Footnotes

• Contributors KKS: wrote the paper, submitted the study. SK: accumulated the literature data and tabulation. SAS: planned the study, edited the manuscript.

• Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

• Disclaimer The views expressed in this letter are those of the authors and do not necessarily reflect the positions of the parent organisations. Authors neither have association nor received grants from any private or government organisation. In this letter, authors have mentioned their personal opinion based on their recent experiences and do not intend to hurt or challenge the functioning of any government or private organising body related to USMLE. Liability claims caused by the use of any information provided will, therefore, be rejected.

• Competing interests None declared.

• Patient consent for publication Not required.

• Provenance and peer review Not commissioned; internally peer reviewed.