subdermallight

5+ Year Member
Jan 24, 2016
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My school is letting us decide. Essentially this is letting me pick whether I want to take a scored Step 1 in 2021 vs a P/F Step 1 in 2022 (assuming the USMLE instates the policy by April 2022).

I'm honestly a bit torn here. I could rise to the occasion and try and knock Step 1 out of the park with a great scored test, but also there is risk there that I might not get a great score and tank my app.

I tend to be less risk aversive and I do wonder if a P/F Step 1 is something I'd be more comfortable with. Step 2 will then be my scored test but I would have had an additional year to prepare for it, as well clinical experiences to tie it all together.

What other factors should I consider here? I will be applying to residency with other people who have scored Step 1s, I'm only from a mid-tier school. So I suppose it may be disadvantage but I guess it depends on my Step 2 and evaluations etc.

Any thoughts about this appreciated.
 

IsleyOfTheNorth

Polishing those soft skills...
2+ Year Member
Jun 28, 2016
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If you did take it, what month would you do it? Figure that out then walk back 6 months and take a practice exam then to see if you're on target. If so, schedule the exam.

That's my thought anyway, but I'm not an expert in such things.
 

subdermallight

5+ Year Member
Jan 24, 2016
286
134
Status
  1. Medical Student (Accepted)
If you did take it, what month would you do it? Figure that out then walk back 6 months and take a practice exam then to see if you're on target. If so, schedule the exam.

That's my thought anyway, but I'm not an expert in such things.

Thanks. I would actually be taking it in 7 months from now. And I and very very not ready I will say
 
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drducky.

2+ Year Member
Nov 13, 2018
237
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  1. Medical Student (Accepted)
Depends on your med school imo. If you go to a top med school, p/f is probably good enough to get in a top 20 im program. If you’re in a low tier med school, I would take it scored. Keep in mind you’ll be competing against people who would have taken it scored.

Say you get a pass and you go to a lower tier school, everyone from top 20 schools will be ranked above you. The only way to traditionally to overcome this was to get a high step 1 score. Ontop of that, other lower tier school students that score well will also be ranked higher than you. So I would take it scored if I were you.
 
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COMMANDER CLOWN

2+ Year Member
Jun 24, 2017
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If you want:
Competitive specialty + high ranked program=scored
Competitive specialty + low ranked program=scored
Noncompetitive specialty + high ranked program=scored
Noncompetitive specialty + low ranked program=p/f
 
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Oct 14, 2019
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I mean this isn't really set in stone yet, who knows if anyone from c/o 2023 will p/f step 1. If you plan on taking it later, don't count on just passing until it's clear.
Edit: whoops youre assuming they do instate that as policy. Nevermind then.
What commander clown said above is true, unless you're at a top program. You will not need it scored, if you have the choice anyway. Most top programs take it after clerkships.
 
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ArteryStudyPainting

Artery: The study of painting
2+ Year Member
May 25, 2016
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Nay
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IMO

The best thing I did was take step after family medicine and OBGYN. Currently in internal and took a day off to take step. I studied like crazy, but kept up w/ and learning from everything else.

It was amazing how much you can do on step, w/ clinical experience. The OBGYN ?s were simple as could be, even experimental what-to-do-next were easy, b/c I was in the hospital already.

But you do you. It was hard studying for both.
 

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