********************************************************* 2005 USMLE� ORIENTATION MATERIALS ********************************************************* The United States Medical Licensing Examination�, or USMLE, is a three-step examination for

medical licensure in the United States and is sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners� (NBME�). Students and graduates of US or Canadian medical school programs leading to the MD degree that are accredited by the Liaison Committee on Medical Education (LCME) or leading to the DO degree that are accredited by the American Osteopathic Association (AOA) register for Step 1 and Step 2 with the NBME. Students and graduates of medical schools outside the United States and Canada register for Step 1 and Step 2 with the Educational Commission for Foreign Medical Graduates (ECFMG�). Graduates of medical schools in and outside the United States and Canada register for Step 3 with the FSMB or a medical licensing authority in the United States. These materials are intended to help orient individuals registered to take Step 1, Step 2 Clinical Knowledge (CK) and Clinical Skills (CS), and Step 3 of the USMLE. If you are not registered and would like more information on the examination or how to apply, visit the USMLE website (http://www.usmle.org). All applicants must review and become familiar with the USMLE Bulletin of Information, available at the USMLE website, before completing applications for USMLE Step 1, Step 2 (CK and CS), or Step 3. ********************************************************* System Requirements ********************************************************* Windows� 98, 2000, Me, XP, or NT 4.0 with administrator privileges where applicable Intel� Pentium� or higher processor recommended 733 MHz or higher 128 MB RAM or higher 100 MB available on the hard drive 8x or higher CD-ROM drive(if using the CD) Mouse Microsoft� Internet Explorer 6.0 or higher Windows� Media Player Adobe� Reader� Color display set to 24-Bit or True Color See below for additional information about downloading, installing, and/or using the software and for information on screen resolutions needed for different software versions. ********************************************************* CBT Software Versions ********************************************************* At present, the CBT software used to deliver Step 1, 2 CK, and 3 is provided by Prometric, a division of Thomson Learning, Inc. The NBME is developing new software for delivery of the USMLE Steps as well as tests for other programs. The NBME software, known as FRED�, will replace the Prometric software in USMLE during 2004 and 2005.

The software you install has over 100 practice test items for each Step examination. There are five sample case simulations for Step 3. The FRED software has the same practice test items as the Prometric software for each Step. See below and the USMLE website to decide which software to use in running the sample items for the Step you are taking. Monitor the home page at the USMLE website (http://www.usmle.org) to check for information regarding changes in test delivery software. Note to Step 3 examinees: The NBME software (FRED), will replace the Prometric software in USMLE Step 3 in the fall of 2004. Installation of FRED for USMLE Step 3 will be phased in over several weeks in October 2004. If you schedule to take the Step 3 with a test date during the month of October, you should familiarize yourself with both the Prometric test delivery software and FRED. All Step 3 applicants must review the Primum CCS tutorial and practice with all the practice cases well in advance of the testing day to have a thorough understanding of how Primum CCS works. Note to Step 2 CK examinees: Migration of Step 2 USMLE to the FRED software will occur after the Step 3 transition in October 2004. Please monitor the USMLE website to check for changes in test delivery software. Note to Step 1 examinees: Migration of Step 1 USMLE to the FRED software will occur sometime in 2005. Please monitor the USMLE website to check for changes in test delivery software. ********************************************************* Obtaining Orientation Materials ********************************************************* The 2005 USMLE Orientation materials are provided to all registered examinees on a CD. They are also available for download from the USMLE website (http://www.usmle.org). Instructions are included below to assist in downloading from the web, installing the files that have been downloaded, installing from the CD, running the practice software, watching the video and reading the documentation in portable document format (pdf). ********************************************************* Instructions to Start the CD ********************************************************* Insert the CD into your CD drive. If your computer has the CD autorun feature enabled, the CD will start automatically. If the autorun feature is not enabled, open the Windows Start menu and select Run. Type X:\menu.htm (substitute the letter of your computer�s CD drive for X). Click OK. A menu will appear on your screen with links to all of the software. ********************************************************* Installing from the CD

