INVISTA NO SEU SUCESSO:
Step 1 preparation thrives on utilizing high-impact resources like UWorld, First Aid, and NBME forms, with added value from supplements like Mehlman PDFs, Pathoma, and Sketchy. Active recall tools, such as Anki, combined with practice tests and error reviews, build robust conceptual foundations. For ethics and biostatistics, resources like Randy Neil's videos are particularly beneficial. Adopting a structured study plan ensures consistent improvement, with key benchmarks around 70% on NBMEs and Free 120 readiness evaluations.
Burnout is a significant challenge, tackled effectively by scheduled breaks and strategic use of group support or tutors. Time management, rest days, and mental health care play critical roles, enabling a balance between studying and daily life. Additionally, simulated conditions, such as timed NBME sessions, aid in acclimating to the real exam environment.
Lastly, success on Step 1 relies on a mix of comprehensive resources, targeted revisions, and a focus on high-yield topics like diabetes, cardiovascular, and public health. With strategic prioritization and thorough preparation, even those starting with weaker scores can achieve passing outcomes.
Resources
UWorld (UW): Common QBank for practice; key for identifying weak areas.
First Aid (FA): Foundation for Step 1, recommended for detailed study and revisions.
NBME Forms 25–31: Essential for assessing readiness, with Forms 28–31 most relevant.
Free 120: Provides insight into exam-style questions.
Bootcamp: Offers solid foundations, especially for weaker subjects.
Mehlman PDFs: High-yield notes for targeted revision (e.g., HY Arrows, Neuroanatomy).
Pathoma: Focuses on pathology, used alongside First Aid.
Sketchy: Visual mnemonics for microbiology and pharmacology.
Dirty Medicine: YouTube channel covering concise topics like biochemistry.
Amboss: Alternative QBank with detailed explanations.
Anki: Flashcard tool for active recall.
Randy Neil Videos: Effective for ethics and biostatistics.
Scores
Passing Threshold: Typically around 60–65% on NBMEs.
Common NBME Progressions:
Starting: ~50–60%.
Confident Pass: ~70% or above.
UWSA Scores: 70%+ aligns closely with readiness but less predictive than NBME.
Free 120 Scores: Ideal range: 65–75%.
Variability: Some pass with scores as low as 55–60%, depending on test preparedness.
Methods
Systematic Study: FA + UW for every system (e.g., Biochem + UW Biochem Qs).
Practice Tests: NBMEs under timed conditions for exam simulation.
Review Errors: Focus on mistakes to strengthen weak areas.
Incremental Focus: Use targeted PDFs or videos for low-performing areas.
Time Management: Dedicate final weeks to high-yield resources like Free 120 and rapid reviews.
Opportunities and Tools
Free Trials: Many resources like Bootcamp and Amboss offer trial periods.
Peer Support: Study groups, Telegram, WhatsApp, or tutors for guidance.
Simulated Assessments: Use tools like PMSS to evaluate readiness.
Tips and Tricks
Active Recall: Use Anki or similar tools for better retention.
Strategic Prioritization: Concentrate on high-yield topics (e.g., diabetes, cardiovascular).
Break Routine: Incorporate rest days to combat burnout.
Exam Day Prep: Carry snacks, water, and review FA during breaks.
Ethics Prep: Leverage videos and case studies; critical for exam success.
Post 1: UWORLD SA Form 2
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The user reports scoring 106/160 (66%) on the UWSA Form 2 and is seeking help estimating their 3-digit Step 1 score, as the report lacks conversion data.
A commenter suggests the score is "roughly 225," indicating that many users rely on heuristic approximations for conversions. No detailed calculation or resource for verification is offered.
Post 2: Recently passed my step 1, for those struggling I can tutor you for cheap
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The poster offers affordable tutoring for Step 1 prep, emphasizing assistance with high-yield topics, study plans, and test anxiety management. They also highlight their motivational support and promise reasonable rates with references available.
The post received high interest, with multiple users expressing intent to contact the tutor via DM. Another user advertised their own tutoring services, suggesting a competitive or collaborative tutoring environment in the community.
