OP,
You have more than enough information in your resources. If you can get through all of that, you'll kill step I. I would never have gone through that much. There is enough info in First Aid and Kaplan q bank to get above 240. I took FA to be a guide as to what I needed to learn. I would never be able to learn from FA. The phrases and figures are too skimpy. For step I, you'll have to understand a disease, not just memorize the two lines that FA gives you. I'll give you the advice that I got from a friend that was two years ahead of me.
He was determined to destroy step I. He had always been great on standardized tests. He bit off more than he could chew with his study plan and resources. He was even using Big Robbins for a reference. What he found was that he had a great amount of knowledge, but couldn't access it quickly enough and was unsure about some things that he knew he was supposed to know. He was dissappointed with his result. His advice to me was to first know the main topics. And know them quickly off the top of your head. If you are confident with the topics in FA (not just memorizing their lines, but understanding the topic) and you do q bank, 240 + will happen. There will always be questions that the NBME digs up that you can't answer. Don't sweat those. Guess and move on. You can miss plenty and still get to your goal. Don't reread big robbins in hopes of picking up those rare ones.
With that advice, I started annotating FA in my first year. Biochem had a bunch of stuff that I knew would not stay in my head for long. I'd advise any first year to annotate FA early. First year is easy (I know it might not seem like it now) and you have time. These notes will save you big time when you start Step I studying. In areas that I didn't annotate, it seemed like I was starting from square one. So use your texts, review books, and lectures to annotate your study bible, FA. Use enough detail so that you can make sense of a complicated disease in a couple minutes when you come back to it a year later.
Since step I is still far off for you, you should have plenty of time to get through kaplan q bank and some of your other resources. You might need some of the others to get to 250. I suppose usmle world is now recommended over q bank. My problem with q bank was the ridiculous little details. I wasted time trying to learn about things that would never show on the acutal test. Apparently usmle world has the appropriate level of detail.
Based on my experience and from my classmates' experiences, it does not take a genius to score 240+. It takes a good study plan and early dedication. Work smarter not harder. I am sure there are much more inteligent med students out there that worked harder than me and still scored lower. I was lucky to follow what I consider to be a great and simple study plan.
1. Get first aid now. Put your contact info inside.
2. Annotate as you go through 1st and 2nd year.
3. start a question bank early.
4. Get through your annotated FA more than once in the weeks leading up to the test.
5. ONCE the above is completed, start using the more detailed resources. These will be lower yield, but probably necessary to get to 250.
6. Find time to exercise.
You will see loads of study plans on SDN. I would have had great difficulty with many of them. In particular, the plans in which people go through a BRS in 2 days and then move on to another subject or the plans that involve a huge amount of review in the last two weeks. I just don't have the kind of mind that can retain the info from a BRS if I only spend 2 days on it. I wish that I could study like that, but I have a much more average speed of learning. I also wouldn't have dealt well with the stress of packing loads of info into my brain near the end. Some folks spend an incredible amount of money on 20 different review books. Many end up reading very few pages in some of them. All those books can be a distraction. When a q bank question caused me to go back and review, I always knew where to look. I was glad to not be searching 20 different books just to find the piece of info that I couldn't quite remember.
Good luck to all.
PamIsHorny