INVISTA NO SEU SUCESSO:
Preparation for Step 1 emphasizes leveraging high-yield resources like NBME tests (25–31), Free120, UWorld, First Aid (FA), and Mehlman PDFs. Students are advised to take NBME forms under timed conditions, focusing on detailed reviews of incorrect answers. Pathoma, particularly Chapters 1–6, is highly recommended for systemic pathology, while resources like Ninja Nerd and Physeo address specific weaknesses such as GI physiology. Flashcards (e.g., Anki’s Lightyear and Anking decks) are pivotal for active recall, especially for complex topics like microbiology and pharmacology.
Scores are a key indicator of readiness: achieving 65%+ on Free120 or NBME scores of 70%+ suggests a strong likelihood of passing. For UWorld, a completion rate above 50–60% with a 60%+ average is ideal. Test-takers are encouraged to focus on weak areas identified during practice tests and prioritize ethics, high-yield topics, and Mehlman’s Arrows PDFs during the final weeks. Reviewing Free120 and the latest NBMEs (30 and 31) close to exam day is vital for familiarizing oneself with likely content.
Community support plays a crucial role in managing stress and staying motivated. Non-traditional students are advised to prioritize consistency, integrate studies with other commitments, and trust their preparation. Tailored study schedules and resilience are emphasized, with the reminder that challenges like age or initial low scores can be overcome with focused efforts.
Resources:
NBME Tests (25–31) – Key for preparation; newer ones (30, 31) recommended closer to the exam.
Free120 (Old & New) – Available on Google Drive links; useful for benchmarking performance.
Mehlman PDFs & Videos – High-yield review, particularly Arrows and Risk Factors.
UWorld – Primary QBank for study, emphasizing weaknesses during review.
Pathoma – Recommended for basic pathology, particularly Chapters 1–6.
Bootcamp – Mentioned for immunology and biochemistry videos.
First Aid (FA) – Essential guide, complementing Pathoma and UWorld.
Anki (Lightyear, Anking Decks) – Flashcard system for memorization and active recall.
Ninja Nerd & Physeo – Suggested for GI physiology and other concepts.
Discord & Telegram Groups – Community support, sharing resources, and discussing strategies.
Scores & Benchmarks:
Free120 Benchmarks: 65% or above is ideal for a pass.
NBME Ranges:
60–70% indicates borderline or passable scores.
70%+ is considered solid.
UWorld Percentages: Completing at least 50–60% of UWorld with an average of 60%+ is recommended before the exam.
Methods & Strategies:
NBME Review:
Take under timed, test-like conditions.
Dedicate 3–4 hours or even days for thorough review of mistakes.
Focus on trends in incorrect answers.
Resource Utilization:
Prioritize reviewing high-yield materials like Mehlman PDFs, Pathoma, and FA.
Supplement weaknesses with topic-specific videos.
Last-Minute Prep:
Focus on ethics, weak subjects, and HY topics like microbiology, pathology, and pharmacology.
Review Mehlman’s Risk Factors and Arrows PDFs.
Stress Management:
Avoid inflating scores by Googling answers during NBME practice.
Trust your preparation and avoid overanalyzing post-test.
Opportunities, Tips, and Tricks:
Extension Requests for Resources: UWorld allows 2–3 weeks of extensions for upcoming exams.
Addressing Weak Areas:
Use additional resources (e.g., Physeo for GI, BnB for missed FA content).
Mehlman PDFs offer concise explanations for weaknesses.
Long-Term Planning: Starting early allows better integration of resources (e.g., Anki with lectures).
Non-Traditional Paths: Older or working students are encouraged to stay consistent, use manageable schedules, and trust resilience over age concerns.
Post 1: Panicking
Click Here
The original poster (OP) scored 67.5% on Free 120 and is concerned about whether this score predicts a solid pass on the USMLE Step 1. They are anxious about their exam readiness and are seeking reassurance.
Commenters provide helpful insights, emphasizing the combination of NBME scores and Free 120 as a better predictor. Many agree that scores above 65% on Free 120, combined with solid NBME scores (67–70%), indicate strong readiness. Users also highlight that exam-day nerves and rest play a critical role, suggesting the OP focus on relaxation strategies.
