Background:
I am a neuro R3 who took the Step 3 in mid march of 2011. I have been away from internal medicine for the past 1.5 years, so I was a bit nervous, but most people told me that it is an easy test and that it is hard to study for (due to the subject matter being so broad).
Preparation:
I downloaded the five sample CCS cases from the website and completed those, then read through the majority of Crush Step 3, with a particular focus on peds, ob/gyn, and internal medicine. I did not use any other books, and did not use any question bank.
Day 1:
After the first day I felt nervous, mostly due to the fact that the material was so broad, but also very specific. I did encounter a neurology question which asked for very specific information on AED choices on a particular rare disease and laughed, realizing that there had to be a lot of ridiculous questions in other fields as well.
Day 2:
The second day was easier, mostly due to the clinical cases being a lot more reasonable than the multiple choice questions, and the multiple choice blocks being shorter.
CCS:
All of the clinical cases ended early except for one in which I was unsure of what more they wanted after the diagnosis, first line therapy, and second line therapy of the condition. On several cases I had the patient wait to long for simple things like proper pain control. On another case I didn't diagnose someone with a fracture on their first visit due to being unable to figure out how to order the appropriate imaging (my institution uses CTs and the simulation only offered plain films). I finished feeling somewhat uneasy, thinking that if I failed, I did not know how to study for the test. My results came back today and I had:
Result:
224/95. This is between my Step I (a little lower) and Step II (a good bit higher), and I am pleased to be done with the whole ordeal.