I saw that there was a similar thread for 2011 that had plenty of useful info so I figured its best to start one for 2012. 👍
UWSA2 (2weeks out): 253 (didn't trust this so then did nbme 12 soon after)
Nbme 12 (2 weeks out): 245
Nbme 13 (1 week out): 236
Nbme 7 (4 days out): 240
Real score: 252
My assessment scores were
214 (UWSA1, 5 weeks out),
200 (NBME 6, 3.5 weeks out),
234 (UWSA2, 1 week out),
221 (NBME 13, 4 days out, and this really freaked me out).
REAL: 243
Or was God just really, really, really nice to you that day? lol
Could you please be more specific as to what you're implying about FA? Are you saying that you had a ton of details on the test that were pure memorization out of there? What happened?
Great scores guys. So both of you seemed to score well above your NBME average. Can you comment on how comparable the real deal was to the NBMEs you took? Do you think the real exam was a little bit easier, or do you think you were just more focused and "in the zone" on test day? Or was God just really, really, really nice to you that day? lol
Where would you recommend to study images off from? Webpath?
Well I just got my result. And I'm sad. After scoring over 250 in NBME 11 and 9, and 260 in the USMLEworld simulated test, finish UW qbank with 84% and Kaplan with 77% I got 236 in my exam. Way lower than every test I took.
While taking the exam I had tons of anatomy and histology images, also path. I was freaking out, because I ignore studying images during my prep. Also tons of endocrinology, I did great in it seems like according to the performance. My advice: Images, images, images
I'm saying that you have to know as much as you can about each disease and all that stuff is in first aid. The practice questions, in my point of view, are a TOOL to help you LEARN first aid. The practice questions help you to recognize what kinds of things are important. But memorizing the answers to all the questions won't necessarily get you a good score. It might, but they keep finding new ways to ask about old diseases. The only way to do well is to really focus on first aid, taking notes and checking to make sure you've memorized stuff to a reasonable degree.
In short, if the choice is between doing Uworld a 2nd time or reading first aid for the 2nd, 3rd, 4th, or 5th time, I would always chose reading first aid.
let me qualify this by saying that I always used to spruce up my FA reading experience by throwing in 5-10 Uworld questions ON THE SUBJECT THAT I WAS CURRENTLY READING IN FIRST AID that I had gotten wrong or hadn't done yet after reading every 4 or so pages of first aid. This helped me to figure out if I was really memorizing and learning the important stuff or just going through it in a brain dead fashion. kept me on my toes
Well I just got my result. And I'm sad. After scoring over 250 in NBME 11 and 9, and 260 in the USMLEworld simulated test, finish UW qbank with 84% and Kaplan with 77% I got 236 in my exam. Way lower than every test I took.
While taking the exam I had tons of anatomy and histology images, also path. I was freaking out, because I ignore studying images during my prep. Also tons of endocrinology, I did great in it seems like according to the performance. My advice: Images, images, images
I had actually been meaning to ask about this a while ago. Ijn got a 269, so it's not like he doesn't know what he's doing, but I would also think that 2CK review of any kind would obviously be low-yield.
Ijn, I know you've listed off a few conditions, but those didn't even show up on your exam. If I spend even a little time looking at 2CK info, as you've recommended, could you be as specific as possible as to what exactly you think should be studied (i.e. be more specific than just "paeds section")?
When people say anatomy it can mean a lot of things. For me the highest yield anatomy areas (in descending order of importance)
1. Motor and sensor deficits when major nerve X is damaged at Y location. Including the vertebral levels that supply each nerve (yeah, they do get THAT nit picky).
2. Normal reflexes - achilles, patellar, biceps, etc. including vertebral levels that the reflex tests
3. Blood vessels - yeah, even the ******edly small branches, but only IF they supply an organ. the circumflex iliac artery ain't gonna be on the exam. superior adrenal just might, though.
