The Most Difficult Medical Exam, Ranked

Choose the medical exam you think is the most difficult!

Author: Gregor Krambs
Updated on Apr 23, 2024 06:38
In the world of medical education, students often speculate about which exams pose the greatest challenge. With so many assessments, each testing a different facet of medical knowledge and skill, pinning down the most daunting can feel like an elusive task. Yet, understanding which exams push prospective healthcare professionals to their limits can also provide invaluable insights for preparation and benchmarking resilience. This interactive space invites users to weigh in on the exams that tested their mettle the most. By casting votes, medical students, educators, and practitioners contribute to a dynamic ranking that changes as more opinions are formed. This real-time feedback not only aids future test-takers in their preparation strategies but also sparks discussions about educational tactics and exam experiences.

What Is the Most Difficult Medical Exam?

  1. 1
    65
    votes
    United States Medical Licensing Examination (USMLE) Step 1 - considered the most difficult exam for medical students due to its extensive coverage of basic medical sciences and its high stakes for residency matching.
    The United States Medical Licensing Examination (USMLE) Step 1 is a standardized exam that assesses a medical student's knowledge and understanding of basic medical sciences relevant to the practice of medicine.
    • Exam Format: Multiple-choice questions (MCQs)
    • Number of Questions: 280 questions
    • Exam Length: 8 hours
    • Passing Score: Variable, typically around 194-225 (out of 300)
    • Content Areas: Anatomy, Physiology, Biochemistry, Pharmacology, Microbiology, Pathology, Immunology, Behavioral Sciences, Genetics, Biostatistics, and more
  2. 2
    46
    votes
    National Board of Medical Examiners (NBME) Shelf Exam is a series of subject-specific exams administered during clinical rotations to assess knowledge of core clinical topics.
    The National Board of Medical Examiners (NBME) Shelf Exam is a standardized medical examination designed to evaluate the clinical knowledge and skills of medical students in specific areas of study. It is typically administered during the clinical clerkship rotations, which include internal medicine, surgery, pediatrics, obstetrics and gynecology, psychiatry, and family medicine.
    • Purpose: Evaluate clinical knowledge and skills of medical students
    • Areas of Study: Internal Medicine, Surgery, Pediatrics, Obstetrics and Gynecology, Psychiatry, Family Medicine
    • Format: Multiple-choice questions (MCQs)
    • Duration: Typically 2-4 hours per exam
    • Difficulty Level: Challenging
  3. 3
    18
    votes
    Medical Council of Canada Qualifying Examination (MCCQE) Part 2 - tests clinical skills and decision-making abilities using standardized patients in simulated clinical scenarios.
    The Medical Council of Canada Qualifying Examination (MCCQE) Part 2 is a comprehensive medical exam designed to assess the clinical skills and knowledge of medical graduates who wish to practice medicine in Canada.
    • Purpose: To assess the readiness of medical graduates for independent medical practice in Canada.
    • Format: An Objective Structured Clinical Examination (OSCE) consisting of a series of simulated patient encounters.
    • Duration: Approximately 4 hours and 45 minutes.
    • Content: Covers a wide range of medical disciplines, including internal medicine, surgery, pediatrics, obstetrics and gynecology, psychiatry, and others.
    • Scoring: Candidates are evaluated based on their performance in each station, and the final result is reported as a pass or fail.
  4. 4
    27
    votes
    European Board of Medical Assessors (EBMA) Exam - assesses knowledge and skills in clinical medicine, communication, and ethics for physicians seeking certification in Europe.
    The European Board of Medical Assessors (EBMA) Exam is a rigorous and comprehensive medical examination designed to assess the knowledge, skills, and competence of medical professionals. It is recognized as one of the most difficult and prestigious exams in the field of medicine.
    • Exam Format: Multiple-choice questions and clinical simulations
    • Topics Covered: Various medical specialties including anatomy, physiology, pathology, pharmacology, internal medicine, surgery, pediatrics, etc.
    • Passing Score: High score required for successful completion
    • Duration: Typically a multi-day examination
    • Difficulty Level: Considered highly challenging
  5. 5
    17
    votes
    Royal College of Surgeons of England (RCSEng) Intercollegiate Exam is tests surgical knowledge, skills, and decision-making in a variety of specialties.
    The Royal College of Surgeons of England (RCSEng) Intercollegiate Exam is a rigorous and demanding assessment designed to evaluate the competence and knowledge of aspiring surgeons in the United Kingdom. It is considered one of the most challenging medical exams in the field of surgery.
    • Duration: Variable, typically spanning several days
    • Format: Multiple-choice questions, clinical scenarios, and practical assessments
    • Scope: Covering various aspects of surgical knowledge, including anatomy, physiology, pathology, clinical skills, and management
    • Levels: Part A: Applied Basic Sciences, Part B: Generic Surgical Sciences, Part C: Specialty-specific exam
    • Pass Rates: Varies each year, typically around 40-60%
  6. 6
    19
    votes
    Federation of State Medical Boards (FSMB) Exam is assesses clinical and communication skills using standardized patients in a clinical setting.
    The Federation of State Medical Boards (FSMB) Exam is a comprehensive medical licensing examination administered by the Federation of State Medical Boards in the United States. It is commonly referred to as the FSMB Exam or simply the state medical board exam. The exam is designed to assess the knowledge and skills of medical graduates seeking licensure to practice medicine in the United States.
    • Exam Type: Standardized medical licensing examination
    • Purpose: Evaluate medical knowledge and competency of medical graduates
    • Eligibility: Completion of medical education from an accredited institution
    • Content Areas: Basic medical sciences, clinical sciences, biomedical ethics
    • Format: Computer-based test (CBT) with multiple-choice questions
  7. 7
    19
    votes
    Australian Medical Council (AMC) Exam - tests knowledge and clinical skills for international medical graduates seeking registration to practice in Australia.
    The Australian Medical Council (AMC) Exam is a rigorous and comprehensive assessment designed to evaluate the knowledge and competence of international medical graduates (IMGs) seeking registration to practice medicine in Australia. It assesses their ability to apply medical knowledge and skills effectively and safely in the Australian healthcare context.
    • Exam Format: Multiple-choice questions (MCQs) and clinical examinations (CEs)
    • MCQ Component: Applied Medical Knowledge (AMK) and Clinical Reasoning (CR)
    • Clinical Examination Component: Standardized Patients (SPs) and Objective Structured Clinical Examination (OSCE)
    • Exam Duration: AMK: 3.5 hours, CR: 3.5 hours, SP: 3 hours, OSCE: 3.5 hours
    • Topics Covered: Broad range of medical knowledge and clinical skills in all major medical specialties
  8. 8
    8
    votes

