USMLE Step 3 Exam Review Course

Step 3 – WOLFPACC Overview

Our Step 3 course enables you to master difficult clinical situations and still remain confident in your management approach.  Many students in preparation for Step 3 feel the key to mastering the exam is through algorithms of management.  This could not be further from the truth and would be a dangerous interpretation of how to prepare for the board exams.

In order to direct the correct test to rule-in or rule-out a disease, you must first derive a set of differentials.  These differentials are a derivative from your basic science understanding.  Here at WOLFPACC we ensure you have a concrete understanding of the POWER 5 approach and how it applies to the clinical world.  This will ensure correct management decisions are made in each and every case.  Students are taught concepts, retention techniques, clinical thinking, and not rote memorization.  We provide everything you need to succeed and pass the USMLE Step 3 with high scores.

The live lecture is taught in a very interactive manner. This means that students are inspired to openly ask questions.  This removes the repetitive nature of most programs and their passive learning style. 

There are 3 important components WOLFPACC focuses on when preparing the student for the Step 3 exam.

  1. Normal conditions and disease categories such as growth & development, basic concepts, & general principles. 
  2. Common clinical scenarios such as initial work-up, continued care, and urgent intervention. 
  3. Plus the physician task of applying scientific concepts, determining a diagnosis based on history, physical exam, lab findings and managing the patient.


  • Lectures are M-F, from approx. 8:00am – 4:00pm, followed by tutoring and drills with plenty of time left over for self-study.  Building closes by 8:00pm. Saturday classes are from 8:00am – 5:00pm.
  • Classes have 10 min. breaks every hr. and a 1 hr. lunch

INCLUDED SERVICES:  (services may vary depending on 4 week or 8 week session)

  • Guarantee with 8 week course –click for details
  • NBME practice exams and weekly challenge exams
  • Live Lectures
  • Group Sessions
  • Lecture Materials
  • Q-bank included for 8 week sessions
  • One-on-One Tutoring Sessions
  • Step 3 test-taking skill sessions
  • Unlimited use of the computer lab (during center hours)

Pricing: Side by Side Course Comparison


Examination Course Content

The Step 3 examination is organized in three organizing dimensions:

  • Normal conditions and disease categories (normal growth and development, basic concepts, and general principles)
  • Clinical encounter frame (initial work up, continuing care, urgent intervention)
  • Physician task (applying scientific concepts, formulating a diagnosis based on history, physical exam, and lab findings, and managing the patient).

Clinical encounter frames are common clinical scenarios physicians may encounter. They range from nonemergency problems, to the continuity of care, to life-threatening emergency situations encountered in emergency departments, clinics, offices, care facilities, inpatient settings, and on the telephone. Each test item, in an encounter frame, represents one of the six physician tasks. For example, initial care encounters emphasize taking a history and performing a physical examination. In contrast, continued care encounters emphasize decisions regarding prognosis and management.

Test Length and Format

Step 3 examinees test using two formats: multiple choice questions and Primum computer-based case simulations (CCS), a testing format that allows you to provide care for a simulated patient.

Step 3 has approximately 480 multiple-choice test items, divided into blocks of thirty-six to forty-eight items. You will have sixty to forty-five minutes to complete each of these blocks. There are approximately twelve computer based case simulations, with one case in each block. You will have a maximum of twenty or ten minutes depending on the case to complete each of these blocks. Step 3 is administered in two eight hour testing sessions.

Step 3 case simulations must be taken in the order presented. After you exit the case or session or when time expires, you can no longer review test items or cases, change answers, or collect additional information.