4. Interpretation of simple chest and abdominal CTs - be able to identify a pancreas, duodenum vs jejunum, obstructed ureter, bicorunate uterus, steeple sign, thumb sign, Zencker's, double bubble, ileus, dextrocardia, osteosarcoma, avascular necrosis, etc.
Neuroanatomy is always extremely high yield, but I'd toss that in a separate category.
When I said images I meant CT scans, I had a neck arteriography that killed me. Also review basic histology. I had a question that asked what is the function of this organ, and I was supposed to identified it with the image and to the day I have no idea what it was.
Other than that, the exam was pretty similar to UW qbank, no need to panic!
Good luck everyonel!
thx GTP. I have no doubt you will do great on this test. Phloston is just ...... crazy. If I had another month I would have probably slacked off at the end and watch a lot of movies.
Anyone know of a good resource to learn the most important topics for neuroanatomy quickly (like in 1 day). It was taught horribly at my school, I did Kaplan and pathoma neuro (and obviously first aid) but kaplan seemed way too over-detailed. How are you guys approaching it? Thanks
Well I just got my result. And I'm sad. After scoring over 250 in NBME 11 and 9, and 260 in the USMLEworld simulated test, finish UW qbank with 84% and Kaplan with 77% I got 236 in my exam. Way lower than every test I took.
While taking the exam I had tons of anatomy and histology images, also path. I was freaking out, because I ignore studying images during my prep. Also tons of endocrinology, I did great in it seems like according to the performance. My advice: Images, images, images
Thanks Irkhoele! I've been thinking about that. I'm a IMG, and I was hoping to have a great score to have a greater chance to get into the programs I want. I want to to IM in an academic program, in a urban setting, so I'm kind of in the middle of the competitive spectrum. I still have ton of stuff to do and little time to feel sorry for my self!I can relate. I had a somewhat similar experience last week getting a score well below where all my practice exams had consistently been. Try not to let it stress you out. I know, I know, easier said than done, especially the first couple days, but it gets easier. You'll realize that this score does not define you and that it is still a good score. Importantly, your score will not get your application thrown in the trash for even most of the most competitive residencies...heck, even the most competitive specialties only have an average step 1 score slightly above your score meaning that craploads of people with scores lower than yours get into those fields. Just give yourself week or so and I'm sure you'll be feeling better.
Got my score on Wed and haven't been able to find the time to post: 247Finished my exam yesterday. Should've posted right after while it was fresh, but I had multiple glasses of whiskey and then went to a steak house so get off my back about it already! If it makes you feel better, I'm probably going to need a bottle of allopurinol after that night.
Prep
-GT: Started this summer of MS1.Can't say enough good things about it. It's time consuming but it helped me in classes and I came into my dedicated step 1 period without having to relearn anything and I automatically jumped to qbanks.
-FA: Started annotating in MS1. I followed the book along with class and if I saw a picture in my notes I liked, I'd throw it into FA. All my books and notes are electronic, so screen shotting into one-note on a tablet pc was super easy. Attached below is a sample of how I would annotate a FA chapter.
-Pathoma: One day MS1-2 will just be online videos taught by the best like Dr. Sattar. Still infuriates me that I pay $18k/sem to learn this from my school when he only charges me $89 and teaches it better.
-Goljan Audio: Good for treadmills and drives to school.
-UW: Amazing resource. If I could do it again, I would've done UW through the year and then try to do it twice during study period (not so much working through questions as just reading the amazing explanations).
-NBMEs: Took the basic ones.
Stats
UW: 100% completed, 81% avg (low 69%, high 91%), only one pass 🙁
GT: 100% completed, 95% mastered 😀
NBME 7: 252
NBME 11: 242
NBME 12: 250
NBME 13: 255
The test
Poring rain, got a parking ticked for parking in a professors space (didn't want to walk across campus to testing center in the rain and be uncomfortable all day). Worth it. No problems checking in, they allowed me to have my favorite headphones and had no problems throughout the day. Went to bathroom after every block to make sure my bladder was always near empty. Used all break time to eat, recharge, and pop 100mg caffeine pill when I needed it.
