INVISTA NO SEU SUCESSO:
Preparing for the USMLE Step 1 can be a daunting task, but numerous resources and opportunities can help students achieve their goals. Among the most recommended resources are Nbme forms (25-31), which provide crucial practice questions that closely mimic the style and difficulty of the actual exam. Many Reddit users have highlighted the importance of using these forms to identify weaknesses and track progress. Additionally, UWorld is frequently cited as an essential tool for comprehensive question practice, offering detailed explanations that enhance understanding. Pathoma and Sketchy Micro & Pharm are also praised for their concise, high-yield content that simplifies complex topics, making them easier to retain.
The posts emphasize the value of diversifying study materials. Mehlman PDFs, especially those focusing on high-yield arrows for biochemistry, neuroanatomy, and genetics, are recommended for targeted review sessions. Dirty Medicine YouTube videos and Randy Neil Biostats are suggested for their engaging mnemonics and clear explanations, which can make challenging concepts more accessible. For students struggling with microbiology and pharmacology, Anking flashcards and Pixorize are beneficial tools for memorization and retention. Redditors also mention the utility of FA (First Aid) as a comprehensive review book and Amboss for its detailed articles and interactive features.
Moreover, the posts highlight several opportunities for enhancing exam readiness and managing the testing experience. Students are advised to utilize the Prometric Center testing guidelines to familiarize themselves with exam day procedures and reduce anxiety. UWorld subscription discounts can make this vital resource more affordable, while platforms like MedicalStudyZone offer access to valuable study materials. For those seeking guidance, Reddit serves as a supportive community where students can share advice, experiences, and motivational support. Engaging in forums and connecting with peers can provide not only practical tips but also the encouragement needed to persevere through the rigorous preparation process.
A non-US IMG with only 20 days left until Step 1 is struggling to improve their scores. They have completed 90% of UWorld with a 60% average, listened to various resources, and identified weaknesses in biochemistry, microbiology, and pharmacology. They seek advice on maximizing their remaining study time, wondering if Mehlman assessments are worth it and if listening to Pathoma would be beneficial at this stage.
Key advice includes focusing on completing UWorld questions, especially in weaker areas, and reviewing specific resources such as Pathoma chapters and Dirty Medicine videos for mnemonics. One user suggested doing 3-4 random UWorld blocks daily and focusing on high-yield topics. Another user recommended using Sketchy for microbiology and pharmacology, emphasizing consistent review to see improvements. It's essential to trust the process and believe in the progress made, as evident from the improvements in practice scores.
A user is seeking advice on which version of the Free 120 exam to take for the best preparation for Step 1. The options include the 2021, 2022, 2023, and 2024 versions, with the 2024 version receiving the most votes in the poll.
The consensus is to take the most recent version, 2024, as it is the most indicative of the current test format. One commenter noted that while the 2024 version might have a slight score drop compared to older versions, it remains the most relevant. They suggested practicing with last year's form for repeated questions without scoring them, emphasizing that the most recent form provides the best preparation.
A user inquires about the necessity of memorizing facts versus understanding concepts for Step 1 preparation, expressing difficulty with memorization but a good grasp of concepts.
The responses indicate that while understanding concepts is crucial, memorizing specific facts is equally important. This includes knowing gene-disease associations and the roles of various interleukins in pathological processes. Memorization is necessary for certain types of questions where conceptual understanding alone may not suffice.
A user seeks the percentage and score conversion for UWSA2 to gauge their Step 1 preparation, having completed the assessment from a downloaded PDF without the default conversion tool.
It is mentioned that the UWSA2 score conversion is provided upon completion of the assessment through UWorld. Without the official tool, it is challenging to accurately convert the scores from a PDF. Users recommended referring back to UWorld for the most accurate conversion.
An IMG asks how to obtain NBMEs for Step 1 preparation, wondering if they should buy them from the official website or obtain PDFs from other sources.
