Good luck all. I have my exam end of March and hope to be the 1st one to post here for 2010.
We should totally create CAGE questions for these types on SDN!
Have you ever felt you should cut down on your Step 1 score obsession?
Have people ever annoyed you by criticizing your neuroticism?
Have you ever felt bad or guilty about your score?
Do you need an eye opener to shut up about your score?
247 - I am a little disappointed. I feel like this is a low score. I should've gone through FA one more time . . .
I have a friend who scored around a 247 also, and he had a lot of success in the scramble getting a psych spot. gl
edit: okay, sorry... I know we're totally beating you up over this, but it's only because we're jealous. Keep in mind that you're in the >90th percentile!
My true blue score, 228, is bolded. I really couldn't tell you what happened. Like I said, I didn't think I hit my practice scores, but the test really didn't feel all that difficult to me - maybe just a little worse than NBME 7. Maybe I made bad educated guesses? Got an unusually large percentage of experimental questions correct? Just had a bad test and/or bad question draw and didn't know it? All of the above? Whatever. It's good enough for what I want to do (anesthesia or possibly PM&R in some Midwestern city), so I'm not going to bum too much about it. I'd be totally full of crap if I told you I wasn't disappointed, though. Dropping a standard deviation from practice tests was not at all what I was expecting, and it's pretty tough to keep at bay that nagging thought that I essentially wasted my study time after UWSA1. Obladi oblada, life goes on. Congrats to everyone kicking the **** out of this test. Very impressive, indeed!MilkmanAl said:Okay, let's write this up the proper way now that I'm not completely exhausted.
Study materials:
RR Path
UW
FA
BRS phys
BRS gross (chapter summaries only!)
In truth, my studying started 2 months ago with the subject NBMEs which serve as finals for us. I did all the M2-related UW questions plus all the biochem questions by subject during those 2 weeks. After that, I started doing a Taus pass by organ system with the gross BRS chapter summaries thrown in where appropriate. I did a block or two of UW questions between each source so that I'd get some active learning going on. That took about 3 weeks of ass busting to get through, and then I took UWSA1 to see how I was doing. After that, I read through FA from cover to cover and got through half of Goljan's margin notes before deciding I was burnt out on reading. I started doing USMLERx questions, but after so much experience with UW, those were just insufferable. I had to quit after about 8 blocks or so. That all took a little more than a week, and NBME7 was next on the chopping block. Next, A full run through of UW in random blocks followed by a FA review of some subjects I'd noted along the way, UWSA2, and another FA run through those same subjects. I took the day before the test off completely and rotted my brain with soccer and CoD: Modern Warfare 2.
Practice tests (helps with the timeline considerably, if that's something you're curious about):
CBSE: 193 (mid-March or so)
Free 150: 82%/243 (early May)
UWSA1: 230 (5/30)
NBME 7: 249 (6/8)
UWSA2: 247 (6/18)
Real deal: 228
UW percentage: 68 overall after 3 passes, 85-ish on the last pass
In general, the test was exactly what I expected. There were quite a few easy questions, several that I could easily narrow down to 2 answers, a few more that you could get correct if you knew enough about the answer choices but didn't necessarily know the answer after reading the stem, and maybe 2-3 per block that I was just totally clueless on. The worst of those was one that had a solid 9-10 lines of text describing a baby with botulism in painful detail. The whole time, I was thinking, "Okay, it's botulism - just have to read through this to make sure I don't miss some weird twist in the question." At the end, it tells you the baby has botulism. To avoid giving anything away, I'll just say that it ends up being a very specific molecular biology question. there were also a few questions that were just plain written terribly. One of them was a two-sentence question regarding antigen presentation (I think...) that I literally spent a good 10 minutes staring at. It pissed me off that I couldn't figure out WTF they were trying to ask because chances were that I knew the answer. I'm hoping those were experimentals that they'll take back to the drawing board.
In terms of difficulty, NBME7 is a great example. I'd say the real thing is a bit harder than that by virtue of the crazy left field questions, but for the most part, it's close enough. The stems are no longer than anything in UW or NBME7, so don't worry a bout that at all. I still had plenty of 1-3 sentence questions. In fact, I'd say most of them are short paragraphs or less. There were very few of the 8+ line monsters some people have been crying about, and most of those were so full of info that you'd have to be comatose to get the question wrong unless they decided to be douchebags and ask you, say, a molecular bio question about the condition at hand. *ahem* There were at least 2 questions taken directly from NBME7 and several taken almost verbatim from UW. Still more were UW questions with slightly different wording. The format of the test is exactly like UW.
