UWORLD Exam 1 has bizarre questions, so your score will most likely be lower on the first exam compared to the second exam, which has more "familiar” questions that you would be used to for Step 3. I did the two UWORLD practice exams, and the NBME practice exam for Step 3. On the real exam, I skipped the biostats or drugs/research/ads questions and did them last. I did review the drugs on First aid Step 1 again, including MOA, the diagrams, the genetics portion of First Aid Step 1 book. I did all the cases and reviewed everything on this website. I read the Crush Step 3 book, but once again, this book is too simplified and should not be a main resource I read cover to cover First Aid Step 3 (the book is too simplified), so be aware that this is not the best resource but only a simplified review Day 1 of Step 3 is Biostats heavy (multiple questions per block). Make sure you have a Biostats formula sheet to review consistently. I also reviewed the popular Biostats videos on YouTube. I also did the UWORLD Biostats once, and reviewed a second time. Review the incorrects and try as much as possible to get into the test writer’s head. UWORLD is important to do, definitely know your UWORLD questions and topics. I’ve lost count on how many UWORLD passes I’ve done for this first attempt. I finished all the UWORLD Step 3 questions once, and redid all the incorrect questions over and over again until I had no incorrects left. Whether you are a first year, or senior resident retaking the exam, you can do this! If I can do it, you can too!!! Many people told me this exam was easy, but I think it is harder than the USMLE Step 2 exam. The exam expects you to know information from your third-year clerkships very well (adults, internal medicine, family medicine, neurology, emergency medicine, psychiatry, OBGYN, Surgery, Peds), so definitely review everything and please take this exam seriously. A little back story: I have not worked with adults for at least a year before starting residency, having had forgotten crucial information from my third-year clerkships. Everyone has a different background with standardized exams, some are great test-takers, and others like me, not so much. This was a very hard exam for me, and I would really invest as much time as possible to prepare for it. I wanted to write an USMLE Step 3 guide to help you during this studying process.
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