How can I get 100% on USMLE Step 1? I have 6 months to study. (I’m an IMG)

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Hi,
I want to get 100% correct answers on USMLE step 1. I have 6 months to study (3 months with classes and 3 months free). I am an IMG.

During the 3 months where I have classes I will be able to study for the USMLE at least 3 hours every day. My plan is to read Kaplan USMLE Step 1 lecture notes (7 books) (does anyone know where to buy it?) but instead of reading their pathology book I will read RR Pathology (Goljan). Do I have enough time to do this?

After this I will take NBME (which one should I take?).

When the next 3 months start, I can study 12 hours or more every day. I will use these books:

I’m sure that I will use these books:
FA
RR Path
BRS Phys
CMMRS (clinical micro made ridiculously simple)

I’m uncertain about these books:
HY Cell and molecular biology (I have the new version - I know you use the old version, so should I skip certain parts that are not USMLE relevant in the new version?)
USMLE Roadmap Pharm
HY Neuroanatomy (I will probably get this)
I still need a book for biostats, behavioural, immuno, anatomy, biochem and embryo. Which ones are recommended? Have I missed something?

Question banks:
USMLEWORLD – I will use this
Kaplan Qbank – is it worth it?
What are other good question sources? In old topics, people talk about question books that they used. Which ones are the best?

How I will study:
I will use the “Taus Method” but should I modify it because I’m studying for such a long time (3 months)? Using this method, you only read our review books one time and then only use FA. Have I understood this correctly and should I do it?

I also want to ask you what “mistake” you made while studying so you didn’t get 100% correct (or the highest possible score).

Are there any other suggestions? I’m open to change every aspect of my plan.

Thanks
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If you get 100% correct it would be like bowling a 300. Balloons would fall from the ceiling of the test center.
 
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Are you joking?

Pinkertinkle said:
If you get 100% correct it would be like bowling a 300. Balloons would fall from the ceiling of the test center.
Click to expand...

And not only that, after your perfect score, you'll be investigated by the NBME for cheating and will likely have to take it again. If that's your goal then by all means, get started.
 
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he's just setting a rhetorical goal. no need to knock it...
if you shoot for the stars, maybe you land on the moon... or something like that.
 
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RN1 said:
Hi,
I want to get 100% correct answers on USMLE step 1. I have 6 months to study (3 months with classes and 3 months free). I am an IMG.
Are there any other suggestions? I’m open to change every aspect of my plan.
Click to expand...

Suggestions? stop drinking beer in the islands 😀
 
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I would recommend going to prep4usmle.com and going to their forums. They have much more IMGs and tend to be less cynical than this board

I dont believe anyone has gotten a 100% before I may be wrong. You might be thinking of a "99" which is anywhere from a 236 and above. You seem like you are on the right track but you need to like other posters said above, know what you are getting yourself into. Having the books is great, but studying for step 1 is a state of mind.

keep in mind I haven't taken the test yet so my advice may not be 100%.
 
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ENThopeful said:
I dont believe anyone has gotten a 100% before I may be wrong. You might be thinking of a "99" which is anywhere from a 236 and above.
Click to expand...

There has been at least one case lately; someone in Tennessee reportedly scored a perfect, and instead of being lauded as the next Dr. House, the NBME investigated her and assumed she was cheating, because according to them, "no one scores a perfect". In the end, she had to retake it.

No one here is trying to trash the OP for trying to do well or is being naturally cynical, we're just very realistic. Part of Step 1 boils down to luck because there's a random question distribution. You may get a huge pocket of questions of a certain subject you excelled in; likewise, you may have a lot of questions that put you on borderline during your two years. There's so many questions the boards can choose from they assume no one makes a perfect, or even close to perfect.
 
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Slide said:
There has been at least one case lately; someone in Tennessee reportedly scored a perfect, and instead of being lauded as the next Dr. House, the NBME investigated her and assumed she was cheating, because according to them, "no one scores a perfect". In the end, she had to retake it.
Click to expand...

Can you document this info with a link or something?
 
