 1964: 1962: 1956:"Fees Overview" 1954: 1953: 1946: 1936: 1934: 1926: 1925: 1918: 1905: 1904: 1900: 1887: 1886: 1882: 1869: 1868: 1864: 1854: 1852: 1848: 1847: 1843: 1830: 1829: 1825: 1786: 1785: 1781: 1737: 1736: 1729: 1685: 1684: 1680: 1675:. 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