INVISTA NO SEU SUCESSO:
Step 3 preparation relies on strategic resource utilization and smart study practices. Tools like UWorld, CCScases.com, and Free 137 provide core preparation, while resources like Divine Intervention Podcasts, Amboss biostats, and First Aid Step 1 supplement weak areas. Predictive tools such as the "Predict My Step Score" website and NBME forms (6/7) help gauge readiness and align study goals with targeted benchmarks. Consistent practice with QBank scores above 60-70%, combined with CCS case mastery, is critical for a safe pass.
High-yield advice emphasizes prioritizing biostats, ethics, and CCS for Day 1 and focused risk factor/prognosis questions for Day 2. Engaging with high-yield podcasts, targeted First Aid chapters, and predictive NBME simulations optimizes last-minute review. Many recommend simulating test conditions with timed practice blocks and refining CCS efficiency to mitigate system lags.
For further support, tutoring services and study groups provide personalized guidance, while shared online resources offer free access to detailed case explanations and study materials. With consistent practice and efficient time management, achieving a passing score—or excelling—is entirely within reach.
Resources
UWorld Step 3 QBank: Comprehensive question bank with biostats reviews and topic-based CCS cases.
CCScases.com: For practicing CCS case simulations.
Free 137: Official practice questions to understand the test format.
Divine Intervention Podcasts: High-yield episodes focusing on risk factors, ethics, and quality improvement.
First Aid Step 1: Useful for pharmacology (MOA), microbiology, and public health sciences.
Amboss: Additional QBank, particularly useful for biostats, patient safety, and step 1-style prep.
Randy Neil’s Biostats Videos: Focused biostatistics crash courses.
Dirty Medicine: Ethics and communication skills.
Predictive Tools: Score predictors like Amboss and "Predict My Step Score" website.
Step 3 Test Material Resources: USMLE-provided practice materials for CCS cases and interactive assessments.
Scores and Key Benchmarks
UWSA 1 and 2 Scores: Indicative but often underpredict actual scores by 10-15 points.
Free 137: Scores above 60-70% are safe indicators for passing.
NBME 6/7: Safe scores generally range above 350-400 on NBME's 800-point scale.
UWorld Completion: 60-70% completion with consistent accuracy of 60% or higher correlates with passing scores.
High Performers: 265+ achievers often combine 70-80% UWorld scores, advanced clinical reasoning, and thorough CCS preparation.
Methods and Tips
Day 1 Prep: Heavy focus on biostats, ethics, drug ads, and step 1 knowledge (MOA, micro, pathology).
Day 2 Prep: Emphasis on step 2 concepts, risk factor identification, and CCS case efficiency.
CCS Practice: Use official NBME simulations and online platforms like CCScases.com; practice managing lag in the system.
Simulate Test Conditions: Practice blocks under time constraints.
Scoring Tools: Familiarize yourself with predictive tools to adjust prep strategies as needed.
Opportunities
Tutoring Services: Personalized one-on-one sessions by high scorers offering tailored guidance.
Study Groups: Opportunities to join accountability groups via Reddit, Telegram, or other platforms.
Mentorship: Utilize Reddit for case-specific queries and experiences from those recently passed.
Content Accessibility: Many posts include shared notes, podcast links, or free question material.
Post 1: Uwsa 1
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The user scored 225 on UWSA 1 with their Step 3 exam scheduled in one week. They express fear and ask whether they should postpone the exam.
Many commenters provide reassurance, noting that the passing score is 200, and the user's current score is above that. Others recommend taking additional assessments like NBME 6, NBME 7, or the free 137 for a better representation of the exam. Several mention that UWSA underpredicts by 10–15 points, suggesting the user might perform better on the actual exam. One user shared personal experience, stating their percentile on UWSA matched their Step 3 score, while others debated the predictive value of UWSA.
Post 2: F137 (2022) Question 40. What is happening here?
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The post includes a link to an image from Free 137 2022 Question 40, with the user asking whether the diagnosis is an infection or a leak.
The comments suggest a range of answers, including infection and acalculous cholecystitis. A few users discuss possible mechanisms, such as ruptured aneurysms causing blood accumulation that becomes infected. Some link to resources like Ben White’s explanations for additional clarity. Others engage in diagnostic reasoning, offering explanations for acalculous cholecystitis and its presentation.
Post 3: F 137 (2022) Question 63
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The user asks for help interpreting an X-ray from Free 137 (2022) Question 63, requesting explanations in the comments.