********************************************************* Please note: IF YOU HAVE ANY PREVIOUS VERSION OF THE USMLE PRACTICE MATERIALS INSTALLED, YOU MUST REMOVE THEM BEFORE CONTINUING The menu that appears on the screen will indicate which portions of the enclosed practice materials must be installed. * Click the link for the portion that you want to install. * Depending on the configuration of your computer, you may see a dialog box asking whether you want to �Open� or �Save�. Choose �Open�. * Dialog boxes will appear on your screen to guide you through the rest of the installation. When installation is complete you should see a folder on your desk top with icon(s) for the practice materials you selected. If the desktop folder does not appear, press F5 to refresh your screen. ********************************************************* Instructions to Download from the USMLE website ********************************************************* All downloadable files are zipped. * Click the link for the portion that you want to download. * Make a note of the name of the file. * Depending on the configuration of your computer, you may see a dialog box asking whether you want to �Open� or �Save� the file. Choose �Save�. * Save this file to your desktop (or make a note of the path where you save the file). ********************************************************* Installing Downloaded Files ********************************************************* Files downloaded from the web are zipped. If you do not have a utility to unzip a file, you can obtain an evaluation copy from http://www.winzip.com/downwzeval.htm. * * * * * * Double click on the file on your desktop (or navigate to the location where you saved the downloaded file and double click). Unzip the file to your desktop (or make a note of the location where the file is saved). Make a note of the file name � it will end in �.exe�. Double click on the unzipped file on your desktop (the one that ends with �.exe�). If you receive a security warning �authenticode signature not found,� click 'Yes' to continue the installation. Dialog boxes will appear on your screen to guide you through the rest of the installation.

When installation is complete you should see a folder on your desk top with icon(s) for the practice materials you selected. If the desktop folder does not appear, press F5 to refresh your screen. Please note: videos do not need to be installed. Please

s see �Watching a Step 2 Clinical Skills (CS) Video� below. ********************************************************* Running the Step 1, Step 2 CK, and Step 3 Tutorials, practice Multiple-Choice Questions ("Test Items"), and Primum� Computer-based Case Simulations (CCS) ********************************************************* Download and/or install the portion of the practice software t that you want to use. To view items in the Prometric version you must set your screen resolution to 800 x 600 in order to run the computer-based testing (CBT) sample test materials after installing them on your computer. You must set font size to small fonts. Please use your manual or system's help i if you need assistance changing these settings. To view items in the FRED version you must set your screen resolution to 1024 x 768. Please use your manual or system's h help if you need assistance changing these settings. Once your resolution is set, open the folder on your desktop a and double click on the practice software that you want to use. ********************************************************* Watching a Step 2 Clinical Skills (CS) Video ********************************************************* The videos are provided in windows media file format which works best with Windows Media Player, although other players may be used. Windows Media Player can be obtained from the M Microsoft� website(http://www.microsoft.com). If you are using the CD: * Insert the CD and click the appropriate link. The video will play directly from the CD. If you have downloaded from the web: * double click on the downloaded file to unzip it. Double click on the unzipped file to play the video. ********************************************************* Reading the Step 2 CS Content Description and General Information Booklet ********************************************************* You must use Adobe� Reader� to view and print the booklet. Reader can be installed on your computer free from the A Adobe website (http://www.adobe.com). If you are using the CD: * Insert the CD and click the appropriate link. Adobe Reader will open and display the file for you. You do not need to download the booklet in order to read it: * Go to http://www.usmle.org/orientation/menu.htm. Click the link for the booklet. ********************************************************* Technical Support

********************************************************* If you have problems that you cannot resolve, visit the USMLE website for frequently asked questions, send your inquiry to USMLEtech@nbme.org, or call (215) 590-9502 from 8:30 AM to 4:00 PM Eastern Time in the United States, M Monday to Friday. ********************************************************* Copyright Information ********************************************************* The United States Medical Licensing Examination is a joint program of the Federation of State Medical Boards of the United States, Inc. and the National Board of Medical Examiners. This orientation package includes proprietary information and materials that are owned and copyrighted by the Federation of State Medical Boards, the National Board of Medical Examiners, and Prometric, a division of Thomson L Learning, Inc. Copyright � 2004 the Federation of State Medical Boards of the United States, Inc. and the National Board of Medical Examiners, except for the following: Copyright � 1999-2004 Prometric, a division of Thomson Learning, Inc., as to the computer presentation of practice test materials delivered by the Prometric test driver. Copyright � 2000-2004 National Board of Medical Examiners as to the computer presentation of practice test materials delivered by the NBME test driver (FRED�). Primum� Computer-based Case Simulation Software Version 8.2, Copyright � 1988-2004 the National Board of Medical Examiners. Runtime library portions of the software included with permission from POET Software Corporation, Copyright � 1996. Portions of Step 2 CS orientation materials reproduced with permission from the Educational Commission for Foreign Medical Graduates (ECFMG�) Clinical Skills Assessment (CSA�) Candidate Orientation Video and Candidate Orientation Manual, Copyright � 2002 by the ECFMG. Microsoft� PowerPoint� Viewer, included in this software, is a product of Microsoft� Corporation. Permission to use this software and the other materials installed with it is limited to exam preparation or practice by individuals who are registered to take the examinations, and further reproduction or other uses a are prohibited without permission from the copyright holders.

Master your semester with Scribd & The New York Times

Special offer for students: Only $4.99/month.

Master your semester with Scribd & The New York Times

Cancel anytime.