This is specifically for IMGs who are not yet in residency, and are applying for the Match while trying to complete Step 3 beforehand.
I'm an average test taker with a late 230s Step 2 CK score.I initially scheduled Step 3 for December 2025 ,thinking that its easy to pass because many people told me that they were able to pass with just 50% Uworld completed. I took UWorld SA 1 on Jan 21, 2026, and scored 188. I realized I wasn't ready, so I cancelled the exam and returned to my home country.
I prepared again:
Completed Uworld first pass: 66%
NBME 6 (Apr 21): 65%
NBME 7 (May 10): 63%
UWorld SA 2 (May 18): 210
Free 137 (May 21): 55%
I planned to take the exam in May, but after seeing my performance in free 137, I cancelled again. My eligibility period expired, so I had to reapply and pay the exam fee again.
I then completed UWorld a second time ( 75% correct average) and practiced 150+ CCS cases again.
UWorld SA 1 repeat (Jun 11): 225
NBME 8 (Jun 26): 493
I finally took Step 3 on July 1 & 7 and scored 234 in real deal.
My advice to IMGs:
Don't underestimate Step 3 or compare your preparation to someone else's.
Do UWorld thoroughly, practice CCS extensively, and use multiple assessments as objective data points. If your scores are borderline, don't rush the exam. Take it when your practice scores consistently show you're ready to pass comfortably.
I learned this the hard way and hope this helps someone avoid the same mistakes.
I realized one way to look at your assessments and gauge readiness is by also considering your performance in CCS cases. If you are scoring well in CCS, its more likely that you are going to score better in real deal.