Most commenters provided concise answers, like “Answer: A”, while others shared links to Ben White’s website for more detailed reasoning. Speculations about the image include conditions like lymphoma pressing on the trachea. Some engage in broader discussions, such as the number of Free 137 versions available and concerns about over-familiarity with the questions.
Post 4: Step3 uw for sale
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The poster advertises a UWorld Step 3 account with a reset option, available at a negotiable price.
The thread sees multiple inquiries about pricing and availability, with users asking to be DM’d directly. Another user offers a similar UWorld account, emphasizing its accessibility until March.
Post 5: Free 137 (2022) Question 43
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The post links to an image from Free 137 (2022) Question 43, asking for an explanation of the rationale behind the answer.
Answers converge on “Answer: B,” with users identifying the condition as gastroparesis. Links to Ben White’s explanations are shared again, solidifying it as a go-to resource. Discussion is brief, reflecting a straightforward question.
Post 6: Prometric sent wrong test date?
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The user reports receiving an email from Prometric scheduling their test for an incorrect date, despite a confirmed December booking.
Commenters advise the user to contact Prometric immediately. One mentions they’ve had no similar issues. The discussion is focused and supportive, but limited due to the niche nature of the problem.
Post 7: Free 137 2022 version explanations
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The post shares a link to Ben White’s explanations for the 2022 Free 137 Step 3 questions.
A single commenter praises the resource, calling it “OG,” and notes the difficulty of the questions. The brevity of engagement suggests general acknowledgment rather than active discussion.
Post 8: EXAM IN 4 DAYS! Is my prep enough?
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The user scored 70% on NBME 7 and asks whether they are adequately prepared for their exam in four days or if they should postpone.
Commenters recommend additional scores for comparison, sharing personal experiences with Free 137, UWSA, and UWorld results. One user mentions their NBME 7 (73%) and UWSA scores to highlight variability. The thread underscores the importance of consistency in practice scores for decision-making.
Post 9: step3 Uworld account
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The user advertises a UWorld Step 3 account with a reset option, accessible until March.
The comments primarily inquire about availability and pricing, with multiple users requesting direct messages. Engagement is high but transactional.
Post 10: Step 3 scores
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The user shares their practice exam scores, including UWSA 1 (194), NBME 6 (400/800), and NBME 7 (284/800), asking if they should postpone their exam in one week.
Commenters debate the scores, noting NBME 7 is below average and recommending taking Free 137 to better gauge readiness. Several reference tools like Predict My Step Score and emphasize UWorld performance (e.g., achieving 60–65% correct). Others share personal trajectories, with one user noting a UWSA 1 score of 196 led to a 216 on the real exam. The thread provides diverse insights, helping the user evaluate their preparedness.
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Post 11: DAY 1
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The user asks if completing 700 questions from UWorld's FIP section is sufficient preparation for Day 1 of Step 3 or if additional resources are necessary.
One commenter notes that completing 300 more questions would nearly cover the entire UWorld Step 3 QBank, suggesting that the user might still benefit from expanding their coverage. Another admits unfamiliarity with the FIP section and highlights advice they've received to review Step 2 CK NBME materials, though they acknowledge uncertainty about its accuracy. The thread underscores a mixed understanding of what constitutes optimal preparation.
Post 12: Nbme 6 score
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The user seeks help on calculating an offline NBME 6 score.
Only one comment directly responds, asking where to find NBME materials, particularly older versions. This indicates minimal engagement, and the question remains largely unanswered.
Post 13: Step 3 coming up
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The user seeks insights from recent test-takers on question trends to help them prepare during three days of active residency hours.
Commenters highlight the importance of reviewing biostatistics, microbiology, pharmacology, and clinical CCS cases. Multiple users emphasize focusing on CCS, citing its significant impact on scores. Others share Day 1 trends like biostats, risk factors, and Step 2-like questions and suggest resources such as Mehlman notes, Dr. High Yield videos, and topic-specific reviews. A common thread is the balance between Step 2 review and targeted preparation for Step 3's unique challenges.
Post 14: Do I stand a chance at matching into?
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A family physician from Canada with 11 years post-graduation, Step scores of 216 (Step 1) and 237 (Step 2), and no US LORs asks about their chances of matching into FM or IM in the U.S.
A commenter recommends doing an observership in the U.S. and obtaining US-based LORs to improve their chances. Another suggests starting with a fellowship before pursuing residency. The advice is practical and directly addresses the user's question about enhancing their application.
Post 15: Selling UWorld Step 3 — expires Jan 28
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The user is selling a UWorld Step 3 account with a reset option, initially bought for $500 but now available for $225 or lower.
