How many CCS cases are there?

For the USMLE Step 3 exam's Computerized Clinical Test (CCS), practice platforms like CCSCases.com, a popular resource, offer over 170+ cases for practice, with users often focusing on "high-yield" cases, while other providers like UWorld offer fewer but similarly realistic simulations. The actual exam presents a set number of cases (around 13) from a larger pool, so the goal is to practice many to build endurance and familiarity with case management.

How many cases are there in CCS cases?

Case Numbering: Each case includes its corresponding number as listed on the official CCS Cases platform, covering all 173 cases updated as of January 2025.

What percent of step 3 is CCS case?

About 25% of your Step 3 score depends on how you performed on the 12 CCS cases that are part of the exam, so it is important to study for it efficiently, we hope these tips will help! These cases will test you primarily on conditions and situations you should have encountered during your intern year.

What is a good average on CCS cases?

The grading gives the “ideal” response that would take into account every test, treatment, and preventative measure for the case. If you are scoring above 80%, then this is a good score.

How common is failing step 1?

While most people pass USMLE Step 1, failure rates have increased, especially since the scoring change to pass/fail in 2022, with overall pass rates for first-time test-takers dropping, and international medical graduates (IMGs) and repeat test-takers facing significantly lower odds, though the exact number varies yearly, with thousands failing in recent years (e.g., over 11,000 in 2023). For MD students, first-time pass rates were around 90-93% in 2022-2023, compared to 82-83% for DO students and ~72% for IMGs in 2023, with repeaters seeing even lower success.
 

USMLE STEP 3 - The Ultimate CCS Cases Tutorial (2025)

Are CCS cases worth it?

Practice with CCS cases can have a positive impact on performance. It is essential that you become familiar with both the software interface and the background information provided.

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.

Do CCS cases repeat?

Yes, you can do as many cases as many times as you want during your subscription period. After completing each case, you will be given a grade. If you do 10 attempts on one case, you will be given 10 different feedback scores.

Is CCS harder than CPC?

Exam difficulty

Based on your understanding of medical terminology, insurance reimbursement procedures and diagnostic coding, the CCS examination may be more challenging than the CPC test. In addition, AHIMA allows candidates to take the CCS exam only one time.

What score is 75% on step 2?

Getting 75% correct on Step 2, especially on practice tests like NBMEs or UWorld, usually translates to a strong score in the mid-to-high 240s or even into the mid-250s, placing you well above average and competitive for many specialties, though top-tier competitive fields might require even higher scores (around 255-270+). A 75th percentile score means you scored better than 75% of test-takers, indicating solid performance and often helping balance a weaker Step 1 or improving residency options. 

What is the 7 year rule for USMLE?

The USMLE 7-year rule, primarily for International Medical Graduates (IMGs) seeking ECFMG Certification, mandates completing all required USMLE Steps (1, 2 CK/CS, and eventually 3) within seven years of passing the first exam; failure to do so invalidates earlier scores, requiring retakes, though waivers or extensions may be granted for documented issues like PhD programs, severe illness, or certain military service. Most U.S. medical licensing boards also enforce this timeframe for state licensure, starting from the first successful Step pass. 

Has anyone gotten a 300 on Usmle?

The highest possible score for the USMLE Step 2 CK is 300, but no one has ever achieved a “perfect” score. A score around 280 would be considered a top Step 2 CK score.

How much do CCS cases cost?

2 week subscription - $75. 1 month subscription - $80. 2 month subscription - $85. 3 month subscription - $90.

What is the pass mark for the CCS exam?

Any score of 300 or greater is a "pass." Any score below 300 is a "fail." The passing score is based on the knowledge and skills needed to demonstrate competence in the skill domain and the difficulty of the questions that are delivered to a candidate.

What is a good score on CCS cases?

The grading gives the “ideal” response that would take into account every test, treatment, and preventative measure for the case. If you are scoring above 80%, then this is a good score.

Can CCS cases be reset?

No, case data can be reset only if you renew a subscription. The reason we do not allow case data to be reset during a subscription is that students are attempting to sell their remaining subscription time to others which is against our terms of service.

What is a 90% chance of passing Step 1?

A 90% chance of passing USMLE Step 1, often from an NBME practice test, means that for every 100 people with that score, 90 pass, but 10 still fail, so it's a strong indicator but not a guarantee, highlighting the need to focus on weak areas identified in the report, especially for Step 1's new pass/fail format where recent pass rates hover around 90-92%.
 

Is 70% on UWorld bad?

No, 70% on UWorld is generally considered good to excellent, especially on a first pass, indicating you're well-prepared for exams like the NCLEX or Step exams, though it's crucial to learn from incorrect answers to improve. Most students start lower (50s-60s), so consistently in the 70s means you're in great shape, with scores in the 80s suggesting you'll do very well. Focus on mastering weak areas identified by UWorld rather than just chasing scores. 

Is 240 on Step 3 good?

Yes, a 240 is an excellent USMLE Step 3 score, placing you well above the average (around 230) and in the top percentiles, making it a very strong result for fellowship applications and general licensure purposes, though most programs focus more on passing and Step 2 scores.
 

How many times fail Step 3?

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.

How many CCS cases are on day 2?

The second day also includes a 6-minute CCS tutorial. This is followed by 13 to 14 case simulations, each of which is allotted a maximum of 10 or 20 minutes of real time. A minimum of 45 minutes is available for break time. There is an optional survey at the end of the second day, which can be completed if time allows.

Who owns CCS skate?

Yeah, apparently Foot Locker bought CCS in 2008. Nice, it's good that CCS is owned by a skate shop now, right? Well, come to find out, “Daddies Board Shop” was acquired by Waveland Investments, a private equity firm, in 2011.

Are CCS cases free?

CCS Cases Interactive Program

You can try out 2 free cases with our online/web demo located here at https://app.ccscases.com.