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Frequently Asked Questions

Which package should I choose?

Standard Package – This package will be a 3-day session. The first 2 days cover all components of the Step 2 CS, and on the 3rd day, you will get to take a mock test with 6 cases. You will get a feedback from our professional SPs, patient note review by MDs, and a Comprehensive Performance Report, which will detail your strengths and weaknesses. You will be able to practice at the center for 2 weeks with other students or you can hire SPs and have your patient notes reviewed by MDs. You will get a lab coat.

Premium Package – MOST POPULAR PACKAGE – Standard package plus unlimited access to the center, and an additional 12 cases mock test. That means a total of 18 mock test cases. The 2nd mock test with a completely separate set of cases can be taken at a date closer to your actual test. You will also receive a Littman Classic Stethoscope, lab coat, and patient gown to practice.

Mock Test  – The mock test with 12 cases is held only on Sundays. You should take the mock tests, only if you believe you are adequately prepared for the test. You should use this as a diagnostic test for your CS test. If you have failed before, or are unsure of the standards expected of you, we strongly recommend our Standard or Premium packages.

How much preparation do I have to do, BEFORE taking your course?

You do not have to prepare for the CS before coming to the course. We suggest that you come with an open mind, and a willingness to learn. It usually takes about 2 to 3 weeks of intense prep to be ready for the test. You might want to brush up on your typing skills.

How long do I need AFTER the course?

Although we have had students taking the exam within the week after the course, it usually takes about 2-3 weeks after the course to prepare for the exam. Remember that the new format demands more precise history taking, physical exam, and well-written patient notes. That’s why you need a lot of practice before you take the exam.

What is your passing rate?

We have taught over 5500 students since we started in 2009, and we have a 97 % pass rate. More than just passing, 30% of our recent test takers have gotten high performance in one or more components of the Step 2 CS test. And our average score for our Step 1/ 2 CK is 237.

What is your Comprehensive Perfomance Report (CPR)?

Our CPR is a detailed report, outlining your performances in all the components of the CS test – CIS, ICE, and SEP. We conduct ongoing statistical studies to predict how our CPR will reflect your performances in the real CS test.

Where is the course conducted?

The first day of the course is conducted at Touro College of Medicine (230 West 125th Street, NY 10026). From the 2nd day onwards, the course is conducted at our NYCSPREP Center of Clinical excellence (1970 Adam Clayton Powell Jr Blvd, NY 10026). This well-equipped, state-of-the-art center has facilities for group study sessions, conference rooms, and OSCE rooms.

Where is the nearest airport?

The nearest airports are JFK and LGA.

How do I get to the venue?

There is ample public transportation. The A, B, C, D trains to West 125th Street Station. The 4,5,6 trains to East 125th Street Station. Cabs into the city are at a standard fixed fee.

Who is your teaching faculty?

All our faculty members are practicing physicians. Our faculty is extremely experienced in teaching Step 2 CS and we have helped AMGs, FMGs, DOs, old and new graduates, and even those who have had unsuccessful attempts with USMLE Steps. Our experience as practicing physicians helps us to provide ‘real world’ experience to our students. For example, how to treat these ‘actors’ as real patients, how to write appropriate Patient Notes, which will reflect your medical competence and expertise, etc.

Who are your Standardized Patients?

Our Standardized Patients or SPs are an integral part of our success. They have all been part of our USMLE program since inception. They have the experience of working at various medical schools and are professionally trained to provide an evaluation of your performance.

Do you have this course in other States?

We have been conducting USMLE prep course in New York for the past 8 years. We also conduct courses in India, Puerto Rico and the Dominican Republic.

Can I change or cancel the date?

Yes, you can. For more information on rescheduling or canceling the program, please refer to our refund policy.

Can I get a discount?

Our USMLE prep courses prepare you to face the USMLE exam with confidence and we believe that our USMLE prep course fees are very cost-competitive. Additionally, we are affiliated with several schools, and some of these schools provide discounts to their students. Contact your medical school to find out if you are entitled to a discount.

Any information about affordable stay near your location?

