The United Startes Medical Licensing Examination (USMLE) is a theree Step Examination for medical Licensure in the United States,each of the theree Steps of the USMLE complements the others Physicans with an M.D degree are required to pass this examination before being permitted to practice medicine in the United States of America. This certificate allows physicians to work whether in United States,Egypt, or any other Arab Country. Once you pass the three sreps with high score yaou can get a jop in specialization comes later.