Step 3 assesses whether you can apply medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine, with emphasis on patient management in ambulatory settings. It is the final examination in the USMLE sequence leading to a license to practice medicine without supervision. 

The examination material is prepared by examination committees broadly representing the medical profession. The committees comprise recognized experts in their fields, including both academic and non-academic practitioners, as well as members of state medical licensing boards. Step 3 content reflects a data-based model of generalist medical practice in the United States. The test items and cases reflect the clinical situations that a general, as-yet undifferentiated, physician might encounter within the context of a specific setting. 

Step 3 provides a final assessment of physicians assuming independent responsibility for delivering general medical care.

Review the Step 3 content outline, as well as specifications for the systems and physician tasks/competencies covered on the exam.

Step 3 is administered at Prometric test centers. Visit the Prometric website to schedule or reschedule an exam, locate a test center, confirm or cancel your appointment, and find information on test center policies.

Examinees must meet certain requirements before becoming eligible to take the USMLE Step 3. Click the link below to review these requirements and find information on time and attempt limits, retakes, what to do about a change in eligibility status, and more.

Once you’ve completed the registration process, you can explore resources designed to help you get ready for test day, including the interactive testing experience, which provides tips on navigating the USMLE interface and access to sample test questions. 

The USMLE Program is committed to providing test accommodations to examinees with documented disabilities under the Americans with Disabilities Act (ADA). Click the link below to learn more about the types of accommodations available and for instructions on submitting a request.  

In addition to contacting us directly, you can visit the Common Questions section for answers to the most frequently asked questions.