Manage patients. Pass Step 3.

Master primary care, biostatistics, and CCS cases. AI-powered study tools built for the practicing physician mindset.

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Everything You Need for USMLE Step 3

Step 3 is about patient management. Primary care presentations, biostatistics, ethics, CCS scenarios: you need to think like an attending. We built tools for that.

AMBULATORY CARE · BLOCK 1
Question 6 of 38
Screening1:24
A 52-year-old woman at average risk asks about colorectal cancer screening. Her colonoscopy 5 years ago was normal. She has no symptoms or family history.
Hint: Start from the interval for a normal colonoscopy at average risk.(C) A normal colonoscopy at average risk is repeated every 10 years: 5 more years.(B) Three years is for findings like small adenomas, not a normal study.
When should her next screening colonoscopy be done?
ANow
BIn 3 years
CIn 5 years
DOnly if symptoms develop
AMBULATORY CARE · BLOCK 1
Question 6 of 38
1:24
A 52-year-old woman at average risk asks about colorectal cancer screening. Her colonoscopy 5 years ago was normal. She has no symptoms or family history.
When should her next screening colonoscopy be done?
ANow
BIn 3 years
CIn 5 years
DOnly if symptoms develop
Hint: Start from the interval for a normal colonoscopy at average risk.(C) A normal colonoscopy at average risk is repeated every 10 years: 5 more years.

Step 3-Style Questions

Primary care vignettes and CCS-style management questions that mirror the actual USMLE Step 3 format, mapped to NBME ambulatory and acute care blueprints.

BIOSTATISTICS12 due
QUESTIONNumber needed to treat?
ANSWERNNT = 1 / absolute risk reduction
AgainHardGoodEasy
Back in 4 days · spaced repetition

Memorize Step 3 Facts

High-yield flashcards covering primary care, biostatistics, pharmacology, and CCS management across all Step 3 domains. Spaced repetition keeps facts fresh.

Ambulatory care › Screening
Colorectal cancer screening
Average risk: ages 45 to 75
Colonoscopy every 10 years
Or FIT every year
Positive FIT? Colonoscopy
Quick check: 2 of 2

Lessons for Every Domain

Interactive lessons with management flowcharts, biostatistics visuals, and primary care algorithms across all Step 3 domains.

Rezzy, the Oncourse AI study mate

AI That Understands Medicine

Ask Rezzy anything, by text or voice, and get instant answers tied to NBME blueprints, Harrison's, and First Aid.

9:41
Pharmacology
Compare ACE-I vs ARBs
Where each one blocks
AngiotensinogenreninAngiotensin IACEAngiotensin IIAT₁ receptorVasoconstriction · aldosteroneBradykininACEInactiveACE-Ibuilds upCough · angioedemaARB
ACE-IARBs
Bradykinin↑ dry cough, angioedemaNot raised
ExamplesEnalapril, lisinoprilLosartan, valsartan
BothHyperkalemia · avoid in pregnancy
Make flashcards on this
Quiz me on RAAS drugs
Ask Rezzy anything
Exam angle
Cough with ACE-I but not ARBs is a favorite way to test bradykinin.
Make 5 flashcardsQuiz me on this

Stay on Track, Stay Current, Stay Connected

Covers all Step 3 domains with analytics, evidence-based guidelines, and a connected physician community.

STEP 3 READINESS
Block done · 27 / 38▲ 4 this week
59OUT OF 1004 of 10 domains ready
Knowledge18 / 25
Coverage15 / 25
Exam Instinct13 / 25
Application12 / 25
Internal Medicine79Strong
Biostatistics53Developing
CCS Cases61Developing
STEP 3 READINESS
Block done · 27 / 38▲ 4 this week
59OUT OF 100
Knowledge18 / 25
Coverage15 / 25
Exam Instinct13 / 25
Application12 / 25
4 of 10 domains ready
Internal Medicine79Exam ready
Biostatistics53Developing
CCS Cases61Developing

Know Exactly Where You Stand

Know exactly where you stand across every Step 3 domain, and track your progress as you go.

Kept currentTHIS WEEK
Notes
Cancer screening intervals
Reviewing… Updated
Questions
Diabetes management
Reviewing… Updated
Flashcards
Vaccination schedules
Reviewing… Updated

Content That Stays Current

Medicine evolves, and so does our content. Our AI continuously improves notes, questions, and flashcards to stay accurate and exam-relevant.