The thread has significant interest, with users inquiring about pricing, location, and specifics such as content availability (e.g., UWSA2). The post highlights high demand for second-hand UWorld subscriptions with reset functionality, especially at reduced prices.
Post 16: Step3 and divine podcast
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The user asks for recommendations on Divine podcasts for a quick Step 3 revision.
A commenter suggests focusing on episodes covering greatest risk factors and common sequelae, noting these as high-yield topics for Step 3. Another asks for the episode number, reflecting active interest in targeted podcast recommendations.
Post 17: Need UWorld Step 3
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The user requests help finding a UWorld Step 3 account for purchase.
Responses are brief and transactional, with users offering to message directly. This reinforces the trend of high demand for UWorld subscriptions in the Step 3 preparation community.
Post 18: Day 1 tomorrow advise
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The user asks for last-minute advice on whether to review biostatistics, ethics, and antibiotics or use UWorld flashcards the night before Day 1.
Commenters emphasize reviewing biostatistics, particularly formulas, bias definitions, and prevalence metrics, alongside basic microbiology and pharmacology. One highlights specific Step 3-relevant topics like gram staining and mechanisms of action. The focus is on maximizing the impact of last-minute preparation.
Post 19: Divine Step 3 notes
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The user seeks Divine podcast notes for Step 3.
The thread sees significant engagement, with many users expressing interest in the same resource. A commenter shares a link to the Divine notes (Step 2 CK/Step 3 version), clarifying that these are the only notes currently available after others were removed. The post showcases the community’s reliance on shared study materials.
Post 20: How to calculate Offline NBME 7 score
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The user asks how to convert a 130/200 (65%) offline NBME 7 score into a three-digit Step 3 score.
The sole commenter does not directly answer but inquires about where to access the offline NBME, reflecting a lack of definitive scoring information in the community. The question remains unresolved.
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Post 21: Need study partner for accountability and discussions!
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The user seeks a study partner for accountability and discussions, preferably in the IST time zone. They aim to take the exam in 1-2 months and identify as a beginner.
Only one commenter expresses interest with “Let’s study?” This suggests there’s some engagement, but the thread remains sparse, potentially due to the niche timing request.
Post 22: Step3 in a week, what should I review?
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The user has completed UWorld (73% average) and CCS cases (82% average). With a test date on November 20th, they ask for advice on further preparation, including resources like Divine podcasts or Randy O’Neil biostats.
Commenters recommend the Free 137 and six free CCS cases via the NBME interface. Links to these resources are shared for convenience. A discussion arises about the similarity of Step 3 CCS cases to platforms like CCScases.com and the Free 137. One commenter emphasizes reviewing errors and relaxing, as the user's stats already suggest strong preparation.
Post 23: Uwsa 1
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The user scored 61% on UWSA 1 (offline) and asks how this correlates to a three-digit Step 3 score.
One commenter confirms UWSA 1 is challenging but adds that it underpredicts real scores significantly. Engagement is low, with no detailed score correlation provided.
Post 24: Divine Notes
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The user shares a link to Divine podcast notes, highlighting their usefulness for Step 2 and Step 3 revision.
Comments point out that the shared notes are incomplete, only covering episodes up to 277, while the podcasts currently exceed 549 episodes. The thread confirms the lack of a complete, updated set of notes, but the resource remains valuable for foundational material.
Post 25: Step 3 release for Saturday examinees
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The user asks if results for their November 2nd exam (Saturday) will be available the following day and how they can confirm passing.
A commenter suggests the results are likely to arrive next Wednesday, providing realistic expectations. Engagement is minimal, reflecting the straightforward nature of the inquiry.
Post 26: Passed Step 3 on edge
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The user shares they passed with a borderline score of 201, asking whether to update residency programs or avoid it due to a potential negative impression.
Responses are encouraging, with users advising them to update programs since Step 3 scores are often required for interview invites for older graduates. Commenters request details about the user's practice scores and exam-day experiences. Others emphasize the value of CCS cases in preparation, with one asking about the similarity between CCScases.com and Free 137 cases.
Post 27: FSMB pass trick
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The user inquires about the FSMB pass trick, how it works, and whether it’s applicable to US graduates.
Commenters share mixed experiences, including navigating the FSMB interface, seeing a green bar but no pass indication, and attempting the trick via laptops. The thread highlights the variability in how results are displayed, with no conclusive answer provided.
Post 28: Score
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The user asks if Step 3 scores for late October test-takers can be expected this week.