Our students have recommended a few affordable stays in NYC. Please note that they are just suggestions and not our recommendations.
Jazz on the Park (36 W 106th St, New York, NY 10025 | 212 932 1600)
Harlem YMCA (891 Amsterdam Ave, New York, NY 10025 | 212 932 2300)
Astor on the Park (65 Central Park West, New York, NY 10025 | 888 591 2799)
Royal Park Hotel (258 W 97th St, New York, NY 10025 | 212 665 7434)

USMLE Step 1

What is USMLE Step 1 exam?

The USMLE Step 1 exam is the first component of USMLE and it evaluates your knowledge and understanding of foundational concepts and your ability to apply these essential concepts of science to practice medicine. Hence, it’s important to have a detailed study timeline and schedule for each day of your USMLE Step 1 preparation.

How can I apply for USMLE Step 1?

To appear for USMLE Step 1, 2 CK and 2 CS exams, you need to first register with the ECFMG at Once you are done with the registration, you will get an ECFMG identification number. Later, you will need to send Certification of Identification (Form 186) signed by a Dean and Notary service.

When is the best time to apply for USMLE Step 1?

The best time to take Step 1 is when:

  • Your basic science knowledge is fresh in your mind.
  • You’ve sufficient time to study.

Most medical schools build one to two months of dedicated study time into the curriculum once students complete the basic science courses. Many test-prep training centers recommend at least two to three months of study so that you are prepared adequately.

Traditional medical schools recommend taking Step 1 late in the second year.During this time, students would have completed the curriculum that forms the basics of the Step 1 exam. However, newer medical schools adopt a curriculum that weaves together these basic science classes with early clinical experience and they may recommend their students to take Step 1 between the end of the first year to the third year.

Ideally, the best time to give the USMLE Step 1 exam is after or late in the 3rd year. If for whatever reasons that’s not possible, you can take the exam once your internship begins. However, keep in mind that Step 1 has to be completed within the 6 months of internship to spare so that you have Step 1 score ready to apply for electives in the US.

What is the minimum passing score for USMLE Step 1?

The minimum USMLE Step 1 passing score is 194. It was last increased from 192 on December 12, 2013. This new passing score is effective for all students appearing for Step 1 examination on or after January 1, 2018.

How many questions are there in Step 1?

Step 1 is a computer-based test taken in a single day spread through an eight-hour period. It has seven sections of up to 40 multiple choice questions for each section. So, a total of up to 280 questions for all seven sections. One hour is allotted for each of the seven sections.

How long is the Step 1 score valid?

The Step 1 score is valid for seven years. The seven-year period begins on the exam date of the first step and ends on exactly seven years after. However, if you do not pass all the required USMLE Steps within seven years, your earliest USMLE passing performance will become invalid for ECFMG Certification.

How many times can you take Step 1 in a year?

You can retake the USMLE Step 1 exam up to 6 times. However, you can take the exam three times max. in a year.

What is the marking scheme of USMLE Step 1? How is the Step 1 score calculated?

Step 1 scores usually range from 1 to 300. Although the passing score is 194, most of the students score in the range of 140 to 260. However, the USMLE programs do not reveal how they calculate this three-digit number. The standard deviation and national mean are approx. 20 and 229, respectively.

What are some common mistakes people make while preparing for the USMLE Step 1?

These are the most common mistakes people make while preparing for USMLE Step 1:

Mistake #1: Passive reading. Just reading the book doesn’t help in retaining the information. Going through practice questions before or after you review a topic can help you retain information and also stay mentally active.

Mistake #2: Rote learning instead of understanding. Memorizing the content without actually understanding it will not help you in the long run. If you are taking a practice test and come across a question you don’t know to solve, best is to look it up for in a book. The reasoning behind how or why you got the answer wrong will actually help you remember it better.

Mistake #3: Misreading or misinterpreting questions. Sometimes, you tend to misread or misinterpret the questions on the practice sheets. Review such questions and understand the reasoning behind the questions.

Mistake #4: Studying in the wrong location. While preparing for USMLE Step 1, you need to mirror your studying to real exam setting. Keep the distractions away. Put off the TV and music and work in a quiet room.

By attending NYCSPREP’s USMLE Step 1 prep course, you’ll be able to avoid all these mistakes. You’ll be mentored and guided with the best of study tips, resource materials and constant feedback, ensuring that you are preparing for the exam the right way.

