# ACOG vs USMLE

ACOG and USMLE both sit at 4.9 stars, but that hides the real split: 90% of ACOG's written reviews are positive against 49% of USMLE's. ACOG also leads on in-app purchases (none vs 1). USMLE's advantage is update cadence (every 6 weeks vs every 3 months) and iOS requirement (15.0 vs 17.0). On price, rating, ratings volume and ads there is nothing between them.

Both are free to download. USMLE sells 1 in-app purchase, starting at $49.99 per month. ACOG asks for nothing beyond the download.

ACOG holds the better App Store score, 4.9 against 4.7. Both are backed by a comparable volume of ratings — 6.3K and 5K respectively. Written reviews point the same way: 90% of ACOG's written reviews are positive against 49% of USMLE's.

ACOG ships an update every 3 months, USMLE every 6 weeks. The most recent releases landed on November 10, 2026 and November 11, 2026 respectively.

## The numbers

| Metric | ACOG | USMLE |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.9 (6.3K ratings)](https://appshunter.io/ios/app/acog/id616323665/reviews)** | [4.7 (5K ratings)](https://appshunter.io/ios/app/usmle-rx/id1222119266/reviews) |
| Number of ratings | **6.3K** | 5K |
| Positive reviews | **89.6% of reviews** | 48.9% of reviews |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 3 months | **Every 6 weeks** |
| Monetization | **Free** | Free with in-app purchases |
| Size | 29 MB | 40 MB |
| Requires iOS | 17.0 | **15.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [Fountainhead Mobile Solutions](https://appshunter.io/developer/1113758990) | [MedIQ Learning, LLC](https://appshunter.io/developer/344457828) |

## What reviewers say

### ACOG

[App page](https://appshunter.io/ios/app/acog/id616323665)

This app provides obstetricians and gynecologists with essential tools and resources for women's healthcare. Access clinical guidelines, practice advisories, and helpful calculators to support your medical practice.

**Highlights:** EDD Calculator, Indicated Delivery tool (members only), Clinical Consensus documents, Clinical Practice Guidelines, Practice Advisories

**Features:** Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 🚀 Quick access to clinical guidance
- 👍 Well-organized and easy to navigate
- 🔍 Convenient way to stay up-to-date with guidelines
- ⚡ Essential for OB-GYNs and providers
- 📚 Excellent resource for clinical reference

**What reviewers complain about**

- 🐛 Occasional crashes and compatibility issues
- 🔍 Could use more advanced search functionality
- 👨‍⚕️ Requires ACOG membership to access full features

**Reported bugs**

- App crashes on launch after updates
- Compatibility issues with older iOS versions

**Requested features**

- Bishop score calculator
- More extensive search engine
- Improved user interface


### USMLE

[App page](https://appshunter.io/ios/app/usmle-rx/id1222119266)

Master medical school and the USMLE with a comprehensive resource app. Access board-style questions, interactive learning modules, flashcards, and videos. Study anytime, anywhere with cloud syncing and personalized study tools.

**Highlights:** Thousands of USMLE board-style questions, Nearly 800 eLearning modules, Over 14,000 flashcards, Over 80 hours of high-yield videos, Cloud syncing across devices, Spaced repetition study tool

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| RX360+ | $49.99 | per month |


## Frequently asked questions

### Is ACOG free?

ACOG is free to download, with no in-app purchases.

### Is USMLE free?

USMLE is free to download, with in-app purchases available.

### Which has better reviews, ACOG or USMLE?

ACOG is rated higher. ACOG averages 4.9 out of 5 from 6.3K ratings, while USMLE averages 4.7 from 5K ratings.

### Do ACOG or USMLE have ads?

Neither ACOG nor USMLE shows ads.

### Which is updated more often, ACOG or USMLE?

ACOG ships an update every 3 months, and USMLE every 6 weeks. Most recently, ACOG was updated on November 10, 2026 and USMLE on November 11, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*