Start researching testing centers and requirements at least three months prior to your desired test time. Contact the medical licensing authority by visiting the Federation of State Medical Boards at FSMB.org. Research the information needed for an application to the USMLE test and any copies required for eligibility.
Complete an application for the National Board of Medical Examiners if you graduated from a medical school within the United States or Canada by visiting NBME.org. Complete an application for the Educational Commission for Foreign Medical Graduates if you graduated outside the U.S. by visiting ECFMG.org. Complete the application entirely to prevent delays to a testing date. Fill in your medical school information, graduation date and specific contact information so that the testing coordinator can verify your graduation eligibility. Do not apply if you were dismissed from medical school or dropped out---your application will be automatically declined. Include all items listed on the application, such as degrees, social security cards and transcripts.
Submit the application to the FSMB or the local medical licensing authority in your area. Wait for a scheduling permit to arrive, which indicates you are eligible for the test.
Follow instructions listed on the scheduling permit for how to schedule a computer-based test. Testing centers are listed online at Prometric.com. You'll find a list of scheduled testing dates under each testing center.
Start studying and refreshing for the USMLE once you've scheduled a testing date. USMLE preparation books are available online, as are practice tests to help you succeed.
Arrive at the testing center with your scheduling permit and a valid form of identification. Make sure to not wear watches or bring any personal items, such as a PDA or cell phone, to the test. Scratch paper, books and pens are also prohibited from the testing room.
Take the test and only break when the computer-based test allows you to do so. In the event an unscheduled break is warranted, do not leave your computer. Instead, flag a testing official to determine whether or not you can pause your test.