What is a great score in the USMLE Step 1?

A score of 260+ is a great score in USMLE Step 1. A minimum score of 240 is also a good score to attain US residency. The mean score of USMLE Step 1 is 229.

How should I start preparing for USMLE Step 1?

USMLE Step 1 is the first step of USMLE and any anxiety or restlessness you may be facing is quite understandable. Here are a few things that can help you start preparing for USMLE Step 1 to get the best score:

  1. Set a goal.
  2. Start studying early.
  3. Choose the right resources.
  4. Enroll for a USMLE Step 1 prep course to follow an effective and well-researched study strategy and schedule that can prepare you better so that you can face the exam confidently.
Can I take USMLE Step 1 after MBBS?

Yes, you can take USMLE Step 1 after MBBS. However, sooner you take the exam, the better it is for you. We recommend taking the Step 1 as soon as you complete the basic science subjects for the simple fact that it is easier to recall difficult subject matter.

Can a 5th year medical student take the USMLE Step 1 exam?

Undoubtedly, yes. Generally, medical students take Step 1 after their 3rd year, after finishing the basic years. In our opinion, it is a good idea to take it after the basics because the materials are still fresh in your mind and it won’t take a lot of time for studying.

Shortly, the great time to take the test is the time that you feel you are totally ready to pass it with a satisfying score.

Which books are necessary to score 250+ in the USMLE Step 1?

Well, there is no such book or resource that will guarantee you the scores you desire. Study plan and schedule play an important role in achieving good scores. USMLE prep course for USMLE Step 1 can provide you an effective study plan/schedule by using the right type of books and resources.

NYCSPREP course for Step 1 includes content knowledge materials that are well-structured and well-explained. The course also includes simulated exams that introduce and familiarize you with the USMLE style questions you will be asked in the real exam. The benefits of enrolling in NYCSPREP Step 1 prep course are:

– You are better enabled to predict your test performance.

– You increase your chances of getting the specialty you desire.

How to score well in USMLE Step 1?

Firstly, you need to have a robust study plan in place. Your preparation time needs to start at least 10 weeks before the exam. Resources you can use are:

  • USMLE Step 1 Books
  • Question banks
  • NBMEs

You can save yourself all the hassles by just enrolling into NYCSPREP USMLE Step 1 prep course.  You’ll be guided and prepped for Step 1 through well-researched schedules and study plans.
Our students are averaging between 230s and 240s in their Step 1 score.

Is there any time limit between USMLE’s step 1 and 2?

No. there is no time limit between USMLE Step 1 and Step 2. However, the exam scores become invalid after 7 years. Therefore, you should take all three exams – Step1, Step 2 CK & Step 2 CS within 7 years of your first exam. You may want to wait until you receive your USMLE Step 1 score prior to scheduling for Step 2 CK.

Is 236 enough for the USMLE Step 1?

Whether the score is good enough or not depends on the specialty you are aiming at. If the specialty you desire is not competitive, the score of 236 may suffice to some extent. However, how you perform in other rounds of the application process of USMLE also matters.

How many blocks are there in Step 1? What is the exam pattern for USMLE Step 1 and what are the subjects covered?

Step 1 is a one-day examination, divided into seven blocks of 60-minute each carried out in one 8-hour testing session, out of which 1 hour is the break time. The number of questions for each block may vary but will not exceed 40.

Each Step 1 examination covers content related to the following disciplines:

  • Anatomy
  • Behavioral Sciences
  • Biochemistry
  • Biostatistics and Epidemiology
  • Microbiology
  • Pathology
  • Pharmacology
  • Physiology

The Step 1 examination also covers content related to the following interdisciplinary areas:

  • Genetics
  • Aging
  • Immunology
  • Nutrition
  • Molecular and Cell Biology
Can you retake the Step 1?

Yes. You can reappear for the Step 1 for up to 6 times. However, you can retake the exam a maximum of 3 times in a year and there should be a gap of at least 6 months after your most recent attempt.


What is the USMLE Step 2 CS exam?

The USMLE Step 2 CS (Clinical Skills) exam tests your ability to effectively communicate with patients, conduct relevant physical examinations, take patient notes and correctly explain your findings to patients and physician. Step 2 CS is an interactive full-day assessment of your clinical skills and your ability to show compassion while communicating with patients. You’ll examine actors who pretend to be patients (standardized patients) with specific health conditions.

