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The USMLE is administered in four parts. Three of the four (except the CSA), are also required of students who graduate from American medical schools.

1) Step 1: Pre-clinical sciences

Subjects include anatomy, Physiology, Biochemistry, Genetics, Pharmacology, Pathology, Microbiology and Behavioral Science. Please note that Forensic Medicine is NOT tested on the USMLE. This is a relatively easy test – and requires about three months of preparation.

2) Step 2: Clinical Sciences

Subjects include Medicine, Pediatrics, Surgery, OBGY, Psychiatry, epidemiology and Preventive Medicine. Medicine, However, forms the bulk of the exam.

Steps1 and 2 can be taken in Bombay at the Saki Naka (Andheri) or USEFI (Marine Lines) centers.

Clinical Skills Assessment (CSA) is an exam that tests the communication skills, history taking and clinical skills of the foreign medical graduate. This exam is administered only in Philadelphia, Pennsylvania, USA and is a mandatory requirement for both licensing and residency application.

3) Step 3:

Is a test based on multiple choice questions and on case simulations. It is required only if one is applying for an H1 visa.
For those going to do their residencies under a J1 visa, this exam can be taken after one (or two in California) years of residency.

4)TOEFL:
 Test of English as a Foreign Language. Required before taking the CSA. For information see www.toefl.org