-Micro: GT and UW covered things well. Had a couple problems with specific mechanisms of macroclides, aminoglycosides, etc (what specific step of protein formation do they block, aka initiation, translocation, etc.).
-Biochem: Lysomal storage, galactose/fructose metabolism, lot of newborns with diarrhea or big spleens. One patient was even reported to be restrained for chewing his lips, fingers and genitals or whatever off.
-Genetics: My worst subject. Felt good on the pedigrees (had >4) and I actually got the hardy wineberg crap right. They had a lot of experiments with mice and genes that I flat out had no clue. Whenever a question started out "A little, homely Asian researcher in the hospital basement is studying expression on the 9XHDNE$SA2 gene..." my heart sunk a little bit.
-Pharm: Had some drugs I didn't know, but I think I got via elimination. Not a good feeling picking a drug you don't know. Lot of MOA and SE like everyone says. Lot of farmers, fat people, and patients with a sore first metatarsal joint.
-Immuno: These guys sure love organ rejection and TB.
-Anatomy/Embryo: Didn't feel as good about most of these. I didn't memorize all the ligaments in the foot or the pelvic floor well enough. I do however enjoy a good Meckel's Diverticulum question.
-Behavior: Just know that stupid 2x2 table inside and out and everything you can possibly do with it. Lot of study design stuff. Felt like there was tons of ethical/what would you do questions. I just made sure not to refer the patient and told them I couldn't sleep with them even though I wanted to sometimes.
-Psych: They like to do stuff where they put oppositional defiant disorder, conduct disorder, and antisocial personality disorder and you have to know the minor little differences to pick out the dx. Most weren't too bad.
-Path: Felt like I had a lot of questions where I narrowed down to 2 and couldn't finalize the dx. This didn't feel good. Pretty even distribution across subjects, but felt like hemat/onc was light and endo/renal were heavier. 2 media questions about the heart. 1 said the patient had a dental appt 1 wk prior and I laughed loud enough that the guy next to me moved in his little cube.
-Physio: Didn't feel great about some of the arrow problems and graphs. You could get 4/5 arrows right, but still have 2 choices left. Wish I had more time to do renal/cardio/pulm in the guyton/hall physio practice book that I used during MS1.
Difficultly was between UW and NBME, but closer to UW. I felt great coming out of the NBME's, but felt lousy walking out of this test. Really doubting my 250 goal. I think the length got to me and the questions didn't have as clear cut answers as the NBMEs. I always finished with 10-15min extra time during practice, but would only have ~5min on the real deal. Questions were longer to read through and they definitely add a lot of extra unneeded info. There's definitely a good 5-10% of the test that you can't prepare for by using classic review sources. I don't know how to overcome this other than just killing it MS1-2 and reading journals on the toilet.
Anyways, glad to be done. I'll try to write more on my prep if it turns out to have worked, but I'm too unsure right now. Hit me up if there's anything I can do to help give back for all the help I received from these forums. Lot of good people on this board and I hope I don't get banned for not meeting the SDN cutoff (<250).
Got my score on Wed and haven't been able to find the time to post: 247
Can't complain. I was hoping to break through 250, but after the exam I found myself praying for >230. The amount of weight lifted off my shoulders when I opened up that pdf was intense. Looking at the 2011 charting outcomes data, the field is wide open and I could even go for plastics if I wanted. I've been really looking into ortho and ent, so this should be plenty fine. Long day of golf and drinking ahead of me today to celebrate 😀
Looking back, I hit a wall early on as I started my 4 wks of dedicated studying. My UW avg was 80% and didn't change the whole time going through the qbank. My NBME's didn't steadily climb. The only thing I wish I had done was to do another q bank during the year with my classes or even did UW earlier and repeat it during step study time and I think that may have pushed some additional info into my head during the year. Just never seemed to find the time.
