In that case, most students spend between 4-8 weeks preparing, with the goal to complete the UWorld question bank and familiarize themselves with the clinical cases. If you must take the exam by the end of your intern year, as many medical residents are advised, it is unlikely you will have substantial dedicated time to study for the exam. Overall, given the substantial overlap between Step 2 and Step 3, it is recommended to take the exams as close together if possible. Per the USMLE, it must be passed within 5 years of Step or Level 2 or before the end of residency training, though many residencies require it be taken earlier in training. Remember that Step 3 is an examination that can be taken at the end of medical school throughout the first few years of residency, and as a result, the time available to prepare varies wildly.
When deciding how much time your should set aside to prepare for the USMLE Step 3, it is important to consider the numerous contributing factors which will influence your performance come test day. As a 2-day exam with 232 multiple choice questions on day 1, 180 multiple choice questions on day 2, and 13 clinical case simulations, it builds heavily off the knowledge you gained on prior exams with a lean towards clinical practice. However, Step 3 is not an exam to be taken lightly. Once Step 1 and Step 2 are traversed, residency is on the horizon and the idea of further examination preparation can be unsavory. When entering medical school, the thought of impending USMLE exams looms over the preclinical and clinical years.
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