Clinical Placement in the USA

After successfully completing the basic sciences, all students who intend to go to the USA for their third year (or part thereof) are required to sit a clinical placement examination, the National Board of Medical Examiner’s Comprehensive Basic Sciences Examination (NBME CBSE). The CBSE is a clinical placement examination for all US sites and is not reflected on a student’s transcript or MSPE. 

Upon successful completion of the basic sciences all students requesting US placement are required to pass the CBSE examination, and be certified for the USMLE Step 1 examination via ECFMG. Once certified, the USMLE Step 1 examination can be booked.

The CBSE, a scheduled examination will be offered after successful completion of the basic sciences phase and students have met standards for promotion to the clinical phase. If a student fails the first attempt and timeline permits, further attempts as outlined in the published schedule are required. A passing grade is required in the CBSE before ECFMG certification is granted for the Step 1 examination. Students who pass the CBSE and Step 1 can proceed to any SGU affiliated clinical site in the USA based on availability at the time of their qualification.

Students not passing the CBSE will proceed to a UK clinical site or an SGU affiliated US clinical site in a state that does not require Step 1.

If a student later wishes to participate in clinical rotations at a US clinical site in a state that does require Step 1, they will be required to pass the CBSE and USMLE Step 1 at the end of their third year.