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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.
How long is medical school? The answer to your question is four years. Medical school is unlike any other education you can possibly get. Out of the four years of medical school you should expect to spend your first two years in the basic sciences followed by two more years doing your your clinical rotations. You cannot become a doctor without first knowing the basics of medicine, hence the name.