For the purpose of ECFMG certification, there is no limit on the number of times you can take a Step until you have passed that Step. The USMLE program's recommendations to authorities are:

♦ You must complete Steps 1, 2 and 3 within a seven-year period, beginning when you first pass a Step;

♦ You cannot take more than six attempts to pass each Step without demonstration of acceptable additional educational experience.

The following rules must be kept in mind.

♦ You cannot take Step 2 more than three times within a 12-month period.

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