INVISTA NO SEU SUCESSO:
For those preparing for the USMLE Step 1, numerous resources and strategies are shared by fellow test-takers that can be immensely helpful. Commonly recommended resources include UWorld, First Aid (FA), Pathoma, NBME practice exams, Mehlman PDFs, and Free 120. Many users stress the importance of using these materials effectively by integrating various study methods such as reviewing UWorld explanations in conjunction with Bootcamp notes, and using FA to reinforce learning. Some users find success with specific video resources like Dirty Medicine and Randy Neil's biostatistics videos, which help clarify complex concepts.
For study strategies, it's often suggested to take a comprehensive approach. This involves using a combination of resources like Sketchy for microbiology and pharmacology, Anki decks for spaced repetition, and ensuring thorough review of incorrect answers from UWorld. Practical tips include annotating resources like Bootcamp notes with UWorld explanations for reinforced learning, and scheduling NBME exams closer to the test date to gauge readiness.
Another key aspect is understanding the exam's evolving nature. Posts indicate a shift towards longer, more complex question stems that test reasoning over rote memorization, making it crucial to develop strong test-taking skills and reasoning abilities. Users often emphasize the importance of practice exams (NBME, UWorld self-assessments) to adapt to this format. Additionally, ensuring a balanced study schedule, taking breaks, and addressing burnout are essential for maintaining efficiency and well-being during preparation.
An IMG seeking advice on efficient study methods for the USMLE Step 1 due to limited study time and high stress levels. The poster has been studying intermittently for eight months and is experiencing burnout, leading to concerns about retaining information.
The responses suggest reducing work hours if possible, utilizing resources like FA, UW/amboss/bootcamp, mehlman pdf, Pathoma 1-3, and Free120. Many users agree that these resources, combined with regular practice exams, are sufficient to pass. Some suggest using bootlegged UW versions to cut costs while preparing effectively.
A user inquires about formulas to calculate NBME percentages, questioning whether to use "Corrects/200" or "200-incorrects/2".
Respondents clarify that the actual NBME scoring might differ from these formulas. One user shared that despite calculating 70% using both methods, the official NBME score was 68%, indicating a more complex internal scoring system.
A user shares their success story of passing the USMLE Step 1 after consistently scoring below 60 on NBMEs and achieving 36% on UWorld. The post highlights their journey as a chronic underachiever who struggled with procrastination and poor study habits throughout their education.
The detailed account includes resources used such as First Aid, Pathoma, and Randy Neil statistics videos, emphasizing a strategy of reasoning through longer and more complex questions rather than relying solely on memorization. The post encourages others by suggesting that recent changes to the exam format favor reasoning skills over rote recall, benefiting those who genuinely prepare.
A user expresses panic over a low score of 40% on the UWSA3, despite multiple rounds of studying UWorld and improving scores previously. They seek advice on how to proceed, considering their exam is scheduled for July 9th.
The advice focuses on identifying whether the issue stems from content gaps, testing environment, or test-taking skills. Hammering weak subjects, simulating testing conditions, and assessing through NBME 26-31 are recommended. Users emphasize that inconsistency could be a result of a bad day and suggest focusing on understanding mistakes and improving weak areas.
A user complains about the high cost of UWorld, sparking a discussion about the pricing of essential study materials.
Responses indicate that UWorld's pricing is influenced by its lack of competition until recently. Amboss is mentioned as a notable competitor, with some users suggesting it might be better for learning material, while UWorld closely resembles the real exam. Some mention that group discounts and negotiation can reduce costs, and others suggest alternative cheaper resources like USMLEpreps and IMD apps that offer similar content at a lower price.
A user asks about the expected timeline for receiving their USMLE Step 1 results after taking the test on June 15th.
Responses indicate that results are typically released within two to three weeks, with June 26th or July 3rd being likely dates for receiving the scores.
An IMG seeks advice on handling low scores in UWorld questions despite performing well in in-house exams. The user struggles with understanding how to effectively approach UWorld and is experiencing panic due to poor performance.
Respondents recommend consistent practice and reviewing incorrect answers to identify patterns. They suggest using UWorld as a learning tool and not getting fixated on scores. Sketchy Pharm, Sketchy Micro, Pathoma, AnKing decks, and Dirty Medicine Biochem are resources that users have found helpful. Reviewing explanations and taking notes on incorrect answers are key methodologies shared by the community.
