Most IMGs take Step 3: After receiving ECFMG certification, Before or during residency, Ideally before the Residency Match if targeting H-1B visa–sponsoring programs, Taking Step 3 early can improve visa options and strengthen residency applications.

USMLE Step 3 is a two-day exam: Day 1 (Foundations of Independent Practice – FIP): Multiple-choice questions, Day 2 (Advanced Clinical Medicine – ACM): Multiple-choice questions + Computer-Based Case Simulations (CCS), The current passing score is 198 (subject to change by USMLE).

Preparation time for USMLE Step 3 varies depending on prior knowledge and clinical experience, but most candidates prepare for approximately two to four months. Applicants who have recently completed Step 2 CK or are actively involved in clinical work may require less time. Consistent practice with question banks and case simulations is essential for effective preparation.

Program Insider provides complete, end-to-end Residency Match support for medical graduates applying to ACGME-accredited U.S. residency programs. The support covers the entire Match journey, including residency program research, ERAS application guidance, clinical rotation planning, CV and profile optimization, interview preparation, Rank Order List (ROL) strategy, NRMP Match compliance, and post-Match or SOAP guidance if required. The approach is data-driven and Match-focused, helping applicants make informed decisions at every stage-from early planning to final Match outcomes-while aligning with ACGME, ERAS, NRMP, and ECFMG requirements.