The SPEX ® is a computerized, multiple-choice examination of current knowledge requisite for the general, undifferentiated practice of medicine. The examination is used to re-examine a physician’s ongoing level of basic medical knowledge and is intended for physicians who currently hold, or who have previously held, a valid, unrestricted license to practice medicine in the US or Canada.
State boards may require SPEX for endorsement of licensure, reinstatement, or reactivation of a license after a period of inactivity. If the board has or is aware of concerns and/or questions about a physician’s fitness to practice, SPEX results should be evaluated in conjunction with other available evidence to determine a physician’s competence and fitness to practice.
The Post-Licensure Assessment System (PLAS), a joint program of the Federation of State Medical Boards and the National Board of Medical Examiners, provides objective and personalized tools for assessment of physicians for whom there is a question regarding their clinical competence.
These tools are utilized by national assessment programs to assist them in conducting comprehensive, tailored assessments of physicians’ medical knowledge, clinical judgment, and patient management skills.
Step 3 is the final examination in the USMLE sequence leading to a license to practice medicine in the United States without supervision. Step 3 provides a final assessment of physicians assuming independent responsibility for delivering general medical care.
The USMLE program requires an unexpired ECFMG Certification to be eligible for USMLE Step 3. If you have an ECFMG Certificate that is subject to expiration and wish to take Step 3, you must meet the following eligibility requirements: