The system of Licensing Integrated Exams is a complex of measures aimed at standardized diagnostics of a professional competence level. This system is a constituent part of state certification for the students majoring in Medicine and Pharmacy and doctors (dispensing chemists) that undergo their primary specialization training (internship). It is implemented in higher education establishments regardless of their subordination.

The “Krok” Medical Licensing Exam

• It is an objective external independent assessment of professional competence.

• It takes place nationwide at the same time in the test-based format.

• It is administered by the Testing Board at the Ministry of Health of Ukraine.

• It is mandatory for all medical students enrolled in higher education establishments subordinate to the Ministry of Health or the Ministry of Education and Science, as well as private medical schools (over 140 schools in total).

• Specialties: Medicine, Dentistry, Pharmacy, Nursing, Laboratory Diagnostics, etc.

• 29 Licensing Exams per year.

• Over 55000 examinees per year.

• Attrition rate – approximately 10%.

The objective of the Licensing Integrated Exam is to determine, whether the graduating student’s (intern’s) professional competence level meets the mandatory minimum level according to the State Standards of Higher Education. Professional competence is assessed as the ability to apply the knowledge and understanding of fundamental biomedical sciences and basic medical subjects that are the most important for providing medical aid to a patient under the guidance of a more experienced doctor. The main attention is focused on health support, disease prevention, and organization of medical care.


USQE is the Unified State Qualification Exam for the students enrolled in the Master’s academic program and majoring in “22 Healthcare” branch of knowledge.

Components of the USQE, Stage 1

In 2020 all the third year students majoring in Medicine, Pediatrics, Medical Psychology, Dentistry, and Pharmacy are taking the first stage of the USQE that consists of the following components:

• The “Krok 1” Integrated Test-Based Exam;

• The English Language Proficiency Test.

The “Krok 1” is a general science exam, which is taken after the students complete the courses in basic fundamental sciences that are covered in the “Krok 1” Test-Based Exam. It is held during the 3rd (physicians, dentists) or the 4th (pharmacists, clinical pharmacists) year of study.

All the students, who failed their “Krok 1” Test-Based Exam, are granted two more attempts to pass this exam within the period before their next end-of-semester exams on the dates approved by the Ministry of Health of Ukraine. If a student fails to pass the “Krok 1” Exam during any of the subsequent retakes, he/she is to be suspended from the next end-of-semester exams and expelled from the higher education establishment due to his/her failure to complete the curriculum.

Krok 1. Medicine
➤ Biology (6–8%)
➤ Normal Anatomy (9–11%)
➤ Histology (4–6%)
➤ Normal Physiology (13–17%)
➤ Biochemistry (13–17%)
➤ Pathological Anatomy (13–17%)
➤ Pathophysiology (10–14%)
➤ Microbiology (7–9%)
➤ Pharmacology (11–15%)

Krok 1. Dentistry
➤ Biology (7–9%)
➤ Normal Anatomy (13–17%)
➤ Histology (9–11%)
➤ Normal Physiology (10–14%)
➤ Biochemistry (10–14%)
➤ Pathological Anatomy (10–14%)
➤ Pathophysiology (10–14%)
➤ Microbiology (6–8%)
➤ Pharmacology (10–14%)

Krok 1. Pharmacy
➤ Analytical Chemistry (12–16%)
➤ Organic Chemistry (12–16%)
➤ Physical and Colloid Chemistry (9–13%)
➤ Pathophysiology (10–14%)
➤ Biochemistry (10–14%)
➤ Pharmaceutical Botany (9–13%)
➤ Microbiology (10–14%)
➤ Pharmacology (12–16%)

The “Krok 2” is an exam on profession-specific subjects covered in the curriculum for qualification of a Specialist. It is a part of state certification and is held during the last year of study.

All the students, who failed their “Krok 2” Test-Based Exam, can still take part in their state graduation exams. These students do not obtain their Licensing Exam Certificates, their state certification is considered to be failed, and they receive no Higher Education Diplomas. They can retake this Licensing Exam no sooner than in a year.

Krok 2. Medicine
➤ Therapy (35–44%)
➤ Surgery (18–23%)
➤ Pediatrics (13–17%)
➤ Obstetrics and Gynecology (11–14%)
➤ Hygiene, Healthcare Management (11–14%)

Krok 2. Dentistry
➤ Dental Therapy (21–26%)
➤ Dental Surgery (20–25%)
➤ Dentofacial Orthopedics (21–26%)
➤ Pediatric Dental Therapy (11–15%)
➤ Pediatric Dental Surgery (5–8%)
➤ Orthodontics (4–7%)
➤ General Medicine (4–7%)

Krok 2. Pharmacy
➤ Pharmaceutical Chemistry (15–19%)
➤ Pharmacognosy (12–16%)
➤ Extemporaneous Preparation of Medicines (12–16%)
➤ Industrial Manufacturing of Medicines (10–14%)
➤ Pharmaceutical Organization and Economics (12–16%)
➤ Pharmaceutical Management and Marketing (12–16%)
➤ Clinical Pharmacy (13–17%)APPEAL PROCEDURE

What is an Appeal to recheck the test score obtained in the result of a Krok Exam?

• Licensing Integrated Exam Procedure provides the Examinees with the right to submit an Appeal to recheck the test score obtained in the result of a Krok Exam (hereinafter “the Appeal”).

• The Appeal Requests will be considered by the Appeal Committee of the Testing Board. The authority and composition of the Appeal Committee are approved by Testing Board Resolution №96, dated June 15, 2020.

• The Appeal Procedure checks whether the Examinee’s test score was calculated correctly during the automated processing of the answer sheets. It is done by comparing the answer sheet of the Examinee with its processing protocol that is the basis of the exam result calculation. This way the Examinee can make sure that his/her answer sheet was scanned correctly and therefore the obtained score was calculated correctly.

• For the duration of the quarantine measures, the Appeal Procedure to recheck the test score will be conducted REMOTELY. It means that you do not need to go to the Testing Board or to personally hand over your Appeal Request Form to the Testing Board in advance.

Who can submit an Appeal to recheck the obtained test score?

• The Appeal can be submitted by an Examinee, who has taken the test and received a negative score. The Appeals submitted by the Examinees, who violated the testing procedure and were suspended from taking the test as a result, will be rejected by the Testing Board.

• The Appeal Request must be sent by an Examinee to the Testing Board via a registered letter.

• Please, keep in mind that your Appeal Request must be signed by the Principal / Deputy Principal / Director of your higher education establishment.

• Based on the results of the Appeal Procedure, a relevant statement will be drawn up, and this statement is final.


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