I had 8 weeks to prepare. I spent ~6hrs. per day the first 6 weeks, and then ~8-10hrs. per week the last two weeks.
(I wish I only spent 6 weeks total, b/c you start forgetting stuff, slacking off, and for me at least, I work better under pressure).
Books:
RR Path, BRS Phys, Road map to USMLE Pharm, Microcards, HY Behavioral, Lange Pharmacology flash cards, and First Aid 2009.
Other Stuff:
Goljan bootleg audio and USMLE World.
I studied subjects first. I started with Phys, Path and Pharm, which are the three most important subjects for boards. For path, I would listen to Goljan and then read the relevant chapter in RR Path.
Then, I did the rest of the subjects and did systems based review.
I used UWorld lightly during the first 4 weeks, then when I was on systems I used it more often.
2 weeks before my exam I had 50% left, and that is when I started to bust out UWorld questions in the last two weeks.
I would review the answers from the Qs, both correct and incorrect.
I felt that I learned a lot from reading the explanations to UWorld questions.
Practice Exams:
NBME 1- 212 (6 weeks before USMLE)
NBME 6- 214 (3 weeks before): This one hurt the team moral with only a 2 point improvement, but my subject knowledge was much better.
UWorld avg. (70% complete)- 63%
Free 150- (2 weeks before USMLE) 75% (MedFriends est. 229)
2 days before exam I was cramming high yield material and micro/pharm (my two weaker areas).
Day before exam I did some light studying in the morning, but I wouldn't recommend more than that. Stopped in the early afternoon, worked out and watched a movie.
Test Day: I'm not a morning person, so I took the 12pm exam on June 9th.
I got to the test center at 11:30AM, and was able to check in quick. Started my exam at 11:40AM.
1st block is always tough for me, b/c I have to focus and get into the groove. Plus I found out that timing was an issue for me. On UWorld I would usually finish early, but on the real deal I was rushed on most blocks.
I had Fred2 software, which is just like the UWorld interface, and I only had one pair of sequential Qs.
From what I remember:
Biochem: I had maybe 6-7Qs on the exam. Surprised me.
Pharm: My exam was pretty heavy on Pharm, and they love Psych drugs.
Micro: 2-3 per block. Only 3 that were parasites.
Immuno: Like biochem, it was lightly tested.
Neuro: I had a bit of neuro on my exam. Couple of CTs and 1MRI.
Path: Most of the test was path/pathophys, which I was expecting.
Anatomy: 10 or so on my exam. A couple of cross section style Qs.
Behavioral: A few Qs on my exam, and ~5 biostats Qs.
Genetics: Light on this subject. I had 1 pedigree.
Phys: most of my phys was graphs and charts stuff, especially endocrine Qs.
I have no idea how I did. Some Qs were pretty easy, some were really tough. Compared to UWorld, the USMLE Qs were more straightforward, mostly 2step Qs. They were the exact style as the NBME exams.
I had 3days to prepare for COMLEX after my USMLE. On the 1st day of my cram session, all I did was COMSAE for A, because I had no clue what to expect from COMLEX questions. I prepared strictly for USMLE Step 1, until this point.
My last two days before the exam I studied the Simmons OMT book, especially Chapter 2 (Sympathetics/Para), which is super High Yield.
Got my scores yesterday.
USMLE: 231/96
COMLEX: 674/94
If you guys have any questions for me, I'll be glad to answer and I'll post scores whenever we get them.
Good Luck to all of you.