In the United States of America, an Indian student could not really start practising immediately after completing MBBS because the basic level of practice is postgraduate medicine in the United States of America. The United States Medical Licensing Examination (USMLE) strictly outlined the medical courses to be completed in the United States after completing MBBS degree. Indian doctors are eligible for admission after the 2nd year of MBBS in India for The United States Medical Licensing Examination step 1.