Post 3: Please I need advice post NBME
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The poster scored 60% on NBME 26 after completing 65-70% of UWorld, marking an improvement from 50% on NBME 25 with less UWorld practice. They seek advice on whether to review old or new NBMEs before their January test.
Feedback includes links to resources like a YouTube video detailing how one user improved NBME scores. Other comments imply that achieving consistent high percentages is key to readiness, providing encouragement and study strategies.
Post 4: Pressed for time, and I need to start Anki ASAP. Really need some helpful decks recommendations.
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The poster, a non-US IMG, seeks advice on Anki decks for Pathology, Biochem, Micro, and Pharma, worried that the AnKing deck may be too large to complete in their 4-month timeline. They’ve been using Mnemosyne but find it lacking integration with UW.
Suggestions include sticking with Mnemosyne for FA-based study or trying Janki, though it is noted to be less comprehensive. A user highlights the importance of balancing coverage and depth within limited time.
Post 5: Partner
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A short post seeking a study partner in the Orlando area for Step 1 preparation.
A commenter encourages the poster to PM them, suggesting active networking among users in the subreddit.
Post 6: 11/17/2024 step1 taker
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The poster discusses their exam experience, noting questions heavily focused on ethics and immunology and offering insights into study priorities.
Discussions range from exam content trends (e.g., buzzwords vs. mechanisms) to resources (NBME importance). Users express curiosity about the updated question pool, debating whether ethics is overemphasized due to perceived difficulty.
Post 7: Result
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The user inquires about receiving Step 1 results via FCVS on the previous Wednesday.
No responses are listed, leaving the query unanswered. Likely reflects lower engagement or a niche question.
Post 8: How to take a day off without feeling like shit 💀
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The user feels overwhelmed by Step 1 prep and seeks advice on managing stress and taking breaks without guilt.
Suggestions include reframing rest as an investment to avoid burnout and a YouTube video addressing stress, anxiety, and health during USMLE prep. Users advocate mental recovery as key to sustained performance.
Post 9: Dilemma
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Facing an exam on Nov 28 with no postponement option, the user shares scores across multiple NBMEs (55-61%) and a UWSA (49%). They seek opinions on readiness and next steps.
Responses suggest 65% on NBME/free 120 as a benchmark for readiness, with varying perspectives on whether to proceed or postpone. Comments highlight the psychological burden of low confidence and the logistical challenges of timing.
Post 10: Am I ready for exam tomorrow? Or should I wait til a few more days to review?
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The user scored 69-72% on NBMEs but performed poorly on Free 120 due to sleep issues. They are torn between taking the exam immediately or delaying for more review.
Encouragement dominates, with users advising rest, light review, and maintaining confidence. Advice includes practical tips like reviewing First Aid Rapid Review and focusing on mindset to handle test-day anxiety.
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Post 11: November test takers!
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The user seeks advice on the most tested subjects, the best HY Mehlman PDFs to review, and heavily tested topics during Step 1 exams.
Responders emphasize NBME concepts and ethics, with additional recommendations for HY arrows, neuroanatomy, and risk factors. Some comments debate the test's difficulty, with one user accusing another of spreading fear without constructive feedback. Overall, the thread reflects the heightened anxiety of test-takers close to their exam dates.
Post 12: Passed! Write up (Over-due)
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The poster shares their success story after testing on October 8th, emphasizing the importance of strong basics and outlining their study methods: UWorld, FA, Pathoma (Ch. 1-3), Sketchy, and annotated FA notes. They highlight ethics as a recurring theme and stress practicing questions, avoiding last-minute changes, and maintaining balance during prep.
Users inquire about specific resources like Microbiology notes, biochem pathways, and ethics materials (Randy Neil, Amboss, UWorld). The poster advises focusing on high-yield resources like HY arrows and warns against over-reliance on experimental questions. The collaborative tone makes this thread a valuable resource for study tips.