Post 2: Any advice please
Click Here
The OP, with two weeks left until their exam, shares their scores: 64% on NBME 28, 69% on NBME 27, and a 56% on UWSA1 from a month ago. They are concerned about their progress and are considering rescheduling.
Commenters advise taking the Free 120 as the next step to assess readiness, as its predictive value is widely accepted. There is empathy in the responses, with another user expressing similar concerns. However, the conversation does not delve into rescheduling strategies, focusing instead on using Free 120 as a confidence booster or determinant.
Post 3: UWORLD
Click Here
A US IMG asks for advice on extending their UWorld subscription, as they have completed only 50% of it with their current 6-month plan nearing its end. They are looking for insights from others with similar experiences.
Responses suggest two main options: emailing UWorld to request an extension or paying for an extension. One commenter shares that UWorld typically grants 2–3 weeks of extra access if an exam date is provided. Another advises paying for a longer extension to avoid time pressure. The comments highlight flexibility in the platform’s policies.
Post 4: Ethics last minute revision necessary?
Click Here
The OP has completed Dirty Medicine Ethics videos, UWorld Ethics, and NBME Ethics questions, feeling confident in their preparation. However, they are worried due to advice suggesting last-minute ethics revision for the challenging nature of exam ethics questions.
Comments recommend supplementing with Amboss HY Ethics, which could help strengthen concepts and build muscle memory for the exam. A commenter offers additional emotional support through a Discord server, showcasing a collaborative community. Overall, the feedback reassures OP to focus on key revisions rather than overextending.
Post 5: Is there a study group for USMLE Step 1 in Denver?
Click Here
The OP simply asks whether there is an existing study group in Denver for Step 1 preparation.
One commenter shares a desire for a similar group, while another suggests setting up a Skype study group as a practical alternative. The brevity of comments reflects limited engagement, but they highlight interest in collaborative study opportunities.
Post 6: Step 1 exam application. Need urgent help
Click Here
The OP is confused about the Step 1 application process, as they could not upload their medical diploma or dean's letter. After submitting and paying, the application status shows "processing," and no email has been received from the ECFMG.
A commenter provides a direct solution, linking the ECFMG credentials upload site and explaining that the OP should upload their diploma there. The response is straightforward and appreciated by the OP, resolving the confusion quickly.
Post 7: What should I aim for
Click Here
The OP asks about a safe Free 120 score that would guarantee passing Step 1.
A commenter suggests aiming for a 70%+ Free 120 score for a solid guarantee but notes that even lower scores, combined with strong NBMEs, can still lead to success. Another comment promotes a Discord server offering stress management and study resources, catering to the exam's emotional demands.
Post 8: Am I missing something?
Click Here
The OP is puzzled by a specific NF-κB pathway question from NBME 27, noting that its answer—IkB releases NF-κB upon phosphorylation—is not explicitly covered in First Aid or other common resources. They seek clarification on whether this concept is high yield.
The discussion reveals that this concept appears in Mehlman PDFs, UWorld notes, and Anking decks, but is considered low yield. Commenters sympathize with the OP, agreeing that such curveball questions are unavoidable. Comprehensive explanations clarify the NF-κB pathway, offering insights into preparation gaps.
Post 9: People who took the exam
Click Here
The OP asks whether Mehlman PDFs are essential for preparation, feeling overwhelmed by their volume.
Most commenters recommend focusing on the Arrows PDF, calling it a must-have resource, with additional suggestions for Neuroanatomy and topic-specific PDFs for weaknesses. One user notes that the exam closely mirrors NBME content but requires a deeper understanding of pathophysiology. The thread reflects consensus on tailoring resources to individual needs.
Post 10: Pathology
Click Here
The OP is debating between studying systemic pathology from Pathoma or Boards and Beyond (B&B), noting that B&B covers more material but feels overwhelming.
Commenters favor B&B and First Aid, which together cover almost all topics. Several recommend Pathoma’s first six chapters for basics, particularly in hematology and general pathology, citing their clarity. Commenters also share personal strategies, emphasizing Pathoma’s videos over the book and suggesting annotation of First Aid alongside.
Parte superior do formulário
Post 11: Had exam yesterday!
Click Here
The OP recently completed Step 1 and feels overwhelmed and anxious, despite scoring 70–79% on practice exams (SA). They are convinced they failed, focusing on incorrect answers and seeking reassurance from others.
