At one point in time, the USMLE (United States Medical License Exam) was used to evaluate a student’s knowledge and clinical application of that knowledge. It functioned as a qualitative measurement to be sure one had reached the appropriate education to continue medical training. As the test and technology have evolved, the importance of getting a higher Step 1 and 2 scores has become vital to the success of a residency match. Students studying at a Caribbean medical university face challenges that can be overcome with the appropriate preparation.

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