    Medical Board of California (MBC) Examination

    Medical Board of California
    Medical Board of California (MBC) Examination - assesses knowledge and clinical skills for medical licensure in California.
    The Medical Board of California (MBC) Examination is a comprehensive medical licensing examination conducted by the Medical Board of California. It is designed to assess the knowledge, skills, and competency of medical professionals seeking licensure in the state of California.
    • Exam Structure: Multiple-choice questions (MCQs) and clinical case scenarios.
    • Exam Duration: Varies based on the specialty; typically ranges from 4 to 8 hours.
    • Passing Score: Varies based on the specialty; typically ranges from 60% to 70%.
    • Content Areas: Covering a wide range of medical disciplines including anatomy, pathology, pharmacology, internal medicine, pediatrics, obstetrics, etc.
    • Difficulty Level: Considered highly challenging due to the extensive breadth of medical knowledge required.
  9. 9
    9
    votes
    Korean Medical Licensing Examination - tests knowledge and clinical skills for medical licensure in South Korea.
    The Korean Medical Licensing Examination (KMLE) is a comprehensive medical licensing examination conducted in South Korea. It is a standardized national exam that assesses the knowledge, skills, and competency of medical graduates seeking to practice medicine in the country.
    • Difficulty Level: Considered one of the most difficult medical exams worldwide
    • Format: Computer-based examination with multiple-choice questions
    • Duration: A total of two days, consisting of multiple sessions
    • Content Areas: Covering various medical disciplines, including basic sciences, clinical medicine, and ethics
    • Exam Frequency: Administered twice a year in April and October
  10. 10
    5
    votes
    Saudi Commission for Health Specialties (SCHS) Examination - assesses knowledge and clinical skills for medical licensure in Saudi Arabia.
    The Saudi Commission for Health Specialties (SCHS) Examination is a rigorous medical exam conducted in Saudi Arabia to assess the knowledge and skills of healthcare professionals seeking to practice in the country.
    • Exam type: High-stakes licensing examination
    • Purpose: To evaluate the competency of healthcare professionals
    • Scope: Covers various medical specialties and sub-specialties
    • Format: Multiple-choice questions (MCQs) and computer-based simulations
    • Duration: Varies depending on the specialty (ranging from 3 to 9 hours)