Post 13: STEP 1 pool change
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The user asks whether a Step 1 question pool update occurred and if it’s cause for concern.
The thread debunks pool-change fears, suggesting they’re often unfounded and spread panic. Several users stress that strong preparation (NBME, UWorld) trumps exam variations, while others confirm an uptick in ethics and public health questions. A LinkedIn post is cited, noting potential changes starting January. The mix of skepticism and reassurance highlights the community's varying approaches to rumor management.
Post 14: BOOTCAMP Discount Code NOVEMBER 2024 (step 1)
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A short promotional post sharing a discount code for Bootcamp, encouraging users to sign up for a 25% discount within a week.
Queries focus on the eligibility of using non-university emails, suggesting users value the offer but may stretch requirements to access it. No major discussions arise.
Post 15: Doubt
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The user questions a discrepancy in FA’s explanation of how noradrenaline affects pulse pressure (PP), based on their med school learning.
A detailed response explains that Beta-1 adrenergic effects cause a greater increase in SBP than the alpha-mediated rise in DBP, leading to an increased PP. The thread highlights the subreddit’s value in clarifying complex physiological concepts.
Post 16: Should I postpone?
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The user, two weeks from their exam, shares NBME scores ranging from 61-67% and notes 90% completion of UWorld, seeking advice on readiness.
The sole reply reassures the poster they are adequately prepared, reflecting community consensus on readiness benchmarks (e.g., 65%+ on NBMEs).
Post 17: How to go through First Aid. How did you guys do it?
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The user seeks advice on using First Aid effectively during Step 1 prep.
Suggestions include combining First Aid Express videos, Anki for weak areas, and annotating with UWorld/NBME notes. Methods for dividing and cross-referencing the material (e.g., splitting the PDF into sections) illustrate diverse strategies for mastering this key resource.
Post 18: Sketchy drive stopped working :( looking for an updated link
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The poster seeks a new link for accessing Sketchy Micro and Pharm materials after their previous resource was taken down.
No visible replies suggest the lack of available updates or hesitation in sharing potentially copyrighted material publicly.
Post 19: Results
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The user, awaiting results after taking Step 1 on November 12th, shares their anxiety and counts an estimated 80 wrong answers.
Responses emphasize managing stress with exercise, social activities, and positive mindset shifts. Predictions suggest results will arrive on Nov 27, based on standard timelines. Shared advice centers on mental health and avoiding overanalysis post-exam.
Post 20: Step 1 advice
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A UK doctor transitioning to the US seeks advice for tackling Step 1 prep after being out of medical school for several years. They plan to use Pathoma, Sketchy, First Aid, UWorld, and NBMEs before taking the exam by March 2025.
Recommendations include trying Med School Bootcamp for foundational reinforcement and integrating multiple resources effectively. A user shares a YouTube video on using MM + UW + NBMEs for success. The thread reflects a supportive environment for international grads adapting to USMLE demands.
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Post 21: Spoiler question from NBME 28
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The user discusses a sensitivity vs. specificity dilemma related to a screening test for colon cancer. While both seem applicable, sensitivity is deemed the more appropriate answer due to its priority in screening contexts.
Responders emphasize the importance of high sensitivity for screening tests to reduce false negatives and high specificity for confirmatory tests to minimize false positives. Others clarify nuances in test design and practical interpretations, highlighting the balance between theoretical knowledge and test-taking strategy.
Post 22: For reapplying USMLE Step 1 do we need to go through the form 183 process again?
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The user asks if the Form 183 process is required when reapplying for Step 1.
A clear response confirms that the 183-E form must be completed again, especially if the applicant's school participates in EMSWP, simplifying the process.
Post 23: Biomarkers for CNS tumors Step1
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The poster seeks guidance on CNS tumor biomarkers, such as GFAP for glioblastomas, and whether others, like meningiomas, require detailed knowledge for Step 1.
A commenter advises using Pathoma for CNS tumor prep, implying that it provides sufficient detail for Step 1 without unnecessary overcomplication.
