USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
International Postgraduate Training Requirements