My favorite resource was gunner training. I have problems absorbing material and need it repeated again and again for it to stick. When I didn't remember something, this program grabbed me by the collar and bit**-slapped the step material into my head. I've actually continued using it into MS3 and it's actually saved me on some pimp questions, especially on drugs. If I could only pick 2 more resources, UW and Pathoma would take those slots. I got 1 yr with Pathoma for $69 and it's something you can watch with your classes and within a few days during board studying. Go through it at least once.
Not much else to say, but thanks to one of my biggest resources, SDN. The people on these boards are amazing and I really hope I wind up working with some of these posters one day. I've benefited tremendously from this thread, so I'll try to check back as I move forward and offer advice. To anyone reading, please feel free to PM me with any questions.
Ok, so I took it last Friday, and after a weekend of total debauchery this is my report. First and foremost, try to sleep well the night before. I did NOT, and I don't really feel like it hindered me greatly, but I would have definitely been more comfortable had I gotten 8 hours. It wasn't due to crappy sleep hygiene either, I was just totally psyched about the exam and ready to go. Might need to go talk to someone about some zolpidem before the next round of these...
Anywho, I thought the exam was fair. It was difficult on the level of the NBMEs and UWorld, felt slightly more difficult (edit, wrote this pretty tired) than the CBSE that my school gave at the end of the year. The length was pretty grueling and I hit a bit of a wall around mid-block-5 (not getting much sleep aside, I think this is probably pretty common). There were really only maybe a couple questions that were out of left field, and I felt like my distribution of topics was pretty normal. I felt like it was a little heavier in pharm than other people have mentioned, but they weren't really crazy topics and everything was FA kinda stuff. I did get a few pretty nit-picky anatomy questions, but if they're going to ask me bone-ligament relations, they can just have that point. I'm not gonna memorize Netter's all over again just for a point or two. There were plenty of gimmes all around though. If I had to seriously think about a question (i.e. it involved any kind of calculation (so OCD about these), physiological change with the up and down arrows, etc.) I often just marked it and moved along saving it for the end, which would usually net me around 15 questions towards the end to think about with plenty of time to do so. Some of the passages were quite long, and on occasion answering the question rested squarely on picking out one little nugget of info in the middle of a large paragraph, so don't get lazy when you're reading the prompts. Skimming is an important skill to get through the questions in a reasonable amount of time (in my opinion), but if the answer isn't obvious, you need to dig because there is something giving it away in the prompt.
All in all I feel ok about it right now, and that's about as good as I could say I felt about any of my practice exams prior to seeing how I scored on them. Practice exam scores were as follows:
UWSA1 (5 wks out): 263
CBSE (5 wks out; took UWSA1 the night before b/c I didn't want to wait a week to know my baseline): 99 (260+)
NBME 6 (4 wks out): 259
NBME 11 (3 wks out): 264
NBME 12 (2 wks out): 266
NBME 13 (1 wk out): 264
UWSA 2 (5 days out): 265+ (93% raw score)
NBME 7 (2 days out): 271
Did 75% of Kaplan Qbank during the school year in random timed 46s and ended up averaging 76%, then switched over to UWorld for dedicated study and did 100% of world in random timed 46s averaging 85%.
If you were to ask me how I think I scored on the real deal today, I honestly couldn't tell you. There are always those questions that you can't be 100% positive about. I'd be stoked to hit a 270+ but I'm not counting on it, and I'd be more than pleased to score how I'd been scoring. I'll report back with my score on the 11th, and if anyone wants to know how I studied, I'd be happy to share, I just want to cut this post off before it becomes way too long.
is it just me or is everyone getting 240+?
is it just me or is everyone getting 240+?
On SDN, yes. You're considered lazy if you're below 260. Try to remember that the national avg is down in the 220's or so. Even at that level, you're still good for a multitude of specialties. 2011 data below:is it just me or is everyone getting 240+?
