Passage is required before the senior year of medical school.
Failure to pass Step 1 may result in modifications of the third year. The NBME has changed the way it distributes Step 1 and 2 application materials to students and graduates of accredited medical schools in the U.S. and Canada. Students have three opportunities to pass each Step. Failure of Step 1 requires students to be removed from the clinical curriculum or not allowed to start the next Clinical Rotation. The Associate Dean for Student Affairs will review each student and plan the best course of action.