Commenters confirm scores are likely to be released the next day, sharing tips and insights into test-day challenges, including biostats, drug ads, and risk factors. Resources like Randy Neil’s videos and UWorld are recommended for final preparation.
Post 29: Help!!! Please. 4 weeks out. How to increase by 30 points
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The user, scoring 196 on UWSA 1 and 201 on UWSA 2, asks for strategies to improve by 30 points in four weeks. They’ve completed a first pass of UWorld with a 57% average.
Commenters suggest focusing on NBMEs and CCS cases rather than UWSA, citing its difficulty and underprediction. Others recommend reviewing errors in UWorld and using targeted materials like Mehlman’s HY IM PDF. There’s advice to prioritize NBMEs and CMS forms from Step 2 for concepts likely to appear on Step 3.
Post 30: 58% on Free 137
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The user scores 58% on Free 137 one week before their exam and feels unsure about their readiness.
Commenters ask about the user’s UWSA scores to assess overall readiness. One user shares their experience of scoring 207 (UWSA 2), 186 (UWSA 1), and 61% (Free 137) but ultimately achieving a 222 on the real exam, providing encouragement. Final-week advice includes focusing on CCS cases and high-yield topics like drug mechanisms and biostatistics.
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Post 31: NBME6 - 415 - What's the predictive score? Please help!
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The user scored 415 on NBME 6 (online) and asks how this correlates with a Step 3 three-digit score. Their exam is in seven days.
Commenters estimate the score correlates to 215 on Step 3, with one explaining the calculation using the NBME's mean (500) and standard deviation (100). Additional insights mention the user achieved 65.5% correct out of 200 questions, but no precise formula for conversion is shared. The thread provides reassurance but limited actionable advice beyond the score correlation.
Post 32: Anyone is writing day 2 in the next few days
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The user seeks a study partner for quick revisions of UWorld concepts and risk factors before their Day 2 exam in a few days.
One commenter advises focusing on biostats (UWorld) and drug ads (Amboss), while others offer to DM the user for coordination. Engagement suggests that a few others are similarly close to their exams and seeking last-minute preparation.
Post 33: Step 3 in 15 days!!
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The user has completed 70% of UWorld but struggles with biostatistics, asking for advice on how to revise quickly.
Commenters recommend Randy Neil videos for concise biostatistics mnemonics and First Aid (FA) for covering high-yield topics. Another commenter highlights the importance of mastering biases and drug ads, both of which are heavily tested. The discussion emphasizes structured and resource-focused preparation.
Post 34: Step 3 prep quiz partners and IV prep
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The user seeks a dedicated partner for interview (IV) prep and others interested in joining a daily Step 3 quiz review session on platforms like Facebook or Telegram.
A single user expresses interest, showing limited engagement with the post. The concept of group quizzes is practical, but the thread lacks the detailed coordination seen in similar posts.
Post 35: Day 1 OMG
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The user feels overwhelmed after completing Day 1, sharing fears of missing easy questions and questioning whether they’ll pass.
Commenters provide encouragement, sharing similar experiences of post-Day 1 anxiety. Topics discussed include the importance of focusing on CCS cases for Day 2, reviewing drug mechanisms of action, and the tedium of biostats and drug ads. The thread also features users coordinating private discussions about test-day experiences. Reassurance is a dominant theme, as many note that Day 1 often feels overwhelming but doesn’t define the overall result.
Post 36: Any clue what time of day EST to expect results?
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The user asks when they can expect their Step 3 results, referencing Day 2 (October 26th).
A single response indicates results for October 26th test-takers should be available on the current day. The lack of extensive engagement suggests the community already knows general result-release timelines.
Post 37: FSMB out?
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The user asks whether FSMB results have been released, specifically referencing 1 a.m. EST.
Commenters provide mixed experiences, with some confirming results are available while others report seeing only previous Step 1/Step 2 results. The thread highlights confusion over navigating the FSMB site and applying the "pass trick" to identify results early. Practical advice includes tips like using the Uniform Application and checking for green bars.
Post 38: How reliable is the Free 137 form? Scored 70%. Exam is in a week!!
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The user scores 70% on Free 137 and asks about its reliability as a predictor of their performance on Step 3.
Commenters generally agree the score is solid, with one noting they passed with 60% on Free 137. Others recommend focusing on CCS cases and biostatistics, specifically the UWorld revision section. The thread is reassuring, emphasizing that the user is likely in good shape for the exam.
Post 39: How to release your Step 3 result to programs?
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The user asks how to release their Step 3 results to residency programs.