A user seeks clarification on the differences between Autoimmune Polyendocrine Syndrome Type 1 (APS-1) and Autoimmune Lymphoproliferative Syndrome (ALPS), noting their confusion about their distinct pathophysiologies.
Commenters explain that APS-1 is due to defective AIRE involved in T cell negative selection, leading to endocrine disorders like adrenal insufficiency and hypothyroidism. In contrast, ALPS results from defective Fas-FasL interaction, causing the accumulation of defective cells and lymphadenopathy. The detailed descriptions highlight that APS-1 typically affects endocrine organs, while ALPS primarily involves immune cell accumulation.
A user asks for advice on understanding a concept related to acute kidney injury (AKI) in patients with bilateral renal artery stenosis taking ACE inhibitors. They suggest a sentence rephrasing and seek confirmation of their understanding of the compensatory mechanisms involved.
Responses confirm that ACE inhibitors decrease the compensatory efferent arteriolar constriction, leading to decreased GFR and potential AKI in bilateral renal artery stenosis. The clarification emphasizes that this compensatory mechanism helps maintain GFR despite the stenosis, and ACE inhibitors can disrupt this balance.
An IMG MD graduate seeks advice on how to effectively combine Bootcamp and UWorld resources while preparing for the USMLE Step 1, alongside using First Aid.
A user suggests annotating UWorld explanations in Bootcamp notes for better reinforcement of concepts. This method helps integrate learning from both resources, making it easier to recall and apply information during the exam.
A user preparing for the CBSE is struggling with anatomy, particularly blood supply questions, and seeks recommendations for effective resources.
Suggestions include using 100 Concepts Anatomy for content review and Gray’s Anatomy Question Book for practice questions. Another user offers tutoring sessions for a more personalized and focused learning experience.
A user struggles to remember details about familial cholesterol disorders and porphyrias and seeks concise resources or mnemonics to aid memorization.
Respondents recommend watching Dirty Medicine videos, which provide comprehensive explanations and mnemonics. Another user suggests Pixorize as an effective visual aid for mastering these topics.
A DO student seeks advice on whether they are ready for the USMLE Step 1 after scoring 69% on the new NBME Free 120 and sharing a series of NBME practice exam scores. They are considering whether to take NBME 31 or focus on reviewing and relaxing before the exam.
Responses suggest the student appears ready based on their score progression. Advice includes reviewing the Rapid Review section of First Aid, focusing on biostatistics, and using Dirty Medicine videos to prepare for ethics questions. Emphasis is placed on relaxation and mental preparation the day before the exam.
A DO student reports inconsistent scores across different blocks of NBME 30 and seeks advice on how to handle low-yield content and improve consistency in their performance.
The single response asks for tips on how the student improved their scores between their first COMSAE and their first NBME, highlighting a common challenge of addressing low-yield questions. The student is advised to focus on understanding concepts rather than just memorizing facts.
A user finds it time-consuming and tiring to review NBME content and seeks efficient methods to ensure clear understanding of concepts.
Respondents agree that reviewing NBME questions is a lengthy process and recommend focusing on key concepts and using active recall techniques. There is no quick solution, but persistence and structured review are emphasized.
A user shares their challenging experience with the June 15th USMLE Step 1 test and inquires about when to expect results. Many found the test difficult, with long, vague question stems requiring deep understanding of pathophysiology.
Responses mention that results typically come out two weeks post-exam, likely on June 26 or July 3. The community offers reassurance, emphasizing the importance of thorough preparation and using resources like Dirty Medicine Ethics, Randy Neil’s Ethics/Communications series, and comprehensive Pathoma reviews.
A user reports that their permit link has disappeared after taking the test on June 3, indicating that results may be out soon.
The responses confirm that the disappearance of the permit link often signals that results are about to be released, reinforcing the user’s expectation of receiving results the following Wednesday.
A user expresses difficulty with UWorld cardiology questions and seeks advice on whether the real exam is similarly challenging and for tips to improve.
Responses recommend using MedSchoolBootcamp and Boards and Beyond (B&B) for cardiology preparation. Users highlight that Bootcamp's cardiology section is particularly strong and suggest it for comprehensive review.