Hello Aspirant,

This exam is taken after completing an Internship, the first year of residency. However, you can take it without doing an internship - many IMGs/FMGs do. A high score will help convince Program Directors to give them a spot in their residency program.

Passing Step 3 grants prospective physicians a license to practice medicine without supervision. The residency process will take 3 years. You get a job only after  performing the US residency process for 3 years.

All the best!