Missing your favorite medical exam?

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Discussion

Ranking factors for difficult medical exam

  1. Exam duration
    The length of the exam can have a significant impact on the difficulty level. Longer exams require greater time management skills and sustained concentration.
  2. Exam format
    The complexity and range of question formats (multiple-choice, short answer, essay, or practical demonstrations) can affect the difficulty of an exam. Some formats may be more challenging for certain individuals.
  3. Scope of content
    The breadth and depth of subject matter covered in the exam can significantly impact its difficulty. Exams that encompass a wide range of topics or require in-depth knowledge may be more challenging.
  4. Level of detail required
    Some exams may require a high level of detail in recalling and applying knowledge, which can make them more challenging than others.
  5. Difficulty of concepts
    The complexity of the ideas being tested can impact the difficulty of the exam. Exams that test advanced or abstract concepts may be more difficult than those that test more basic concepts.
  6. Practical application
    Exams that require the application of skills in a real-world or simulated context (such as clinical examinations for medical students) could be seen as more difficult due to the added pressure of demonstrating competence in practice.
  7. Time pressure
    Strict time limits can add to the difficulty of an exam, especially if the test requires complex problem-solving or extensive writing.
  8. Grading standards
    High pass-fail rates or stringent grading criteria can make an exam more difficult, as students may need to achieve higher scores to pass or excel.
  9. Preparation resources
    The availability and quality of study materials and resources can affect the difficulty of an exam. Exams with limited or complex resources may be more challenging to prepare for.
  10. Psychological factors
    The level of stress, pressure, and anxiety surrounding a particular exam can contribute to its perceived difficulty. This may be influenced by the stakes of the exam (such as its impact on career advancement) or the reputation of the exam itself.

About this ranking

This is a community-based ranking of the most difficult medical exam. We do our best to provide fair voting, but it is not intended to be exhaustive. So if you notice something or examination is missing, feel free to help improve the ranking!

Statistics

  • 2347 views
  • 217 votes
  • 10 ranked items

Voting Rules

A participant may cast an up or down vote for each examination once every 24 hours. The rank of each examination is then calculated from the weighted sum of all up and down votes.

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More information on most difficult medical exam

The medical field is undoubtedly one of the most challenging and demanding professions out there. Aspiring doctors have to go through rigorous training and education to acquire the necessary skills and knowledge to provide top-notch healthcare services to patients. One of the most crucial milestones in a medical student's journey is passing their medical exams. Medical exams are designed to test a student's understanding of medical concepts, procedures, and principles. These exams are known for being notoriously difficult, and for a good reason. The medical field is constantly evolving, and medical students need to keep up with the latest advancements and developments to excel in their field. There are several medical exams that aspiring doctors must pass to earn their degrees and licenses. Some of the most challenging exams include the United States Medical Licensing Examination (USMLE), the National Board of Medical Examiners (NBME), and the Comprehensive Osteopathic Medical Licensing Examination (COMLEX). These exams are comprehensive, covering a wide range of medical topics, from anatomy and physiology to pharmacology and patient care. Preparing for medical exams can be a daunting task, and it requires dedication, hard work, and perseverance. Medical students must develop effective study habits and strategies to succeed in these exams. With the right mindset and approach, passing these exams can be a rewarding experience that paves the way for a fulfilling career in the medical field.

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