This assessment of your clinical judgment distinguishes Step 3 from Step 2. Unlike the Step 2 exams, which emphasize diagnosis of medical conditions, Step 3 evaluates your ability to evaluate the severity of a patient’s condition and discern the most appropriate clinical management based on the presenting scenario. How can the Step 3 test all first-year interns if they are working in such varied subspecialty settings? The same concepts that medicine house-officers learn about managing a diabetic with heart failure can be equally applied to the postsurgical patient with heart failure. In addition, Step 3 will test your understanding of basic science correlations.
Step 3 tests whether a physician not only can assimilate data and diagnose clinical conditions but also has acquired the ability to make clinical decisions about patient management in a way that ensures appropriate management in an unsupervised setting. Understanding this concept is key to this challenging exam. This test is not merely a more advanced and detailed version of the Step 2 CK or CS exams. After successfully completing the 3 steps of the USMLE, a physician is eligible to practice medicine in an independent, unsupervised setting (some period of U.S. The USMLE © Step 3 is the last in a series of 3 USMLE examinations that all physicians applying for a license to practice medicine in the United States are required to pass.
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