USMLE became created in reaction to the need for one route to medical licensure for allopathic physicians inside the u.s.. Earlier than USMLE, more than one examinations (the NBME elements examination and the F (1) - download at 4shared. USMLE became created in reaction to the need for one route to medical licensure for allopathic physicians inside the u.s.. Earlier than USMLE, more than one examinations (the NBME elements examination and the F (1) is hosted at free file sharing service 4shared.