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Every year plenty of Indian students apply for USMLE, though everyone should understand that among those many of the students are students studying/studied in foreign medical colleges from various countries. So, when we question whether it is easy to crack USMLE if the student study in local/Indian medical colleges or in Foreign medical colleges, which require a thorough understanding of all the criteria including the student’s individual interest impacting most of their performance. Before in-depth analysis of the question of whether an Indian MBBS Degree or A Philippines MBBS Degree is easy to crack USMLE, we should understand the basic facts about USMLE.

USMLE—the United States Medical Licensing Examination is the most popular PG entrance examination in the world where all the world’s medical graduates dream to get a chance to qualify and enter into those prestigious institutions to study PG or Residency.
The United States Medical Licensing Examination—USMLE is the licensure cum medical PG entrance examination to obtain a medical license as well to study their Post-Graduation in various US medical colleges. USMLE is co-sponsored by the National Board of Medical Examiner—NBME and the Federation of State Medical Boards—FSMB together.

USMLE: Basic Facts

USMLE is a 3 step examination process to get a Medical Licensure to practice in the US as well as to get a chance to study PG in the US. Though USMLE is a 3 step process actually there are a total of 4 steps in completion of the licensure examination of the US.
⦁ Step 1: BS—Basic Sciences
⦁ Step 2: CK—Clinical Knowledge
⦁ Step 3: CS—Clinical Skills
⦁ Step 3: PM—Patient Management

USMLE Step 1: Step 1 of USMLE assesses the examinee’s basic sciences understanding and their ability to the application of the important concepts of medicine in practice, emphasizing the core principles, mechanisms that are fundamentals for health and the cause of diseases and their modes of treatment.
⦁ This is an 8-hour examination where one needs to answer a total of 280 multiple choice questions

USMLE Step 2: Step 2 of USMLE assesses the examinee’s ability in applying their medical knowledge, skills, and understanding of clinical science required for patient supervision especially on health promotion and disease prevention.
⦁ This is a 9-hour examination where the examinee needs to answer a total of 318 multiple-choice questions.

USMLE Step 3: Step 3 of USMLE is a two-day examination where every examinee is tested on their abilities relating to the application of medical knowledge and understanding of biomedical and clinical science skills essential for the practice of medicine and patient management.
Day 1: FIP—Foundations of Independent Practice assessing the basic medical knowledge & skills essential for effective health care applying the scientific principles.
⦁ FIP is a 7-hour examination where the examinee has to attempt 232 multiple-choice questions.
Day 2: ACM—Advanced Clinical Medicine assesses the examinee’s ability in the application of comprehensive Patient Management skills implementing the knowledge of health and disease evolution and manifestation over time.
⦁ ACM is a 9-hour examination where the examinee needs to answer 180 multiple choice questions as well as analyzing 13 CCS (Computer-Based Case Simulations) allotted 10 to 20 minutes of time for each.

USMLE: Who is eligible to Apply?

⦁ Any candidate that is officially enrolled in or a graduate of a medical school of US or Canada leading to the LCME accredited Doctor of Medicine (MD) degree program or
⦁ Any candidate that is officially enrolled in or a graduate of a US medical school leading to the COCA accredited DO (Doctor of Osteopathic Medicine) degree or
⦁ Any candidate that is officially enrolled in, or a graduate of any medical school outside the US and Canada that is listed in WDMS (World Directory of Medical Schools) that is meeting all the norms of ECFMG (Education Commission for Foreign Medical Graduates) eligibility requirements.
⦁ Also, the candidates must fulfill all other criteria that are mandatory under ECFMG, for more details on this check the other articles on this blog Wisdom Overseas especially on the Eligibility requirements of the USMLE examination.

Which is Easy to Crack USMLE? India or Philippines MBBS Degree

This is a question that required an in-depth analysis of the examination criteria, requirements, questioning pattern, methodology, and most important the ability of the candidate’s inapplicability of knowledge and skills in patient management. The given analysis of syllabus for the two countries will provide us an understanding that as per the World Health Organization norms all the medical courses of the world will follow the same curriculum in spite of slight variations in the question paper formats and teaching methodologies. When it comes to the total syllabus, questioning pattern and mode of examination, teaching pattern country to country vary which might greatly impact on the level of understanding and skill development of the medicos during their initial stages of education and practice.

