The Step 3 examination devotes attention to the importance of assessing the knowledge and skills of physicians who are assuming independent responsibility for providing general medical care to patients. The first day of the Step 3 examination is referred to as Foundations of Independent Practice (FIP), and the second day is referred to as Advanced Clinical Medicine (ACM).

Step 3 is a two-day examination. The first day of testing includes 232 multiple-choice items divided into 6 blocks of 38-39 items; 60 minutes are allotted for completion of each block of test items. There are approximately 7 hours in the test session on the first day, including 45 minutes of break time and a 5-minute optional tutorial. Note that the amount of time available for breaks may be increased by finishing a block of test items or the optional tutorial before the allotted time expires.


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Purpose:  Our US medical school uses National Board of Medical Examiners (NBME) tests as progress tests during the pre-clerkship curriculum to assess students. In this study, we examined students' growth patterns using progress tests in the first year of medical school to identify students at risk for failing United States Medical Licensing Examination (USMLE) Step 1.

Method:  Growth Mixture Modeling (GMM) was used to examine the growth trajectories based on NBME progress test scores in the first year of medical school. Achieving a passing score on the USMLE Step 1 at the end of the second year of medical school was used as the distal outcome, controlling for Medical College Admissions Test (MCAT) scores and underrepresented in medicine (URiM) status.

Conclusions:  Our study found students had heterogeneous growth patterns in progress test results in their first year of medical school. Growth patterns were highly predictive of USMLE step 1 results. This study can provide performance benchmarks for our future students to assess their progress and for medical educators to identify students who need support and guidance.

Test dates are provided on a first-come, first-served basis. The USMLE program cannot guarantee the availability of test centers. Therefore, you should contact Prometric to schedule as soon as possible after receiving your scheduling permit.

Your rescheduled test date(s) must fall within your chosen eligibility period. Please note that you can schedule and take your two testing days on consecutive or non-consecutive days. However, Step 3 Day 1 must be taken first, followed by Step 3 Day 2. Your exam days may be no more than 14 calendar days apart, and you must schedule both test dates with Prometric at the same time and at the same center. 

You can take the exam at any Prometric test center in the United States or its territories. You can schedule and take your two testing days on consecutive or non-consecutive days. However, Step 3 Day 1 must be taken first, followed by Step 3 Day 2. Your exam days may be no more than 14 calendar days apart, and you must schedule both test dates with Prometric at the same time and at the same center. 

On your test days, you can present your scheduling permit either on paper (a printed copy) or electronically (e.g., via your smartphone). It is recommended that you print your permit before your first testing day and bring that copy with you, in case you are unable to access your email or the Step 3 site on your testing days and/or have technical problems accessing or printing the permit the day of.

If you do not receive an email regarding your score report within 8 weeks of your last test day, you should check the Step 3 site or contact the FSMB at (817) 868-4041 or usmle@fsmb.org to determine the status of your score report.

Once logged in you will be able to view, download, and print your score report. If you do not receive an email regarding your score report within 8 weeks of your last test day, you should check the Step 3 site or contact us at (817) 868-4041 or usmle@fsmb.org to determine the status of your score report.

Please make sure that you allow emails from usmle@fsmb.org to be received by your email address. Examinees that provide email addresses ending in an .edu and some free accounts will either reject the email notifications all together or will send the email to your spam or junk email folders.

In response to concerns about the role of USMLE Step 1 scores in residency selection and the negative impact on medical student mental health, the United States Medical Licensing Examination (USMLE) announced significant changes to the exam in 2020. One of the major changes was the transition to a pass/fail scoring system from the previous three-digit score reporting system. The change was made to encourage a shift in focus from "high-stakes testing" to "learning and individual improvement," as well as to alleviate some of the stress associated with the exam.[3][4] These changes were implemented starting in January 2022, with the first USMLE Step 1 scores reported in the pass/fail format in February 2022.

*First-time pass rate is the number of students passing the USMLE Step 1 exam on the first attempt divided by the number of students whose first attempt was 2017-2021. In order to sit for the USMLE Step 1 exam students must successfully complete the Medical Sciences curriculum and earn a satisfactory score on the NBME CBSE exam as listed in the student handbook.

In the US alone, SGU graduates have set the pace worldwide for securing postgraduate positions. In 2023, SGU students and graduates obtained 1000+ first-year US residency positions in over 20 specialties.*

*Did you know?* Among the many filters ERAS provides residency programs when they receive applications, there is no direct filter for USMLE attempts. That means, programs cannot initially filter you out of their applicant pool. They will need to look at some of your application first before making a decision.

As I understand it, Pharmacology is a huge part of step 1, and while first aid contains a lot of pharm, it is a good idea to get another source. The consensus is Lange Pharmacology Flash Cards, due to their straightforward simplicity. The front of the card has a short clinical vignette, and the back contains similar drugs, mechanism of action, clinical uses, and other information. They cost around $30 and can be found on amazon for about $30.

Firecracker is a premade flashcard program that attempts to integrate all important information for Step 1. Their flashcards connect well with First Aid, Pathoma and UWorld. The reason why Firecracker could be useful is because their flashcards tend to cover material from all three of these resources. You can use Firecracker starting day 1 of medical school because there are sections for physiology and anatomy as well. Firecracker is probably even more useful during second year (especially if your first year covers physiology while your second year covers pathophysiology). The following is great way to use Firecracker: ff782bc1db

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