r/Step3

▲ 4 r/Step3

DAY 2 Guide

what other than ccs cases I should focus more ? day 1 was pathetic. as day1 is heavy on biostatistics and ethics, what comes more on day 2 ? do I still need to worry about ethics ? or its more screening prevention prognosis ?

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u/Time-Negotiation7714 — 8 hours ago
▲ 3 r/Step3

How much buffer to pass

I was curious what should one be aiming for on NBME 6 or 7 to comfortably pass?

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u/jsizzle203 — 3 hours ago
▲ 5 r/Step3

Worked so hard for Day 1 and feel like I completely messed it up

I don’t even know how to feel right now. I worked so hard for Day 1 and walked in thinking I was as prepared as I could be, but the actual exam completely threw me off.

Time management was a mess—I kept running out of time, guessing on way too many questions, and second-guessing everything. It felt like every block just got worse, and now all I can think about are the questions I probably got wrong. I flagged 10-12 questionsper block. Guessed in almost everything. And came back searching for some answers and i got so may wrong. I think i messed up. Studied so many biostats and ethics questions and still got it all wrong.

What’s making it worse is that I still have Day 2 left, and I honestly don’t even feel ready anymore. My ccs is not so good. And i havent prepared enough. I have around 5 days left. 😞

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u/Significant_Way_1770 — 12 hours ago
▲ 3 r/Step3

Scores safe to pass

Uworld 100% complete: 65% correct

NBME 6: 63% (offline raw score)

NBME 7: 70% (offline raw score)

CCS Cases: 76% average - 65 cases completed

Exam is in 1.5 weeks - going to do free 137 (new) next

View Poll

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u/Realistic-Bear-1790 — 3 hours ago
▲ 2 r/Step3

Score Release Discussion Thread - 4/22/26 Results

Fingers crossed that we finally get the results for everyone, especially those who have been waiting for more than a month.

How is everyone feeling? Please drop when you took the exam and if you get your results tomorrow.

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u/mdshowerthoughts — 37 minutes ago
▲ 4 r/Step3

Free 137

I just took my Free 137 & got 67% correct. I previously got a 438 & 467 on NBME 6/7. My averages on CSS has been radon 73%. My test is in a few days, am I ready?

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u/omorfigi — 5 hours ago
▲ 21 r/Step3

stop selling your accounts

this subreddit has become overrun by people trying to sell their accounts. its hard to actually see any advice on this page . mods need to make a rule against this. its getting ridiculous.

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u/BreakRaider — 22 hours ago
▲ 4 r/Step3+1 crossposts

Uworld step 1

Just completed step 1 u world and still have access to Qbank that's valid till June 2026.If anyone is interested could DM. Reset available

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u/Ok_Concern2348 — 6 hours ago
▲ 1 r/Step3

Step 3 u world account

Hello just compeleted step 3 and still have access to Qbank subscriptions that's active till September 2026.All SAs and Reset availble . Css cases. com and biostastics available .

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u/Loud-Alps-5149 — 10 hours ago
▲ 5 r/Step3

Score delayed?

My second day was 3/27. I know there are delays, but do you guys know when the scheduling permit disappears when we get the result? Is it the same night? Or days before? Really hoping to get the score this week

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u/mbhg18 — 1 day ago
▲ 0 r/Step3

Permit disappeared!

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Permit did not disappear, what y’all thinking will we get tomorrow results? Who’s putting bets?

My day 2 was 06/04

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u/Tobi_Nub — 13 hours ago
▲ 3 r/Step3

New change step 3

well, the new change nutrition will be added from June 1st or any other dates in June ? My exam is on 3rd and 5th of june. I am now really scared.

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u/cvscrush — 1 day ago
▲ 10 r/Step3+2 crossposts

I am US IMG got preliminary IM this year, what will be my future next year and how do I apply for PGy 2 positions?

Questions:

What are my realistic options after completing a prelim IM year?

Do I need to reapply through the Main Match (ERAS) for a categorical IM position?

How do PGY-2 positions work?

Through ERAS?

Or mostly off-cycle / via networking and direct outreach?

When should I start applying during intern year?

What can I do during prelim year to strengthen my chances (LORs, Step 3, research, etc.)?

Primary goal: Internal Medicine (categorical), but open to understanding all pathways

Would really appreciate any advice or personal experiences. Thanks!

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u/Outrageous_Bee7006 — 1 day ago
▲ 1 r/Step3

Consistent Low scores.

I have been scoring low on uwsa and nbmes consistently, i am done with first pass of uworld with an average of 62%, and ccs first pass with an average of 78%.

Uwsa 1: 199

Nbme 6:195

Nbme 7: 190 (taken today)

I dont know what do i do to increase my score, my exam was scheduled in may, but now i am thinking of pushing it till the end of may.

Any guidance from people who increased their score, would be appreciated. I am in great distress and dont know what do i do.