How do I study for USMLE Step 2 CS?

Practicing more with a study partner, a friend or a medical student is the best way to study for USMLE Step 2 CS. The conversation in English is a must. While practicing with a study buddy, it is important that a complete patient encounter and note taking is practiced. Enrolling in a USMLE Step 2 CS also prepares you for the exam by offering a real-exam environment with live patient simulation experience, constant feedback, and practice sessions. Watching USMLE Step 2 CS video can help you to learn how to conduct yourself while interacting with the standardized patients.

Which city should I choose to appear for USMLE step 2 CS exam?

You can choose the city as per your comfort and convenience of the commute. USMLE Step 2 CS examinations have the same level of difficulty and the same criteria for a candidate’s individual assessment irrespective of the city they choose to appear for the exam. The examination centers are decided to cover the entire country. USMLE Step 2 CS registration can be done at the following centers:

  • Atlanta, Georgia.
  • Chicago, Illinois.
  • Houston, Texas.
  • Los Angeles, California.
  • Philadelphia, Pennsylvania.
How many attempts can be made to clear the USMLE Step 2 CS exam?

For a single step in USMLE, a student can make a maximum of six attempts.

How much does the Step 2 CS examination cost?

Application for ECFMG Certification fee is $75 and Step 2 CS examination fee is $1,565.

How much time to study for Step 2 CS?

Most students, who have cleared Step 2 CS, recommend studying for 3-6 weeks before the exam with average study hours of 4 per day. However, preparation time is different for each individual.

Are online videos and reading material enough to prepare for the Step 2 CS exam?

Although online USMLE Step 2 CS videos and reading material help a great deal, they are not enough. Step 2 CS assesses your English skills to determine whether you can effectively communicate with your patients. Therefore, it is important to know what to say and how to say it.
If you are an IMG, you should consider practicing and reviewing extra so that you are confident to ace the exam. The best thing to do is look for a USMLE Step 2 CS prep course that will help you to use empathy to build rapport and gain patient’s trust.

Can I get individual One-on-One Step 2 CS Training?

Yes. In fact, One to One Coaching for USMLE Step 2 CS Exam will allow you to have a remarkable experience with standardized patients. A curriculum will be designed for you keeping in mind your goals, your experience level, and your learning style.
For Patient notes – you can submit upto 25 notes on our online system and it will be evaluated by our tutors who are skilled in assisting our students with their patinet notes.

How long is the Step 2 CS?

The Step 2 CS examination consists of 12 patient encounters and lasts approximately 8 hours.

What is USMLE Step 2 CS exam all about?

You are expected to communicate with the standardized patients in a professional way while being empathetic and responsive during the entire time you are with them. Once that’s done, you are expected to complete a patient note. You are supposed to cover all situations likely to happen in a clinic or hospital of a physician practicing in the US. You’ll be accessed on these categories:

  • Women’s health
  • Constitutional
  • Gastrointestinal
  • Cardiovascular
  • Genitourinary
  • Neurological
  • Musculoskeletal
  • Psychiatric
  • Respiratory
Will it affect my results if I take USMLE CS before Step 1 and Step 2?

No. Step 1 and Step 2 CK are graded based on how many answers you get right, which then translates into a score. However, Step 2 CS is rated by the standardized patients you interacted with and by physicians who reviewed your notes. They have absolutely no knowledge of your scores in Step 1 and Step 2 CK.

Who will be required to take USMLE Step 2 CS?

To be eligible for USMLE Step 2 CS, you must be in one of the following categories:

  • a medical student officially enrolled in, or a graduate of, a US or Canadian medical school program leading to the MD degree that is accredited by the Liaison Committee on Medical Education (LCME), or
  • a medical student officially enrolled in, or a graduate of, a medical school that is outside the US and Canada, listed in the World Directory of Medical Schools as meeting ECFMG eligibility requirements, and that meets other eligibility criteria of the ECFMG, or
  • a medical student officially enrolled in, or a graduate of, a US medical school leading to the DO degree that is accredited by the American Osteopathic Association (AOA)
When to take Step 2 CS?

