INVISTA NO SEU SUCESSO:
Preparation for Step 1 involves a structured approach using key resources like NBMEs, UWorld, First Aid (FA), and Mehlman PDFs for high-yield topics. Videos from platforms like Boards & Beyond and Sketchy Medicine enhance conceptual understanding, while Qbanks like UWorld and Bootcamp provide practice. A crucial strategy involves annotating FA during videos and reviewing questions by flagging mistakes or taking snapshots for later practice. Building stamina through simulations like the Free 120 ensures readiness for real exam conditions.
Consistent scoring on NBMEs (60%-89%) and UWorld (51%-87%) reflects exam preparedness. Scores above 65% on NBMEs are commonly deemed acceptable for confidence in passing. Additional tools, like AI-generated Anki cards, provide retention assistance. The Free 120 helps gauge readiness, and strong completion rates on UWorld (94%+) are recommended for comprehensive coverage. Mentorship opportunities through Telegram groups or tutoring offer additional support to address weaker areas.
Finally, test-takers are advised to focus on mastering concepts rather than worrying about potential question pool changes. Practice endurance, target weak areas using Mehlman PDFs, and follow a consistent schedule for daily question practice. Strategic use of these resources and methods leads to optimal outcomes and confidence on exam day.
Resources
NBMEs, Free 120, and UWorld question banks for targeted practice.
Mehlman PDFs for high-yield topics (genetics, neuroscience, ethics).
First Aid (FA) for foundational knowledge and weak-point review.
Sketchy Medicine, Boards & Beyond (BnB), and Dirty Medicine videos for conceptual clarity.
Bootcamp, Amboss, and Qmax question banks for practice.
Anki decks and AI-generated Anki cards for retention.
Scores
NBME ranges from 60%-89% in various posts, suggesting a good benchmark.
UWorld completion rates at 94% with scores averaging 51%-87%.
Free 120 scores of 60%-91% as predictive of exam readiness.
UWSA 1 and 2 scores at 73%+ align with strong exam performance predictions.
Methods
Annotate FA while watching videos, focusing on a single system before solving related questions.
Take snapshots or flag incorrect UWorld questions for later review.
Complete NBMEs weekly in the last month and review mistakes.
Use multiple resources like Mehlman and Bootcamp for weaker subjects.
Build stamina by simulating full-length practice tests (e.g., Free 120).
Opportunities
Join Telegram groups for peer learning and mentorship.
Use free resources like YouTube study guides and shared study plans.
Enroll in focused tutoring for specific areas.
Tips and Tricks
Focus on NBME review during the last month, as its content aligns with Step 1.
Manage time efficiently for lengthy questions, especially in Free 120.
Prioritize consistent daily practice, completing up to 10,000 questions.
Avoid overthinking or fearmongering about exam changes—stick to high-yield concepts.
Post 1: How to Improve NBME Score? 🤧🥺
The post seeks advice on boosting NBME scores during the last month of preparation. Suggestions center on targeting weaknesses and maximizing high-yield resources such as First Aid (FA), Sketchy Medicine, and Mehlman PDFs. A user shares a video tutorial detailing their 30-day NBME-focused strategy, which led to significant score improvements. Study groups on Telegram are also promoted for collaborative learning and mentorship.
Users recommend FA for weak areas, Sketchy Medicine, and grinding through UWorld incorrects. Emphasis is placed on NBME review, with one user noting affordability and effectiveness. Collaborative resources include a Telegram group, video guides, and nonprofit mentorship programs. The variety of approaches demonstrates a mix of structured study plans and peer-led resources, catering to those on a tight budget.
Post 2: For People Who Don't Use Anki, How Do You Go Through UWorld Incorrects?
The poster seeks alternatives to Anki for reviewing UWorld incorrects. Users share methods such as screenshotting errors, flagging questions, and creating custom blocks for repeated practice. One comment details a week-long review of weaknesses using FA and UWorld blocks before transitioning to NBMEs.