My step 2 score was decent in upper 240s.

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u/Individual_Slice8 — 1 day ago
▲ 7 r/Step3

Don't buy anything from here if you don't want to be scammed!

A lot of scammers around, so don't buy their "CCS accounts", uw ets. Don't be a fool

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u/hangry_raccoon — 1 day ago
▲ 6 r/Step3+1 crossposts

Can i match neurology an non-us img with a step 2 attempt?

Score was 227 - not that great. CV is neuro oriented and i genuinely like neurology. Can anyone connect me with someone who had a similar situation and matched? Will be taking step 3 before applying.

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u/Electrical-Apricot41 — 2 days ago
▲ 16 r/Step3

I eat Iron and Shhhhh!t chains.

That’s what one of my attendings taught me, and it’s a very helpful mantra to have walking into step 3. Step 3 messes with you psychologically.

For example 10-15% of the questions are “experimental” and not counted towards your grade. Wtf is that?!! So your cruising through your exam, and you come across one of these experimental questions, and it may even be something that you didn’t study for, and then you’re like omg, I have no clue, and then you guess, but then they are testing your grit, because on the next questions are you still thinking about that previous question thinking like, omg, im gonna fail, or are you thinking about the present question?

Then there’s the fingerprinting, waving a metal detector around your crotch, looking closely at my plastic see through glasses, all before returning from all breaktimes (wasting all my breaktime), and they have you on camera the entire time. I had my hands on my lap, and the one of the proctors tapped me on the shoulder and said “ keep your hands on the desk where we (the cameras) can see them.“

Ok, so you made it through the exam, now let’s make you wait 3 weeks for your results, come on, it doesn’t take 3 weeks to grade an electronic exam. Lol.

Then after the first 12ish hours of constant psychological pressure you still have to perform well on the CCS.

About a week or two ago I posted about failing step 3 the first time and having to sit in my car crippled with anxiety. Well a lot of people reached out to me specifically about the CCS portion of the exam.

The first time I took the exam I had totally bombed the first 4 ccs cases. One of them still sticks with me. It was a case about a 65 year old chronic smoker, with severe chest pains. Troponin was negative, EKG was normal, BP was like 95/65. Normal labs. Normal Xray, CT, pancreatic enzymes, everything was normal, but the chest pain just wouldn’t go away. I moved him from the ED into the floors, gave him everything I could think of like morphine, nitro, IV fluids, and I pretty much through every single thing at him, and still the chest pain was severe and unchanged. That was really messing with me. I think I sent him for a PCI because that was the only thing I could think of at that time.

After the exam was over, I realized I never ordered an abdominal ultrasound, and that this may have been AAA. This case dragged on the full 20 minutes, and I ran out of time.

Here's how I did things differently the second time I took the exam. I was much more prepared, and I had the shitting chains mantra going in the background. Just about all of my cases ended early, even a 20 minute case, ended in like 4 minutes. If a case ends early, its most likely a very good sign, that you figured out the key to their little game, after all this is truly a video game that leads to licensure.

One thing that kept messing me up was failing to forward time, and no training program effectively taught me this. So first its like are you in the Clinic/office, the ED, the floors, or the ICU? This matters because it sets the tone of how much you will be fowarding time.

For example its like if your in the clinic/office you have lots of time like many days or even weeks in some cases. If your in the ED you only have like 1-5 hours. If your on the floors you have 5-48 hours.

Lets say your in the clinic, you do your physical exam, and then you enter your standard orders like pulse ox, vitals, cmp, cbc, tsh, HCG if it’s a possible pregnancy, and then lets say you forward time for like 1 hour, but it tells you before the hour is up that the patient’s blood pressure is 85/45, you stop fowarding time, and then move them to the ED.

Now you have to stablilize them, right, so CCS is looking again for orders like NS IV fluids, again vitals, maybe telemetry, maybe oxygen depending upon pulse ox and respiratory rate, but in the ED on CCS you don’t want more than 2-5 hours going by without eithor admitting them to floors, shipping them off to the ICU or sending them home with clinic follow up if you stabilize them. Practice placing your orders and then fowarding time, waiting for the video game to give you confirmation of your diagnosis.

And when the case ends early, think “I eat Iron and Shhhhh!t chains,” because that’s exactly what happened, you beat them at their own game.

If you need help with CCS or anything else related to Step 3, feel free to message me, I’ve been helping a few people from my last post work through their study plans.

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u/DrJeremySteiner — 2 days ago
▲ 1 r/Step3

Ccs needed urgently -scammed already! 😭

Hi I purchased an account from someone which had a validity of four months. It worked fine for a week but now it shows that my subscription has expired. I don’t understand how that happened?? I’m so stressed. I have an exam in 10 days. Can anyone share their account with me, please please? I am in desperate need I cannot afford to buy another one at the moment!😭

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u/unreal-Scientist512 — 2 days ago