<P> Day 1 (Foundations of Independent Practice (FIP)) will continue to be divided into six 60 - minute blocks . Each FIP block will have 38 to 40 multiple - choice questions (MCQs). The total number of MCQs on the FIP portion of the examination will be 233 . The total testing day will be approximately 7 hours . </P> <P> Day 2 (Advanced Clinical Medicine (ACM)) will continue to be divided into six 45 - minute blocks of MCQs, and 13 computer - based case simulations (CCS). Each ACM MCQ block will have 30 items . The total number of MCQ items on the ACM portion of the examination will be 180 . The second half of day 2 will contain the 13 CCS cases . </P> <P> To be eligible to take the USMLE Step 3 exam, the physician must hold a medical degree, and successfully pass the USMLE Step 1 and Step 2 Clinical Knowledge exams . International medical graduates (IMGs) must obtain certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or successfully complete a "Fifth Pathway" program . The Step 2 CS may also be required . Canadian M.D. graduates are not considered IMGs . </P> <P> Starting November 2014, fulfillment of specific requirements from individual medical licensing authorities will not be needed . </P>

When do you take step 3 of usmle
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