Most users discourage converting UWorld errors into Anki cards, citing inefficiency and low yield. Instead, they focus on active recall via flagged questions and targeted reviews. For those struggling with retention, the discussion offers practical time-saving strategies over heavily customized tools.
Post 3: What is Your Experience with AI-Generated Anki Cards?
The poster describes building an AI tool to generate Anki cards, which they found helpful for saving time. They solicit feedback on accuracy and effectiveness of AI-generated flashcards for study retention.
The sole response critiques over-editing and the pitfalls of perfectionism with Anki cards, indirectly highlighting the potential utility of AI tools for automation. While the feedback does not directly address AI tools, it underscores the challenge of time management and efficiency in card-based learning systems.
Post 4: Should I Postpone or Go for It?
A non-US IMG deliberates postponing their Step 1 exam, citing inconsistent NBME scores (60–61% with an 83–86% pass likelihood). With limited rescheduling options, they plan to base their decision on upcoming Free 120 and NBME 31 scores.
The majority advise postponement, encouraging consistent NBME scores above 65% before attempting the exam. A shared video tutorial provides guidance for balancing studies while working. The advice emphasizes a structured study plan, tackling repeated weak areas, and focusing on NBME concepts. Peer support offers actionable next steps for those feeling underprepared.
Post 5: FCVS Step 1 Score Trick
The post queries the validity of the FCVS score trick to predict Step 1 results.
Responses confirm that the trick no longer works, with users advocating patience for official email notifications. One commenter shares their recent success and wishes others good luck. The thread effectively debunks outdated information while offering encouragement to test-takers.
Post 6: 19-11-24 Test Takers!
The post requests feedback from test-takers on the difficulty of the November 19 exam, focusing on the prevalence of low-yield topics and alignment with NBME concepts.
The limited responses provide minimal insight, with one user calling the exam a "shitshow." Requests for private messaging suggest a willingness to share details more candidly, though public contributions remain sparse.
Post 7: UWorld vs NBME
This post debates whether to focus on UWorld questions or NBME concepts closer to the Step 1 exam. Most users strongly advocate prioritizing NBME tests for their direct alignment with the actual exam.
Users unanimously highlight the high-yield nature of NBMEs, recommending them for the final month of preparation. Shared resources include Mehlman PDFs and videos outlining NBME-focused strategies. The consensus reinforces the idea that NBME review offers the most practical preparation for exam day.
Post 8: Anki Cards with Buzzwords (High Yield)
The poster seeks high-yield buzzword flashcards for Step 1 preparation, specifically diagnostic-style questions.
A single response points to Mehlman resources as a good fit for buzzword-focused study. Though limited, the recommendation aligns well with the poster's needs, directing them toward a trusted external resource.
Post 9: Step 1 Resources Help
The post lacks content but receives a helpful comment sharing a video guide on NBME, UWorld, and MM strategies for Step 1 preparation.
Despite the absence of details in the post, the comment offers a detailed step-by-step resource, providing guidance and encouragement. The shared video reinforces the importance of NBME and targeted preparation strategies.
Post 10: Experience
A highly qualified user shares their comprehensive Step 1 preparation experience, including resource utilization, NBME scores, and study habits. Their strategy involved consistent daily practice with over 10,000 questions, detailed tracking of NBME scores, and targeted resource use (e.g., Mehlman PDFs, BnB, Pathoma, and Qmax).
Users praise the poster’s dedication and expertise, seeking advice on improving NBME scores, reviewing options, and balancing study resources. The poster discourages over-reliance on First Aid (FA) and encourages targeted learning through videos and focused reviews. The thread provides a wealth of insights for users aiming to replicate the poster's success through a disciplined, resource-intensive approach.
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Post 11: Step 1 Pool
The poster asks whether the Step 1 question pool has changed after November 15, raising concerns about preparation adjustments.
Responses dismiss rumors about a question pool change, emphasizing that such speculation lacks evidence. Users urge calmness, citing consistent preparation strategies. While some mock the query, others stress focusing on study material rather than unverified claims. The thread highlights the frequent anxiety-driven speculation in forums, with users advising against overreaction.