Most commenters empathize, sharing similar post-exam stress experiences and confirming they passed despite doubts. Advice includes trusting strong practice scores, particularly those in the 70%+ range, and emphasizing that flagged questions may include experimental ones. A few note that such anxiety is normal and encourage taking time to rest while awaiting results.
Post 12: Step 1 scheduling
Click Here
The OP struggles to find available Step 1 dates in Karachi or Islamabad before their eligibility period ends on November 30, 2024, and seeks guidance on booking options.
A commenter suggests using an agent to secure a date, while others ask for clarification on the process. The thread lacks detailed responses, but the suggestion to directly contact booking agents provides a potential workaround for scheduling difficulties.
Post 13: Starting NBMEs, exam in 4 weeks. Advice needed.
Click Here
With a Step 1 exam scheduled in 4 weeks, the OP plans to start NBMEs after completing 56% of UWorld with weak performance in pharmacology. They request tips on improving NBME scores and effective last-month strategies.
The commenters recommend using Mehlman PDFs and YouTube videos to align with NBME-style questions. Others advise a thorough review of incorrect answers, taking up to 3–4 hours per block, and focusing on weak topics. Suggestions for pharmacology include active learning through Mehlman audio QBank or HY Arrows for conceptual clarity. The OP is advised to balance intensive reviews with mindful time management.
Post 14: Extension of eligibility period
Click Here
The OP seeks clarification on the process for extending their eligibility period for Step 1, asking if an additional Form 183-E is necessary since their medical school does not participate in EMSWP.
A commenter confirms that for schools not participating in EMSWP, Form 183-E must be signed by the medical school and sent to ECFMG. This response addresses the query directly, but the thread offers minimal discussion beyond this practical advice.
Post 15: Which NBME should I take first?
Click Here
A non-US medical student, 5 weeks from their Step 1 exam, wants to take an NBME as a baseline but is unsure whether to start with NBME 25–31.
Most commenters suggest starting with NBME 26 or 27, describing them as balanced and effective baselines. Recommendations also include taking NBMEs sequentially after establishing the baseline. This approach ensures progression tracking while aligning the preparation timeline effectively.
Post 16: Does failing Step 1 have any repercussions outside the US?
Click Here
The OP, unsure about pursuing residency in the US, wonders if a Step 1 failure would negatively affect residency applications in Europe or the UK and seeks advice on whether to take the exam despite feeling unprepared.
Commenters generally reassure the OP, stating that a Step 1 failure likely won’t impact opportunities outside the US. Some suggest taking the exam cautiously and emphasize effort and preparation as the keys to success. The discussion reflects mixed emotions about residency paths but offers practical encouragement.
Post 17: Exam in a week
Click Here
The OP, with an upcoming exam, shares solid scores: 60–70% NBMEs, 75% on NBME 31, and 67% on old Free 120. They seek advice on focus areas for their final week of preparation.
Comments highlight the importance of completing the new Free 120 and reviewing it thoroughly. Other key suggestions include revisiting Mehlman risk factors, arrows, ethics, and NBME high-yield topics. Users reassure the OP that their scores are strong, focusing on targeted review to maintain confidence.
Post 18: Am I Crazy
Click Here
The OP, an IMG starting Step 1 preparation while in their third year of medical school, finds their current study routine (lectures, Anki, BnB, and Lightyear deck) feels surprisingly light compared to university exams and worries about missing critical content.
Commenters suggest taking an NBME to gauge progress and identify knowledge gaps. One clarifies that Step 1 prep can feel easier due to its streamlined focus on high-yield topics, unlike the breadth of university material. The thread emphasizes trusting the process while ensuring periodic assessments through NBMEs.
Post 19: December Scores Release
Click Here
The OP asks if taking Step 1 on December 7th will ensure results by December 18th, avoiding delays due to the holidays.
While definitive answers are unavailable, commenters share optimism about testing earlier in December and receiving results on time. This thread highlights shared anxieties about holiday score delays but lacks conclusive insights.
Post 20: AVNRT vs AVRT
Click Here
The OP struggles with differentiating AVNRT (Atrioventricular Nodal Reentry Tachycardia) and AVRT (Atrioventricular Reentry Tachycardia), citing discrepancies between First Aid, UWorld, and Google results.