One commenter advises using MyERAS to re-release scores, noting that the process is automatic. Engagement is low, as the question is straightforward and administrative.
Post 40: Pass!!!
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The user celebrates passing Step 3 and says goodbye to USMLE exams.
The thread features congratulations and requests for the user to share their experiences. Some commenters inquire about test dates and practice scores, while others ask for recommendations on final-week preparation, such as focusing on biostatistics and CCS cases. The user’s passing inspires optimism among others nearing their exams.
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Post 41: Failed Step 3, now what?
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The user shares their frustration after failing Step 3, highlighting concerns about their previous Step 1 failure and its impact on their interviews this cycle. They seek advice on next steps, aside from not updating their scores.
Responses are supportive, with one commenter recommending reflection on weak areas and focusing on time management, biostatistics, and CCS cases. Suggested resources include AMBOSS, Dorian Anki flashcards, and First Aid. Another commenter encourages the user to regroup and retake the test, emphasizing the importance of passing before ranking to update programs.
Post 42: Refund
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The user asks if they can get a refund after their visa rejection prevented them from taking Step 3.
Commenters confirm that a partial refund may be possible by submitting a visa rejection document to the FSMB. Some share personal experiences, such as receiving a refund when the test date conflicted with an expired ECFMG certificate, while others note FSMB's nonrefundable policy, but suggest trying regardless.
Post 43: 230
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The user celebrates scoring 230 on Step 3 and shares insights about their preparation.
Commenters inquire about the user’s resources and experiences, with the user revealing they used UWorld, CCS cases, and Step 1 First Aid for Day 1 preparation. They describe Day 2 as brutal, despite performing well on CCS cases. Discussions explore real exam CCS case similarities with CCScases.com and Free 137, with users emphasizing the importance of mastering biostatistics and mechanisms of action (MOA).
Post 44: 209
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The user expresses relief at passing Step 3 with a score of 209, noting that biostatistics on Day 1 was especially challenging.
Responses focus on CCS case preparation, with commenters affirming the importance of CCScases.com for success on Day 2. One commenter shares similar assessment scores (e.g., UWSA1: 201, UWSA2: 196) and asks if they should delay their exam. The overall tone is optimistic, with the community reassuring the user of their success.
Post 45: 11/13/2024 result thread
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This post encourages users to share their Step 3 results, resources, and preparation details.
Multiple users share results, such as 248, 230, and 212, along with their preparation strategies. Common resources include UWorld, Free 137, UWSA1/2, and high-yield CCS cases. Advice for last-minute prep includes revisiting Step 2 concepts, biostatistics, and drug MOAs. There’s debate on whether skipping practice assessments in favor of studying is more effective.
Post 46: Offline NBME 6!
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The user plans to take Offline NBME 6 and asks how to convert mistakes into a predictive score.
Commenters focus on the logistics of accessing Offline NBME 6, with one sharing a helpful link. The user later reveals scoring 151/200, but no clear scoring conversion is provided. The thread emphasizes resource sharing rather than detailed score interpretation.
Post 47: uworld step3
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The user seeks a UWorld Step 3 subscription valid until February or March 2025.
The post receives transactional responses, with users offering subscriptions and inviting direct messages. This highlights the continued demand for shared or second-hand UWorld accounts.
Post 48: CCS cases - Doing bad
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The user struggles with CCS cases, scoring 50–60% on most and only once above 90% after completing 10 cases. They cite difficulty with management and test ordering and request tips.
Commenters emphasize practice volume, suggesting improvement comes after completing 40+ cases. One shares a relatable experience of also struggling with a specific diarrhea case, while another asks about the referenced YouTube video for CCS preparation. The tone is encouraging, focusing on perseverance.
Post 49: Those who got 230+
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The user requests details from others who scored 230+, including Free 137 scores, other assessments, and the most representative practice tests.
Commenters share insights on using practice tests for exam simulation versus studying directly. One highlights the similarity of Day 1 to practice assessments, while Day 2 was described as unpredictable. The discussion underscores differing philosophies on balancing assessments with content mastery.
Post 50: U y.
’motrynpjjn
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The post title and content are nonsensical, with no clear query or context provided.
Commenters humorously respond, suggesting a need for neurological evaluation. The thread lacks substantive discussion but reflects the community's lighthearted side.
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Post 51: 255! - Finally done with the steps (with write-up)
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The user scored an impressive 255 on Step 3 with 1.5 months of sporadic prep. Their study strategy included 40% of UWorld, CCScases.com, Divine podcasts, Randy Neil biostats, and targeted reviews from First Aid and Pathoma. They describe Day 1 as manageable but Day 2 as less confident, highlighting that CCS cases require efficient management and early case closure.
