How will the CSE fit into the USMLE sequence?
The CSE will be a separate exam component of USMLE Step 2. The multiple-choice Step 2 exam that is currently administered will be referred to as the Step 2 Clinical Knowledge component. The CSE will be the Step 2 Clinical Skills component. For ECFMG Certification, IMGs must pass Step 1 (and the English language proficiency test) before applying for the CSE. All applicants for Step 3 must have passed Step 1 and both exam components of Step 2.