Post 24: Screenshot of UWorld
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The user asks if taking screenshots of UWorld using Chrome on an iPad risks account deactivation.
Responses vary, with one warning against screenshots and another dismissing the concern. The lack of consistent enforcement suggests caution is still advisable to avoid potential issues with UWorld’s policies.
Post 25: Embryology
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The user asks how common embryology questions are on Step 1.
Responses indicate embryology is rarely tested, though questions related to topics like lissencephaly or brain development occasionally appear. A user reports having four embryology-related questions, suggesting some variability.
Post 26: 5 Nov results
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The poster seeks confirmation on when November 5th Step 1 results will be released.
Users confirm results are expected on Wednesday (11/20), with timeframes depending on global time zones. Others note that the permit disappearance often precedes score release, serving as a potential indicator.
Post 27: How do I start Step 1 prep?
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A non-US IMG asks for guidance on beginning Step 1 preparation amidst an overwhelming number of available resources.
Suggestions include revisiting past posts on the subreddit, experimenting with free trials, and considering shared experiences. A linked YouTube video offers insights into a successful study plan combining MM, UW, and NBMEs.
Post 28: Why are CCB contraindicated in someone with HFrEF?
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The poster seeks clarification on why calcium channel blockers (CCBs) are contraindicated in patients with decompensated HFrEF.
A detailed reply explains that non-dihydropyridines worsen systolic dysfunction by reducing contractility, while dihydropyridines may exacerbate heart failure symptoms by activating RAAS through vasodilation. The thread also identifies five drug classes that improve survival in HFrEF patients, reinforcing high-yield pharmacology knowledge.
Post 29: Exam on December 30th, unable to study anything!
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The user, struggling with study motivation after completing 35% of their second revision, seeks advice on regaining momentum.
Responses suggest trying lighter resources (e.g., Dirty Med, Randy Neil, Sketchy) or using the break to recharge. Others recommend tutors, with one linking to Bloomed Academy for structured prep. Several users empathize, sharing similar struggles with burnout and exam pressure.
Post 30: Late post: Step 1 passed 🥳
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A non-US IMG shares their Step 1 success story, crediting their success to a focused study plan of AMBOSS, FA, and NBME practice, while emphasizing foundational knowledge and a concise resource pool. They advise using FA’s Rapid Review pages and warn against neglecting health during prep.
The thread reflects gratitude for the poster’s insights, with users asking about their schedule, resource prioritization, and specific recommendations (e.g., ethics prep). The advice to focus on FA application and NBME familiarity resonates with several readers, and the discussion highlights the value of simplifying study plans.
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Post 31: Step 1
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The user is testing in 11 days and shares NBME scores ranging from 60% to 73%, with steady improvement. They plan to review FA and NBMEs before taking NBME 31 and Free 120. They seek advice on readiness.
Encouragement dominates the thread. One commenter confirms completing 80% of UWorld as a good indicator of preparation, while others offer supportive affirmations. A commenter shares their contact details for further assistance, showing community willingness to guide anxious test-takers.
Post 32: Bootcamp vs Boards Beyond?
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The poster seeks advice on whether to use Bootcamp or Boards and Beyond (BnB) for relearning foundational medical concepts, given their school's poor teaching quality.
Users praise Bootcamp for its detailed videos and digestible explanations, especially for those with weak foundations. However, neuroanatomy in Bootcamp is noted to lack depth. A commenter highlights free trials for both resources, suggesting a hands-on comparison before committing. The post reflects the community's split preferences but strong endorsement for Bootcamp’s comprehensiveness.
Post 33: Using Amboss instead of UWorld?
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The user, provided with an Amboss subscription, questions whether it can replace UWorld for Step 1 prep due to time constraints.
A user who passed Step 1 with Amboss alone describes its advantages, such as the "attending tips" feature for quick reviews. Others stress supplementing Amboss with NBME forms and Free 120 for readiness. The discussion highlights Amboss’s utility as a learning tool but suggests UWorld remains a stronger option for diagnostic preparation.
