Can you take Step 3 at two different locations?

No, for the USMLE Step 3, you must schedule both Day 1 and Day 2 at the same Prometric test center, though they can be on non-consecutive days, with Day 1 always coming first and no more than 14 days between them; taking them at different locations is generally not allowed except perhaps in very specific, rare cancellation scenarios.

Can you take Step 3 twice?

Retaking Failed Examinations

You may not take the same Step more than three times within a 12-month period. Your fourth attempt must be at least 12 months after your first attempt at that examination and at least six (6) months after your most recent attempt at that examination. This includes incomplete attempts.

Where can Step 3 be taken?

Step 3 is administered at Prometric test centers. Visit the Prometric website to schedule or reschedule an exam, locate a test center, confirm or cancel your appointment, and find information on test center policies.

How far in advance should I schedule Step 3?

Remember that Step 3 is a two day exam. You can schedule the test on consecutive or non-consecutive days. The exam is generally scheduled 3 to 6 months in advance of the exam date. It is best to pick a date and stick to it.

Should you take Step 3 back to back?

You don't have to schedule the two days of Step 3 back-to-back. However, you must take Day 1 before Day 2, and the two days cannot be more than two weeks apart from each other. It's best to schedule your exam near the end of a lighter rotation, or even a period of time off.

USMLE Step 3 - What You NEED to Know and Should You Take It Before the Match?

How far apart can I take Step 3?

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.

What month do most people take Step 3?

In general, Step 3 is taken during intern year of residency, so that license applications can be completed at the end of intern year and received during second year. Different programs may have more specific requirements, but sometime during intern year is the general rule.

Can you moonlight after Step 3?

To get started moonlighting, there are some basic qualifications you will need. First, you will need to complete intern year of residency (or two years of residency if you're an international medical graduate), pass Step 3, and obtain your state's unrestricted medical license.

Is USMLE Step 3 the hardest?

Whether Step 3 is the hardest USMLE exam is subjective, but it's generally considered less conceptually difficult than Step 1 or 2 CK but presents unique challenges like balancing it with residency, managing its two-day intensity (16 hours), and mastering the Computer-based Case Simulations (CCS) software, with some finding it harder due to time away from foundational medical knowledge. High pass rates (around 97% for US grads) suggest it's manageable, but its difficulty lies in clinical application and endurance as an intern. 

Is 225 a good Step 3 score?

The step 3 passing score is 200. Any score above this is considered passing. Most first-time candidates score between 225 and 230, which represents the average range. Scores above 230 are considered above average and reflect strong performance.

How many months to prepare for USMLE step 3?

So, how long should you study for USMLE Step 3? Most students spend an average of 4-8 weeks preparing. This timeframe typically allows enough time to complete key materials, including the UWorld question bank and clinical case simulations, while balancing residency demands.

Does Step 3 matter for surgery?

If you already matched into residency, your score doesn't matter, but it does matter that you pass the exam for both licensing and potentially fellowship applications. However, if you have only matched into a prelim or transitional year, Step 3 can help bolster your application for a categorical spot.

Which country is best for USMLE?

Keep reading for a general overview of countries that commonly accept or consider USMLE results.

• United Arab Emirates (UAE) ...
• Qatar. ...
• Singapore. ...
• Israel. ...
• Australia. ...
• New Zealand. ...
• Ireland. ...
• Canada.

Why do I keep failing Step 3?

Most residents attempt Step 3 during their demanding intern year while working 80-hour weeks. Those who failed USMLE Step 3 often cite insufficient preparation time as a major factor, struggling to balance exam study with their clinical responsibilities.

Can I retake Step 3 if I fail?

You can take Step 3 up to three times within any 12-month window. Your fourth attempt (and any after that) has to be at least 12 months after your first try, and at least six months after your most recent one.

Is 60% enough to pass Step 3?

However, examinees typically must answer approximately 60% of questions correctly to achieve a passing score. For Step 3, your performance on the case simulations will affect your Step 3 score and could affect whether you pass or fail.

What is the top 3 toughest exam in the world?

The three toughest exams globally often cited for their extreme difficulty, low pass rates, and high stakes are China's Gaokao (National College Entrance Exam) for its sheer scale and competitiveness, India's UPSC Civil Services Exam for its life-altering potential and minuscule selection, and India's IIT-JEE Advanced (Joint Entrance Exam) for its rigorous engineering entrance criteria, alongside prestigious UK fellowships like the All Souls Prize Exam, with difficulty varying by individual and goals. 

How many hours a day to study for Step 3?

If you're able to use a two-week elective block as dedicated, you should spend that time studying as much as possible, 10 hours a day being the norm. Before your dedicated time, you should spend at least two weeks studying part-time, ideally for two hours a day on average.

Can you do fellowship without Step 3?

Step-3 is not mandatory but most of the programs do ask for Step 3 and it is better to pass your Step 3 if you want to maximize your fellowship opportunities.

When did Step 3 become 2 days?

The test is available throughout the year to the examinees. Since 2014 USMLE Step 3 can be taken on two non-consecutive days, instead of two consecutive days.

How much do you get paid for moonlighting during residency?

Increased earnings without delaying training

Residents can significantly boost their annual income by working a few extra shifts a month. This liquidity can help fund weddings, down payments or childcare. The average salary for moonlighting physicians in the U.S. is $105 per hour, according to ZipRecruiter data.

What is the passing score for Step 3 2025?

As of 2025, you'll need a minimum score of 200 to pass Step 3. Scores range from 1 to 300, and most candidates average around 227–230.

Is Step 3 stressful?

Many test takers report marking a significant amount of questions and feeling a sense of failure after the first day of Step 3. But given that Step 1 material is years away, it is normal to feel this way. After a nerve-wracking day 1, focus on easing your anxiety and set yourself up for success on day 2.

Should you take Step 3 before residency?

Most residency programs require a passing score on Step 3 during one's intern year to matriculate to PGY-2. As far as when to take it, that is typically up to the resident. “I recommend taking it on an elective block,” Dr. Krishnaswami said, noting that tends to be a more flexible portion of intern year.