Comparing India Vs Philippines MBBS

Categories India Philippines
Governing Authority Medical Council of India Commission on Higher Education
Organized by National Testing Agency CHED
Name of the Entrance for admission into MBBS NEET (National Eligibility cum Entrance Test) NMAT (National Medical Admission Test)
Eligibility 10+2+NEET score 10+4+NMAT score
Course Duration 4.5 yrs + 1yr Internship 4 to 5 yrs + 1 yr Internship
Degree MBBS (Bachelor of Medicine and Bachelor of Surgery) BSMD (Bachelor of Science and Doctor of Medicine)
Mode of Examination Descriptive type Objective type
Marks to qualify 60/100 75/100
Mode of learning Teaching + labs Teaching + Case study based analysis +labs+ research-based
Syllabus ⦁ Human Anatomy
⦁ Human Physiology
⦁ Biochemistry
⦁ Intro to Humanities and Community Medicine
⦁ Forensic Medicine including toxicology
⦁ Dermatology and sexually transmitted diseases
⦁ Orthopedics
⦁ Radiotherapy
⦁ Ophthalmology
⦁ Obstetrics and Gynecology
⦁ General Medicine
⦁ General Surgery
⦁ Pediatrics
⦁ Obstetrics & Gynecology
⦁ Dermatology
⦁ Ophthalmology
⦁ Orthopedics
⦁ Ear, Nose, and Throat
⦁ Psychiatry
⦁ Anesthesiology
⦁ Gross Anatomy
⦁ Biochemistry
⦁ Physiology
⦁ Histology
⦁ Parasitology
⦁ Neuro Anatomy
⦁ Preventive Family & Community medicine
⦁ Medical jurisprudence & Medical Ethics
⦁ General pathology
⦁ Pharmacology & Toxicology
⦁ Physical Diagnosis
⦁ Microbiology & Immunology
⦁ Clinical pathology
⦁ Surgery
⦁ Legal medicine
⦁ Psychiatry
⦁ Internal medicine
⦁ Pediatrics
⦁ Obstetrics
⦁ Gynecology
⦁ Specialty lecture
⦁ Neurology
⦁ Ophthalmology
⦁ Otolaryngology
⦁ Family planning
⦁ Dermatology

USMLE Exam Pattern: Objective-based, Case Study analysis-based questions and application of knowledge and skills in Patient Management will be majorly tested.
Example Questions:

India First Year MBBS Examination Sample Question Paper of Anatomy


NEET PG anatomy exam sample questions
1. Which of the following muscle is supplied by the anterior division of the mandibular nerve?
A. Medial pterygoid
B. Lateral pterygoid
C. Mylohyoid
D. Anterior belly of digastric
2. Which of the following is true regarding the lateral geniculate body?
A. It is connected to the inferior colliculus.
B. Layers 1, 4, and 6 receive the contralateral optic fibers.
C. It is situated posterolateral to the medial geniculate body.
D. It is overlapped by the lateral part of the temporal lobe.

Philippines Medical Examination Questions
1. Hoarseness in Post-thyroidectomy is caused by the transaction of the recurrent laryngeal nerve most commonly on ligating the:
A. Superior thyroid artery
B. Inferior thyroid artery
C. tracheal artery
D. Superior laryngeal artery
Ex. A 25-year-old woman presents to your office for evaluation of fatigue and polyuria for the last 9 months. She has also had anorexia and an unexplained weight loss of 12 pounds. She has had night sweats for a few months as well. Upon review of her labs from her annual exam around 9 months ago, she had mild hypercalcemia and all other tests were normal including glucose. She has been playing outdoor tennis more regularly and was expecting to feel better with the increase in exercise. She does not have a history of nephrolithiasis or fractures. No family history of hypercalcemia. She does not take any medications.
Physical exam:
Weight 125 pounds, height 5’2”, blood pressure 102/74 mmHg, heart rate 94 bpm.
She has dry mucous membranes and delayed deep tendon reflexes. Otherwise unremarkable.
You send her to the lab to evaluate her symptoms and history of mild hypercalcemia. Her lab results are remarkable for: Calcium = 13.1 mg/dL (8.9-10.1 mg/dL)
Phosphorus = 5.0 mg/dL (2.5-4.5 mg/dL)
Creatinine = 1.4 mg/dL (0.6-1.1 mg/dL)
Serum urea nitrogen = 22 mg/dL (6-21 mg/dL)
Intact PTH = 4 pg/mL (10-65 pg/mL)
25-Hydroxyvitamin D = 24 ng/mL (25-80 ng/mL)
1,25-Hydroxyvitamin D = 90 pg/mL (16-65 pg/mL)
Alkaline phosphatase = 99 U/L (37-98 U/L)
Which medication would best address the cause for this patient’s hypercalcemia?
A. Cinacalcet
B. Calcitonin
C. Prednisone
D. Zolendronic acid
Analysis: From the above examples of the questioning pattern of all the examinations of India regular MBBS, NEET-PG, Philippines MBBS, Philippines Physician Licensure Examination, and USMLE questioning pattern, you can clearly analyze which countries questioning pattern matches more with USMLE though the syllabus of all the countries follows the same. For more details check the other articles of our blog on similar topics.

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