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The CCS patient encounters assess your ability to evaluate history and physical exam information, order diagnostic tests, select initial therapies, and manage the patient.

Each question falls into one of 3 clinical encounter frames: initial workup; continued care; and emergency care. The USMLE program recommends applicants take Step 3 after completing or when they are close to completing at least one postgraduate training year in a U. Step 3 is a 2-day examination.


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The first day of testing is divided into 6 blocks of items; 60 minutes are allotted for completion of each block of test items. The second day of testing is divided into 6 blocks of 30 items; 45 minutes are allotted for completion of each block of test items.

Dr. Ryan's Step 1 Tips

There are approximately 7 hours in the test session on the first day and approximately 9 hours in the test session on the second day. This two-day computerized exam currently has about multiple-choice questions as well as computer-based case simulations CCS.

Skip to Main Content. This high-yield review delivers a thorough exam preparation guide for the USMLE Step 2 CS, offering a solid review of frequently test CS cases, along with proven study and exam strategies for clinical encounters.

USMLE/Board Review Resources: Review Resources

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Archer USMLE Step 3 CCS strategies and Cases

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