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Step 3 is the final exam in the USMLE series of examinations. It is part of the licensing requirements for Doctors of Medicine (M.D.), including international medical graduates aiming to practice medicine in the United States. Generally, it is a pre-requisite of the majority of the state licensing boards.
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The competition consists of 15 questions of increasing difficulty, where each answer is an integer between 000 and 999 inclusive. Thus the competition effectively removes the element of chance afforded by a multiple-choice test while preserving the ease of automated grading; answers are entered onto an OMR sheet, similar to the way grid-in math questions are answered on the SAT.
For each paper, candidates have three hours to complete their solutions. Whilst students are permitted to answer as many questions as they choose, they are advised to attempt no more than six, and their final grade is based on their six best question solutions. Each question is worth 20 marks, and so the maximum a candidate can score is 120.
In the late 1980s, as the practice of architecture moved into the computer age, NCARB began to develop a computer-based exam. After a decade of research and development, the last paper-and-pencil test was issued in 1996, and the computer-based exam rolled out in 1997.
Last updated Dec. 19. Learn more about homebuying difficulty in most U.S. counties based on factors such as affordability, available homes, homebuying competition and economic stability.
From the examinee's perspective, the difficulty of the exam seems to tailor itself to their level of ability. For example, if an examinee performs well on an item of intermediate difficulty, they will then be presented with a more difficult question. Or, if they performed poorly, they would be presented with a simpler question.
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