NBME, USMLE and FSMB release an informative testing accommodations video
When it comes time to register for one of the three USMLE Step exams, USMLE wants these future doctors to be able to focus on demonstrating their knowledge and ability. The USMLE is committed to ensuring that all test takers who demonstrate a need under the ADA for reasonable testing accommodations on the Step exams receive them in order to provide equitable access while maintaining a fair and valid exam for all.
To assist individuals seeking accommodations, USMLE has produced a five-minute video outlining the steps and timelines examinees should follow to request accommodations. Please feel free to share this video with anyone you believe could benefit from this information.
USMLE.org offers a clear list of pre-approved items that do not require an accommodation review prior to registering for an Exam. There are 25 pre-approved medicine/medical device items that are permitted, such as insulin pens and arm/shoulder slings. In addition, there are nine pre-approved medical devices attached to the body that do not require special permissions such as a heart rate monitor (non-Bluetooth).
But, for those med students who need support beyond this list due to a physical, psychiatric, or learning disability, there is a system in place to have more formal accommodation requests reviewed. In fact, NBME’s Disability Services received over 4,700 requests in 2024 alone. All of these requests were reviewed within our stated timeframe of 60 business days.
USMLE accommodation requests have increased by 116% since 2021. It is difficult to pinpoint the reason, but contributing factors likely include an increase in advocacy and awareness around testing accommodations, both in medical school and on high-stakes exams, and an increase in diagnosed disabilities over the last two decades at the high school, college and post-graduate levels.
To provide fair and consistent experiences for all applicants, NBME has a standardized review process which includes an individualized review of every accommodation request. Staff, including professionals with advanced degrees in psychology, carefully consider all the information provided by examinees. And when a request demands knowledge beyond internal expertise, external consultants specializing in the relevant field of disability help determine if appropriate accommodations are necessary.
To learn more, visit usmle.org.