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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.
For examinations up to and including the 2018 papers, the specification for STEP 1 and STEP 2 was based on Mathematics A Level content while the syllabus for STEP 3 was based on Further Mathematics A Level. The questions on STEP 2 and 3 were about the same difficulty. Both STEP 2 and STEP 3 are harder than STEP 1. [6]
Step 1 and 2 are typically completed by U.S. medical students during medical school, while Step 3 is usually taken by the end of the first year of residency. [20] While the USMLE Step 1 and Step 2 CK exams can be taken at Prometric test centers worldwide, the Step 3 can only be taken in the United States. [21] [citation needed]
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.
One hundred thirty (130) of the questions count toward whether the candidate passes or fails the Series 65 exam. The other 10 questions are pretest and could appear in any position within the exam but do not count towards the final grade. To pass the Series 65 Exam, candidates must correctly answer at least 92 of the 130 scored questions.
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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.
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