SDN Members don't see this ad. (About Ads) I am a second year and was wondering if I should take both tests or just the COMLEX. I am in the top 35% of my class and right now I am leaning toward IM or EM. I really don't think I want to do surgery or any of the super competitive specialties right out of school, but I still may want to do a fellowship following residency in IM or something of the sort. Would it be recommended to take the USMLE if I wanted to do EM or get a fellow ship someday? Our school isn't the greatest at giving advice on this so any help would be much appreciated!