Beyond the Pearls: Cases for Med School, Residency and Beyond
Jul 30, 2026 · 35 min · 12 segments
Watch the video on YouTube: https://youtu.be/bAUrloyV3m8 **About Dr. Raj** Dr Raj is a quadruple board certified physician and associate professor at the University…
Raj DasguptaHost
So my first bullet point is the USMLE Step 3 has a high overall pass rate, but it does vary upon who is taking the test.

So, of course, my main theme is no one really gives you a big trophy if you pass, but it's going to be bad if you fail.

So talking about percentages for first-time taste takers, the pass rate's around 85% to 96%, which is definitely good.

The score in general is going to be a minimum passing score of 200 on a 300-point maximum scale.

So what are some overview things about the USMLE Step 3? It's definitely to assess whether you can apply medical knowledge and understand, number one, the basics and also clinical medicine.

So yes, of course, some of the basic science things are going to creep up again.

So I do think it's fair that, you know, someone comes in and they're having some heartburn.

And after lifestyle modifications, you end up giving a PPE, like a proton pump inhibitor.

a very common category of drug that we use, but you know what? It does have side effects.

Do you know these side effects? Do you know the mechanism of action of a very common drug? So I think that this is just one brief example of how they're gonna talk about you know, clinical medicine and basic science for the USMLE Step 3.

Second bullet point over there is talking about, well, in the realm of internal medicine, which is a huge chunk of the exam, they really do focus on ambulatory settings.

I know it's tough because many of us are hospitalists, many of us are intensivists, we love running around the hospital, but a majority of care does happen in the outpatient setting.

Know what happens when we talk about vaccinations, appropriate follow-up, who needs to get discharged.

And the final thing, the last bullet point is that this is the final exam in the USMLE sequence, leading to a license to practice medicine.

So my first bullet point is the USMLE Step 3 has a high overall pass rate, but it does vary upon who is taking the test.

So, of course, my main theme is no one really gives you a big trophy if you pass, but it's going to be bad if you fail.

So talking about percentages for first-time taste takers, the pass rate's around 85% to 96%, which is definitely good.

The score in general is going to be a minimum passing score of 200 on a 300-point maximum scale.

So what are some overview things about the USMLE Step 3? It's definitely to assess whether you can apply medical knowledge and understand, number one, the basics and also clinical medicine.

So yes, of course, some of the basic science things are going to creep up again.

So I do think it's fair that, you know, someone comes in and they're having some heartburn.

And after lifestyle modifications, you end up giving a PPE, like a proton pump inhibitor.

a very common category of drug that we use, but you know what? It does have side effects.

Do you know these side effects? Do you know the mechanism of action of a very common drug? So I think that this is just one brief example of how they're gonna talk about you know, clinical medicine and basic science for the USMLE Step 3.

Second bullet point over there is talking about, well, in the realm of internal medicine, which is a huge chunk of the exam, they really do focus on ambulatory settings.

I know it's tough because many of us are hospitalists, many of us are intensivists, we love running around the hospital, but a majority of care does happen in the outpatient setting.

Know what happens when we talk about vaccinations, appropriate follow-up, who needs to get discharged.

And the final thing, the last bullet point is that this is the final exam in the USMLE sequence, leading to a license to practice medicine.
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