In case it wasn't clear from those last couple sentences, UW was very clearly the most important study tool I used. Nothing even came close to being as useful, in my opinion. FA and Goljan are still excellent and indispensable, but UW is the star of the show. BRS phys was definitely nice to have, and given that the gross BRS chapter summaries took next to no time to read, it was also helpful. I'd recommend all of those. I definitely liked the source/questions alternation I used throughout my studying. That really helped me a lot.
The gritty details of the test by subject:
Anatomy: My favorite. Like I said above, it definitely sounds like there was more on this new version than there has been historically, but there still wasn't a lot. I'd say I had around 20-25 on the whole test. Most of them were pretty easy even for someone like me who really couldn't give less of a **** about the subject, but some were hard. Realistically, the BRS, FA, and UW are more than sufficient for the anatomy. If you can't get the question from those plus what you recall from class, you weren't going to get it anyway.
Embryo: Maybe 4-5 questions on the whole exam, all of them super easy except one CT scan. CT's look like a jumbled mass of crap to me anyway, but when you're asking me to pick out some GI malformation, there's no chance in hell. Seriously, you don't even need FA for this. If you have the big stuff down (genitals, heart, neural tube), you'll be fine.
Cell bio: Probably 10-ish questions, all told. I recall them being above-average in difficulty, but cell is another subject I really just do not care about and never did. It's one (and probably the only) area that really isn't adequately covered in any of the main sources, in my opinion. You'll need something else if you're trying to scrap for the 3-4 extra questions knowing cell inside and out will get you.
Phys: BRS is money. I didn't have very many straight phys questions, but the ones I did have were pretty much just common sense if you have a bit of background. Heart phys was big for me.
Biochem: 3-4/block or so. Most were straightforward enzyme or cofactor questions. UW is a hell of a lot harder than the real thing, for the most part, but the question style is pretty much the same.
Histo: I don't think I had any unless you want to count path slides, in which case there were a few. Fewer than 10 on the exam, and most were pretty obvious.
Neuro: I was going to report that I had next to no neuro on my exam, but now that I think about it, there was quite a lot. There were maybe 3 neuroanatomy questions which I could tell were pretty easy (Here's a brainstem. Which one is the facial nerve?) but I just missed. Like I said, if you want to get those, you need a neuro atlas. The rest was mostly vision and seizure stuff. Know your neuro micro well, for sure. Cranial nerve lesions are a big deal, too, as you might have guessed. For everything that isn't neuroanatomy, the usual offenders are just fine.
Micro: FA plus UW is golden. Seriously, if you know those two sources decently, you will murder the micro on Step 1. At least on mine, most of the micro was buzzword-related, so all those cheesy groupings FA has are gold. In general, know unique symptoms and other distinguishing factors.
Pharm: Second messengers! I had a lot of ACE inhibitor questions, too. It's all pretty easy, for the most part, but make sure you know your recombinant antibodies.
Path: Not nearly as much as I'd anticipated. I'd say it accounted for maybe 30-35% of the questions. That's obviously still a lot, but it isn't the >50% SDN led me to believe would be on there. Goljan is priceless. FA is meh. UW is great for solidifying Goljan and giving some extra details.
BS/Ethics: Man, I had some hard questions. There's also a lot of this stuff. I didn't think there's be anywhere near as much as there was. I probably had 5 questions per block, and most of them lacked the obvious feel-good answer choice. I was not pleased. I'd counted on these being a source of easy points, but it was anything but that. I honestly don't think there's any way to prepare for this stuff. Just go in knowing the basics of patient interaction (which FA covers just fine) with the mentality that choosing the carebear answer is almost always the best way to go, and hope for the best.
Biostats: Awesome! 3-4 per block, and I loved every minute of it. These questions are EASY with a capital high school cheerleader. Some may disagree, but man, med (read: middle) school math on a test of this magnitude is like the USMLE question writers coming out of the Prometric office and offering you sexual favors during your exam. Seriously, these are points just handed to you on a silver platter. The biostats portion of FA is quite literally the highest yield thing you can possibly study. All of it WILL be on the test. Of the dozen-ish people who took the test with me yesterday, every single one of them had a question over each of the main biostats concepts (sensitivity/specificity, normal distributions, study design, risk, etc.). Know this cold.
