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Old 04-16-2013, 03:47 PM   #451
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hi , i'm first time usmle world, need to do the exam and pass in 8 weeks , my initial score in usmleworld is 52%, 66% completed, but my percentile in usmleworld is 15th!!! is this normal, in addition, do u think all i have a chance to pass the exam is i did usmle world twice? i wont do books, i just read them with usmleworld
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Old 04-19-2013, 09:18 AM   #452
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Hey jodin9, I'd like to offer you a friendly advice coming from a non-native English speaker myself. I think your English needs some work. If you improve your English proficiency, you might do better in American exams and probably improve your chance at landing interviews if you apply for training programs here in the USA, Canada.

Oh, you need to read books. I suspect that you did not train here in America. I'm not questioning the quality of education in your country at all but if you wish to practice here, you need to read American books, lots of them, you're 15th percentile for a reason. I would suggest reading, at the very least, Washington Manual of Medical Therapeutics for medicine and First Aid for Step 3 for the other sections including Ethics, Peds, Ob/Gyn, and this is assuming you have a reasonably good foundation to start with. Otherwise, considering more detailed board review materials. Here are some books residents at our school have used to study for Step 3 since many of them have forgotten information that are not covered in their subspecialties, books such as MKSAP, Med Study, Blueprints for Ob/Gyn, Blueprints Psychiatry, First Aid Pediatrics, High Yield Surgery

CCS will test your ability to manage patients including ordering the appropriate tests, administering treatments at the right sequence, at the right time.

Step 3 is not the easiest USMLE, most residents tend to have the lowest score on this exam.

Complete the USMLEWorld self assessment exam.
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Old 04-20-2013, 09:22 AM   #453
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Myhandsarecold, Thanks a lot for your reply, i know and admit that my english needs a lot of improvement, i'm doing master the boards with usmleworld, i was just asking if such a score in usmleworld is considered to pass, i will do usmleworld again and try to read Master the boards, is this enough? Thanks again for your reply.
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Old 04-23-2013, 01:45 PM   #454
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Took Step 3 last week. The MCQ were pretty straight forward, nothing you couldn't see coming, although of course a lot of questions I could get down to 2 answers and then wasn't so sure....

My question is about the CCS. I got 11/12 with reasonable certainty. In the 12th case I got the diagnosis after must rooting around, but couldn't remember for the life of me how to treat it. Not wanting to render poor care (like suggesting surgery when it's not indicated, etc.) I played around a little, but the case finally ended without the patinet being treated. I did get the diagnosis (I think) but she definitely wasn't treated well. I froze a little, and it was weird too!!

Does totally botching one of the cases kill you? I think the rest went reasonably well, but I'm worried this one case will be an automatic failure kind of thing

Can you screw a case up royally and still be ok if the rest went alright?? Any thoughts??
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Old 04-24-2013, 07:07 PM   #455
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I'm sure you're fine if you felt good about 11/12 on the CCS. There were a couple I was unsure about the diagnosis or the complete management, just did the best I could. Hated how they sometimes end abruptly and you have no idea if you did everything or did not do the right thing!
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Took Step 3 last week. The MCQ were pretty straight forward, nothing you couldn't see coming, although of course a lot of questions I could get down to 2 answers and then wasn't so sure....

My question is about the CCS. I got 11/12 with reasonable certainty. In the 12th case I got the diagnosis after must rooting around, but couldn't remember for the life of me how to treat it. Not wanting to render poor care (like suggesting surgery when it's not indicated, etc.) I played around a little, but the case finally ended without the patinet being treated. I did get the diagnosis (I think) but she definitely wasn't treated well. I froze a little, and it was weird too!!

Does totally botching one of the cases kill you? I think the rest went reasonably well, but I'm worried this one case will be an automatic failure kind of thing

Can you screw a case up royally and still be ok if the rest went alright?? Any thoughts??
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Old 04-24-2013, 07:45 PM   #456
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Medicine resident. Studied 6 days
somewhere around 72% on USMLE world.
real thing ~250
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Old 04-25-2013, 05:57 PM   #457
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Just finished step 3. I hope it's for good. Did about 70% of usmle world with 68% cumulative average. Finished all the ccs 52 cases. Worked on it for about a week. I have to say it was one heck of a test. The first day was tough. I NEVER had problems with time before, not even on my internal medicine intraining exams, which i generally score high on with no study. This test had me scrambling for time. I almost always finished exactly a minute or two from the finish line. many vague questions and vague choices. Usmle world felt easier, especially the first day. The only glimmer of hope i hade was the satisfaction that all my sequential questions showed that i have answered the previous question correctly....

The second day mcqs were relatively easier, time was better, as the questions had smaller stems and more straight forward.

Then comes the ccs. I think i did ok on 10 cases , i forgot to get a pulse oxygen reading on a patient in the office with chronic shortness of breath doh!, and i had one pediatric case that i think i completely mismanaged. Cases did end more abruptly and less predictably than on usmle world.

I just wanna pass this freakin thing.
Step 1 229
Step 2: 247
Step 3:tbd

3rd year im

Last edited by FreakofMeds; 04-26-2013 at 04:18 AM.
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Old 04-29-2013, 03:23 AM   #458
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Quote:
Originally Posted by FreakofMeds View Post
Just finished step 3. I hope it's for good. Did about 70% of usmle world with 68% cumulative average. Finished all the ccs 52 cases. Worked on it for about a week. I have to say it was one heck of a test. The first day was tough. I NEVER had problems with time before, not even on my internal medicine intraining exams, which i generally score high on with no study. This test had me scrambling for time. I almost always finished exactly a minute or two from the finish line. many vague questions and vague choices. Usmle world felt easier, especially the first day. The only glimmer of hope i hade was the satisfaction that all my sequential questions showed that i have answered the previous question correctly....

The second day mcqs were relatively easier, time was better, as the questions had smaller stems and more straight forward.

Then comes the ccs. I think i did ok on 10 cases , i forgot to get a pulse oxygen reading on a patient in the office with chronic shortness of breath doh!, and i had one pediatric case that i think i completely mismanaged. Cases did end more abruptly and less predictably than on usmle world.

I just wanna pass this freakin thing.
Step 1 229
Step 2: 247
Step 3:tbd

3rd year im
For all those reading this, unless the patient was circling the drain, ending early means you proved what you needed to. I ended up finishing the second day just after 1 because all but 1 of my cases ended pretty quickly ( of course there was a pediatric lead case that I totally f-Ed up).
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