The exam is administered in a 9-hour single-day computer-based session. There are additional charges for applicants who choose a testing region outside the United States or Canada. From January 2010, to take the exam in North America the registration fee is $645 (as of December 2016) for students attending medical colleges in the United States and $850 for medical students from other countries. The USMLE Step 2 is generally taken during the 4th year of medical school by medical students. It assesses the ability to apply medical knowledge, skills, and understanding of clinical science essential for the provision of patient care under supervision. In contrast to the USMLE Step 1, the focus is much more on clinical application of medical knowledge. It assesses clinical knowledge through a traditional, multiple-choice examination. The USMLE-Step 2-CK ("Clinical Knowledge") is the nine-hour-long multiple-choice portion of the second part of the United States Medical Licensure Examination.
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