Users ask about specifics like handling CCS case locations (e.g., outpatient to home), vaccination/screening orders, and scheduling test intervals. The author emphasizes focusing on critical orders first and viewing the CCS software as forgiving. Others seek advice for balancing prep with work or residency, with the author recommending adjusting timelines based on Step 2 recency. The thread is highly informative, with practical CCS tips and strategies for leveraging limited prep time.
Post 52: Prometric testing center recommendation
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The user seeks advice on choosing a Prometric testing center among options in New York and New Jersey, factoring in accommodation, transport, and technical issues.
A commenter recommends Westbury, NY, citing nearby hotels and convenient LIRR access, while another shares a positive experience with Philadelphia’s Walnut Street location. The thread lacks detailed comparisons, but suggestions emphasize accessibility and staff professionalism.
Post 53: Can I Pass?
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A second-year US IMG IM resident asks if they can pass Step 3 with 8 weeks of prep, given limited prior studying and no CCS experience.
Commenters recommend focusing on CCS cases, biostatistics, ethics, and MOAs. Others suggest supplemental videos like Boards and Beyond, depending on the user’s foundational strength. There’s advice to prioritize patient safety and quality improvement (QI) topics. The thread is reassuring, emphasizing that targeted, high-yield prep can suffice within the limited timeframe.
Post 54: 265 Step 3
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The user achieved a remarkable 265 on Step 3, relying on 35% of UWorld, 10–20 CCS cases, and training as an IM resident. They criticize CCS explanations as unreliable but praise CCScases.com for software practice and UWorld for biostatistics. They emphasize studying micro, MOAs, and ethics for Day 1, and prognostic questions and CCS for Day 2.
Users are curious about the minimal use of resources and the lack of UWSAs or NBME assessments. The author advises prioritizing quality over quantity and shares practical test-taking tips, like using scratch sheets to organize CCS orders. The thread highlights varying preparation approaches, with an emphasis on leveraging residency knowledge.
Post 55: Done day 2
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The user expresses anxiety about not all CCS cases ending early and mentions the difficulty of MCQs.
Commenters reassure the user, noting that early CCS case endings are not a strict requirement for passing. Several users share anecdotes of mismanaged cases or incomplete MCQs but still passing. This thread is encouraging, emphasizing the forgiving nature of the grading curve for Step 3.
Post 56: NBME 6
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The user scores 79% (158/200) on Offline NBME 6 and asks for a score correlation.
Commenters estimate the score correlates to a 240 three-digit score, with others inquiring about accessing the offline version. The discussion focuses on score interpretation, offering reassurance about the user's strong performance.
Post 57: UWorld FIP and ACM
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The user asks if the current UWorld Step 3 QBank adequately prepares for Day 1 (FIP), noting the loss of its FIP and ACM division. They find UWorld's questions mostly Step 2 style and seek better alignment with Step 1-like content.
One commenter suggests using Amboss Step 1 QBank for biostatistics, ethics, and patient safety/QI, claiming UWorld is less effective for Day 1. Another clarifies that Day 1 questions aren’t short or simple, but more foundational. The thread suggests diversifying resources for Day 1 while trusting UWorld for specific high-yield topics.
Post 58: CCS - consult/referral
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The user asks if the 10-word consult/referral note in CCS cases impacts grading.
Commenters agree that the consult note likely has minimal weight, with one suggesting adding a tentative diagnosis (e.g., ?STEMI) for clarity. The thread reflects the uncertainty surrounding CCS grading but reassures users to prioritize proper management and diagnostics over minor details.
Post 59: Passed
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The user celebrates passing Step 3 with a 205 score, noting that the NBME 6 prediction (205) was accurate. They emphasize the difficulty of guessing on most questions.
Commenters commend the user for passing, offering encouragement to others with similar scores. Discussions focus on the importance of CCS cases, with comparisons to CCScases.com and Free 137. There’s advice on tackling high-yield topics like biostatistics, MOAs, and ethics, especially for borderline passers.
Post 60: Did bad in one CCS - is it concerning?
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The user worries about failing one CCS case due to missing critical interventions (e.g., intubation), despite receiving a positive patient update.
Commenters reassure the user, emphasizing that failing one case is unlikely to impact their overall score, especially with good performance in others. Anecdotes highlight that even poorly managed cases or none ending early don’t preclude passing. The thread encourages moving on and trusting the exam’s grading curve.
