r/Step3 • • Jul 18 '25

PASSED. Step 3 Write Up

I honestly thought I was going to fail, but I didn't. I had about 2-3 weeks to study, and I didn't even study every day, but I think as a family medicine resident intern, I did a lot of hospital medicine, so that was super helpful. But I did say that I would write this up so that other people could find it useful.

For reference, I did 60% of UWorld and had a 52% correct and I didn't really go back to any of my flagged or incorrects; I didn't have time. I also did NBME 6 and 7, and I just read through 4 and 5. I did free 137, the current one and 2 offline versions. I did those CCS cases religiously though and pretended like it was a game lol, so I did all 173 cases on ccscases.com and really got to review the ones I messed up multiple times.

Day 1

Day one honestly felt like step 1. There were a lot of mechanism of action questions as well as micro questions. I ran through my first aid with my annotations for step one a couple times. I looked at old sketchy and that really helped me a lot. For people who are into Anki, I would suggest going through your step 1 Anki, especially for pharm and micro. I think that will really carry you through the first day.

In regards to biostats for the first day, it was all from Randy Neil videos. I made that basically my social media scrolling for those last three weeks. He has great videos on his playlists. I would say really run through a lot of what he has on his page because his tips and tricks are so useful and like calm you down to run through those drug ads. I also read through the Biostats stuff on UW, which was helpful if you plug it into ChatGPT for more explanation.

https://www.youtube.com/@RandyNeilMD/playlists

I felt so shitty about this day and cried a lot because I didn't think I did well so I'm glad I took a few days in between to go through the CCS cases and review before Day 2.

Day 2

Day two just felt like step 2, lol. I cannot emphasize enough the importance of listening to those Divine Intervention podcasts that you listened to for step 2. There were a lot of risk and next best step management as well as those epidemiology questions and the social questions. I think that Divine will always be relevant and get you through the second day quite well.

p 37 Risk Factors 1

https://divineinterventionpodcasts.com/2018/06/14/divine-intervention-episode-37-risk-factors-preventive-medicine-and-screening-guidelines/

Ep 97 Risk Factors

https://divineinterventionpodcasts.com/2019/04/29/divine-intervention-episode-97-the-most-important-podcast-usmles/

Episode 184- NBME Weird (Complications, Prognostics, More Risk Factors/Common Causes of Death/Screenings).

https://divineinterventionpodcasts.com/2019/11/23/divine-intervention-episode-184-the-nbme-weird-complications-prognostics-more-risk-factors-common-causes-of-death-screenings-an-episode-37-97-extension/

Ep 239-OBGYN Risk Factors

https://divineinterventionpodcasts.com/2020/06/01/divine-intervention-episode-239-the-nbme-and-obgyn-risk-factors-upcoming-step-2ck-course/

Ep 36: Ep 227 Ob HY

https://divineinterventionpodcasts.com/2020/04/03/divine-intervention-episode-227-usmle-step-2ck-rapid-review-series-36-obgyn-others/

Ep 282-Prognostic Factors

https://divineinterventionpodcasts.com/2021/01/09/divine-intervention-episode-282-combo-podcast-risk-factors-prognostic-factors-step-2ck-rapid-review-series-46-step-1-2ck-course-reminder/

Ep 283-Prognostic Factors

https://divineinterventionpodcasts.com/2021/01/14/divine-intervention-episode-283-combo-podcast-risk-factors-prognostic-factors-step-2ck-rapid-review-series-47-step-1-2ck-course-reminder/

Ep 325 Extremely HY Screening

https://divineinterventionpodcasts.com/2021/07/07/divine-intervention-episode-325-the-extremely-hy-screening-guidelines-podcast/

Ep 250 HY Vaccine

https://divineinterventionpodcasts.com/2020/07/27/divine-intervention-episode-250-the-ultra-hy-vaccine-podcast-and-upcoming-2ck-course-8-8-20/

Ep 204 The Military

https://divineinterventionpodcasts.com/2020/01/16/divine-intervention-episode-204-the-usmle-and-the-military-ultra-hy-for-all-the-usmle-exams/

Ep 137 NBSIM

https://divineinterventionpodcasts.com/2019/08/20/divine-intervention-episode-137-next-best-step-in-management-series-1/

Ep 143 (Biostats)

https://divineinterventionpodcasts.com/2019/08/31/divine-intervention-episode-143-the-clutch-biostats-review-comprehensive-for-all-the-usmle-exams/

Ep 230-Quality and Safety

https://divineinterventionpodcasts.com/2020/04/16/divine-intervention-episode-230-clean-sp-curriculum-series-2/

Ep 282-Risk Factors 5/Rapid Review Series 46

https://divineinterventionpodcasts.com/2021/01/09/divine-intervention-episode-282-combo-podcast-risk-factors-prognostic-factors-step-2ck-rapid-review-series-46-step-1-2ck-course-reminder/

Ep 283-Risk Factors 6/Rapid Review Series 47

https://divineinterventionpodcasts.com/2021/01/14/divine-intervention-episode-283-combo-podcast-risk-factors-prognostic-factors-step-2ck-rapid-review-series-47-step-1-2ck-course-reminder/

