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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.
Beyond high school, medical training last through four typical periods: undergraduate education, medical school, residency and fellowship. If a physician chooses to complete a lengthy fellowship, her education may take 15 year or longer from the time she first enters college.