The moral of this story is that you could do a lot worse than memorizing UW to the question. Again, it was far and away the most useful study tool I had, and there were numerous question ripped from it. I'm incredibly glad I saw all of it 3 times. A fourth pass certainly would not have hurt at all.
I think that's about it. If I left anything out, let me know. Good luck to everyone taking the beast soon!
I guess I should update this for completeness's sake.
My true blue score, 228, is bolded. I really couldn't tell you what happened. Like I said, I didn't think I hit my practice scores, but the test really didn't feel all that difficult to me - maybe just a little worse than NBME 7. Maybe I made bad educated guesses? Got an unusually large percentage of experimental questions correct? Just had a bad test and/or bad question draw and didn't know it? All of the above? Whatever. It's good enough for what I want to do (anesthesia or possibly PM&R in some Midwestern city), so I'm not going to bum too much about it. I'd be totally full of crap if I told you I wasn't disappointed, though. Dropping a standard deviation from practice tests was not at all what I was expecting, and it's pretty tough to keep at bay that nagging thought that I essentially wasted my study time after UWSA1. Obladi oblada, life goes on. Congrats to everyone kicking the **** out of this test. Very impressive, indeed!
Heavy accents
I'm sure that was tougher to deal with than you make it seem Milkman, but I'll tell you this: With a personality like you've got, I bet you could get in just about anything. Why do you think some of those 260+ people don't match while 200s do to the same program?
I believe the word you're looking for is nepotism.
Lucky for you, knuckles was here to save the day!
Wow, quite the compliment. Thanks! I doubt I've shot myself in the foot or anything, but it would've been nice to have a bit more say in where I matched. There's always Step 2, I suppose...I'm sure that was tougher to deal with than you make it seem Milkman, but I'll tell you this: With a personality like you've got, I bet you could get in just about anything. Why do you think some of those 260+ people don't match while 200s do to the same program?
No, but my dad's cousin is, and so is one of my parents' really close friends from high school. Both of them are PD's in places I'd like to go, incidentally.The reason is corruption. Are your parents program directors MilkmanAl?
247 - I am a little disappointed. I feel like this is a low score. I should've gone through FA one more time . . .
Out of curiosity, how were your UW scores for your 1st pass? Did you do all timed random?218/92. I can't really justify feeling disappointed, since my score improved by more than 40 points from my first NBME (175) and my final score was better than my best NBME (216, taken 9 days before the test. None the less I'm disappointed. I hate having fewer options than other people. I mean, my top interests are family medicine and psych, so obviously my scores are fine for that, but I still hate feeling like I'm shut out of ortho before I've even rotated in it. Oh well.
Out of curiosity, how were your UW scores for your 1st pass? Did you do all timed random?
hey perrotfish-
i honestly want to say congrats though, you were really dedicated with your time, and i hope you get what you want! quick question-did you feel like your test was more uworld based or FA based? did you feel like maybe if you had done a 2nd pass at World it would've helped? best of luck with step 2!
hate having fewer options than other people. I mean, my top interests are family medicine and psych, so obviously my scores are fine for that, but I still hate feeling like I'm shut out of ortho before I've even rotated in it. Oh well.
As a regular folk who absolutely killed this test, in large part due to advice I found here, I'm adding my two cents. This is very much so just what I did, but it worked beyond my expectations so hopefully it will for some of you as well.
I took my test June 29th. when can i expect scores back?
I took my test June 29th. when can i expect scores back?
I guess I should update this for completeness's sake.
My true blue score, 228, is bolded. I really couldn't tell you what happened. Like I said, I didn't think I hit my practice scores, but the test really didn't feel all that difficult to me - maybe just a little worse than NBME 7. Maybe I made bad educated guesses? Got an unusually large percentage of experimental questions correct? Just had a bad test and/or bad question draw and didn't know it? All of the above? Whatever. It's good enough for what I want to do (anesthesia or possibly PM&R in some Midwestern city), so I'm not going to bum too much about it. I'd be totally full of crap if I told you I wasn't disappointed, though. Dropping a standard deviation from practice tests was not at all what I was expecting, and it's pretty tough to keep at bay that nagging thought that I essentially wasted my study time after UWSA1. Obladi oblada, life goes on. Congrats to everyone kicking the **** out of this test. Very impressive, indeed!