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Elfy said:
Can you document this info with a link or something?
Click to expand...

if there were indeed an irregularity, she would be barred from ever taking the boards again. besides i doubt that any scores past any certain mark end up being reviewed. are you trying to say there is an alarm that automatically goes off when someone scores above 3SD above the mean, or what? i have no proof for what i say either except that pollux is still alive and well in australia. :laugh:
 
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The OP sounds pretty naive to me, doesn't look like a troll. His other posts have the same naiveness about them and he has been posting for the last 4 yrs on the board. I would suggest a realistic assessment of your goals and capabilities. Also, you don't get the highest score, just by posting on a board, you strive hard and then see how much you can achieve.
By the way, are you the same guy who posted on prep4usmle about aiming for a 277?

There haven't been any perfect scores on the step 1, some people have had perfect scores on some sections of the test. The highest theoretical score on the step 1 is a 300 but it isn't achievable practically due to some statistical bull****.
The highest score confirmed yet is a 276/99, which was posted by a Pakistani IMG on the prep4usmle boards, a year before pollux(2nd guy to get the score) began posting his all over the net.(Don't believe me,check google)😀 There is a recent 274 on the same board.
The highest by an AMG is a 272(confirmed) unless anyone else has info about a confirmed score higher than this.
There have been various claims by posters, a 280 by an IMG(unconfirmed), also there is a post by an AMG on a neurosurgery forum about a 280(again unconfirmed), irony is she didn't match.😉
 
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cogwise said:
The OP sounds pretty naive to me, doesn't look like a troll. His other posts have the same naiveness about them and he has been posting for the last 4 yrs on the board. I would suggest a realistic assessment of your goals and capabilities. Also, you don't get the highest score, just by posting on a board, you strive hard and then see how much you can achieve.
By the way, are you the same guy who posted on prep4usmle about aiming for a 277?

There haven't been any perfect scores on the step 1, some people have had perfect scores on some sections of the test. The highest theoretical score on the step 1 is a 300 but it isn't achievable practically due to some statistical bull****.
The highest score confirmed yet is a 276/99, which was posted by a Pakistani IMG on the prep4usmle boards, a year before pollux(2nd guy to get the score) began posting his all over the net.(Don't believe me,check google)😀 There is a recent 274 on the same board.
The highest by an AMG is a 272(confirmed) unless anyone else has info about a confirmed score higher than this.
There have been various claims by posters, a 280 by an IMG(unconfirmed), also there is a post by an AMG on a neurosurgery forum about a 280(again unconfirmed), irony is she didn't match.😉
Click to expand...

obviously we assume (myself included) that all the 270+ scorers would leave some kind of a footprint on one of the USMLE forums. 270+ is a rarety, as official match data show. Anyone claiming to have 280 and not being able to match is a liar. Unless that person applies to that one place in the country where everybody wants to go to and nowhere else (which does not happen). You dont get a 280 and do bad on rotations, AND bad on step2, etc. people who score that high are dedicated individuals that do AT LEAST reasonably well above the mean everywhere they go. As competitive as neurosurgery is she would have certainly matched in one of the 15 places that she intervied at and would have been ranked in a few places she applied to and not interviewed. My $0.02.
 
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What a bunch of little school girls. You read IMG and wanting to get a perfect score and you rip him. He's a FMG.... his school probably doesn't educate him on the step. To the OP: If you want a perfect score, your going to need more resources than the books that you listed. You'll at least need the books your going to use plus BRS or HY for the rest of the subjects. You should also plan on taking all qbanks (USMLERX, KAPLAN, WORLD). Then you'll need to able to teach every concept in first aid. If you can teach it, then you know it. Like the dude said, aim for the stars and land on the moon.
 
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cogwise said:
The OP sounds pretty naive to me, doesn't look like a troll. His other posts have the same naiveness about them and he has been posting for the last 4 yrs on the board. I would suggest a realistic assessment of your goals and capabilities. Also, you don't get the highest score, just by posting on a board, you strive hard and then see how much you can achieve.
By the way, are you the same guy who posted on prep4usmle about aiming for a 277?

There haven't been any perfect scores on the step 1, some people have had perfect scores on some sections of the test. The highest theoretical score on the step 1 is a 300 but it isn't achievable practically due to some statistical bull****.
The highest score confirmed yet is a 276/99, which was posted by a Pakistani IMG on the prep4usmle boards, a year before pollux(2nd guy to get the score) began posting his all over the net.(Don't believe me,check google)😀 There is a recent 274 on the same board.
The highest by an AMG is a 272(confirmed) unless anyone else has info about a confirmed score higher than this.
There have been various claims by posters, a 280 by an IMG(unconfirmed), also there is a post by an AMG on a neurosurgery forum about a 280(again unconfirmed), irony is she didn't match.😉
Click to expand...

