USMLE Step 3 Exam - Registration, Eligibility, Fees, Dates, Preparation, Result and more.

USMLE Step 3 Exam

ABOUT USMLE Step 3

About USMLE Step 3

Eligibility, Registration, Fees and Scores

The next step after clearing the USMLE Step 2 CK and Step 2 CS test is USMLE Step 3. It is the last step of the USMLE (United States Medical Licensing Examination), which is a screening test for candidates who want to practice medicine in United States. Candidates will get medical licence after clearing this examination, and will be allowed to practice medicine without supervision.

Here, we are providing all the information about USMLE Step 3 registration, USMLE Step 3 exam dates, USMLE Step 3 questions, USMLE step 3 fees, and USMLE step 3 scores to clear the examination:

USMLE Step 3 Eligibility:

  • Only the Candidates who have cleared the Step 1, Step 2 CK and Step 2 CS test can appear for the Step 3.
  • The candidate must have a degree equivalent to Canadian or US MD degree from a medical school that is listed in World Directory of Medical Schools. Candidates can check if their university or college is listed in World Directory of Medical Students or not on WDOMS website.
  • Candidates should hold Fifth Pathway Certificate issued through 31-12-2009.
  • ECFMG certification is not accepted for the students who do not have Fifth Pathway Certificate.

USMLE Step 3 Exam Dates:

  • There are no fixed dates to appear for USMLE test 3 exam. It is a two-day examination. Candidates can choose a three-month eligibility period to appear for the test. The Step 3 examination can only be taken in USA. Therefore, candidates from outside USA will have to travel to the US for USMLE Step 3.
  • The three-month eligibility period is available all around the year. However, a candidate cannot get a scheduling before six month to the examination. The eligibility period cannot be chosen for first week of January and major holidays. Seats are allotted on first come first serve basis.

USMLE Step 3 Registration:

Candidates will have to fill USMLE Step 3 Registration Form through Federation of State Medical Boards (FSMB). Candidates can choose a three-month eligibility period, which is not falling in first week of January and on major holidays. However, keep in mind that you cannot get a scheduling before six months to the examination.

USMLE Step 3 Fees:

Given below is the USMLE Step 3 fees, and additional USMLE Step 3 costs.

Fee Structure:

Application Fee

$850

Rescheduling Fee

$0-$114

 

Rescheduling Fees:

Days before scheduled test

Testing Region

Step 3

31+ days before the test date

All testing regions

No Fee

Less than 31 days to more than 5 days before the test date

All testing regions

$50

5 or fewer days before the test date

US and Canada

$228

Africa, Asia (including Hong Kong and Pakistan),

Australia, China, India, Indonesia, Latin America,

Middle East (including Egypt), Thailand

NA

Europe (including Israel), Korea, Taiwan

N/A

Japan

N/A

 

USMLE Step 3 Test Centres:

USMLE Step 3 test centres are all located in the USA and its territories. Candidates will have to travel to USA to appear for Step 3 exam.

Test Centres

  1. American Samoa
  1. Guam
  1. Northern Mariana Islands
  1. Puerto Rico
  1. United States of America (All the States)
  1. Virgin Islands (U.S)

 

USMLE Step 3 Questions and Exam Pattern:

The Step 3 is an assessment of candidate’s ability to practice medicine without any supervision. The medical license will be provided only after the candidate clears USMLE Step 3 exam.

Step 3 examination is a two-day examination, divided into two subcategories:

  1. Foundations of Independent Practice
  2. Advanced Clinical Medicine

Day 1: Foundation of Independent Practice (FIP)

  • Along with diagnosis and diagnostic studies, the first day of USMLE Step 3 test is an assessment of candidate’s knowledge of basic medical principles for effective healthcare. It also assesses the knowledge of patient history and physical examination.
  • The examination duration for Day 1 is 7 Hours. The day is divided into 6 blocks. Each block will have 38 to 40 items respectively.  The total number of USMLE Step 3 questions for the first day will be maximum of 260.

Day 2: Advanced Clinical Medicine (ACP)

  • Day 2 of USMLE Step 3 exam is an assessment of candidate’s ability in application of knowledge for manifestation of disease and patient management. Along with that, it also assesses various aspects such as health maintenance and screening, therapeutics, diagnosis and prognosis, and medical decision making.
  • The examination duration for Day 2 is 9 hours. The day is divided into 6 blocks. Each block will have 33 questions respectively. The total number of USMLE Step 3 questions for the second day will be maximum of 200.
  • Computer based case stimulations are also included in USMLE Step 3 exam.

USMLE Step 3 Exam Pattern:

USMLE Step 3

Duration

Total Questions

Blocks

No. of Question in each Block

USMLE Step 3-Day 1

7 hours

260

6

44

USMLE Step 3-Day 2

9 hours

200

6 (30-45 minutes each)

33

(13 case stimulations)

 

USMLE Step 3 Subjects & Syllabus:

Given below are the details of the different competencies and the weightage they hold for USMLE Step 3 exam.

Competency

Foundations of Independent Practice

Advanced Clinical Medicine

Communication and Professionalism

8% - 12%

NA

Medical Knowledge / Scientific Concepts

18% - 22%

NA

Systems-based Practice / Patient Safety and Practice-based Learning

22% - 27%

NA

Patient Care: Diagnosis

  1. History/Physical Examination
  2. Laboratory/Diagnosis Studies
  3. Diagnosis

40% - 45%

NA

Prognosis/Outcome

NA

20% - 25%

Patient Care: Management

  1. Health Maintenance/Disease Prevention
  2. Pharmacotherapy
  3. Mixed Management
  4. Surveillance for Disease Recurrence
  5. Clinical Interventions

NA

75% - 80%

 

USMLE Step 3 Scores:

There is no specific score provided by USMLE that is required to qualify. The test scores are declared in three digits. The latest minimum qualifying scores for USMLE Step 3 examination is 196.

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