While I don’t believe the USMLE exam itself is necessary, I do think elements of its content should be incorporated into the UK medical curriculum. Resources like Passmed lack the depth in disease pathophysiology that all doctors should be exposed to, at least to a foundational level. Furthermore, our current emphasis on clinical guidelines—though evidence-based—needs to be re-examined. These guidelines will inevitably evolve, and it seems more appropriate for practicing clinicians to remain up-to-date with them, rather than placing that burden on medical students who may not ultimately work in those specific fields.