USMLE® Step 3 Changes in 2014!

January 30, 2014
Kaplan Test Prep

Step 3 QbookMedicine and medical education changes over the years, so the USMLE® must evolve along with them.  A unified content outline has been developed to organize the content across all of the steps of the USMLE®.

Examinations released in 2014 will reflect the new unified content outline. See for test specifications.  For Step 1, Step 2 CK, and Step 2 CS, the changes will be subtle, and the examinations will be similar to previous years. Step 3 examinations will include more substantial changes in content.  Here is a summary of those changes:

  • Registration for the current Step 3 examination will end July 31, 2014.
  • Registration for the restructured Step 3 examination will begin August 2014.
  • No Step 3 examinations will be administered during most or all of October 2014.
  • Score reports will result in a single score and a single pass/fail outcome
  • Expect score delays in November 2014. Based on prior trends, it’s possible that the first scores for Step 3 exams taken on or after November 1, 2014 will be released during the first week of April 2013.
  • Though the exam will remain a two-day exam, examinees will be able to schedule the two test days on non-consecutive days.  Read more here.
  • The two days will be broken down like this:  Step 3 Foundations of Independent Practice (FIP):  The focus will be on applying knowledge of foundational medicine and science and will assess knowledge of diagnosis and management. The exam will consist of multiple-choice questions with some of the newer item format. Step 3 Advanced Clinical Medicine (ACM)The focus will be on patient management.  The exam will consist of multiple-choice questions and computer-based case simulations.
  • Practice materials reflecting the exam changes should be available in mid-2014.
  • State board sponsorship for Step 3 has been discontinued.
  • Most likely, the recommendation will remain in place for individuals to take Step 3 towards the end of their first year of residency training.  For information, click here.

As always, check regularly the website for all updates.
Prepare carefully for Step 3.  It is just as important as Steps 1 and 2!!


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