{"id":13773,"date":"2024-12-06T19:18:03","date_gmt":"2024-12-06T19:18:03","guid":{"rendered":"https:\/\/www.roshreview.com\/blog\/?p=13773"},"modified":"2024-12-12T17:08:02","modified_gmt":"2024-12-12T17:08:02","slug":"when-to-take-step-3-a-timeline-for-residents-in-primary-care","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/when-to-take-step-3-a-timeline-for-residents-in-primary-care\/","title":{"rendered":"When to Take Step 3? A Timeline for Residents in Primary Care"},"content":{"rendered":"\n<h6 class=\"wp-block-heading\" id=\"h-the-old-adage-of-two-months-for-step-1-two-weeks-for-step-2-and-two-2-pencils-for-step-3-doesn-t-make-sense-anymore-things-have-definitely-changed-step-3-is-a-serious-exam-and-you-don-t-want-to-take-it-lightly\">The old adage of \u201cTwo months for Step 1, two weeks for Step 2, and two #2 pencils for Step 3\u201d doesn\u2019t make sense anymore. Things have definitely changed\u2014Step 3 is a serious exam, and you don\u2019t want to take it lightly.<\/h6>\n\n\n\n<h6 class=\"wp-block-heading\" id=\"h-now-the-adage-that-s-perhaps-more-relevant-when-it-comes-to-step-3-is-timing-is-everything-in-other-words-you-ll-want-to-schedule-the-exam-in-a-way-that-works-to-your-benefit-so-in-this-post-our-focus-won-t-be-on-how-many-pencils-to-bring-to-the-exam-you-won-t-need-one-anyways-but-rather-on-when-to-take-step-3\">Now, the adage that\u2019s perhaps more relevant when it comes to Step 3 is timing is everything. In other words, you\u2019ll want to schedule the exam in a way that works to your benefit. So in this post our focus won\u2019t be on how many pencils to bring to the exam (you won&#8217;t need one anyways), but rather, on when to take Step 3.<\/h6>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-what-is-step-3\"><strong>What is Step 3?<\/strong><\/h3>\n\n\n\n<p>The USMLE Step 3 is administered over two days and consists of MCQs (single best answer multiple\u2013choice questions) and case simulations. Below is a bit of detail, but <a href=\"https:\/\/www.usmle.org\/step-exams\/step-3\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">visit the USMLE website<\/a> for the most updated information.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-day-1-multiple-choice-items-only\"><strong>Day 1: Multiple-Choice Items Only<\/strong><\/h4>\n\n\n\n<p>The testing session is seven hours long.&nbsp;<\/p>\n\n\n\n<p>There are six, 60-minute question blocks with approximately 38-39 items per block and 232 items in total.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-nbsp-day-2-advanced-clinical-medicine-acm\"><strong>&nbsp;Day 2: Advanced Clinical Medicine (ACM)<\/strong><\/h4>\n\n\n\n<p>There are multiple-choice questions and computer-based case simulations.<\/p>\n\n\n\n<p>The testing session is nine hours long.&nbsp;<\/p>\n\n\n\n<p>There are six 45-minute blocks of multiple-choice items, with 30 items per block and 180 items in total.&nbsp;<\/p>\n\n\n\n<p>There are also 13 computer-based case simulations (lasting 10-20 minutes each) that have free-response questions.&nbsp;<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-when-am-i-eligible-to-take-step-3-nbsp\"><strong>When am I eligible to take Step 3?&nbsp;<\/strong><\/h3>\n\n\n\n<p>To be eligible to take USMLE Step 3, you must have passed the Step 1, Step 2 CK, and Step 2 CS exams and have either:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Graduated from an accredited medical school in the US or Canada, or<\/li>\n\n\n\n<li>Graduated from a medical school listed in the World Directory of Medical Schools as meeting the eligibility requirements of the Educational Commission for Foreign Medical Graduates (ECFMG) and have ECFMG Certification.<\/li>\n<\/ul>\n\n\n\n<p>Medical graduates typically sit for the USMLE Step 3 during postgraduate residency training. <strong>Many take the exam during their intern year of residency, although your timing may differ based on the duration and type of residency program you\u2019re completing.<\/strong>&nbsp;<\/p>\n\n\n\n<p>That said, let\u2019s take a look at some considerations for when to take your final Step exam.&nbsp;<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-when-should-you-take-step-3\"><strong>When should you take Step 3?<\/strong><\/h3>\n\n\n\n<p>There\u2019s a few things to consider when planning your Step 3 test date. These include how soon you want a medical license (which you need to moonlight), how confident of a test taker you are, and what your rotation schedule is like each year of residency.&nbsp;<\/p>\n\n\n\n<p>Let\u2019s dive into the pros and cons of taking it during each year of residency.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-intern-year\"><strong>Intern Year<\/strong><\/h4>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-benefits\"><em>Benefits<\/em><\/h5>\n\n\n\n<p><strong>Taking Step 3 in intern year has its benefits.<\/strong> You\u2019re fresh out of school and accustomed to multiple-choice exams in a timed setting. Step 3 covers a wide breadth of topics in medicine and as a recent graduate, you\u2019re versed in all of it. Trust me, you forget some of what you learned in medical school during residency. So if you&#8217;re wondering when to take Step 3, there\u2019s some benefit to taking it during intern year.&nbsp;<\/p>\n\n\n\n<p>Additionally, residents just starting out will practice with their resident\u2019s license. <strong>However, taking Step 3 early allows you to apply for your actual medical license, which in turn allows you to moonlight and make some decent money while gaining valuable experience.