Most students take Step 2 CS in their fourth year. Step 2 CS is the only portion of the USMLE that is not taken on a computer. Many students prefer to take the exam late in the clinical years of their medical school journey as by the fourth year they have more clinical experience. These things, along with USMLE prep help give them the experience and confidence needed to pass Step 2 CS.

Is it compulsory to take the USMLE Step 2 CS for international students?

Yes, it is mandatory and compulsory not only for international medical graduates (IMGs) but also for American graduates.

If I fail Step 2 CS exam, will it jeopardize my chances of getting in residency?

It actually depends on which specialty you are applying for. If you fail Step 2 CS, your chances of getting surgical residencies or competitive residencies like radiology will decrease. However, you still may have a good chance of getting through other residencies such as IM, FM, Psychology, and Pathology.


What is USMLE Step 2 CK?

The Step 2 Clinical Knowledge (Step 2 CK) is a part of the USMLE Step 2 exam. It is similar to USMLE Step 1 as you need to demonstrate your knowledge that you were previously tested on with National Board of Medical Examiners (NBME) shelf exams. The exam is computer‐based and is in the form of multiple choice questions.

How many questions are there on Step 2 CK?

The Step 2 CK has a total number of 318 questions, divided into 8 blocks of 40 questions each.

Is USMLE Step 1 easier or Step 2 CK?

Both exams, Step 1 and Step 2 CK, require you to apply your skills, read between the lines, and think quickly. However, Step 2 CK is a bit tricky because of the depth and unpredictability of questions involved.

How long should I study for the Step 2 CK exam?

You may need at least one month or more for USMLE Step 2 CK preparation. Some of the resources commonly used by students include, but are not limited to are:

  • Study guides and resources used in preparation for NBME Subject Examinations
  • NBME Self-Assessments and NBME Clinical Comprehensive Examination
  • Comprehensive review book
  • Pharm Cards may be helpful in preparing for questions
  • Question banks
  • You may want to consider enrolling in a prep course such as NYCSPREP
  • Clinical Fellows can be an excellent source of knowledge and USMLE Step 2 CK preparation tips.
What is the best time of the year to take USMLE Step 2 CK exam?

Step 2 CK allows you the flexibility to schedule your exam according to your convenience. This helps you to adjust your Step 2 CK study schedule and time accordingly. Most students feel the best time to take USMLE Step 2 CK is when the knowledge of clinical science they gain from rotations is fresh in their minds. However, according to the USMLE, most medical students take Step 2 CK in their fourth year.

You need to keep in mind that you have to pass the Step 2 CK exam before you graduate medical school because some programs need the scores to be in before the rank list deadline, that is in late February. If you believe in appearing for the exam early, you’ll want the scores in before the residency application deadline, that is in mid-September. So, the best time to take the Step 2 CK would be during the summer, followed by a year of core rotations, finished with a month of internal medicine.

Whenever you decide to take the exam, ensure that you have enough time for a retake if required.

How do I schedule USMLE Step 2 CK?

If you are applying for USMLE Step 2 CK, you must select your eligibility period, which is a three-month period, during which you have to take the exam. You can choose the day in the eligibility period assigned to you, provided there is space available at your preferred test center. To familiarize with the eligibility periods for the exam, you need to visit the USMLE website.

How long is the USMLE Step 2 CK Exam?

Step 2 CK is a one-day examination consisting of eight blocks. Each block is allotted one hour to complete. It is a 9-hour testing session out of which one hour is the break time.

What is the best advice for USMLE Step 2 CK?

Step 2 CK requires the same type of preparation as Step 1. You need to take help of question banks and practice exams that simulate the real exam. The question bank is an efficient way to test your knowledge and it presents better learning opportunities. It helps you in analyzing your level of readiness. The best way to prepare for Step 2 CK is getting help from professional USMLE prep courses such as NYCSPREP.

NYCSPREP course for Step 2 CK includes content knowledge materials that are well-structured and well-explained.

The course also includes simulated exams that introduce and familiarize you with the USMLE style questions you will be asked in the real exam.

The benefits of enrolling in NYCSPREP Step 2 CK prep course are:

  • You are better enabled to predict your test performance.
  • You increase your chances of getting the specialty you desire.
How can I get a high score in the USMLE Step 2 CK?