Got my score on Wed and haven't been able to find the time to post: 247
Can't complain. I was hoping to break through 250, but after the exam I found myself praying for >230. The amount of weight lifted off my shoulders when I opened up that pdf was intense. Looking at the 2011 charting outcomes data, the field is wide open and I could even go for plastics if I wanted. I've been really looking into ortho and ent, so this should be plenty fine. Long day of golf and drinking ahead of me today to celebrate 😀
Looking back, I hit a wall early on as I started my 4 wks of dedicated studying. My UW avg was 80% and didn't change the whole time going through the qbank. My NBME's didn't steadily climb. The only thing I wish I had done was to do another q bank during the year with my classes or even did UW earlier and repeat it during step study time and I think that may have pushed some additional info into my head during the year. Just never seemed to find the time.
My favorite resource was gunner training. I have problems absorbing material and need it repeated again and again for it to stick. When I didn't remember something, this program grabbed me by the collar and bit**-slapped the step material into my head. I've actually continued using it into MS3 and it's actually saved me on some pimp questions, especially on drugs. If I could only pick 2 more resources, UW and Pathoma would take those slots. I got 1 yr with Pathoma for $69 and it's something you can watch with your classes and within a few days during board studying. Go through it at least once.
Not much else to say, but thanks to one of my biggest resources, SDN. The people on these boards are amazing and I really hope I wind up working with some of these posters one day. I've benefited tremendously from this thread, so I'll try to check back as I move forward and offer advice. To anyone reading, please feel free to PM me with any questions.
On SDN, yes. You're considered lazy if you're below 260 on these boards. Try to remember that the national avg is down in the 220's or so. Even at that level, you're still good for a multitude of specialties. 2011 data below:
![]()
Plastic surgery is just ******ed in general. With a 260+ you still have a 30-40% chance of not matching into a single program. Thankfully I don't have my heart set on that specialty, but I can imagine how many bullets those guys sweat 4th year.
Ah, Plastics. The one where for independent students a lower USMLE score is "better."
http://www.nrmp.org/data/chartingoutcomes2011.pdf
There was a total of 25 people who applied and reported a USMLE score. The "best" chance was the 201-210 bracket where 2 of the 4 who applied matched. In contrast, 2/8 matched in the 231-241 bracket and 1/5 in the 241-261 group.
The data is likely multi-confounded and doesn't mean much. People who score really high won't settle for a location they're not happy with, and would likely just apply to a few big-name PS programs, with top GS or other competitive specialties ranked higher than less-renowned PS programs. That would explain why some of the lower USMLE scorers were able to land PS. Location is very important when your score is strong. Ijn, with his 269, will now have to rely on strong research (yes, and obviously recs, etc.) to get him high onto the rank-list of a top PS program. Yet again, that score alone would likely get him onto the rank-list at a big-name school anyway.
...or it could be simply because there's a small number of spots and an even smaller number of independent applicants, which normally leads to screwy things with statistics (law of small numbers/hasty generalization fallacy). It's kinda of like saying that going from 1 to 2 is a larger change than from 10 to 12 because one is a 100% increase and the other is a 20% increase.
The data is likely multi-confounded and doesn't mean much. People who score really high won't settle for a location they're not happy with, and would likely just apply to a few big-name PS programs, with top GS or other competitive specialties ranked higher than less-renowned PS programs. That would explain why some of the lower USMLE scorers were able to land PS. Location is very important when your score is strong. Ijn, with his 269, will now have to rely on strong research (yes, and obviously recs, etc.) to get him high onto the rank-list of a top PS program. Yet again, that score alone would likely get him onto the rank-list at a big-name school anyway.
For those who have used Pathoma, do you think it's necessary to go through the book along with the videos?
Thinking of just watching the videos in between studying and adding any necessary info to FA to minimize the total number of resources I'm using...
Reading a previous thread, stats isn't Phloston's strong spot![]()
Took the test on 6/27
UWA1: 256
Actual Score: 230🙁
Im very dissapointed. Just wanted some help/advise as to what are my chances of getting into opthomology? should I even consider or give up. Please help!
Took the test on 6/27
UWA1: 256
Actual Score: 230🙁
Im very dissapointed. Just wanted some help/advise as to what are my chances of getting into opthomology? should I even consider or give up. Please help!