Post 34: Memorize First Aid
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The user asks if it’s necessary to memorize First Aid (FA) or rely on understanding and repetition for retention, citing large information-dense sections like Micro and Pharm.
Responses suggest a mix of memorization and understanding, with tools like Sketchy aiding Micro retention and repetitive study for Pharm mechanisms. A linked YouTube video provides further guidance on integrating FA with UWorld and NBMEs, emphasizing active recall over passive reading.
Post 35: Someone said UWSA is similar to the real deal
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The user, three days from their Step 1 exam, asks about the similarity between UWSA and the actual exam.
Opinions vary, with many stating that NBMEs and Free 120 are more representative of the real test. UWSAs are considered helpful for time management and identifying weaknesses but less predictive of exam outcomes. The thread underscores the importance of focusing on validated exam-style resources in the final days of preparation.
Post 36: In First Aid do I skip the pathology parts?
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The user asks whether to skip pathology sections in FA and rely on Pathoma instead or use both resources.
Users recommend Pathoma for its clarity and high-yield focus, with FA as a reference tool. The importance of integrating Pathoma’s material with NBMEs and questions is emphasized. Some users prefer reviewing Pathoma systematically before consolidating with FA.
Post 37: I am in 60s in NBME?
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The user seeks advice on improving their NBME scores from 60% to 70%.
Recommendations include focusing on weak areas identified via NBME Insights, using Mehlman PDFs for targeted high-yield review, and reinforcing concepts through questions. A linked video provides a structured strategy for boosting scores. The consensus highlights targeted study and consistent application as keys to improvement.
Post 38: Should I for sure push?
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The user, 10 days from their Step 1 exam, shares NBME scores in the 40-50% range and asks if postponing is necessary to improve their weak foundations in micro, biochem, and biostats.
The majority advise postponing, citing insufficient readiness. Suggestions include completing a full first pass of all topics, revising strategy, and using Bootcamp or Mehlman PDFs to solidify gaps. The consensus is clear: taking the test prematurely would be a significant risk.
Post 39: I Passed.....
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The poster, a non-US IMG, shares their success story after three months of prep, completing 55% of UWorld, FA, and selective NBMEs. They recommend focusing on high-yield topics and not stressing over incomplete coverage.
Users ask about their strategy, with the poster emphasizing targeted study and prioritizing UWorld and FA. Their high NBME scores (72-80%) demonstrate that focused preparation outweighs exhaustive resource use. Many find their journey inspiring, especially with modest resource coverage.
Post 40: 58% in NBME 25
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The user, 40 days from their exam, scored 58% on NBME 25 and seeks advice on balancing FA, Mehlman PDFs, and other resources.
Mehlman PDFs are strongly recommended for targeted improvement, particularly HY arrows, neuroanatomy, and risk factors. Other comments highlight NBME 25’s difficulty and encourage continued focus on UWorld and consistent practice with NBMEs. The post reflects the utility of highly concentrated resources for rapid improvement.
Post 41: Biochem resource?
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The user asks if Dirty Medicine YouTube videos are sufficient for mastering Biochem for Step 1.
Responses highlight Boards and Beyond (BnB) as a superior resource, particularly for topics like lipid transport and metabolism, with FA and UWorld as essential supplements. Users stress that Dirty Medicine videos alone are insufficient, especially for enzyme deficiencies and syndromes that require deeper understanding and application.
Post 42: Rescheduling/canceling the exam
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The user seeks guidance on canceling their Dec 30th Step 1 exam and rescheduling when ready.
Key advice includes checking the permit expiration date and rescheduling within the current window or applying for a one-time $100 extension. If the extension has already been used, a new permit is required. A linked post offers further guidance on eligibility extensions, ensuring no serious consequences from rescheduling.
Post 43: 90 percent on NBME 25, 23, 24 – 25 days till exam
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The user, scoring 90% on multiple NBMEs, asks whether to prioritize First Aid (FA) or other NBMEs while dealing with pre-exam stress.
