Achievable logoAchievable logo
USMLE/1
Sign in
Sign up
Purchase
Textbook
Feedback
Community
How it works
Resources
Exam catalog
Mountain with a flag at the peak
Textbook
1. Introduction
2. Anatomy
3. Microbiology
4. Physiology
5. Pathology
6. Pharmacology
7. Immunology
8. Biochemistry
9. Cell and molecular biology
10. Biostatistics and epidemiology
11. Genetics
12. Behavioral science
13. Wrapping up
Achievable logoAchievable logo
1. Introduction
Achievable USMLE/1

Introduction

3 min read
Font
Discuss
Share
Feedback

Welcome to Achievable’s USMLE Step 1 course!

The USMLE Step 1 is the first of three exams that make up the USMLE, a standardized exam required for medical licensure in the United States. This exam assesses a medical student’s understanding of the basic sciences, including anatomy, biochemistry, behavioral sciences, microbiology, immunology, pathology, pharmacology, and physiology, and is a crucial step towards obtaining a medical license in the United States. This course is designed with the tools and practice that you need to be confident and succeed on your exam.

Eligibility

To be eligible to take USMLE Step 1, you must be a medical student who is officially enrolled in, or a graduate of, a U.S. or Canadian medical school program leading to an MD degree that’s accredited by the Liaison Committee on Medical Education (LCME), or you need to be a medical student who is officially enrolled in, or a graduate of, a U.S. medical school leading to a DO degree that is accredited by the American Osteopathic Association (AOA).

Exam format

The USMLE Step 1 is taken in one day. It is divided into seven 60-minute blocks and administered in one 8-hour testing session. The number of questions per block on a given examination form may vary, but will not exceed 40. The total number of items on the overall examination form will not exceed 280.

Content outline

Test questions are classified in one of 18 major areas and are organized by individual organ systems:

Topic Range (%)
Human Development 1–3
Blood & Lymphoreticular/Immune Systems 9–13
Behavioral Health & Nervous Systems/Special Senses 10–14
Musculoskeletal, Skin & Subcutaneous Tissue 8–12
Cardiovascular System 7–11
Respiratory & Renal/Urinary Systems 11–15
Gastrointestinal System 6–10
Reproductive & Endocrine Systems 12–16
Multisystem Processes & Disorders 8–12
Biostatistics & Epidemiology/Population Health 4–6
Social Sciences: Communication and Interpersonal Skills 6–9

You can find more information in the official USMLE content outline.

Tips for success

Prepare early

Make sure that you develop a solid study plan early. This will allow you to build confidence and identify the topics that you need to give the most attention to.

Time management

While you are not timed in this course, you will be on the actual exam. Develop your own technique for managing time during practice so that you will have these skills ready on exam day.

Manage your stress

We understand this you are preparing for a challenging exam, but it is crucial to manage your stress. Stress and nerves can seriously hinder your practice and decision making. A positive mind set going forward can really shape your confidence.

Final thoughts

The textbook’s wrapping-up portion contains more details about taking the USMLE Step 1 exam, including how to register, exam cost, and test-taking options.

This course is designed to guide you through every aspect of the USMLE Step 1 exam exam. Achievable exam prep includes our online textbook, review questions, full-length practice exams, and videos on key topics. We recommend that you work through the course as prompted, starting with the textbook and continuing to practice problems and exams. Remember that practice makes perfect!

All rights reserved ©2016 - 2025 Achievable, Inc.