USMLE Step 1 Prep: Format & Practice
USMLE Step 1 is a single-day, pass/fail exam (since 2022) that tests how you apply foundational sciences to the practice of medicine, organized by general principles and organ systems. Here's how it's structured — with realistic COSMIQ practice.
COSMIQ prepares you for the USMLE Step 1 and administers realistic full-length mock tests — it does not administer the real exam or issue a medical license.
Frequently asked
Is USMLE Step 1 pass/fail?
Yes. Since January 2022 Step 1 is reported as pass/fail rather than a three-digit score. It remains a comprehensive, single-day exam of roughly 280 items.
Does COSMIQ issue a medical license?
No. COSMIQ prepares you for USMLE Step 1 and administers realistic practice — it does not administer the real exam or issue a medical license.