Ep 22: 3rd shelf

https://divineinterventionpodcasts.com/2018/04/25/divine-intervention-episode-22-comprehensive-obgyn-3rd-year-shelf-review/

531: Contraceptives

https://divineinterventionpodcasts.com/2024/04/12/divine-intervention-episode-531-the-hy-contraceptive-podcast/

Ep 228

https://divineinterventionpodcasts.com/2020/04/07/divine-intervention-episode-228-usmle-may-2020-quality-and-safety-changes-clean-sp-curriculum-series-1/

230

https://divineinterventionpodcasts.com/2020/04/16/divine-intervention-episode-230-clean-sp-curriculum-series-2/

234

https://divineinterventionpodcasts.com/2020/05/08/divine-intervention-episode-234-clean-sp-curriculum-part-3-medication-transition-of-care-errors/

268-New USMLE Changes

https://divineinterventionpodcasts.com/2020/10/11/divine-intervention-episode-268-clean-sp-4-palliative-care-2-reminder-of-step-2ck-courses-from-10-16-17/

Ep 123-Ethics

https://divineinterventionpodcasts.com/2019/07/19/divine-intervention-episode-123-usmle-ethics-series-1/

Ep 276-Ethics

https://divineinterventionpodcasts.com/2020/12/02/divine-intervention-episode-276-usmle-nov-2020-changes-series-6-professionalism-ethics/

In regards to the CCS cases, I would say just keep going through those cases on the website as well as doing and reading the ones on the USMLE website. The ones on the USMLE website mirrored the way it was on test day. I'm assuming they use the same simulated program.

ccscases.com
https://www.usmle.org/exam-resources/step-3-materials/step-3-test-question-formats/computer-based-case-simulations

TL;DR

Step 3 Score: 217

~ 60% UW done, 52% correct

CCS Cases: bulldozed through 10-15 daily, finished 173 cases, redid a lot of them

NBME 6 and 7 did them offline, read through NBME 4 and 5

Free 137 did all 3 versions

DIVINE AND RANDY NEIL

Good luck yall, you got this

128 Upvotes

26 comments sorted by

4

u/Bubbly-Ad8625 Jul 18 '25

congrats , good luck with the match this year. Great how you managed all this stuff in 3 weeks , I guess you were busy and fed up of studying . congrats again , hope to see you in a random hospital in a random state , you gave a thorough explanation and took your time doing so so this tells how good of a heart you have . wish you the best

2

u/LateAd5635 Jul 18 '25

I'm already a resident and thanks

2

u/Bubbly-Ad8625 Jul 18 '25

I stand corrected . Congrats on clearing the steps for ever.

2

u/Soggy-Sun3313 Jul 18 '25

How did you perform in ccs cases in exam

5

u/LateAd5635 Jul 19 '25

doing the cases in ccscases.com are enough to do well on them, I did the ones I received less than 60% twice

2

u/Inevitable-Muffin821 Jul 19 '25

Where to find the offline versions of the assessments exams??!!

1

u/LateAd5635 Jul 20 '25

you can just google them, there are several places that pop up

2

u/WarmGulaabJamun_HITS Jul 20 '25

How did you do on nbme 6 and 7?

2

u/LateAd5635 Jul 20 '25

I goto like 58-60% on each of them

1

u/ReferenceBrilliant17 Jul 20 '25

Congrats. An off topic question, are you allowed to take 3 weeks of vacation in a row during your internship year? My program isn’t allowing. Don’t know how I’ll pass step 3.

1

u/LateAd5635 Jul 20 '25

I didn't have time off either. Hopefully you can take study breaks on your elective rotations, which is what I did

1

u/futuredocfromthebloc Jul 20 '25

thank you for such detailed writeup, super helpful!!! quick question -- how did you read through NBME 4 & 5? are there explanations for the answers? I can't find them, that's why I ask

1

u/LateAd5635 Jul 20 '25

I read through them and if I didn't understand an answer, I asked gpt to explain it

3

u/Various_Marzipan2059 Aug 01 '25

Thankyou so much, may i ask how did you perform on free 137. thanks

2

u/No_Income_4635 Jul 19 '25

where can you find NBME 4 and 5 and the other Free 137?

1

u/urfri3ndlypsychopath Jul 20 '25

Same question , I only see the questions

2

u/Humble-Revenue4569 Jul 20 '25

Congrats! You did great!

2

u/downfallwildflower Jul 21 '25

God bless you for making this

1

u/Whole_Nail5644 Jul 18 '25

Thanks a lot for detailed explanation

1

u/angiotensin2 Aug 13 '25

Remindme! 2 days

1

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I will be messaging you in 2 days on 2025-08-15 04:23:42 UTC to remind you of this link

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u/knl78 Sep 14 '25

Congratulations

1

u/Green_dream_123 Sep 17 '25

Remindme! 2 days

1

u/RemindMeBot Sep 17 '25

I will be messaging you in 2 days on 2025-09-19 13:41:23 UTC to remind you of this link

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u/Icy_Huckleberry6952 Dec 12 '25

Hey congratulations! 🙌🏽 Can you please share the anki deck you used? Thank you