The United States Medical Licensing Examination (USMLE) Program provides reasonable
and appropriate accommodations in accordance with the Americans with
Disabilities Act for individuals with documented disabilities who demonstrate a
need for accommodation. Examinees are informed of the availability of test
accommodations in the USMLE Bulletin
of Information: Applying and Scheduling and in the Application Instructions.
The following information is provided for examinees,
evaluators, medical school student affairs staff, faculty and others involved
in the process of documenting a request for test accommodations. Applicants
requesting test accommodations should share these guidelines with their
evaluator, therapist, treating physician, etc., so that appropriate
documentation can be assembled to support the request for test accommodations.
The Americans with Disabilities Act of 1990 (ADA) and
accompanying regulations define a person with a disability as someone with a
physical or mental impairment that substantially limits one or more major life
activities such as walking, seeing, hearing, or learning. The purpose of
documentation is to validate that the individual is covered under the Americans
with Disabilities Act as a disabled individual.
The purpose of accommodations is to provide equal access to
the USMLE testing program.
Accommodations “match up” with the identified functional limitation so that the
area of impairment is alleviated by an auxiliary aid or adjustment to the
testing procedure. Functional limitation refers to the behavioral manifestations of the
disability that impede the individual’s ability to function, i.e., what someone
cannot do on a regular and continuing basis as a result of the disability.
For example, a functional limitation might be impaired vision so that the
individual is unable to view the examination in the standard font size. An
appropriate accommodation might be text enlargement. It is essential that the
documentation provide a clear explanation of the functional impairment and a
rationale for the requested accommodation.
While presumably the use of accommodations in the test
activity will enable the individual to better demonstrate his/her knowledge
mastery, accommodations are not a guarantee of improved performance, test
completion or a passing score.
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