Once admission has been obtained, two years of academic instruction are followed by the United States Medical Licensing Examination (USMLE) Step 1. This examination establishes whether the student has assimilated academic instructions appropriately. If passed, the student is assigned to an actual medical establishment for a two-year period of observation. Clinical competence is verified by the USMLE Step 2 examination. The period can extend to eight years for those who wish to specialize in a more lucrative branch of the medical profession.
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