A detailed response clarifies the distinction, noting that AVRT involves an accessory pathway (e.g., Bundle of Kent in WPW), while AVNRT uses dual nodal pathways. The commenter also advises against relying on AI or Google for clarity, recommending trusted resources like UWorld and Amboss. This exchange reflects strong peer support for concept reinforcement.
Parte superior do formulário
Post 21: Need Advice
Click Here
The OP has completed all systems except biochemistry and microbiology, with a 60% UWorld average but hasn’t attempted any NBME forms. They express concerns about forgetting earlier systems and feeling unprepared to revise First Aid (FA), describing their current state as blurry and overwhelmed.
Commenters suggest taking an NBME immediately to assess their standing before deciding on revisions. The thread emphasizes balancing targeted revisions of high-yield systems with diagnostic testing to pinpoint weaknesses. The advice encourages action over hesitation to alleviate anxiety and create a structured plan.
Post 22: USMLE
Click Here
A 37-year-old IMG with U.S. citizenship expresses concerns about the financial and time commitment of pursuing the USMLE journey, considering their age, family responsibilities, and long-term goals. They question whether the sacrifices will be worthwhile given the challenges of residency and fellowship.
Responses highlight that age is not a barrier and emphasize the importance of resilience, motivation, and family support. Several users share personal stories or encourage focusing on immediate goals rather than distant outcomes. The thread reflects encouragement and practical advice for balancing family, work, and study while pursuing the dream of becoming a physician.
Post 23: Oct-Nov Test Takers
Click Here
The OP, with an exam scheduled for December 11th, seeks advice on high-yield (HY) topics to revise and shares anxieties about preparation.
Commenters recommend revisiting NBME topics in FA while focusing on both correct and incorrect options from practice questions. The thread includes encouragement, with users expressing hope for each other’s results. The inclusion of a Discord server adds a community resource for shared experiences and collective support during exam prep.
Post 24: 12-Month Study Plan for Step 1
Click Here
The OP, entering their second year of medical school, plans to take Step 1 in 12 months while balancing work and classes. They worry about not having studied pathology, immunology, or microbiology and seek guidance on integrating preparation with their curriculum.
Responses suggest combining First Aid (FA), Boards and Beyond (BnB), and UWorld with university coursework to create a cohesive foundation. Users stress that there’s no rush to take the exam and encourage focusing on understanding concepts over speed. Active strategies like using Sketchy for microbiology and Bootcamp for immunology are recommended. The consensus is to merge academic and Step 1 prep for efficiency while avoiding burnout.
Post 25: Giving NBME 30 Tomorrow 😢
Click Here
The OP is preparing to take NBME 30 as a diagnostic tool, aiming for a 65%+ score to boost confidence. They share nerves and self-doubt, requesting support from the community.
Fellow test-takers empathize, sharing their own goals and exam schedules. Commenters reassure OP that NBME 30 is manageable and reflective of progress, with advice to review errors thoroughly post-test. Shared experiences of passing with fluctuating scores reinforce that consistent performance across NBMEs is more critical than any single score.
Post 26: Need Advice
Click Here
The OP asks about the optimal strategy for using NBME 25–31, including order, review techniques, and timing. They want to know how best to integrate question-solving with in-depth analysis of incorrect answers.
Responses suggest starting with NBME 25, 26, or 27 for a baseline and saving NBME 30, 31, and Free 120 for the final weeks. Users recommend reviewing each block thoroughly after completing it under timed, real-test conditions. Strategies include focusing on errors while maintaining stamina and avoiding inflated scores from external aids like Googling answers.
Post 27: Marfan vs. EDS
Click Here
The OP asks for a concise comparison of Marfan syndrome and Ehlers-Danlos syndrome (EDS) to distinguish the two conditions for Step 1.
A commenter provides a clear distinction: Marfan syndrome involves an elastin defect with symptoms like lens dislocation and long extremities, whereas EDS stems from a collagen defect and often presents with telangiectasia and aortic aneurysms. The response emphasizes common clues like lens dislocation to differentiate Marfan syndrome from homocystinuria in test scenarios.
Post 28: Free120 Step 1
Click Here
The OP requests links to both old and new Free120 questions, asking if all versions are necessary for effective Step 1 preparation.
