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You may take the USMLE Step 1 exam a maximum of three times within a 12-month period. Your fourth attempt must be at least 12 months after your first attempt, and at least six months after your most recent attempt.
Some other medical schools notify most of their applicant pool at once - on a given day, rather than on a rolling basis. You are typically given 10 - 14 days from the day you receive the acceptance letter from a medical school in the mail to make a deposit and indicate that you are interested in attending there. Once the deposit is made and you respond to the school, the medial school will hold a spot for you in the incoming class.