Post 12: Pre-2021 Old 120s or UWorld Last 2 Weeks?
The poster debates whether to revisit pre-2021 Free 120 questions or continue with UWorld during the final two weeks of preparation.
Responses lean toward UWorld as the better option, emphasizing its comprehensive question bank and practice value. However, one user suggests the Free 120 for its representativeness of the exam and its quick completion time. The discussion offers balanced advice, prioritizing active question practice while validating the usefulness of older resources.
Post 13: Marcus Gunn Pupil Question
The poster seeks clarification on discrepancies between sources regarding the Marcus Gunn pupil and its presentation in relative afferent pupillary defect (RAPD). They question whether the affected pupil dilates, constricts, or fails to constrict properly.
A detailed response explains the swinging flashlight test used to identify RAPD, where both pupils may appear to dilate when light is shone on the affected eye due to reduced afferent signaling. The comment provides clarity, aligning with clinical testing methods, and helps resolve confusion from conflicting study resources.
Post 14: Randy Neill
The post questions whether Randy Neill's biostats material is sufficient for Step 1, or if additional resources like Bootcamp are needed.
Users generally praise Randy Neill for his comprehensive biostats coverage, with some mentioning supplementary use of Mehlman and UWorld’s $25 biostats review. A few acknowledge minor gaps in topics but argue Randy Neill provides sufficient preparation. Responses suggest Bootcamp as an option but highlight UWorld’s targeted practice as the most practical enhancement.
Post 15: How to Score 70% in Free 120
The poster asks for tips to achieve 70% on Free 120, questioning its difficulty relative to NBMEs.
Users note that the Free 120 is not overly challenging but requires efficient time management due to long stems. Suggestions include practicing reading comprehension and revisiting previous Free 120 versions, as many questions remain unchanged. Comments also emphasize building confidence, noting the real exam may feel easier in some aspects.
Post 16: USMLE Biochem Step 1
The poster seeks the best resources for studying biochemistry for Step 1.
A highly detailed comment categorizes resources by needs:
First Aid for content coverage.
Mehlman PDFs for high-yield topics.
Bootcamp or Boards & Beyond (BnB) for conceptual clarity.
Dirty Medicine/Pixorize for memorization.
UWorld for application in questions.
Users echo support for Bootcamp and Dirty Medicine, with several vouching for their transformative impact on scores. The thread provides a clear roadmap for learners struggling with biochemistry.
Post 17: Need Help with Integrating Resources
The post seeks advice on integrating video resources, First Aid (FA), and UWorld into a cohesive study plan.
Responses suggest annotating FA while watching videos like Boards & Beyond, followed by targeted UWorld practice for the same topic. One user shares their schedule of alternating video-based learning and question practice, emphasizing a consistent, cyclical approach. The discussion focuses on adapting resources to personal learning styles while maintaining steady progress.
Post 18: Should I Take UWSA2?
The poster debates whether to take UWSA2, questioning its relevance after scoring 73% on UWSA1.
Users unanimously encourage taking UWSA2 as a simulation tool, citing its value for assessing readiness. They clarify that while the questions may not directly align with the exam, the experience improves time management and confidence. Comments also highlight UWSA2’s slightly easier difficulty compared to UWSA1, offering reassurance for test-takers.
Post 19: Pool Changed Shit
The post addresses rumors about the question pool changing, sparking frustration among users.
Responses debunk the idea of a complete pool change, with many emphasizing that concepts remain constant regardless of question rotations. Some point out the toxicity of fear-mongering posts, urging focus on consistent study methods. The thread critiques reactionary behavior while reiterating the reliability of resources like UWorld and NBMEs.
Post 20: POOL CHANGE
The poster claims the exam pool has changed, suggesting UWorld and NBME are no longer helpful.
Comments overwhelmingly refute the claim, attributing the post to post-exam anxiety. Users reiterate that Step 1 consistently tests the same medical concepts, advising against overreacting to isolated experiences. Some discuss potential shifts in emphasis (e.g., ethics and longer stems) but assert these don’t invalidate existing resources. Overall, the discussion encourages focusing on core knowledge and preparation over unsubstantiated panic.