That's weird, I know a Pakistani IMG who got a 276/99 2 years ago. I wonder if it's the same guy. He is at Stanford Neurosurgery since July.
 
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As far as I can guess, judging by the guy's post date, he must have applied for this year's match and the guy is genuine, cause he sent his score report to some people who casted doubts about the score.

@gsknl Yeah, I too would assume, somebody scoring a 280 and not match would be absurd. Thats why I have put up the score as unconfirmed,as some people post all manner of bull**** on the internet, doesn't mean all of it is true. Also whoever scores a 280 would be screaming his score out from the roof tops and so I would guess would be his/hers school. No fun in keeping it under wraps. That's why I assume a 280 hasn't happened yet. Just my 2 cents.🙂
 
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Actually, a high part 1 score for an IMG does not correlate with instant match success. I'm sure I remember that in the 2007 NRMP data I noticed that some of the obscenely high scoring candidates failed to match i.e. the >260 whilst the 220-250 bracket had more success. Granted there is no other data e.g. what specialties they applied to (or who they were - which seems awfully important on this thread?!) but nonetheless I'm sure the stats are pretty accurate.

Oh, and to the OP - could you clarify whether you are actually being serious or like someone else said "shooting for the stars?" I'm just curious!
 
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Captopril said:
I went on a fact finding mission. The Stanford part is BS, but the score really happened.
Click to expand...

There *is* definitely a guy from AKU (located in Pakistan) who got accepted into the neurosurgery program at Stanford. But it might not be the same guy you are talking about.
 
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hj0517 said:
Actually, a high part 1 score for an IMG does not correlate with instant match success. I'm sure I remember that in the 2007 NRMP data I noticed that some of the obscenely high scoring candidates failed to match i.e. the >260 whilst the 220-250 bracket had more success. Granted there is no other data e.g. what specialties they applied to (or who they were - which seems awfully important on this thread?!) but nonetheless I'm sure the stats are pretty accurate.
Click to expand...

Because they got such high scores, they may have applied to highly competitive fields.

I sincerely doubt that there could be any possible advantage in getting a lower score. The higher, the better. Sure, if you're a complete tool with a 265, I'm sure that quite a few programs would pick up on that. But if you take away any confounding factors, I'm sure that a 265 is better than a 240.
 
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Saladin MD said:
There *is* definitely a guy from AKU (located in Pakistan) who got accepted into the neurosurgery program at Stanford. But it might not be the same guy you are talking about.
Click to expand...


Actually that is exactly the guy I'm talking about...He's my really good friends' cousin. He sodomized the USMLE, and Stanford Neuro took notice and offered him a spot I guess. My fact finding consisted of looking up the Stanford Neurosurg website which showed no Paki doctor though, so I figured it was BS. But if what you say is true, it's the same guy.
 
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Captopril said:
Actually that is exactly the guy I'm talking about...He's my really good friends' cousin. He sodomized the USMLE, and Stanford Neuro took notice and offered him a spot I guess. My fact finding consisted of looking up the Stanford Neurosurg website which showed no Paki doctor though, so I figured it was BS. But if what you say is true, it's the same guy.
Click to expand...

He's on this list here:

http://uncleharvey.com/index.php/wiki/2008_Match_List_for_Neurological_Surgery/

Also, I think he's PGY1 which is why he's not on the Stanford list which starts at PGY2.

But yeah, I'm 100% sure he goes to Stanford now.
 
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There is no 100th percentile. I applaud your desire to do well.
I did well, and I think it started more than 2 years before I took the beautiful test. Yes, it was the most amazingly in depth, high-colonic, ball-busting, thought provoking test in the world. You read a question, you think 'I have no idea", you read the answers, reason it out, and go on and on and on. It seemed to me that nearly every question required intense thought and reasoning.
I went to a Caribbean school, and my professors didn't know what was on the test-unlike their US counterparts. That's right US schools have insight on what is important to study. THAT is your advantage. Read the textbooks. At the end of basic sciences you should have read Guyton and Robbins cover to cover over and over. US students don't do this they rely more on relevant notes. Believe me reading Guyton and Robbins cover to cover 6 times forms a good basis for the USMLE1. Then review everything, emphasize Path, Phys, Pharm, then Path again. Review the smaller topics Med Psych, Neurosciences, etc.