Firstly, you need to decide how much USMLE Step 2 CK preparation time you are willing to devote in your USMLE step 2 CK preparation schedule. If you dream of achieving a high Step 2 CK score, you need to set aside more study time.

When it comes to USMLE Step 2 CK prep, do not underestimate the power of a question bank, or QBank for the simple fact that it simulates an actual exam and it gives proper answers to your practice questions.

The right test prep course, such as NYCSPREP ensures that you have all the information required and the confidence that comes from preparation to master the boards for Step 2 CK.

What is the passing score for Step 2 CK?

The minimum Step 2 CK passing score is 209. This was last changed in May 2018. It is recommended that you check the details of the announcement on the USMLE website.

Can I take USMLE Step 2 CK before Step 1?

Yes, you can. Step 1, Step 2 CK and CS are three independent exams and you can take these exams in any order you prefer. However, you need to keep in mind that you have to clear all these Steps before you attempt your Step 3.

Is passing USMLE Step 2 CK a requirement for graduation?

Yes, you must take both parts of USMLE Step 2 (CK and CS) and pass the tests prior to graduation.

How long will it take to receive my USMLE Step 2 CK score?

It takes around 3-4 weeks for the scores to come in; however, delays are possible. It is recommended to sign up for the ECFMG Reporter, the ECFMG E-Newsletter and also monitor their website to stay updated on the important information.

What is covered on the USMLE Step 2 CK exam?

Here’s the list of topics covered in USMLE Step 2 CK exam:

  • Pediatrics
  • Cardiovascular Disorders
  • Immunologic Disorders
  • Ethics/General Principals/Biostatistics
  • Mental Disorders
  • Infectious and Parasitic Diseases
  • Diseases of Blood-forming Organs and Blood
  • Neoplasms/Hematology
  • Respiratory Diseases
  • Diseases of the Nervous System and Special Senses
  • Urinary, Renal, and Male Reproductive Systems
  • Childbirth, and the Puerperium, Gynecologic, and Disorders of Pregnancy
  • Disorders of the Skin and Subcutaneous Tissues
  • Endocrine and Metabolic Disorders
  • Diseases of the Musculoskeletal System and Connective Tissue
  • Conditions Originating in the Perinatal Period
  • Congenital Anomalies
  • Injury and Poisoning
  • Symptoms, Signs, and Ill-Defined Conditions

Clinical Rotations

What are clinical rotations and why are they important?

Clinical rotations are an opportunity for the medical students to put their theoretical knowledge into practice in real life medical situations. They comprise the last two years of your medical school education. During clinical rotations, you follow residents and physicians at teaching hospitals, have access to patients and gain hands-on experience. Along with the residents, you get to handle complex medical situations. Rotations typically come towards the end of your medical studies as they help you gain the experience needed to become a physician. Hence they are an important tool to help you make a seamless transition from your medical school to residency.

Clinical rotations are similar to informal interviews and are important for obtaining a residency position. The hospital administrators and the physicians you work with during these rotations are the people who are likely to write your recommendation letters. These people can offer valuable guidance regarding your professional life and you can even get a heads up about career opportunities.

More importantly, clinical rotations help you figure out what residencies are most suitable for you. You follow physicians through a variety of disciplines and hence are better able to make a decision regarding the specialty you want to pursue.

What are the important tips to prepare yourself for clinical rotations?

The important tips are as follows:

  • Familiarizing yourself with the environment and surroundings is important
  • Be proactive and always stay on top of the tasks that you are assigned
  • Don’t shy away from asking questions when in doubt
  • Don’t underestimate or overestimate your abilities
  • Adopt the attitude that ‘no task is too small’
  • Tap into your theoretical knowledge
  • Ask for feedback
  • Make the most of this opportunity in your professional training
What do medical students learn in clinical rotations?

