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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.
Most medical school programs are four years long. During the first two years, you will study broader subjects like physiology, chemistry, human anatomy, and pharmacology. During your second two years, you will narrow down your focus to a specialized field, including family practice, internal medicine, and pediatrics. You will be working very long hours (80-100 hours per week) and will be paid a minimum wage. 2  Expect to devote all of your time to completing your residency; you will have very little time to spend with friends and family.