The bottom line is you can't review your way out of lazy habits in med school. The people who do well on 1 studied their butts off, they are smarter with better memories, and they reviewed well.

If you got through med school just reviewing your class notes, then you are going to need some major review time.
 
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Read Guyton over and over? Are you being serious??? Maybe if you are an IMG graduated circa the 90's but SURELY not fresh med students. What the heck do you do during classes if you need to read Guyton over and over to pass this exam?

I find the read robbins / guytons / merck advice quite suspect actually. Sure the US kids have the inside scoop but that doesn't mean that everyone else has to read humongous texts to do well because the inside scoop is just the way that the questions are framed. Basic science is basic science no matter where you go to school.
 
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hj0517 said:
Read Guyton over and over? Are you being serious??? Maybe if you are an IMG graduated circa the 90's but SURELY not fresh med students. What the heck do you do during classes if you need to read Guyton over and over to pass this exam?

I find the read robbins / guytons / merck advice quite suspect actually. Sure the US kids have the inside scoop but that doesn't mean that everyone else has to read humongous texts to do well because the inside scoop is just the way that the questions are framed. Basic science is basic science no matter where you go to school.
Click to expand...



I think you are dead-on about the Guyton textbook for Step review as well as the Merck Manual (you gotta be kidding me), but I gotta confess that I reskimmed my big Robbins before the test. I took mine on June 13 two years ago, and I didn't have much downtime between classes and the test, but it helped me. Its the only textbook I would probably recomend at least being very familiar with before you take the test.
 
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tracheatoedoc said:
Believe me reading Guyton and Robbins cover to cover 6 times forms a good basis for the USMLE1.
Click to expand...


I haven't given the test yet, but from what I've ascertained, this is exactly what NOT to do.👎

Seems to me the test is about applying concepts, not learning mundane technical details. WTF do I care which gene controls the alpha subunit of the IKs channels in the myocyte. That's the type of crap you'll end up memorizing by reading Guyton/Robbins cover to cover n amount of times.

I think they key is to be able to take concepts from the various subjects, and tie them together to solve the 2-4 step problems. Unfortunately, that requires critical thinking as much as rote memory of study materials.
 
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What I mean is, my professors at AUC had no insight on USMLE content compared to US professors.
My experience in medschool was to learn as much as I could about a subject. For instance, micro, test came right out of the class notes.
My teacher was not that great so I studied the hell out of the book, reviewed my classnotes once the night before a test, late at night and got low 90's in the class, however I came out of the class knowing more micro than anyone else there.
What I meant to say is study the classic texts during med school, use review books to review.
I did well because I had studied Robbins so much during med school.
I literally read the chapters over and over. I remember being up at 2am studying salivary gland pathology. My first day in clinicals, I go to clinic and there is a patient with sarcoidosis with parotid gland involvement which I correctly IDd as Mikulizs(sp?) syndrome. Robbins helped me get off to a great start in Clinicals too, to say the least, because after that I was golden.
To summarize my advice. I'm an IMG. The key for an IMG to do well on the USMLE is to spend 2 years preparing and that starts by knowing Robbins and Guyton inside out. Whether you can apply it on the test will be a matter of your intelligence.
 
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Each to their own, I'm really not the kind of person who slays "different" prep methods, but the reality is that when somebody signs up to this forum they are quite close to taking this exam, what they are not is a fresh faced med student who just bought a white coat.

I learned basic sciences differently to most US kids, my anatomy was examined as a "viva" where I was grilled with a pro section of some sort in front of me. That's different, that's not bad.

I'm just putting this out because its unfair to say that all non US med students are going to do badly on this test unless you use masses and masses of your time and costly resources on top of that. Its also unfair to say that an IMG must read Guyton and Robbins for 2 years, it may have worked for you but what I'm saying is that there are better ways of going about it.

Whats important is to know the beast that you are going to tackle, understand it, and the way it works. Most importantly understand your own deficiencies, admit to them and spend time fixing your weaknesses, not just reading something over and over. Be good at time management, make all your resources work for you and be efficient.