Some of the key things students learn in clinical rotations are as follows:

  • Translating preclinical knowledge into practical patient management
  • Learning how subtle lab findings, physical exam findings, patient history, and your ‘gut’ feeling can help prevent a decline in a patient’s condition that may initially appear ‘well’.
  • Medical students on rotations have to work and interact with nurses, physicians, other caregivers, and patients. This helps them develop the critical skill of teamwork.
  • Recognizing and treating diseases and disorders
  • Effective and efficient communication for staying on top of what needs to be done for patients, orally presenting summaries or results of a treatment so that the supervisors know that the student is not just reporting but interpreting as well.
  • Learning about yourself as you will realize that the clinical rotations require new levels of endurance, commitment, resilience, focus, and strength to absorb everything.
What is the difference between clinical rotations and medical?

Even though the terms clinical rotation and medical rotation are used interchangeably, clinical rotations offer more experience as compared to the medical rotations. Clinical rotations are mostly associated with learning about the actual details and diseases of patients in a real environment and are typically a part of the medical school and internship program that are mandatory in order to get a PMQ. Medical rotations, on the other hand, are largely associated with the theoretical part of medicine.

Is it better to take Step 1 before clinical rotations or after?

Most of the medical schools in the US will not allow you to start your clinical rotations before clearing Step 1.

How are clinical rotation groups assigned?

The rotation class is broken down during the second year into 13 equal groups. Each group then chooses a group sequence (one through 13) that has been assigned a schedule of its upcoming 3rd and 4th year rotations.

How do you choose where you do your rotations?

All the students (OMS1 and OMS3) are given a master list of year-long sites once a year, from which they can choose core and elective rotations for their upcoming third and fourth year, respectively. The number of choices listed exceeds the number of students in a rotation group.

Where are the clinical affiliation/internship sites located?

NYCSPREP has partnered with hospitals across the tri-state area to endure that its students and visiting physicians gain valuable exposure in varied specialties of their choice. Core rotations, elective rotations as well as sub-internships are available.

When do rotations start?

Generally, our students start their rotations on the first Monday of the month.

I have submitted my application. When can I begin rotations?

Before you begin your rotations, you must complete and submit all the necessary paperwork and documentation. Here’s a list of the necessary documentation:

  • Copy of your CV or resume
  • Malpractice Insurance
  • 10 panel urine analysis
  • PPD Test or a copy of chest X-Ray
  • Immunizations and/or vaccination records
  • Copy of Government-issued ID
    • HIPPA certificate
    • OSHA training
    • Infection control training
    • 2 step TST (TB) or current QFT
    • Titers for Measles, Mumps, Rubella, and Varicella
    • Hepatitis B and C proof of vaccination
    • Current influenza vaccine (oct-march)
  • BLS, ACLS & PALS for pediatrics


We help you make the entire process smooth and quick.

How can I get malpractice insurance?

We can assist you as we are affiliated with an insurance agent. You may also purchase it from an insurance agency.


What is a residency program?

The knowledge you gained in medical school is important. However, it is useful and becomes relevant in real medical practice only with your residency training. This is because residency is where you put your theoretical knowledge into practice.


A residency program tests you every single day on multiple levels that are mandatory in a good physician. It gives you the confidence and equips you with practical knowledge of practicing medicine independently.


Residency holds more importance than medical school because your residency and fellowship selection reflect your actual performance while practicing medicine while the medical school only reflects undergraduate performance.

How do residency programs use interviews?

Interviews are used by residency programs as a way to understand you firsthand rather than through secondary sources such as written materials. They want to learn about your motivation for medicine and their specialty, your personality, communication skills, self-confidence and above all your ability to handle the interview. These interviews are used to gain insights about your levels of integrity, reliability, determination and how you may respond to the stresses of training and handle criticism. They also try to gauge how well you might fit with the current staff and residents. In the case of IMG candidates, they are particularly interested in the candidate’s English language skills and his or her understanding of the residency training process.

Do you get paid during a medical residency?

Yes, you do get paid. The resident salary depends on the type of residency program you are training for and which city it is based in.

What is medical residency?

Medical residency is a stage of graduate medical training. A resident is a physician who holds the degree of M.D., D.O., D.M.D., D.P.M. or MBBS, MBChB or BMed and practices medicine usually under the direct or indirect supervision of an attending physician in either a hospital or a clinic. To obtain an unrestricted license to practice medicine in many jurisdictions, successful completion of a residency program is necessary. Medical residency training may be followed by ‘sub-specialty’ training or fellowship.

What are the important factors in the residency match?