<\/strong><\/p>\n\n\n\n<p>Finally, taking Step 3 intern year is liberating. Imagine walking out of the testing center and <em>never<\/em> having to take another Step exam!&nbsp;<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-drawbacks\"><em>Drawbacks<\/em><\/h5>\n\n\n\n<p><strong>If you\u2019re wondering when to take Step 3, you should know testing early has its downsides, too.<\/strong> <strong>Intern year is stressful.<\/strong> Interns have medical knowledge, but spend the majority of their time acquiring clinical understanding, learning how to function as part of a treatment team, and writing notes&#8230;ugh, so many notes.<\/p>\n\n\n\n<p>Most residencies in primary care heavily front-load inpatient rotations in PGY-1 year. You have six-day work weeks with hectic hours, leaving little time for test prep. <strong>Unless you\u2019re a specialist not in primary care, a very confident test taker, or know that you need to moonlight early, I\u2019d recommend holding off on taking Step 3 if possible.<\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-why-pgy-2-is-a-good-time-to-take-the-exam-nbsp\"><strong>Why PGY-2 Is a Good Time to Take the Exam&nbsp;<\/strong><\/h4>\n\n\n\n<p><strong>Frankly speaking, PGY-2 may be the ideal year to take the exam if your program allows.<\/strong> Your schedule should be much more relaxed and flexible. Fewer inpatient rotations translates to more golden weekends, more predictable 8-to-5 work days, and more time to study.&nbsp;<\/p>\n\n\n\n<p>You\u2019ve gained the clinical experience from PGY-1 and still retain the majority of your medical knowledge from school. Completing the exam this year gives you ample time to apply for your license, which means you have at least a full year to moonlight. Furthermore, you\u2019ll have the entirety of your next year to focus on the board exam. <\/p>\n\n\n\n<p><strong>Most of my colleagues in primary care took Step 3 in their second year. It\u2019s the balanced approach that I\u2019d recommend. So if you\u2019re wondering when to take Step 3, I\u2019d say PGY-2 is the best time to do it if that option is available.&nbsp;<\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-why-pgy-3-isn-t-optimal\"><strong>Why PGY-3 Isn\u2019t Optimal<\/strong><\/h4>\n\n\n\n<p>Taking Step 3 the same year as your boards can be tricky. Though there\u2019s some overlap in material, <strong>the stress of having two major exams the same year can be too much.&nbsp;<\/strong><\/p>\n\n\n\n<p>You\u2019re a PGY-3, a leader on the team! This is your time to manage interns, mentor students, and focus on applying for jobs\u2014not studying for Step 3.<\/p>\n\n\n\n<p>Some residency programs require you to complete Step 3 prior to starting your third year, and for good reason. <a href=\"https:\/\/blog.blueprintprep.com\/medical\/so-i-failed-usmle-step-3-now-what\/\">If you fail<\/a>, you can retake it before you graduate. Waiting until your last year for Step 3 makes that harder. <\/p>\n\n\n\n<p><strong>Step 3 in third year isn\u2019t recommended unless there was an unforeseen circumstance that prevented you from taking it earlier or you absolutely need more time to study.<\/strong> Selecting the right study materials will have you well on your way to a successful Step 3 study period.&nbsp;<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-can-i-take-step-3-before-residency\"><strong>Can I take Step 3 before residency?<\/strong><\/h3>\n\n\n\n<p>You can. Step 3 is a different beast, but it has many similarities to Steps 1 and 2. There are a fair amount of Step 1 basic science MCQs as well as Step 2 style clinical reasoning questions. The majority of the exam is IM (internal medicine) based but it also includes pediatrics, women\u2019s health, outpatient, surgery and emergency care content. These are likely all questions and scenarios you\u2019ve encountered during your core clinical rotations and shelf exams.&nbsp;<\/p>\n\n\n\n<p><strong>For some applicants, it\u2019s not possible to take Step 3 before residency because their medical school graduation hasn\u2019t been verified yet and thus they\u2019re unable to schedule the exam. <\/strong>If you\u2019re able to sit for the exam and feel prepared, however, it could be a good idea to cross Step 3 off of your to-do list prior to starting residency.&nbsp;<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-the-bottom-line\"><strong>The Bottom Line<\/strong><\/h3>\n\n\n\n<p>Step 3 can be taken any time after you graduate, but be sure to check and see what your residency program requires. And of course, you must have passed Steps 1 and 2 in order to apply for Step 3.&nbsp;<\/p>\n\n\n\n<p>Application to take Step 3 is often made in conjunction with application for licensure by a particular state (though Step 3 is a requirement for licensure). <a href=\"https:\/\/www.fsmb.org\/step-3\/state-licensure\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Check specific state requirements here<\/a>.<\/p>\n\n\n\n<p>Some states such as Texas have imposed a three strikes rule for USMLE exams, meaning that to become a licensed physician in the state of Texas, you must pass each Step (1, 2 CK or 3) in three attempts or less. Failure to pass any of the Steps within three attempts will disqualify you from Texas licensure.