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Post 61: Ace Step 2 CK & Step 3: High-Yield Tutoring by 278 Scorer!
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The user offers online Step 2 CK and Step 3 tutoring, highlighting their 278 Step 2 and 265 Step 3 scores. Sessions are interactive, question-based, and tailored, covering high-yield topics like biostatistics, pharmacology, and CCS practice. The first demo session is free, with regular sessions priced at $40/hour.
A question regarding CCS case management elicits a detailed response. The tutor explains the importance of timing patient transfers (e.g., ordering an ECG before transferring for suspected ACS) and aligning testing to the appropriate setting (e.g., troponins in ED). The thread demonstrates the tutor’s expertise in handling nuanced CCS scenarios.
Post 62: Help needed 😭
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The user, overwhelmed by solo Step 3 preparation, asks for guidance on canceling their test scheduled for late December.
One commenter provides a straightforward solution, advising the user to cancel or reschedule via the Prometric website. The response is practical but limited in engagement, reflecting the post’s simple administrative nature.
Post 63: Is the real CSS scoring in cases same to CSS websites?
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The user questions if real CCS grading mirrors websites like CCScases.com, citing examples where missing critical actions affected only 15% of case performance.
The single "Following" comment indicates interest but no clear answer. This reflects widespread uncertainty within the Step 3 community about the exact CCS scoring algorithm.
Post 64: Step 3 visa rejection
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The user shares their frustration after being denied a visa for Step 3 due to alleged immigrant intent, tied to a 2019 application mentioning relatives in the U.S. They seek advice on next steps for their test scheduled on November 27–28.
Responses suggest applying for a refund through FSMB and reapplying for a visa with additional justifications, like an observership. The post highlights the challenges international examinees face and the potential pitfalls of prior visa applications.
Post 65: UWorld Step 3
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The user lists a UWorld Step 3 account available until February 9, 2025, including unactivated UWSA 2, CCS cases, and Biostats review.
The post receives transactional interest but is quickly closed as the account is sold. This reflects the high demand for UWorld subscriptions in the Step 3 prep community.
Post 66: Let’s make best prognostic/risk factor Qs easier
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The user proposes creating a shared resource for high-yield prognostic factors, screening guidelines, and uncommon questions often seen on Step 3.
The post generates active engagement, with users contributing examples like pulmonary hypertension as the worst prognosis in scleroderma and opportunistic infections in multiple myeloma. The thread reflects a collaborative effort to consolidate key information for exam preparation.
Post 67: CCS scoring real exam?
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The user asks if CCS scoring on the real exam mirrors CCScases.com, where significant errors reduced scores by only 40% or less.
A single comment notes that nobody knows for sure, emphasizing the mystery surrounding CCS scoring. This underscores the importance of focusing on core management rather than speculation.
Post 68: Time limit for offline NBME
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The user asks about the time limit for offline NBME tests, specifically for 33-question blocks.
A commenter clarifies that the limit is 90 seconds per question, equivalent to 49.5 minutes per block. This information is useful for those simulating exam conditions.
Post 69: NEW IN TOWN
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The user, having recently completed Steps 1 and 2, seeks advice on how to begin Step 3 preparation.
A commenter advises starting with an NBME self-assessment (6 or 7) to gauge readiness. Another clarifies that two NBMEs (6 and 7) are currently available for Step 3, providing foundational guidance for newcomers.
Post 70: NBME
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The user asks how many NBMEs exist for Step 3 preparation.
Commenters identify NBME 4, 5, 6, and 7, though 4 and 5 are outdated. A user redirects the conversation to CCS case similarities, noting that CCScases.com closely mirrors the real exam. This demonstrates a tendency for discussions to expand into broader preparation topics.
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Post 71: Step 3 in 3 days, any Divine Intervention podcasts helpful for Day 1?
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The user asks for Divine Intervention podcast recommendations for Day 1 prep with only 3 days before the exam, but no content is shared.
The thread is dominated by unhelpful "F" comments, which could imply users either missed the opportunity to assist or used shorthand to signal interest without contributing. The lack of engagement limits the usefulness of this post.
Post 72: Advice for Day 2
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The user, preparing for Day 2, seeks last-minute revision tips beyond CCS cases.
Comments suggest focusing on management and prognosis topics, with users sharing links to resources like a prognosis file. One commenter emphasizes the lag in CCS software and advises working efficiently. Day 1 is described as manageable for users with good UWorld preparation, though biostatistics and Step 1 topics are highlighted for extra review. This thread offers a solid mix of actionable advice and resource sharing.