NBMEs are available for purchase on the official website for $62 each. This cost is per individual NBME form, and the link to the NBME site was provided for direct access. It's essential to use official sources for accurate and legitimate practice materials.
An international medical student from England seeks advice on how to effectively study for Step 1 over the course of a year, starting from scratch. They ask about the adequacy of a one-year UWorld subscription, the strategy for reviewing concepts versus completing questions, and the use of Anki.
The advice emphasizes starting with UWorld early, ideally completing it before the dedicated study period, and then repeating it along with NBME exams. Reviewing concepts before tackling questions is beneficial, especially given the time available. Opinions on Anki are mixed; while some find it less useful, others recommend using pre-made decks or customizing cards for better retention. Supplementary resources like Mehlman PDFs, Pathoma, and Amboss are also suggested. The exam is now pass/fail, but thorough preparation can help with future Step 2 performance.
A student with six months until their Step 1 exam inquires whether using Anki for Mehlman PDF reviews is effective.
The consensus is that while Anki can be useful, it's important to customize the cards to make them less overwhelming. Reading the PDFs directly is considered less time-consuming and might be more practical for some students. Combining both methods, using Anki for more challenging topics while reading PDFs for general review, is a balanced approach.
A user shares detailed tips on preparing for Step 1 at the Ateneo Prometric Center in Makati, Philippines, covering pre-exam logistics, exam day procedures, and personal experiences.
Key points include bringing hard copies of the exam permit and confirmation email, valid ID, and knowing the location of the restroom to avoid stress. The guide outlines security checks, locker use, and break management, emphasizing the importance of pacing oneself and staying mentally refreshed. Advice on dress code and allowed items, such as transparent water containers and avoiding sweets, is also provided. Overall, thorough preparation and understanding the center's procedures are crucial for a smooth exam day experience.
A user with an upcoming exam in a week seeks feedback from July test takers about the difficulty of ethics and biostatistics sections, which were reportedly challenging for June test takers.
Responses indicate that ethics and situational questions were prevalent, with several being directly from review materials like Step Ethics. Biostatistics questions were fewer but required understanding different study types and equations. Test experiences varied, with some exams focusing more on certain subjects like cardio, neuro, and bacteria/fungus, while others had different emphases. Knowing core concepts and applications is essential for adapting to the varying focus of the exam.
A student, three weeks away from their Step 1 exam, struggles with low confidence and motivation despite having good NBME scores. They seek advice on how to regain focus.
Advice includes taking a short break to recover from burnout, trusting in the progress reflected in NBME scores, and not stressing over minor setbacks. Maintaining a positive mindset and ensuring proper rest can help rejuvenate the study routine. Encouragement from peers highlights the importance of not overburdening oneself and recognizing the hard work already put in.
A user shares their emotional journey of passing Step 1 with a highest practice score of 68%, highlighting the challenges faced and the resources used.
Key resources included First Aid, BnB, Pathoma, and UWorld, with supplementary materials like YouTube videos and Amboss. The second pass through UWorld was particularly beneficial. The user emphasizes perseverance, self-belief, and the importance of consistent study habits. Despite personal hardships and lack of support, they successfully passed the exam, offering motivation and practical advice to others preparing for Step 1.
A student struggles with concept-based questions on Step 1 and seeks effective strategies for tackling them. They ask for the best methods to understand and approach these types of questions.
Key advice includes understanding the changes in variables and their implications, such as recognizing that a decrease in alpha reduces false positives (Type I errors). It's essential to differentiate between various statistical terms and their roles in hypothesis testing. Using mnemonics from First Aid and watching summary videos like Randy Neil’s can further reinforce these concepts. Practical tips like eliminating incorrect answer choices based on logical reasoning and statistical principles are also suggested.
July 17 Step 1 test takers share their experiences, with many feeling that the exam was challenging due to long passages and complex questions.
