Successful completion of the Unites States Medical Licensing Exam (USMLE) is a requirement for medical licensure in the United States and Canada. The USMLE consists of three steps that test candidates on basic science and clinical knowledge, as well as clinical skills for the proper, unsupervised, general practice of medicine.

In response to the development of the Pain Management Core Competencies for Prelicensure Learners, the National Board of Medical Examiners (NBME) invited a team from the UC Davis Division of Pain Medicine to conduct a secure, on-site review of the USMLE for pain content. A dozen U.S. experts in pain management from multiple medical specialties, as well as other professions (including pain experts from psychology and nursing), led the review. Results of the review will be released in fall 2016.