Hey guys.
I wanted to wait until I got my score until I posted in great detail my experience with the HARDEST STEP.....NUMBER 3!!!!!!!!!!!!
This forum was like a guardian angel to me. The ideas, advice and most of all the support I got knowing each one of you was praying for me is the only way I could have passed. SO here goes my story!
MY PREP:
I did not have much time to prepare very much for this thing but I gave it four hard weeks everyday after I got home. Sometimes I didn't even start studying until midnight and got a 1/2 hour or an hour in. However, on days that I was off, I STUDIED ALL DAY! So I would say, it was the equivelent of about 3 hard core weeks.
THE EXAM:
The first day was grueling. It was much like STEP 1 and 2 (I took step 2 before the whole CK/CS phenomenon) tons of MCQ's that I was clueless about, with long winding question stems. Although, the questions were definately shorter than the step 2 questions. So for me, time was not an issue. As far as content...it was a bombardment or FAMILY MEDICINE. Tons of HTN, DM, SLE, CHF. I also had lots of derm q's with about 10 small high res pictures of different common derm pathologies. There were two psoriasis pix, scabies, exzema and I think one guy had sporothrix but that was mostly based upon the clinical picture. Also, I had the immunization schedules memorized and when to give rabies and tetanus vaccine and toxioid but did not get any q's with that. What was repeated most was elderly cases with 3-4 different diagnoses (CHF, COPD, DM) on crazy polypharmacy. often they wanted medication tweaked or the patients status deteriorated and wanted to know about transferring to ICU, changing meds, ordering tests. So lots of Internal medicine in that regard. Also, very little surgical subspecialities, but some ortho, oph, and some complex GU. Lots of PEDS.
On day two, my day began with about 4-5 more blocks of what I felt where easier and shorter MCQ's. THis was followed by the 9 CCS cases. The cases where a nice break from the painfully long MCQ's. I felt they were easy except for one lady with HIV-Diarrhea (Iosporra/Cryptosporidiosis). Also, PLEASE >>>FOR THE LOVE OF G-D...REMEMBER TO ADVANCE THE CLOCK..I FORGOT TO DO THIS ON MY FIRST CASE AND IT COSTED ME BIG POINTS! If you dont know what I mean......do the sample 5 CCS cases that are given to you by FSMB on the DISC. After that you will know what I mean by ADVANCE THE CLOCK!!!!
Time Managment:
It was reccommended that I take a break between every block and case (CCS) and so I tried that. I have to say very helpful. Sometimes, I wouldnt get out of my seat and sign out, I would just sit and take a few deep breaths. Between every MCQ block I did get my pad out of my locker and write down all the MCQ's I could remember but I realize that posting that information here would be illegal. Anyway, as I said, time was not an issue.
What I studied.
I did the FSMB disc they give you about 10 times.
A freind of mine from med school gave me a CD with some CCS strategies and files that contained..sort of a crash course for step 3. THIS CD was my key to passing and my high score. I am currently, in the process of recording the material on that CD and converting the file to an MP3 and .wav files.
I also, used USMLE WORLD but was getting such low scores (50-55%) that I was ripping my hair out. After taking the exam..I can say that USMLE WORLD SUCKS. While studying from USMLEWORLD, the questions are so hard, and the explanations are so long and detailed I think we all say to ourselvest that this must be great. But, after taking the exam, it wasnt so good! If you are going to use one review book use STRONG MEDICINE.
I scored really well. I did better on Step 1 and 2 but, for step 3 I studied less.
I have to say...that THIS IS THE HARDEST OF THE THREE EXAMS BY FAR!!! I can see why the fail rate is so high on this one. IT'S INTENSE. I am not trying to scare you...actually ...........I AM trying to scare you...because I think the common knowledge that step 3, a # 2 pencil or whatever is completely misleading and probably started by some effing gunners who wanted to see people fail. STUDY HARD! The knowledge you gain from it will help you clincially if nothing else!
Good luck.
If anyone needs advice please feel free to email me anyime. People on this and other forums were very helpful to me during my preparations and I want to complete the circle!!!
-Jordan