Should I continue with USMLE Step III

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DisorderedDoc417

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Hey Guys,

I'm pretty set on taking the test, but wanted a little input.

Background: AMG Psychiatry Resident. 6 weeks studying after work/residency (psych resident). Advised by everyone in my program to take it earlier than later.

Prior Steps: USMLE Step 1 >235, USMLE Step 2 > 235 and Pass.

Study Approach: Generally going through UWORLD, mix of untimed tutor and timed non-tutor (depending on if i was studying at work or at home). Haven't been supplementing much with books as I didn't do that with step 2 ck (just first aid and pathoma for step 1), and none of the books seems particularly good. I completed UWORLD q-bank (generally scored 65-68% with some 70s and some lower 60s and a few high 50s), and I have 5 days in-between Day 1 and Day 2 that I plan to really hammer out the CCS cases.

Concerns: I was an idiot and took the UWSA in the evening 3 days prior to my exam (Take exam August 31st). I started it at 6pm on Sunday, did a couple blocks and felt there were a number of questions that felt really strange, looked at my performance and realized I wasn't doing well, and then took the last two blocks. End result was 188 on the damn thing. That being said, I do think I freaked out a little when I saw my raw percentages on the first half and that this affected my performance (55% on first block, 53% on second block, 53% on third block, and 45% on the fourth block). There were generally a few (4 or more) questions on each block that were a "reading the fine details problem" and pick the common sense answer, which I missed as I was anxious about some of the toughies.

Obviously my situation isn't ideal, but I was a little miffed at the question selection for the UWSA and took it nervously in the evening. I've read a number of people who take the UWSA have been under-represented and obviously I've seen the opposite as well. Bottom line, 97% pass first-try, I've got my test in 2 days, I also have 5 days to study for day 2 cases and keep brushing up on questions... Do I go for it?

I can't reschedule for a month or two out because I have inpatient neuro rotations and no time to study. That would mean I'm waiting until late spring and paying hefty fines to cancel, reschedule, and purchase study resources again. Additionally, my PD says 2 people in his 6 years (42 residents) have had problems with passing this test, and both of them had prior problems with STEP exams (red-flags) and/or serious life circumstances. For both of them, he was able to set up a month of elective time to study for a re-take. I've been reviewing my wrong in world and referencing the books with gaps, and doing the USMLE website practice questions ( 1st/2nd section: 80 and 95%) which seem much more straigh-forward although I know stems will be longer on test day.

Thanks in advance!
 
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I don't think UWSA reflects your outcome accurately.
I scored the same as you (188, 1 day before the test) and ended up with a 218. I think I bombed day 1 (FIP) but seems like the CCS pulled me through. I didn't take the NMBE or anything else.
Receipts:
Screen_Shot_2017_08_16_at_10_40_30_AM.png

My background is rads, so I'm not a clinical wiz like the IM or FM, guys.
If you feel confident on the CCS I'd say you should take it.
 
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This was exactly what I needed to hear. Thank you! The UWSA score was haunting me.

I have 5 days to study for CCS, so my plan today is to focus on FIP and to become familiar with everything case related during the interim.
 
CCS will make you or break you. Make sure you do as well as possible on CCS!!!!! Aim to get that score to the far right as possible in the higher performance range with stars on the far right!!!
 
CCS will make you or break you. Make sure you do as well as possible on CCS!!!!! Aim to get that score to the far right as possible in the higher performance range with stars on the far right!!!

I think you made your point. I'm not sure what you were going for with the exclamation pointage. Any tips to offer instead of telling me to try my best?
 
For the FIP tackle biostatistics. That's what killed me. Retrospectively, and with an appalling score in biostats, I would say UW step 3 qbank questions are enough. I wish I had spent more time on those.
 
Thanks for the advice, I think I literally needed to calculate the number needed to treat multiple times within every single block.

Unfortunately, I also needed to know the morphology and fermentation characteristics of the bleeping bacteria that caused their presentation, and some obscure theoretical immunologic mechanism of "a new experimental" anti-cancer MAB. I think what made me laugh was when I saw a picture of the Krebs cycle. Although, nothing was funny about it.

If it wasn't that, it felt like it was a question about types of bias or study-design type questions filled with answer choices of terms I've never encountered before. Or the good ole "which of the following would be best to say next".

Oh well, my hind end might as well get comfey, I'll be back this winter. I'm not even mad. Wish the best to all others!
 
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CCS will make you or break you. Make sure you do as well as possible on CCS!!!!! Aim to get that score to the far right as possible in the higher performance range with stars on the far right!!!
That's a very good piece of advice. Exactly, how I feel about Step 3!
 
I don't think UWSA reflects your outcome accurately.
I scored the same as you (188, 1 day before the test) and ended up with a 218. I think I bombed day 1 (FIP) but seems like the CCS pulled me through. I didn't take the NMBE or anything else.
Receipts:
Screen_Shot_2017_08_16_at_10_40_30_AM.png

My background is rads, so I'm not a clinical wiz like the IM or FM, guys.
If you feel confident on the CCS I'd say you should take it.


Yeah, forget what UWSA says, I scored between 230 and 240 in the end. That UWSA is garbage.
 
disordereddoc......completely agree ...the average is totally off. Does not seem to reflect the changing Step 3
 
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