Explanation of the "Pool Change" Debate
The "pool change" refers to a discussion among USMLE Step 1 test-takers about a possible alteration in the exam's question bank. Some individuals claim that as of mid-November 2024, the question pool has significantly changed, rendering resources like UWorld, NBMEs, and Free 120 less relevant or representative of the actual test. These claims are largely anecdotal and have led to anxiety and debates within the community.
Key Points from the Discussion
Claims of a Pool Change:
Posts by users allege that concepts tested in UWorld and NBME practice exams are no longer appearing on the Step 1 exam. They argue that the test includes new or "experimental" questions that seem out of scope from traditional study resources.
Specific examples include an increased focus on ethics questions and longer, more complex question stems, as well as claims of "out-of-syllabus" content.
Contradictions:
Many users rebut these claims, emphasizing that medicine and core concepts do not change, even if specific questions are updated or rotated.
They argue that experimental questions are always present but do not significantly affect the exam outcome if candidates have strong foundational knowledge.
Users note that delayed results releases can coincide with updates to the question pool but do not necessarily mean the test content fundamentally changes.
Reaction to Fearmongering:
Some community members have called out the panic caused by such posts, labeling it as fearmongering. They emphasize the importance of sticking to tried-and-tested resources like UWorld and NBMEs, noting that high-yield concepts remain consistent.
Advice for Students:
Focus on conceptual understanding rather than memorization of specific questions.
Use reputable resources like First Aid, Mehlman PDFs, and UWorld for learning and practice.
Avoid overreacting to unverified claims about changes in the question pool, as they may reflect individual test-taker experiences rather than a widespread shift.
Summary
The "pool change" debate stems from anecdotal claims that the Step 1 question bank has shifted, with new experimental questions potentially undermining traditional prep tools like UWorld and NBMEs. However, experienced users and moderators argue that these claims are exaggerated, stressing that core concepts remain unchanged, and the exam's purpose is to test understanding rather than rote learning. While such discussions highlight the anxiety surrounding Step 1, students are advised to rely on high-quality resources, focus on consistent study habits, and disregard fearmongering posts.
Post 21: Why is Primary Myelofibrosis Considered as a Myeloproliferative Disorder?
The poster asks why primary myelofibrosis is classified as a myeloproliferative disorder despite the non-neoplastic nature of fibroblasts and the cytopenias caused by fibrosis.
Responses clarify that proliferation of megakaryocytes triggers fibrotic processes, justifying the myeloproliferative classification. Other explanations include its association with JAK2 mutations, typical of myeloproliferative neoplasms, and its overlap with related leukemic conditions. One commenter notes that primary myelofibrosis represents a progression or "end-stage" of other disorders, skipping the cytosis phase. This discussion provides a clear, multi-faceted understanding of the pathophysiology.
Post 22: UWorld Black Friday/Cyber Monday Sale?
The poster inquires about potential UWorld discounts for Black Friday or Cyber Monday.
A single response states that such sales have not occurred historically, discouraging reliance on promotional offers. The lack of discussion reflects the rarity of discounts for premium test preparation tools like UWorld.
Post 23: Hardy-Weinberg Equilibrium
The poster struggles to solve a Hardy-Weinberg equilibrium question involving allele frequencies in a sample population.
A concise explanation breaks down the problem mathematically, focusing on allele frequency calculations (e.g., total alleles, desired events). The response simplifies the question to a basic probability problem, providing both clarity and reassurance. The dialogue reinforces fundamental biostatistics skills essential for Step 1.
Post 24: Should I Go For It?
The poster contemplates whether to proceed with their Step 1 exam on November 27, citing consistent practice scores but concerns over endurance and potential score stagnation.
Comments encourage the poster to trust their preparation, citing their consistent performance across NBMEs, Free 120, and UWorld. Suggestions focus on addressing weak areas through incorrects and maintaining confidence. The advice emphasizes stamina-building strategies and psychological readiness, reflecting the balance of mental and academic preparation needed for the exam.