The Standard Pathway is for students who do not live in North America and do not intend at any time in the future to practice in the US. The USMLE Pathway is for students who intend to, or believe they one day may wish to, rotate or practice in the US. The US requires physicians to pass a series of hurdle exams known as the United States Medical Licensing Examinations (USMLE). While other countries also have hurdle exams, USMLE Step 1 is especially focused on the basic sciences. To address this special challenge, OUM has developed a separate pathway, which includes a USMLE Prep Program at no extra cost to help ensure student success. Passing USMLE Steps 1 and 2 is a graduation requirement for OUM students intending to practice in the US.