While impressed by the high scores, responders suggest reviewing weaknesses, studying FA, and continuing practice to maintain momentum. One commenter attributes success to two years of consistent preparation, underlining the importance of a long-term strategy.
Post 44: Offline NBME 30 score reliability?
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The user questions the accuracy of an NBME 30 score converter after scoring 66% offline.
A shared Google Drive link provides access to score conversion tools for NBMEs and Free 120, aiding others in similar situations. No direct validation of the converter's accuracy is discussed, reflecting the community’s reliance on shared resources.
Post 45: Results..
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The user, who tested on October 25th, is still awaiting results and asks for advice on checking the permit status.
Users recommend logging into ECFMG’s IWA portal to check permit availability, noting that a "disappeared permit" often indicates result readiness. The thread suggests patience, as delays in result notifications are not uncommon.
Post 46: Result on Wednesday
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The user, who tested on November 9th, expects results on the upcoming Wednesday, sharing anxiety about recent reports of strong NBME performers failing.
Responses express solidarity and stress management tips, with users clarifying how to identify a disappeared permit on IWA. The post underscores the mental toll of result waiting and reliance on community reassurance.
Post 47: Step 1 in 2 months.
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The user, having completed 37% of UWorld and one FA pass, asks how to proceed effectively with two months left.
Suggestions include completing UWorld system-wise, prioritizing NBMEs 25-31, and thoroughly reviewing incorrect answers. A linked YouTube video offers a detailed study plan, while other users recommend focusing on active recall and minimizing passive study methods.
Post 48: A
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The poster seeks honest answers about the minimum knowledge required to simply pass Step 1, acknowledging burnout.
Responses reflect shared exhaustion, with one user suggesting seeking help for mental health. The thread reveals that burnout and anxiety are pervasive issues, and users provide emotional support more than study advice.
Post 49: Major burn out, should I prepone?
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The user, experiencing burnout after three months of study, wonders if they should prepone their December exam or push through. Scores include NBME 27 (75%), NBME 28 (86%), and UWSA1 (73%).
Users suggest taking a short break to recover and evaluating confidence in their current prep. Many recommend taking the exam earlier, as scores are already strong. The advice balances mental health with logistical considerations.
Post 50: I will start doing NBMEs, what order do you recommend?
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The user asks for an optimal order to tackle NBMEs 20-31 and UWSAs.
Users suggest starting from NBME 26-31 for the most relevant content while emphasizing the importance of Free 120. Older NBMEs (20-25) are noted as less predictive, with one commenter cautioning against panicking over lower scores on these tests. The thread highlights the variability in prep styles and resource prioritization.
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Post 51: Result!!!
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The user, who tested on November 8th, asks others if their permit link has disappeared, a common indicator of pending results.
Most commenters share their test dates and permit statuses, reflecting a mix of those whose permits have disappeared (indicating imminent results) and those still waiting. The thread provides reassurance and a sense of shared anticipation.
Post 52: Result.....
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The user inquires if Nov 1st–6th test takers’ permits have disappeared.
Responses confirm many permits for early November test-takers have disappeared, reinforcing the community’s observation that this disappearance precedes result announcements. Several users express anxiety and hope for passing results, showing the emotional toll of waiting.
Post 53: Exam in 1 week!
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The user, scoring 63% on NBME 28, seeks advice on whether to proceed with their exam or consider postponement.
Most responders highlight that a 60–65% range on NBMEs typically predicts passing. Some mention anecdotal evidence of success with similar scores, while others suggest focusing on weak areas during the final week. The post underscores varying comfort levels with risk among test-takers.
Post 54: Second attempt need advise please
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The user shares a range of practice test scores, including NBME 28 (76%) and NBME 31 (65%), seeking guidance on whether to proceed with their exam scheduled for December 5th.
Feedback focuses on the importance of achieving consistent scores above 68% in practice tests, particularly on the new Free 120. Tools like PMSS are suggested to gauge readiness. Others advise prioritizing thorough NBME reviews and weak area reinforcement. The consensus leans toward taking the test if scores stabilize in the high 60s or above.