Well took it yesterday, it was the 46q version. Timing wasnt an issue at all really. There were plenty of very short and normal length vignettes, with some of the mixed in long vignettes. Some of the longer ones you didnt need the whole thing to answer but maybe 75% of them you did (example. patient with a history of 5 different cancers and what is the cause of his current metastasis). The test i would say was overall a little easier than world, but there were a few questions each block that just have you scratching your head.
Anatomy: Prob the most annoying part of the test cause they arent really hard but I just hadnt seen some of the material in a while. You can get them down to 2 or so answers and kinda give your best stab. You can maybe run through brs anatomy, i didnt and not sure if it would help.
Embryo: Had multiple "chicken embryo was exposed to this/or this was removed from development --> what is the result" Maybe 4 on the test total.
Biochem: Luckily for me not too many, and the few they had instead of saying aldolase B they said fructose 16 bisphosphate aldolase which made me second guess myself. Overall FA is enough for biochem.
Microbio: Prob 15 questions, def know gram - coccobacilli type descriptions and those charts in FA that have all those spelled out.
Physiology: Lots of the cause effect arrow charts that are all over world. BRS phys is a good choice along with FA.
Path: All over the test, RR path and FA are all you will really need.
Immuno: 5 to 10 questions, pretty straightforward, FA is all you need. CD markers, what immune cell responds and is seen in tissue, things like that.
Neuro: Lots of identify the location of the lesion, had 1 spinal cord section, medial medullary syndrome and a few stroke questions
Repro: A decent amount of clinical scenarios involving pregnant women, had one weird placenta previa with partial placenta accreta question. Besides that nothing too screwy.
Pharm: Not nearly as much as I was expecting and a decent amount of drugs I had never seen before. But its hard to prepare for those really
Renal/Cardio: 10+ questions, media questions, glomeruli stains, images and path questions. Be very familiar with these inside and out
Biostats and Epi: A lot of "what should you say to initiate the conversation" and a lot of the biostats calculations questions (50% easy 50% a little bit more involved) - FA is enough really just know ALL the equations.
75% Usmleworld 100% complete timed and random
75% UsmleRX over 80% complete
cbse in march 208
nbme2 in april 218
DIT started wk 2 of may
After 1 wk DIT - nbme6 234
After 2 wk DIT - uwsa1 244
After 3 wk DIT - uwsa2 256
weekend before test - nbme7 251
Hard to tell how I did, my first 5 blocks felt like every other practice test but my last 2 blocks were tough, hoping I was able to reason through those tough questions. best of luck to everyone
For those of you who scored above 240, when did you stop studying 2 days before the test, 1 day before the test? My original plan was to take 2 days off before, but now feel guilty and want to study more stuff and want to do only 1 day off...
From personal experience, I always did well on exams when I took one day off before the test. But, since this test is so long, I was thinking two.
I would appreciate any advice..
Thank you.
For those of you who scored above 240, when did you stop studying 2 days before the test, 1 day before the test? My original plan was to take 2 days off before, but now feel guilty and want to study more stuff and want to do only 1 day off...
From personal experience, I always did well on exams when I took one day off before the test. But, since this test is so long, I was thinking two.
I would appreciate any advice..
Thank you.
For those of you who scored above 240, when did you stop studying 2 days before the test, 1 day before the test? My original plan was to take 2 days off before, but now feel guilty and want to study more stuff and want to do only 1 day off...
From personal experience, I always did well on exams when I took one day off before the test. But, since this test is so long, I was thinking two.
I would appreciate any advice..
Thank you.
For those of you who scored above 240, when did you stop studying 2 days before the test, 1 day before the test? My original plan was to take 2 days off before, but now feel guilty and want to study more stuff and want to do only 1 day off...
From personal experience, I always did well on exams when I took one day off before the test. But, since this test is so long, I was thinking two.
I would appreciate any advice..
Thank you.
Breaking the cardinal rule it seems, I studied everyday up to the test. I probably studied harder the day before the test than any other. My reasoning was that you only get one shot at the bastard, might as well give it everything you got.
Same here. Studied up until 1:30 AM the night before. Figured I couldn't sleep anyway...
Will find out tomorrow if that was a wise idea.
Practice tests:
NBME 6 (school sponsored, prestudying) : 188
UWSA1: (three weeks later): 214
NBME 7: (4 weeks out from test, 2 weeks into dedicated studying): 227
UWSA2: (2.5 weeks out from test): 252
UW: 69% (92% finished)
I can't stand this forum.