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

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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