265 on Step 1. What I used and what was highly tested and what was not.

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jordan789

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So I got a 265 on Step 1 and I was pretty thrilled about it. I was super stressed and thought I would fail and had zero chance of scoring well so if you feel like that....there is hope.

What was tested a lot - Physiology, Pathology, random/weird diseases
What was not tested a lot - Pharm, micro, biochem, and specifically biostats questions that required calculations were tested very little. Actually I had zero biostat calculation questions.

The pharm and micro that was tested was incredibly simple and there were only a few questions on each so using sketchymicro and sketchypharm for step 1 is not something I would recommend. In general they covered so much more than was needed to answer the UWorld questions, the NBME questions, and especially the step 1 questions.

My strategy - no daily schedule. Including class time I studied roughly 12 hours a day for 8 months for this exam with a vacation here and there. Exam was in June. I went through all of pathoma in September and didn't touch it again until May for the path nbme where I read it one more time. I went through first aid 7-8 times. And listened to Goljan audio in the car and when I worked out starting in Nov. and went though all the audios 4 times. I went through Rx once and UWorld twice. I did Rx in sept/oct/nov and it was great for learning first aid but nothing like actual step 1. Then I did UWorld twice from Dec-May and those questions were more like step 1 but still much different. I did both UWorld practice exams and 4 of the NBME practice exam. NBME practice exams were an accurate indicator of what you may score but the questions are also nothing like step 1. Step 1 questions are really their own thing, nothing out there tests you the way those questions do. It's a bell curve though so just be more prepared than everyone else. I felt awful about my exam when I was taking it and after....marked like 15 questions per section so I was definitely panicking the whole exam and was shocked with my score. Apparently I was more prepared than most so thought I mine as well share my strategy and experience. But if you are doing well in school already, just keep doing your thing. Good luck! That was it! If you don't know where to begin....just start reading first aid...Know first aid cold and you will be good.

Also realize that the first time you go through FA it isn't going to make a lot of sense. Just read through it quickly and become familiar with the layout and just the book in general. Then when you read though it a second time...it still won't make a lot of sense (besides the sections you have learned in class) but start going though it a little slower. By the 3rd time you go through, connections will begin to be made. Stop and think about every sentence you read....like why is it there...what makes this important and how could they test me on this fact. Some people don't like first aid but I believe that is because they are using it wrong. And when you have an "AH HA" moment over something in the book...write it down cause you will forget.

Let me know if you have any questions!
 
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Pretty impressive. Have last 2 weeks. Figuring out if I should go through 3rd/4th-ish (if you count the first pass) of FA vs rush through 2nd pass of Uworld. Currently doing FA using flaschards and things are getting organized in my head. Really remembering a lot of Questions on Uworld and hence have a really inflated score on 2nd pass.
Do you think going through minute details from FA during the last 2 weeks would be a good use of time? V/s what everyone suggests that keep reading Uworld explanations. Somehow I really have to rush through Uworld explanations to be able to complete 1 block in about 2 hours.
 
Yeah I mean I can give my opinion but whatever you think is giving you the most high yield info rapidly as you are studying is what you should do. I used 2016 FA up until the last 2 weeks and ordered 2017 FA and read through it and highlighted anything that did not look familiar from 2016 and did 2 NBME practice exams during that time. I found that helpful cause I had all of FA fresh in my head and easily accessible from my brain during the exam so that is what I did but I am sure UWorld a 2nd time through would be a great idea too.
 
Pretty impressive. Have last 2 weeks. Figuring out if I should go through 3rd/4th-ish (if you count the first pass) of FA vs rush through 2nd pass of Uworld. Currently doing FA using flaschards and things are getting organized in my head. Really remembering a lot of Questions on Uworld and hence have a really inflated score on 2nd pass.
Do you think going through minute details from FA during the last 2 weeks would be a good use of time? V/s what everyone suggests that keep reading Uworld explanations. Somehow I really have to rush through Uworld explanations to be able to complete 1 block in about 2 hours.

Yeah I mean I can give my opinion but whatever you think is giving you the most high yield info rapidly as you are studying is what you should do. I used 2016 FA up until the last 2 weeks and ordered 2017 FA and read through it and highlighted anything that did not look familiar from 2016 and did 2 NBME practice exams during that time. I found that helpful cause I had all of FA fresh in my head and easily accessible from my brain during the exam so that is what I did but I am sure UWorld a 2nd time through would be a great idea too.
 
Would you recommend going through uworld questions in the last 2 weeks of dedicated or reviewing nbme questions? I find uworld questions very obscure and have performed much worse on the assessments than any NBME. How much easier would you say nbme questions are than the real thing?
 
Congrats on the score.

I just wanna say, as a PSA for anyone reading this thread, that you can't accurately judge what will be emphasized based on one person's experience. The exam forms are randomized such that there is no point in trying to focus on certain topics because you think they will be tested more. Yeah, obviously know pathology forwards and backwards because that is always highly tested...but don't disregard topics because you "heard" that they aren't emphasized. I have read plenty of experience reports from 2016-2017 of biochem, pharm, and micro heavy exams...I'm talking random bugs that are nowhere to be found in sketchy/FA, obscure drug side effects, esoteric minutia on biochem pathways, etc...

You can't predict what form you will get, people. The risk averse thing to do is to try to learn everything really well. Don't neglect anything. Don't go into the exam with any weaknesses. Murphy's law. If it can go wrong, it will.
 
Congrats on the score.

I just wanna say, as a PSA for anyone reading this thread, that you can't accurately judge what will be emphasized based on one person's experience. The exam forms are randomized such that there is no point in trying to focus on certain topics because you think they will be tested more. Yeah, obviously know pathology forwards and backwards because that is always highly tested...but don't disregard topics because you "heard" that they aren't emphasized. I have read plenty of experience reports from 2016-2017 of biochem, pharm, and micro heavy exams...I'm talking random bugs that are nowhere to be found in sketchy/FA, obscure drug side effects, esoteric minutia on biochem pathways, etc...

You can't predict what form you will get, people. The risk averse thing to do is to try to learn everything really well. Don't neglect anything. Don't go into the exam with any weaknesses. Murphy's law. If it can go wrong, it will.
yeah for sure. I just see a lot of ppl focusing on sketchypharm and micro so much and I would suggest starting with higher yield subjects and moving onto lower yield as the studying progresses. you can't know everything. if a test had questions not covered in FA chances are the only ppl that got it right were the ppl that guessed lucky. but yeah def don't disregard any topics but also don't go overkill and memorize every little detail. questions may seem detailed oriented at first glance but they are often big picture questions, like applying a major concept in order to answer a question about a specific detail. It's really not a detailed oriented exam, it just appears that way. Unless I just got a really weird exam I guess.
 
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Would you recommend going through uworld questions in the last 2 weeks of dedicated or reviewing nbme questions? I find uworld questions very obscure and have performed much worse on the assessments than any NBME. How much easier would you say nbme questions are than the real thing?
The NBME questions are much easier I thought. Plus they don't have great explanations for the NBME questions. Maybe take a couple NBME exams for fresh questions and the UWorld for the explanations? Like if you are weak in biochem then run through all 130 or whatever questions in one day and then move on to your next weakest subject. If I was you I would crank through FA one more time so everything is fresh.
 
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