Post 73: Selling CCS cases
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The user offers CCS case subscriptions for sale and invites direct messages for inquiries.
The post garners interest with commenters requesting price details and expressing purchase intent. It reflects the high demand for CCS-specific resources, which are crucial for Step 3 success.
Post 74: Baltimore Prometric – Is it good for Step 3?
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The user asks about Baltimore’s Prometric center and compares it to options in Towson, Roanoke, and Richmond.
A single commenter sarcastically suggests taking the exam without overthinking location, which detracts from the post’s intent. The lack of specific feedback leaves the user’s query unanswered, highlighting a missed opportunity for community input.
Post 75: Received Step 3 results. What should I do now?
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The user asks for guidance on notifying programs about their Step 3 results after applying in the match cycle.
A commenter suggests both re-releasing scores via MyERAS and emailing programs with an expression of interest. The advice is practical, outlining steps to ensure results are communicated effectively, making this a valuable thread for residency applicants.
Post 76: Finished UWorld, now what?
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The user, having completed UWorld, considers renewing their subscription, switching to Amboss, or focusing on CCS cases.
Commenters suggest using Amboss, especially for biostatistics and mixed-topic blocks. For Day 1, users recommend pharmacology MOAs, ethics, and Step 1 review, while UWorld notes and CCS practice are deemed sufficient for Day 2. The thread provides targeted, structured guidance for optimizing prep in the final stretch.
Post 77: CCS cases
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The user requests a CCS case subscription, eliciting offers from others selling their accounts.
The post facilitates transactions, with commenters setting prices and confirming interest. While not directly educational, it underscores the collaborative resource-sharing aspect of the community.
Post 78: Male SP for Step 3 required
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The user seeks a study partner, preferably male, for 40 days of Step 3 prep, citing availability concerns with female partners.
The post receives interest from a potential partner and a commenter unfamiliar with Step 3 offering help. It highlights the importance of accountability and collaboration during prep, though the preference for male partners invites minor critique.
Post 79: Resources
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The user, an old graduate (2017), asks for recommended Step 3 resources after scoring 264 on Step 2.
A commenter advises combining Amboss or UWorld Step 3 with CCScases.com and reviewing biostatistics, MOAs, and side effects from First Aid Step 1. The mention of a humorous study companion (e.g., One Piece) adds levity to the practical advice. This thread is concise and directly helpful.
Post 80: Going in tomorrow for Day 1, bare minimum studying
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The user, overwhelmed by anxiety and limited prep, shares their mental health struggles ahead of Day 1.
Commenters offer emotional support and practical advice, like reviewing First Aid Step 1’s Rapid Review and focusing on high-yield topics. Users relate their experiences of underpreparation and passing Step 3, providing reassurance. The thread combines empathetic engagement with actionable tips, fostering a supportive community atmosphere.
Post 81: Step 3 Tutoring
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The user, a Step 3 scorer of 247, offers personalized tutoring sessions with strengths in biostatistics, ethics, and CCS cases. They have experience tutoring IMGs and US MDs and are currently applying for a psychiatry residency.
The post garners interest, with multiple commenters requesting direct messages to connect. It highlights the demand for experienced tutors, especially those with recent exam experience and strong personalized approaches.
Post 82: Score Release Duration
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The user seeks clarification on NBME score release timing, questioning whether it is tied to the first or second day of the exam.
A commenter explains that the 3-week timeframe typically starts from Day 2, providing clear and concise information. This thread addresses a common query among exam takers eager to anticipate their results.
Post 83: NBME
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The user shares their NBME scores (60% on NBME Form 7, 58% UWSA1, and 63% Free 137) and asks if they are ready for the exam in two weeks or should postpone.
The consensus is that consistent 60%+ scores indicate readiness. Suggestions include practicing CCS cases, reviewing incorrect answers, and using Amboss or Predict My Step Score for additional insights. One commenter estimates a score of 219, which aligns with the user’s goals. The post provides reassurance and actionable advice for improving confidence.
Post 84: Just Took Step 3...
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The user describes a challenging Step 3 experience, including early case terminations during CCS and confusion over consults being declined. They express concerns about scoring and plan a write-up after results.
A commenter shares a similar experience, reporting no updates in several cases yet achieving a score of 246. They recommend resources like UWorld biostats, CCS cases, and First Aid’s review sections. Others express interest in the diagnostic challenges described, and one suggests avoiding explicit diagnoses in public posts to prevent potential content removal. The thread offers reassurance and tips for others facing similar difficulties.