USMLE® Step 3

From “what now?” to the right orders—fast.

Step 3 blends multiple‑choice questions with CCS cases that simulate real‑world care. MDSteps trains decisive management: stabilize, order wisely, treat safely, and review outcomes—at exam pace.

Live vitals & timelines Safe‑order prompts Timed decisions Outcome‑based feedback
Run a demo CCS See the Step 3 blueprint
What Step 3 really tests
  • Initial stabilization and time‑critical orders.
  • Appropriate diagnostics, consults, and disposition.
  • Medication dosing, interactions, and contraindications.
  • Ambulatory care, prevention, ethics, and safety.

How we create a solution that works

Train decisions, not just answers

Our CCS runner mirrors exam flow with evolving vitals, timed jumps, safe‑order prompts, and outcome scoring. Multiple‑choice blocks emphasize next‑best‑step and guideline‑concordant care—so both parts of Step 3 reinforce each other.

  • Stabilize → test → treat pathways with on‑screen cues.
  • Live vitals and labs that respond to your orders.
  • Consults, imaging, and medication dosing with guardrails.
  • Post‑case review with key learning points and pitfalls.
Preview a CCS case Generate a study plan
Step 3 CCS simulator with live vitals and timed orders

What Step 3 entails

Content areas & CCS focus

Clinical content
  • Internal Medicine • Surgery • Pediatrics • OB/GYN • Psych • EM • Neuro
  • Preventive care, chronic disease management, and counseling
  • Transitions of care and disposition decisions
CCS competencies
  • Initial orders (ABCs, monitoring, empiric therapy)
  • Time management (advance clock, re‑assess, escalate)
  • Medication dosing, routes, and interactions
  • Documentation of outcomes and follow‑up

Features tuned for Step 3

Practice the way the exam is graded—outcomes and safety first.

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Interactive CCS runner
Live vitals, timed jumps, and realistic patient responses.
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Orders & monitoring
Imaging, labs, meds, consults—with built‑in guardrails.
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Safe‑order prompts
Alerts for contraindications and sequencing mistakes.
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Outcome‑based scoring
Stabilization, diagnosis, and disposition points visible in review.
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Dose calculators
Weight‑, renal‑, and hepatic‑adjusted dosing at the point of care.
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Resurface misses
Weak areas and unsafe orders reappear with coaching.
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Missed‑step decks
Turn CCS mistakes into targeted flashcards.
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Quick reference
Sepsis, ACS, stroke, OB triage, status asthmaticus, DKA.
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AI study plan
Balances MCQ blocks with CCS case practice on your schedule.
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AI study plan generator for Step 3 with CCS focus

Know where to focus

AI‑generated Step 3 study plans

Set your test date and hours/week. We’ll mix MCQ blocks with CCS cases, emphasize weak systems, and schedule practice to match exam timing. Sync to your calendar and auto‑adjust as you improve.

  • Balanced MCQ + CCS practice progression.
  • Safety‑critical topics resurface more often.
  • Calendar sync (Google/iOS) with reminders.
Create my Step 3 plan

Step 3 — common questions

How many CCS cases should I practice?
Aim for 2–4 per study day, including at least one time‑pressured run. Review outcomes and missed orders immediately.
Do you grade CCS like the exam?
We emulate stabilization, diagnostics, and therapy scoring. Post‑case review shows what helped or hurt disposition and outcomes.
Are dosing calculators built‑in?
Yes—renal/hepatic adjustments and weight‑based dosing appear in context.
How are MCQs different here vs Step 2?
MCQs emphasize outpatient care, prevention, and long‑term management, with ethics and safety woven in.
Can I export my CCS timeline to review later?
Yes—export timelines and orders to CSV/JSON for coaching and reflection.
Will this work on mobile?
Yes. For CCS timelines, a larger screen is helpful, but everything is mobile‑friendly.

Practice the way Step 3 is scored.

Live vitals, timed orders, and outcome‑based feedback make exam day feel familiar.

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Data stays saved between plans
What you get
  • Interactive CCS runner with live feedback
  • Guideline‑tuned MCQ blocks
  • Readiness dashboard & study plan sync
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