In recent years, a number of medical schools have reformed their curricula to have students take the USMLE Step 1 after core clinical clerkships or preliminary clinical training. While the USMLE Step 1 has traditionally been taken after students complete foundational sciences and before core clinical clerkships. In May 2015, the USMLE began emphasizing concepts regarding patient safety and quality improvement across all parts of the USMLE exam series, including Step 1. The exam became computer-based several years later. Upon the launch of the three-part United States Medical Licensing Examination, NBME Part I exam was carried forward in its new format, the USMLE Step 1 examination, which has since evolved to become an increasingly clinically-applied examination of the foundational sciences. Prior to 1992, the NBME Part I examination served as the staple basic science examination for medical students at the end of their second year.
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