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I thought this would be helpful and/or reassuring for some people. Of note, my school has us take Step 1 after clerkships. I bought each practice shelf, i.e. Clinical Science Mastery Series, and did it under the simulation conditions on the NBME website. I will list the dates I took the practice tests and the dates of the real tests. The website gives an “assessment score” which correlates to an approximated overall NBME score - will write as assessment_score/approx_overall.
Shelf #1 - Medicine
-Study strategy included doing maybe half of UWorld medicine qs, prepping for in-house written test by going over the lectures we had, and paying attention on rounds + google on high-yield topics. Didn’t open a book.
-We have a four-week primary care clerkship that comes after eight weeks of medicine. We take the Ambulatory Medicine shelf, NOT the Family Medicine shelf. Study strategy for me was to just take the test. Didn’t study at all specifically. Just hoped medicine stuff would carry over.
-What a nightmare. Worst part of medical school for me. Our clerkship course director makes every student do all 600+ UWise Ob/Gyn questions in order to pass the clerkship. In addition to those, I did some maybe 1/3 of the UWorld questions and looked up some random topics. Kind of just showed up for the shelf and guessed.
-Hit an academic low-point here. Was so sick of studying and also had a crazy long-distance relationship going on (so glad that’s over). Studying consisted of reading random topics on the peds section of Medbullets and doing UWorld questions with a friend during downtime (definitely didn’t get through all of them).
-Hit a second wind starting with surgery. Study strategy included doing all of the UWorld questions, reviewing topics, studying in-house materials for our in-house written/oral tests, and just generally paying attention. Did not open the recommended 1000-page textbook (find that sort of advice ludicrous). Additionally, our school bundles two weeks of EM and two weeks of Anesthesia with eight weeks of surgery as our “Acute Care” clerkship. I did EM and anesthesia first, which I found very helpful. I also worked as a scribe in a local ED for a year before med school, which I also found very helpful for trauma-type stuff.
-I have always been interested in psychiatry, for years, and know much more about psychotropic medications and different mental illnesses than the typical medical student (just being honest here). For studying, I just did most of the UWorld questions. No book or anything.
-I really enjoyed the clerkship. I may go into the field. Did most of the UWorld questions, a few Pretest questions, a practice test from some neurology society that we have to do for the clerkship, and paid attention. It was a four-week rotation. We also had 3-4 hours of lecture every Tuesday, and this was actually really helpful. No books.
So, in summary, I think the practice NBMEs are useful for 1) making sure you will pass the shelf, 2) getting a general sense of how you are improving in terms of knowledge during the clerkship, and 3) estimating, albeit very roughly, what you will actually get on the shelf. This is how I used them, and they were very helpful for me. That’s why I created this thread. Best of luck in med school.
Shelf #1 - Medicine
-Study strategy included doing maybe half of UWorld medicine qs, prepping for in-house written test by going over the lectures we had, and paying attention on rounds + google on high-yield topics. Didn’t open a book.
- Medicine (Form 1) 4/4/18: 19/69
- Medicine (Form 2) 4/10/18: 21/75
- Medicine (Form 3) 4/17/18: 18/66
- Medicine (Form 4) 4/23/18: 24/85
- MEDICINE SHELF 4/26/18: 74 = 44%ile
-We have a four-week primary care clerkship that comes after eight weeks of medicine. We take the Ambulatory Medicine shelf, NOT the Family Medicine shelf. Study strategy for me was to just take the test. Didn’t study at all specifically. Just hoped medicine stuff would carry over.
- AMBULATORY MEDICINE SHELF 4/27/18: 74 = 42%ile
-What a nightmare. Worst part of medical school for me. Our clerkship course director makes every student do all 600+ UWise Ob/Gyn questions in order to pass the clerkship. In addition to those, I did some maybe 1/3 of the UWorld questions and looked up some random topics. Kind of just showed up for the shelf and guessed.
- Ob/Gyn (Form 1) 6/2/18: 20/75
- Ob/Gyn (Form 2) 6/4/18: 17/66
- Ob/Gyn (Form 3) 6/6/18: 18/69
- OB/GYN SHELF 6/8/18: 73 = 24%ile
-Hit an academic low-point here. Was so sick of studying and also had a crazy long-distance relationship going on (so glad that’s over). Studying consisted of reading random topics on the peds section of Medbullets and doing UWorld questions with a friend during downtime (definitely didn’t get through all of them).
- Pediatrics (Form 1) 7/16/18: 17/65
- Pediatrics (Form 4) 7/18/18: 21/77
- PEDIATRICS SHELF 7/20/18: 74 = 34%ile
-Hit a second wind starting with surgery. Study strategy included doing all of the UWorld questions, reviewing topics, studying in-house materials for our in-house written/oral tests, and just generally paying attention. Did not open the recommended 1000-page textbook (find that sort of advice ludicrous). Additionally, our school bundles two weeks of EM and two weeks of Anesthesia with eight weeks of surgery as our “Acute Care” clerkship. I did EM and anesthesia first, which I found very helpful. I also worked as a scribe in a local ED for a year before med school, which I also found very helpful for trauma-type stuff.
- Surgery (Form 1) 8/30/18: 18/65
- Surgery (Form 2) 9/24/18: 18/65
- Surgery (Form 3) 9/24/18: 23/80
- Surgery (Form 4) 10/10/18: 22/77
- SURGERY SHELF 10/12/18: 77 = 65%ile
-I have always been interested in psychiatry, for years, and know much more about psychotropic medications and different mental illnesses than the typical medical student (just being honest here). For studying, I just did most of the UWorld questions. No book or anything.
- Psychiatry (Form 1) 11/15/18: 20/76
- Psychiatry (Form 3) 11/19/18: 24/86
- Psychiatry (Form 4) 11/20/18: 24/86
- PSYCHIATRY SHELF 11/21/18: 86 = 74%ile
-I really enjoyed the clerkship. I may go into the field. Did most of the UWorld questions, a few Pretest questions, a practice test from some neurology society that we have to do for the clerkship, and paid attention. It was a four-week rotation. We also had 3-4 hours of lecture every Tuesday, and this was actually really helpful. No books.
- Clinical Neurology (Form 1) 12/8/18: 20/75
- Clinical Neurology (Form 2) 12/11/18: 20/75
- Clinical Neurology (Form 3) 12/15/18: 25/89
- Clinical Neurology (Form 4) 12/18/18: 26/92
- NEUROLOGY SHELF 12/21/18: 88 = 88%ile
So, in summary, I think the practice NBMEs are useful for 1) making sure you will pass the shelf, 2) getting a general sense of how you are improving in terms of knowledge during the clerkship, and 3) estimating, albeit very roughly, what you will actually get on the shelf. This is how I used them, and they were very helpful for me. That’s why I created this thread. Best of luck in med school.