A commenter shares a Google Drive link to access Free120 resources and notes that the 2021 and newer versions are most relevant, as they feature repeated concepts in recent exams. The thread provides a practical solution and reflects consensus on prioritizing updated versions for optimal preparation.
Post 29: Good Video Resource for GI?
Click Here
The OP seeks an engaging video resource for GI that emphasizes conceptual understanding over memorization, particularly for digestive hormones.
Recommendations include Ninja Nerd and Physeo for physiology-focused content. While Dr. Abdul Sattar’s Pathoma videos are suggested for pathology, some commenters note that Physeo aligns better with FA tags and structured decks like Anking. The thread reflects the need for varied approaches depending on learning style.
Post 30: Anyone Else Have a Score Drop in New Free120 but Still Pass the Exam?
Click Here
The OP reports a 67% score on the new Free120, lower than their NBMEs (73–80%) and old Free120 (80%). They feel anxious about the discrepancy and seek reassurance about passing Step 1.
Commenters share similar experiences of score drops on Free120 due to fatigue, nerves, or testing environment, yet they passed Step 1. Advice includes focusing on high-yield topics, leveraging strong NBME scores, and trusting the process. Many users highlight that Free120 may feel harder than the actual exam, offering much-needed encouragement.
Post 31: Need help
Click Here
The OP shares their NBME scores (27: 65%, 28: 63%, 24: 68%, 29: 67%) and is unsure whether to proceed with their Step 1 exam scheduled for December 3rd or to postpone. They feel uncertain about their readiness despite consistent scores above 65%.
Commenters strongly advise against postponing, pointing out that scores above 65% on NBMEs are a good indicator of passing. They emphasize that with three weeks left, the OP has ample time to strengthen weak areas and build confidence. Encouragement centers on trusting the preparation process and not overthinking.
Post 32: Where can I find the offline NBMEs?
Click Here
The OP asks for access to offline versions of NBME 25–31 for practice.
A single comment directs them to Telegram, a common resource-sharing platform among Step 1 students. The thread is brief and functional, reflecting a straightforward solution to the OP’s request.
Post 33: Step 1 in 180 days, low-scoring student, how can I ensure a pass
Click Here
An M2 who struggled academically in their first year plans to take Step 1 in 180 days. They seek advice on effective preparation methods to ensure a pass.
Suggestions include focusing on foundational resources like UWorld, Mehlman PDFs, and content review (BnB, Bootcamp, Physeo), coupled with a structured study schedule. A commenter links a detailed YouTube guide on passing Step 1. Another mentions consulting Mehlman directly for a personalized plan, reflecting diverse strategies based on budget and individual needs.
Post 34: Results
Click Here
OP inquires about when November 5–6 exam takers can expect their results, and whether the disappearance of the permit correlates with result release.
Responses indicate that results are typically released the following Wednesday, and the permit disappears on Sunday or Monday before the release. The thread provides reassurance to anxious test-takers waiting for their results, offering practical insights about the timeline.
Post 35: Study group Step 1, Telegram
Click Here
The OP invites users to join a Telegram group aimed at building a community for Spanish-speaking Step 1 students. The group’s focus is on sharing resources, clearing doubts, and fostering motivation.
A commenter advises being transparent about the primary language (Spanish vs. English) for accessibility while noting that materials like QBank explanations are in English. The initiative reflects an effort to create a supportive, collaborative environment for a specific demographic within the Step 1 community.
Post 36: Flashcards
Click Here
The OP, currently studying for Step 3, seeks access to their old Step 2CK flashcards and asks if they can be linked to their Step 3 subscription.
A commenter suggests contacting UWorld support directly for assistance. The response underscores the platform’s responsiveness and willingness to accommodate user needs, encouraging OP to resolve the issue efficiently.
Post 37: Anyone seriously giving NBME 29 soon? +10 days?
Click Here
The OP seeks a study partner who is planning to take NBME 29 under timed conditions within the next 10 days. They emphasize looking for professional and schedule-focused individuals for mutual support.
The thread features a mix of practical responses and humorous exchanges, with some offering camaraderie while others critique the OP’s tone. The invitation to join a Discord server expands the search for like-minded peers. The lighthearted atmosphere reflects the community’s camaraderie amid exam stress.