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-final-thoughts-on-when-to-take-step-3\"><strong>Final Thoughts on When to Take Step 3<\/strong><\/h3>\n\n\n\n<p>According to the American Medical Association, the majority of trainees will complete USMLE Step 3 by the end of their intern year. PGY-2 is our preferred time to take Step 3,<strong> but this depends on individual circumstances and program requirements.<\/strong><\/p>\n\n\n\n<p>Some programs require all PGY-1s to pass the exam prior to starting PGY-2 year, while others simply require it before graduation or sitting for the board exam. Please check with the specific residency as requirements vary and can change.<\/p>\n\n\n\n<p><em>Looking for more (free!) content to help you through residency? Check out these other posts on the Rosh Review blog:<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.roshreview.com\/blog\/what-is-the-step-3-pass-rate-passing-score\/\"><strong>What is the Step 3 Pass Rate &amp; Passing Score?<\/strong><\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.roshreview.com\/blog\/5-best-mobile-apps-for-medical-residents\/\"><strong>5 Best Mobile Apps for Medical Residents<\/strong><\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.roshreview.com\/blog\/6-lessons-i-learned-during-intern-year-of-residency\/\"><strong>6 Lessons I Learned During Intern Year of Residency<\/strong><\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The old adage of \u201cTwo months for Step 1, two weeks for Step 2, and two #2 pencils for Step 3\u201d doesn\u2019t make sense anymore. Things have definitely changed\u2014Step 3 is a serious exam, and you don\u2019t want to take it lightly. Now, the adage that\u2019s perhaps more relevant when it comes to Step 3 <a href=\"https:\/\/www.roshreview.com\/blog\/when-to-take-step-3-a-timeline-for-residents-in-primary-care\/\">read more&#8230;<\/a><\/p>\n","protected":false},"author":139,"featured_media":13774,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[1996,2007],"tags":[3454,3809],"coauthors":[3930],"class_list":["post-13773","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogtype","category-md-do","tag-residency","tag-usmle"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.7 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>When to Take Step 3? A Timeline for Residents in Primary Care - RoshReview.com<\/title>\n<meta name=\"description\" content=\"Are you wondering when to take Step 3? Opinions vary, but we think there\u2019s a clear answer to this question. Read on to learn more.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.roshreview.com\/blog\/when-to-take-step-3-a-timeline-for-residents-in-primary-care\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"When to Take Step 3? A Timeline for Residents in Primary Care\" \/>\n<meta property=\"og:description\" content=\"Are you wondering when to take Step 3? Opinions vary, but we think there\u2019s a clear answer to this question. Read on to learn more.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.roshreview.com\/blog\/when-to-take-step-3-a-timeline-for-residents-in-primary-care\/\" \/>\n<meta property=\"og:site_name\" content=\"RoshReview.com\" \/>\n<meta property=\"article:published_time\" content=\"2024-12-06T19:18:03+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-12-12T17:08:02+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/12\/When-to-take-step-3.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Mike Ren, MD\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Mike Ren, MD\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.roshreview.com\/blog\/when-to-take-step-3-a-timeline-for-residents-in-primary-care\/\",\"url\":\"https:\/\/www.roshreview.com\/blog\/when-to-take-step-3-a-timeline-for-residents-in-primary-care\/\",\"name\":\"When to Take Step 3? 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His supportiveness and approachability put his students at ease and provide a safe learning environment where questions and conversation flow. For exam prep, Mike will help you develop critical reasoning skills, and as an advisor, he will hone your interview skills with insider knowledge to commonly asked admissions questions.\",\"url\":\"https:\/\/www.roshreview.com\/blog\/author\/mikeren1\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"When to Take Step 3? A Timeline for Residents in Primary Care - RoshReview.com","description":"Are you wondering when to take Step 3? Opinions vary, but we think there\u2019s a clear answer to this question. 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He received his MD from Baylor College of Medicine and then stayed for residency. He has recently taken a faculty position at Baylor because of his love for teaching. Mike\u2019s philosophy is to elevate his students to their full potential with excellent exam scores and successful interviews at top-tier programs. He holds the belief that you learn best from those close to you in training. Dr. Ren is passionate about his role as a mentor and has taught for much of his life\u2013as an SAT tutor in high school, then as an MCAT instructor for the Princeton Review. At Baylor, he has held review courses for the FM shelf and board exams as Chief Resident. For years, Dr. Ren has worked closely with the Office of Student Affairs and has experience as an admissions advisor. He has mentored numerous students entering medical and residency and keeps in touch with many of them today as they embark on their road to aspiring physicians. His supportiveness and approachability put his students at ease and provide a safe learning environment where questions and conversation flow. 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