Step 3

This post is more on the exam than on a study plan for sure since I feel that is more confusing than the study preparation itself. Basic format of the NEW exam is as follows

DAY 1

• Total exam duration - 7 hours
• Has 6 blocks – 42-43 questions with 60 minutes for each block.

DAY 2

• Total exam duration 9 hours in total. Has 2 parts
• Part 1 –

o   6 blocks with 33 questions and 45 minutes for each block.

• Part 2 – (CCS)

o   13 case simulations with each being either 10 or 20 minutes in length.

The MAIN change according to me is in the scheduling of the exam. I mean in the new pattern you can schedule day 2 of your exam at a different date but at the SAME test centre and within 14 days.

Materials I used:

1. OLD MTB 3
2. USMLE world - Qbank, CCS, UWSA
3. Archer introductory videos

The general question on everyone’s mind at the moment I think is should I read my basic science book like 1^st aid for Step 1 and go through biochemistry and learn the enzymes and also to buy the new MTB 3 (I have not read it so not sure about MTB 3 new addition) My advice would be a firm NO, as I feel step 3 is basically the same as CK but they are more focused on the management aspect of the patient and how you can apply your BASIC science concepts. At least for me it wasn't like step 1 where I had to mug up a couple of enzyme names and know the deficiency of which causes what and so on and so forth. My advice would be prepare the same as you would for the old step 3 examination. In addition to the Uworld qbank do the Uworld self-assessment test and USMLE.org practice materials.

Coming to the CCS part of the exam I felt this part was my Achilles heel. I would highly recommend doing the Uworld CCS cases as many times as possible and read the explanation. Also Uworld also gives you a PDF handout for 40 to 50 cases which I think is good enough. Furthermore to help in CCS there is a person called Archer who has a course.  I recommend watching his CCS Strategies video which is 2.45 hours long which gives you a quick over view of CCS. Also do the CCS cases that USMLE has on their web site.

The difficulty of the questions were essentially according to me like Step 2 CK, but as I do not have my result I would not like to say anything for sure. Also I felt day 2 was tougher than day 1 but some guys I spoke to felt both days were easy. Any how my study time was around a month and a half technically with studies being in between interviews and Christmas festivities. At the moment as my result is unknown I cannot exactly say whether it was sufficient or not but hoping for the best.

Good luck to all who are giving it soon!

(Update 25th March 2015- Pass)

Step 3 application process

1. Go to http://www.fsmb.org/
2. Top right hand side click on Sign in -> USMLE Step 3
3. Create Account and then fill in the details as it is explained
4. Once the account is created, login and register for the examination. There is only 2 month eligibility period. Please Note that you have to be ECFMG certified in order to apply for the exam – in other words pass Step 1, Step 2 CK and CS ALONG with graduating from your medical school.
5. Once done you will be asked to print a Certification of Identity form. Fill this form and get it notarized either in your home town or in the States should you happen to be there. Mail this form to the address mentioned in the form. Wait for them to confirm and that is it.

Just FYI I did my notarization in India prior to coming to the States. Hence just in case people are confused whether it is valid the answer is yes. You can get the Certification of Identity Form in the following link along with the requirements prior to completing the application.  http://www.fsmb.org/licensure/usmle-step-3/requirements. You can use the US postal service to mail the notarized form should you happen to be in the States.

P.S.-  There is no individual State requirement to be filled out now post the new format just in case people are confused about it as I was initially.