That's not just for usmle but with anything, its how I roll because I just don't have time to rinse and repeat multiple times!
 
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tracheatoedoc said:
What I mean is, my professors at AUC had no insight on USMLE content compared to US professors.
My experience in medschool was to learn as much as I could about a subject. For instance, micro, test came right out of the class notes.
My teacher was not that great so I studied the hell out of the book, reviewed my classnotes once the night before a test, late at night and got low 90's in the class, however I came out of the class knowing more micro than anyone else there.
What I meant to say is study the classic texts during med school, use review books to review.
I did well because I had studied Robbins so much during med school.
I literally read the chapters over and over. I remember being up at 2am studying salivary gland pathology. My first day in clinicals, I go to clinic and there is a patient with sarcoidosis with parotid gland involvement which I correctly IDd as Mikulizs(sp?) syndrome. Robbins helped me get off to a great start in Clinicals too, to say the least, because after that I was golden.
To summarize my advice. I'm an IMG. The key for an IMG to do well on the USMLE is to spend 2 years preparing and that starts by knowing Robbins and Guyton inside out. Whether you can apply it on the test will be a matter of your intelligence.
Click to expand...

I think reading Guyton and Robbins would be the worst advice that anyone could give regarding board preparation.

Sure, you can brag about your suburb pathology knowledge and clinical knowledge from reading Robbins. (By the way, it's Mikulicz syndrome, and as if knowing that would be any useful for the step 1... NOT) However, you only got 250/99 on your step 1; remember, the guy who started this thread wanted to get 300/99. 🙄
 
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Read Kaplan. Read RR Path. Do Goljan Audio x2-3. Memorize FA. Complete UWorld w/ answers. You can't lose.
 
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Captopril said:
I haven't given the test yet, but from what I've ascertained, this is exactly what NOT to do.👎

Seems to me the test is about applying concepts, not learning mundane technical details. WTF do I care which gene controls the alpha subunit of the IKs channels in the myocyte. That's the type of crap you'll end up memorizing by reading Guyton/Robbins cover to cover n amount of times.
Click to expand...

As much as we would hope that was the case (as it should be), its not quite true. The Step 1 DOES test many small, mundane details, even those in the cell biology/biochem domain you mentioned. I had a question where a gene sequence was given and I was asked to name the virus it came from. It happened to be the Rous Sarcoma Virus that affects CHICKENS...WTF... And that was just one of MANY "mundane/technical" questions. Don't get me wrong, there were many relevant clinical vignettes as well.

Just want everyone to know that it is NOT a test on merely understanding concepts, it does require a great deal of memorizing details in Robbins...

-T
 
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FA, then Kaplan Books, then BRS books were my resources for the Step 1 and 2... Did only very few questions.
 
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On a side note...whats the highest anyone has scored? 272 or 281 or something?

So would a 100% mean you get....a 560 as your Step 1 score? HAHAHAHHA :laugh:
 
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thethom said:
As much as we would hope that was the case (as it should be), its not quite true. The Step 1 DOES test many small, mundane details, even those in the cell biology/biochem domain you mentioned. I had a question where a gene sequence was given and I was asked to name the virus it came from. It happened to be the Rous Sarcoma Virus that affects CHICKENS...WTF... And that was just one of MANY "mundane/technical" questions. Don't get me wrong, there were many relevant clinical vignettes as well.

Just want everyone to know that it is NOT a test on merely understanding concepts, it does require a great deal of memorizing details in Robbins...

-T
Click to expand...

OK i don't believe that thing about the gene sequence. Not because I think you are lying, I just can't believe they would give such a sadistic question. Was there no clinical information to go along with it??? Is it actually their expectation that we would know a gene sequence to a virus? There has got to be more to the question...either that or you are super unlucky...although it looks like you did awesome anyway 🙂
 
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TracksuitsRock said:
OK i don't believe that thing about the gene sequence. Not because I think you are lying, I just can't believe they would give such a sadistic question. Was there no clinical information to go along with it??? Is it actually their expectation that we would know a gene sequence to a virus? There has got to be more to the question...either that or you are super unlucky...although it looks like you did awesome anyway 🙂
Click to expand...


Yeah man, that seems way over the top. Maybe it was one of the experimental questions or whatever.
 