LAST SET
Ambulatory care block
27 / 38
Sensitivity and specificity questions cost you 4 points.
FOCUS NEXT
Biostatistics: study design
12 questions · 15 min
START

Time Where It Matters Most

Identify weak areas and allocate study time where it matters most.

Practice That Feels Like a Game

Quick games built on high-yield medicine. Play one between study sessions to keep concepts fresh and find out what you haven't locked in yet.

Probe:Sharpen Your Diagnostic Reasoning

Dr. Holmes reads out one clue at a time and you say your answer out loud. The fewer clues you need, the better you know it.

1
CLUE 1
A harsh systolic murmur at the left sternal border.
CLUE 2
The child squats to ease cyanotic spells.
Dr. Holmes
Clue one. A harsh systolic murmur at the left sternal border.
Dr. Holmes is speaking…

Synapses:Link Management. Think Like an Attending.

Step 3 demands connecting presentations to evidence-based management across primary care and acute settings. Synapses makes those connections stick.

Create groups of 4!
Test your STEP 3 knowledge
00:08
LosartanAtenololEnalaprilAmlodipine
MetoprololValsartanRamiprilVerapamil
NifedipineEsmololIrbesartanCaptopril
LisinoprilDiltiazemNadololOlmesartan
LIFELINES
RESETCHECK
Perfect guess! Wohoo! 🎉

Image Rush:Recognise It Before Time Runs Out

Label anatomy and identify clinical images against the clock. Build the visual recall you need for image-based questions.

15Label them all0
123
1Aorta
2Superior vena cava
3Right atrium
Aorta

Clinical Rounds:Work the Case, Make the Diagnosis

Take a patient history, choose investigations, and make a diagnosis. Review your feedback to sharpen your next clinical decision.

Learners love Oncourse

Real feedback from learners using the current Oncourse app.

Dr. Tawfiq
Dr. TawfiqResident

Genuinely impressive platform for med students, there's no app like it right now! Especially the games like Image Rush & Clinical Rounds!

USMLE
Dr. Amanda
Dr. AmandaUSMLE · 99th percentile

Oncourse keeps me motivated to learn every day… I love the high yielding flashcards and maintaining the daily streak.

USMLE
Becca
BeccaUS MD student · MS1

As a US MD student Oncourse has combined all of the resources into one amazing efficient resource. Rezzy helps me break down the hardest concepts and has made my studying 10x better. It's a life saver.

USMLE

Get Oncourse Max

Simple, student-friendly pricing. Experience the future of learning with your personal AI study mate.

Weekly$8.99per weekPay week to week.Get started
Annual$79.90per year7-day free trial. Works out to $6.66 a month.Sign up for free
Monthly$14.99per monthPay month to month.Get started

Prices in USD. Every plan includes Step 1, Step 2 CK, and Step 3.

Frequently asked questions

Is this aligned with USMLE Step 3 blueprints?

Yes. All content is mapped to NBME Step 3 content specifications: foundations of independent practice, advanced clinical medicine, and CCS as defined in the most recent blueprint.

How does Synapses help with Step 3?

Synapses trains attending-level reasoning under time pressure. You connect presentations to management algorithms, building the clinical decision-making Step 3 tests.

How long is the free trial?

Start free and explore questions, flashcards, and lessons before upgrading. No credit card required.

When should I start using Oncourse for Step 3?

Most residents start 3–4 months before their exam. Using Oncourse during residency rotations helps reinforce ambulatory medicine and management, making Step 3 prep feel familiar.

Does Oncourse work on mobile?

Yes. Oncourse is available on iOS and Android. Study on your phone, tablet, or desktop. Progress syncs automatically across all devices.

How much does Oncourse cost?

$79.90 a year with a 7-day free trial, $14.99 a month, or $8.99 a week. Every plan includes Step 1, Step 2 CK, and Step 3.

Rezzy, the Oncourse AI study mate

Start your Step 3 prep

Master primary care, biostatistics, and CCS cases. AI-powered study tools built for the practicing physician mindset.

Sign up for freeDownload the app

Oncourse is an independent exam-preparation product and is not affiliated with or endorsed by the FSMB or NBME. USMLE® is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME).