USMLE Step 3

USMLE Step 3 is the final hurdle in the USMLE exam series, and is often the most underestimated by aspiring doctors. Don't let your guard down just yet.

USMLE Step 3

Step 3 is typically taken during the first year of residency. The exam tests your ability to apply medical knowledge and understanding of biomedicial and clinical science that is essential to the unsupervised practice of medicine, with a focus on patient management in ambulatory settings

Step 3 is a two-day exam. Day 1 has approximately 7 hours in the test session, including 45 minutes of break time. There will be 232 multiple-choice items divided into 6 blocks of 38-39 items. You get one hour to complete each block. Day 1 focuses on Foundations of Independent Practice (FIP), and tests foundational sciences, biostatistics, interpretation of medical literature, as well as patient safety, communication and interpersonal skills, and medical ethics. Day 2 has approximately 9 hours in the test session, including a minimum 45 minutes of break time. There will be 180 multiple-choice items, divided into six blocks of 30 items each. You get 45 minutes to complete each block. Day 2 focuses on Advanced Clinical Medicine (ACM) and tests knowledge of patient diagnosis and disease management. Day 2 includes computer-based case simulations (CCS) that test your skills in patient diagnosis and disease management, with a focus on knowledge of patient history, physical examination, and use of diagnostic studies. There will be 13 case simulations, for each of which you will be given 10 or 20 minutes.

Step 3 is the final examination in the USMLE series that an aspiring doctor must pass to earn a license to practice medicine in the United States without supervision. The minimum passing score for Step 3 is 196, and the national average is a 226, with a standard deviation of 15. Step 3 is the USMLE exam that is most often underestimated by aspiring doctors. Students who have excelled on Step 1 and Step 2 CK may have challenges with Step 3, given their busy residency schedule, the exam's unique simulation component, or a residency specialty that doesn't utilize the medicine concepts tested in Step 3. If you are pursuing a fellowship, a strong Step 3 performance can help your application stand out.

Why You Should Choose MED LEARNITY

Personalized Learning

We invest the time to assess your personal needs and pair you with the tutor who will be a perfect fit. All tutoring sessions are customized for you: lesson plans, study schedules, test-taking drills, and homework. All sessions are emailed to you to maximize your learning and retention. 

Real Doctors

Our team is made up of actual, practicing physicians who have trained at the top hospitals in the country. Our team is unrivaled because our daily practice of medicine allows us to understand the current state of medicine, residency, and admissions -- and use our expertise to help you excel.

Proven Results

We have helped over 500+ aspiring doctors achieve their goals on high-stakes exams. Many of our students return for tutoring for subsequent exams as they realize the value of our services. We are confident that your performance will significantly improve after working with us.

What To Expect

At Medlearnity, Students Come First. We understand preparing for a high-stakes exam or career prospect can be intimidating and deeply personal (to say the least). Therefore, we approach every student's situation with our utmost attention to detail to see how we can best assist you. Whether you are having challenges meeting your performance goals, or simply want to make sure you are on a path to success, our team is available to share our perspective. We know you will feel the 'Students First' mentality at Medlearnity from the quality of your sessions and expertise of our team.

What to Expect

  • A tutor who is an expert educator who has scored exceptionally well on the USMLE examinations (90+ percentile, ~250+)
  • We meet with you on an easy-to-access online platform that allows us to write on the screen like a whiteboard. All session recordings are emailed to you after the session in HD quality, so you can review them on 1.5x or 2x speed at your convenience. This helps to maximize your learning and retention for each tutoring session.
  • Constant communication and scheduling via email and phone in-between sessions. We will make sure your daily schedule is extremely efficient so that you can get the highest score possible on test day.
  • Test-taking advice and drills. During your sessions, you will do intense drills with your tutor to make sure you have no weaknesses on test day. You and your tutor will work through high-yield content, test-taking advice, and study strategies that are tailored to your particular situation.
  • Optimal study strategy. We utilize unique methods like spaced repetition and active recall to help you understand foundational material and memorize information. Study time is precious, and we want to make sure you are being optimal, and studying correctly and effectively.

How to Get Started with USMLE Step 3 Tutoring


Sign up for our one-hour free trial session. You'll receive an email or phone call from us shortly thereafter for some more information so we can understand your particular situation and assess your personal needs to pair you up with the tutor that's a perfect fit. This way, we're off to a very productive and personalized start, right from your very first session.


You'll receive an email introducing you to your new tutor, and instructions on how to join your first trial session and reserve your session time. During this first trial session, your tutor will review content and discuss study strategy. You can email your tutor beforehand if there is any particular content you want to cover or if you have any questions you'd like to address.


After your trial session, we'll send you a feedback report with next steps, our recommendations and a recording of your session so you can review any material you went over with your tutor. If you decide you'd like to continue working with us to achieve your goals, we'll set you up with a tutoring package that works best for you.

Book Your Free One-Hour Tutoring Session

The trial session is completely free, so that you can experience the high-quality tutoring we provide. We know that the high-caliber of our services is truly unmatched, and we want you to experience it yourself without any obligation.

I used Medlearnity to prep for USMLE Step 3, and I can't say enough great things about them.

I used Medlearnity to prep for USMLE Step 3, and I can't say enough great things about them. The tutoring really helped me through the daunting task of preparing for the exam, and preparing for future standardized testing as well. I was assigned a tutor for the ACM -type questions and biostats, as well as a second tutor for CCS. I also received significant, and much needed coaching from Dr. Gohel, so I actually had a team of 3 doctors helping me prep. An amazing team, sure to get even the busiest scalpel back to razor sharpness!

Michael O.
USMLE Step 3 Student

This is an outstanding organization dedicated and fully committed to your success.

This is an outstanding organization dedicated and fully committed to your success. I referred one of my students to them and was amazed at how well the tailored their instruction to his specific needs. I would recommend them without reservation.

Dr. William Forgey
Student Sponsor

Through his help I went from failing USMLE Step 1 to getting my number one residency in my chosen specialty.

Akshay is not only an expert in medical knowledge, but also a master educator who knows exactly how to tailor lesson plans to maximize retention, recall, and deep understanding of complex topics. Through his help I went from failing USMLE Step 1 to getting my number one residency in my chosen specialty. If I'd have found him sooner, I would have saved many hours and hundreds of dollars wasted on less worthy educational resources that I tried, including Kaplan and Doctors in Training. Now as a resident in clinical practice, the learning habits he taught me help me excel far beyond my peers. His methodology the epitome of "high-yield" learning. If you want the easiest, most efficient and most entertaining path to medical mastery, look no further!

D. L.
USMLE Step 1 Student

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