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TracksuitsRock said:
OK i don't believe that thing about the gene sequence. Not because I think you are lying, I just can't believe they would give such a sadistic question. Was there no clinical information to go along with it??? Is it actually their expectation that we would know a gene sequence to a virus? There has got to be more to the question...either that or you are super unlucky...although it looks like you did awesome anyway 🙂
Click to expand...


You better believe it! I took the exam and I'm def not lying. They gave the gene sequence to THIS virus:

http://en.wikipedia.org/wiki/Rous_sarcoma_virus

gag-pol-env-src

Essentially the question was about the src gene, which, like the other genes mentioned, IS in the cell bio books and described as causing sarcomas. From there you just had to find the virus that caused sarcomas. Combo Cell bio/microbiology question, you should recognize the other genes as well and what they do as they're fairly common.

Sadistic, yes...
 
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thethom said:
You better believe it! I took the exam and I'm def not lying. They gave the gene sequence to THIS virus:

http://en.wikipedia.org/wiki/Rous_sarcoma_virus

gag-pol-env-src

Essentially the question was about the src gene, which, like the other genes mentioned, IS in the cell bio books and described as causing sarcomas. From there you just had to find the virus that caused sarcomas. Combo Cell bio/microbiology question, you should recognize the other genes as well and what they do as they're fairly common.

Sadistic, yes...
Click to expand...

I'll study Plymouth Rock Chicken health management, just in case. 😀
 
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thethom said:
As much as we would hope that was the case (as it should be), its not quite true. The Step 1 DOES test many small, mundane details, even those in the cell biology/biochem domain you mentioned. I had a question where a gene sequence was given and I was asked to name the virus it came from. It happened to be the Rous Sarcoma Virus that affects CHICKENS...WTF... And that was just one of MANY "mundane/technical" questions. Don't get me wrong, there were many relevant clinical vignettes as well.

Just want everyone to know that it is NOT a test on merely understanding concepts, it does require a great deal of memorizing details in Robbins...

-T
Click to expand...

I guess I answered the question wrong for this crowd, but my answer remains correct. You can't review your way out of lazy habits.
Review is just that-- a review. The better you know the material, the better your review will be. Those people who score well learned the material very well initially. And reviewed effectively.
 
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tracheatoedoc said:
I guess I answered the question wrong for this crowd, but my answer remains correct. You can't review your way out of lazy habits.
Review is just that-- a review. The better you know the material, the better your review will be. Those people who score well learned the material very well initially. And reviewed effectively.
Click to expand...

Oh boy, then I'm in a whole HEAP of trouble come July.👎
 
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Captopril said:
Oh boy, then I'm in a whole HEAP of trouble come July.👎
Click to expand...

Don't prep for questions like that one. Most people will get that wrong anyways. The cost-to-benefit ratio just isn't worth it....All you gotta know is FA cold and you will definitely pass with a decent score. Read FA a million times, inside and out. If a question comes on the test that is not in FA, then just say screw it and eenie meenie miny mo...then tell yourself it's experimental or imagine the Uworld thing saying "18% of students got this right." Then continue on your merry way.
 
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Saladin MD said:
Don't prep for questions like that one. Most people will get that wrong anyways. The cost-to-benefit ratio just isn't worth it....All you gotta know is FA cold and you will definitely pass with a decent score. Read FA a million times, inside and out. If a question comes on the test that is not in FA, then just say screw it and eenie meenie miny mo...then tell yourself it's experimental or imagine the Uworld thing saying "18% of students got this right." Then continue on your merry way.
Click to expand...

Saladin, I'm starting to think you're Tao Le in disguise.:laugh:

Thanks for the advice though, I definitely plan on mulling over the Step 1 Bible quite a few times before D-Day.👍
 
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Saladin MD said:
Don't prep for questions like that one. Most people will get that wrong anyways. The cost-to-benefit ratio just isn't worth it....All you gotta know is FA cold and you will definitely pass with a decent score. Read FA a million times, inside and out. If a question comes on the test that is not in FA, then just say screw it and eenie meenie miny mo...then tell yourself it's experimental or imagine the Uworld thing saying "18% of students got this right." Then continue on your merry way.
Click to expand...
This may be a rhetorical question, but regarding the part in bold/underlined, you actually saying "understandddddd" FA cold, right?
 
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