The important factors used to select residency students in all specialties include:

  • USMLE Step 1/COMLEX Level 1 score
  • Letters of Recommendation in the specialty
  • Medical Student Performance Evaluation (MSPE/Dean’s Letter)
  • USMLE Step 2 CK/COMLEX Level 2 CE score
  • U.S. hospital clinical experience

Once you are academically and clinically vetted, the focus shifts on your decision-making ability and communication. Interpersonal skills ranked high for all specialties when it came to candidate selection for a residency. The top 5 factors at this stage are:

  1. Interactions with faculty during interview and visit
  2. Interpersonal skills
  3. Interactions with house staff during interview and visit
  4. Feedback from current residents
  5. USMLE Step 1/COMLEX Level 1 score
How many hours do medical residents work?

Your work hours depend on the residency at which you are training. On average, most surgical residents work 70-80 hours including call, non-surgical residents work 50-60 hours including call and any resident works for about 10 hours per day when not on call. The duration varies depending on the specialty, size of the resident class and patient volume. Variation is mostly noticed in the frequency of call.

Do international students in the USA get paid during medical residency?

Yes, international students in the USA do get paid during their medical residency. It is basically like getting a job. Getting the residency spot is the difficult part for an IMG. Also, you cannot volunteer through a residency program.

How is the life of a medical resident in the USA?

It depends on your specialty and the residency you are training at. It may involve stressful days but the residency program also has its high points and you get to learn a lot.

What are some good medical residency interview tips?

Program directors may ask some tough and tricky questions during your residency interview. Here are some useful tips which can help you handle the interview successfully:

  • Respond promptly to the invitation for an interview
  • Practice a lot
  • Ask around. You may get some really good advice.
  • Know the format of the interview
  • Research the program
  • Dress smartly and aptly
  • Be prepared for common questions and also prepare a list of questions to ask
  • Know your application thoroughly
  • Remember that all eyes are on you and respond thoughtfully
  • Don’t forget to express your gratitude when the interview is over
What are some tips to make it through a medical residency?

Here are some rules you can follow:

  • Make good use of the medical library which is easily available online. Keep reading something every day.
  • You will need to stay calm every moment of your program. Never lose your cool no matter what the situation at hand is. Remaining calm helps keep others around you calm. This helps prevent bad or difficult situations from turning chaotic.
  • Don’t hesitate to ask when in doubt. If what you are doing is working, keep doing it, if it’s not working, change course. Medicine is largely teamwork.
  • Keep a positive attitude.
How long are medical residency programs?

The duration of your residency program depends on the medical specialty and the country you choose. In the US, for instance, general surgery requires five years of residency training.

What can I do after finishing a USA medical residency?

The medical residency program is additional training in a specific specialty after medical school. You will need at least 1 year of residency to qualify for a license to practice medicine independently in the US. You need to graduate from your residency program to gain hospital privileges or any sort of employment. You can practice in the specialty you are trained in after graduating from a specific residency program. This graduation also makes you eligible to become board certified in that particular specialty.

How can I get a postgraduate medical residency in the USA after an MBBS from India?

If you are trying to get a postgraduate medical residency in the USA, you need to clear the USMLE exams first. It is a compulsory set of exams to get entry into the US and be able to practice medicine there.

What is the best place to pursue medical residency?

It really depends on where you are trained, where your citizenship is and the ease of getting into programs in the country of your choice.

What is the purpose of a medical residency?

Medicine is a vast field and a medical school will provide you only an introduction to that field. Hence the actual clinical experience you have after graduating from medical school is relatively limited. Post medical school, you do an apprenticeship which is called a medical residency in a given specialty. This equips you to treat patients as a physician with gradually increasing levels of independence, resulting in certification by a recognized specialty board in that specialty. Junior residents are supervised more as compared to their senior counterparts. Independence is gradually given and eventually, after successful completion of the residency, the physician is ready to manage patients independently.

Do I get a stipend or scholarship during my residency in the US, if I get matched through USMLE?

Yes. There is no educational fee once you are matched in the US. Residency is kind of a job you get and hence there is only a salary. No fees. Also, if you want to learn more about the salary and the benefits like scholarships offered by different programs, you can check out the websites of the programs you are interested in.

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