For applicants comfortable studying solo, who want the calendar and the cohort.
- Weekly cohort live call
- Deadline board & Slack
- Two NBME mocks
- ECFMG walkthrough
- Mock interview marathon
USAUSMLE pathwayCohort · Spring 2026
Destination · United States
USMLE & Match.
From Step 1 to first
intern shift.
The USA is the longest pathway we run — and the one with the biggest single deliverable. We back-plan from Match day so that every score deadline lands when it should.
- 01MONTHS 1–2 · DISCOVERY
Diagnostic & transcript review
We run a full subject diagnostic, pull your transcript apart by clerkship, and map a country shortlist. By month two you have a target match year.
- 02MONTHS 2–10 · STEP 1
Step 1 prep & pass
Pass/fail since 2022 — but the prep underwrites Step 2. Weekly live calls, UWorld phase 1 then phase 2, two NBMEs, full mock day before booking.
- 03MONTHS 10–16 · STEP 2 CK
Step 2 CK — the score that matters
22-week structured calendar. Phase 1 (UWorld by system), phase 2 (UWorld by random), NBME, CMS forms, sprint, mock, book. Median score: 251.
- 04MONTHS 12–18 · ECFMG & OET
ECFMG certification & OET Medicine
EPIC profile, OET Medicine, transcripts, diploma verification. We open EPIC the day Step 1 results drop so verification clocks start.
- 05MONTHS 14–20 · USCE & LORS
US clinical experience & letters
Externships, observerships, two clinical letters minimum. We help you sequence rotations so a US-based attending writes the September letter.
- 06MONTHS 20–22 · ERAS & MATCH
ERAS application & Match
ERAS opens in September. Rank list closes in February. Mock interview marathon in October. Match in March. We stay on the line for SOAP if it comes.
What’s included
Eight concrete
deliverables.
Weekly live calls
52 sessions a year with the same coach.
Cohort Slack & deadline board
Shared timeline, mutual accountability.
2 full NBME mocks
Real platform, scored, debriefed within 48h.
USCE referrals
Externship placements through 38 US-based alumni.
ECFMG / EPIC walkthrough
Document order, deadline windows, fee timing.
Mock interview marathon
8 simulated interviews in October.
Personal statement edit
Three editing rounds with a US program director.
Relocation playbook
Bank, SSN, housing, J1 visa briefing.
Pricing
Three plans.
All include the cohort.
The default — adds one-on-one coaching hours across the calendar.
- Everything in Cohort
- 1× one-on-one call / fortnight
- 3 PS editing rounds
- USCE referral & intro
- Step 2 score debrief
- Personal rank-list build
For applicants with non-standard situations: gap years, retakes, dual specialisations.
- Everything in Coached
- Weekly one-on-one call
- Custom calendar for retakes
- Direct line to founder
- SOAP support (if needed)
Payments split across 6 or 12 months. Exam fees ($1,135 Step 1 + $1,275 Step 2 + ECFMG fees) are billed separately.
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I matched into Internal Medicine in Chicago in 2023. Step 2 was 257, Step 1 was a pass. RxApply walked me through every score deadline, every LOR, and the personal statement I should have written in month one but wrote in month eighteen.
Coach for this destination
Your coach
sat the same exam.
Every destination is coached by an alumnus who passed within the last four years. They know the question style, the rubric changes, the platform glitches.
USMLE FAQ
The specific things people ask.
What Step 2 CK score do I need to match?
For IM, FM, and Pediatrics: ≥240 is competitive, ≥250 is comfortable. For surgical or competitive specialties (Derm, Ortho, ENT) you’re aiming for 260+ and the rest of the file becomes much more important. We set targets per applicant after diagnostic.
Does Step 1 being pass/fail hurt IMG applicants?
Slightly — programs lean harder on Step 2 CK, US clinical experience, and letters. It also raises the bar on personal statement and rank-list strategy. We re-calibrated the program for this in 2022.
How many years out of school is too many?
Five years from graduation is the common cutoff for many programs; some go to seven or ten. We have alumni who matched at year eight. The compensating moves are recent US clinical experience and recent letters.
Can you help with the J1 vs. H1B decision?
Yes — in the Concierge plan. Most applicants take J1 because it’s offered by more programs. The H1B trade-off (no home-country obligation, but harder to find) is a personal call we walk through case by case.
What if I don’t match?
SOAP week support is included. After that, we keep you in the cohort for the next cycle at no extra cost, with a structured reapplication plan: USCE refresh, Step 3 if appropriate, rewrite, and rank-list reset.
Related workshops
USA-specific live sessions.
USA · FreeReading room · NY
WED · 18 SEP · 20:00 IRST
Step 2 CK in five months — is it realistic?
A walk through Reza’s 2023 calendar, with the trade-offs he made.
USA · FreeBrooklyn Bridge
SAT · 28 SEP · 18:00 IRST
ERAS application — week-by-week
From MyERAS opening day through rank list.
USA · PaidMock interview · live
SUN · 06 OCT · 19:00 IRST
Mock interview marathon (8 stations)
Two examiners per station. Recorded. 12 seats.
Spring 2026 USA intake
14 of 32 seats
remaining.
Cohort closes 30 September. Plan a 22-month calendar with Reza on a 30-minute discovery call.
Cohort starts
Oct 15
Match day · March 2028.