Test takers reported encountering many long, detailed questions, making it difficult to manage time effectively. They felt the questions were more complex and less straightforward compared to NBME practice exams. There was also significant content related to microbiology. Despite the difficulties, the shared experiences highlight the importance of preparation and mental endurance during the exam.
A user seeks clarification on the mechanisms of euthyroid sick syndrome and subclinical hypothyroidism, specifically why T4 levels do not decrease in euthyroid sick syndrome.
Euthyroid sick syndrome involves the conversion of T4 to rT3, an inactive form, leading to a decrease in T3 and an increase in rT3, without affecting T4 and TSH levels. Subclinical hypothyroidism is characterized by increased TSH with normal T3 and T4 levels. The terms "euthyroid" and "euthyroid sick syndrome" are distinct, with the latter referring to changes due to illness. Understanding these mechanisms helps in interpreting lab results and managing thyroid-related conditions.
A user inquires about the maximum discount available for purchasing a UWorld subscription.
The general consensus is that $50 is the typical discount offered, unless there are institutional partnerships providing additional benefits. Checking for occasional promotions or institutional discounts might provide further savings, but $50 off is the standard discount available to individual purchasers.
A student expresses frustration and uncertainty in their Step 1 preparation, despite having a decent performance in UWorld. They seek advice on whether to schedule the exam or wait.
Recommendations include taking NBME practice exams to better gauge readiness and focusing on weak areas identified in practice tests. Revisiting First Aid and increasing familiarity with NBME-style questions are crucial steps. Switching focus from UWorld to content review can build confidence and solidify knowledge. A mix of practice tests and thorough content review is essential for overcoming burnout and ensuring comprehensive preparation.
A motivational post offers support to students who failed Step 1, emphasizing resilience and the importance of self-forgiveness before starting to study again.
The post highlights the significance of taking a break to recover mentally before resuming studies. It encourages students to learn from their mistakes and approach the next attempt with a positive mindset. Personal anecdotes about overcoming adversity reinforce the message that failure is not the end, but an opportunity to grow stronger and succeed. Support from peers and self-belief are crucial elements in the journey toward passing Step 1.
A student shares their journey of passing Step 1 despite low practice scores, providing a timeline of their preparation and scores on various practice tests.
The student’s practice scores ranged from 49% to 68%, and they decided to focus on content review rather than UWorld closer to the exam date. They used resources like First Aid, Pathoma, SketchyMicro, and Anki for retention. The success story emphasizes trusting one’s preparation and the importance of confidence during the exam. Taking breaks and managing stress were also key strategies in their success.
A recent Step 1 passer expresses gratitude to the community and offers support to those preparing for the exam. They emphasize the importance of trusting one's scores and taking care of mental health.
The user highlights the need to trust practice scores, manage test anxiety, and take breaks when needed. They offer to help others with study plans, motivation, and advice, reflecting a strong sense of community support. Resources used included UWorld, NBME practice exams, YouTube, Pathoma, Anki, and Pixorize. This post underscores the value of community, self-care, and positive reinforcement in successful exam preparation.
Resources
Nbme 29, Nbme 30
Mehlman PDFs
UWorld
Bootcamp
Sketchy Micro & Pharm
Pathoma
Mehlman high-yield arrows (biochem, neuroanatomy, genetics, immuno, ethics)
Dirty Medicine YouTube videos
Anking flashcards
FA (First Aid)
Pixorize
NBME forms (25-31)
YouTube
BnB (Boards and Beyond)
Randy Neil Biostats
Amboss
New Free 120
CBSE
Rendy Neil summary step 1 video
Eolas Medical
MedicalStudyZone
Opportunities
Prometric Center testing
UWorld subscription discounts
NBME purchases on the NBME website
Step 1 Exam Preparation
USMLE Step 1 forums and support groups on Reddit
International elective and training opportunities in the US
Mentorship and advice from peers on Reddit
Motivation and support from peers who have taken or are preparing for the exam