NMS Review for USMLE Step 3 3rd Edition PDF

Preface

The USMLE Step 3 examination 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. The Step 3 exam provides a final assessment of physicians assuming independent responsibility for delivering general medical care. The examination is organized along two principal dimensions: clinical encounter frame and physician task. Most recently, two new sections have been added: a general principles section and a section on immune disorders. The general principles section includes a description of medical ethics and jurisprudence.
The purpose of Step 3 is to determine if a physician possesses and can apply the medical knowledge and understanding of clinical science considered essential for the unsupervised practice of medicine, with emphasis on patient management in ambulatory care settings. Step 3 emphasizes selected physician tasks, namely, evaluating severity of patient problems and managing therapy. Assessment of clinical judgment will be prominent. Clinical problems encountered on the examination involve mainstream, high-impact diseases. Provision is made for less common but important clinical problems as well. Test items and cases are patient centered, starting with a description of a clinical encounter (vignette). Both the multiple-choice items and case simulations pose action-related challenges that require clinical decisions or judgment. Emphasis is on ambulatory patient encounters; however, inpatient encounters of significant complexity and reflecting contemporary trends also are represented. Provision is made for incorporating applied basic and clinical science concepts, especially as they relate to justification for prognosis or management.

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