Good luck all. I have my exam end of March and hope to be the 1st one to post here for 2010.
Result is out. Very dissapointed. I thought the exam went real well. I was shocked.
I dunno why it is a 99 but it is a shameful one.
Score - Anyways the score is 230/99.
Orange flashcards?
You mean BRENNERs ? box is orange in color.
thanks
CONGRATS! Party time eh?!
I was curious to know more about your HY UW notes, did you annotate your FA whilst doing UW or did you jot them down separately? I started off with making a separate book exclusively for UW, in which I would add in the objectives ,any ideas i wasn't familiar with,diags or anything...but I came down to doing just 2 blocks with this method and for speed's sake ,I now just chip it all into my FA-very concise points.
What worked for ya?
Did you read the whole explanation or just the take home points? 4 blocks each day is some ton of UW!👍
Thanks!
I left the exam feeling...unsettled. I felt like I was flagging way more per section than I ever would while taking an NBME. It has been driving me crazy and I was hoping someone who has recently gotten their score had a similar experience but did as well as they wanted.
My low down: I thought maybe over half of the exam was pretty easy, maybe a quarter moderately challenging, and then rest of it not necessarily very challenging, but written in a less than clear manner. (I scored in the high 250s on NBMEs 6 & 7 and a 129/146 on the free 150...I felt very confidant finishing these, much unlike how I left on the real thing...Additionally, I was in the high 60% on Uworld and moved up to 72% after redoing the ones I had missed)
What perhaps has made my anxieties worse is that I don't feel like anything on the exam was truly unreasonable-- perhaps I was freaked out the most by seeing a good number of questions I never had in FA or in UW, but things I had heard in clinic or at a random lecture.
What probably has been gnawing at me the most (took the exam just over a week ago) was the number of stupid mistakes I made. Questions that I should have known the answer to, or got mixed up in my mind (inhibitors of inhibitors kind of thing). I can think of at least a dozen such mistakes I made and a lot more that I was unsure about. Again, seemingly more than I did when taking NBMEs. I am worried bc if I did in fact have an "easier" test version, perhaps the curve will be less forgiving?
It might be that this is a case of me only remembering the ones I missed or was uncertain about, but I was just wondering if other people who have finished recently had the same feelings/guilt over missing easy questions and ended up doing spect well regardless...
Also just FYI for people taking it in the future: I was having such a high number of questions repeat on the exam, that I cracked open my FA during my lunch break and double checked a few things that I was "50/50" on...glad I did bc some of those questions that I looked up I was asked again in blocks 5-7! A LOT of questions, barely rephrased, repeated themselves and I did have some repeats from NBMEs as well (i took 1-7 + UW1&2)
hey guys.. i was wondering for those of you who live with significant others, how did you manage your study time and your "spend time with loved one" time? i live in studio with my boyfriend (and a cat 🙂) and was just thinking as to how I will study when it comes down to it..
ive no idea how i can study for 10 hours a day for 3-7 weeks ....how did you guys do it?
Refreshing? I would've gone with something like "sobering" or "depressing." Med school sucks bad enough without having to burn 2 months doing nothing but studying. I can't imagine what trying to balance a relationship at the same time as Step 1 studying would be like. I think you could do it, but both your studying and relationship would suffer, without a doubt.It's refreshing to see such what-hammering-usmle-can-do-to-social-life questions!
Refreshing? I would've gone with something like "sobering" or "depressing." Med school sucks bad enough without having to burn 2 months doing nothing but studying. I can't imagine what trying to balance a relationship at the same time as Step 1 studying would be like. I think you could do it, but both your studying and relationship would suffer, without a doubt.
hey guys.. i was wondering for those of you who live with significant others, how did you manage your study time and your "spend time with loved one" time? i live in studio with my boyfriend (and a cat 🙂) and was just thinking as to how I will study when it comes down to it..
ive no idea how i can study for 10 hours a day for 3-7 weeks ....how did you guys do it?
Strange things happen over the course of those two months, dude.
Hookups, massive weight gain, massive weight loss, clinical dx of anorexia nervosa, guys get all emotional and needy 🙂laugh🙂, goyls get all insecure and aggressive all at once, the level of isolation is staggering.
A lot of us descended into this black hole.
If my experience is anything to go by, the deeper the black hole, the greater the ROI afterwards.
Refreshing? I would've gone with something like "sobering" or "depressing." Med school sucks bad enough without having to burn 2 months doing nothing but studying. I can't imagine what trying to balance a relationship at the same time as Step 1 studying would be like. I think you could do it, but both your studying and relationship would suffer, without a doubt.
It's been over a week and I've still yet to check my score. At this point I'm pretty convinced I did horribly.
Thanks to those who posted their experiences.
It's been over a week and I've still yet to check my score. At this point I'm pretty convinced I did horribly.
Thanks to those who posted their experiences.
yeah my SO and I have been together for almost 5.5 years so we've been through a lot but ijust hear you guys talking about 10-12 hours of studying a day and i cannot even begin to fathom that for weeks on end..
logistics wise, for those who live with someone, did you study at home or go to the library?
Sorry it's taken forever to post this. Brain has taken a leave of absence since the exam. Took it on Jan 15th....here're some thoughts.
First off, I want to emphasize that it's a doable test - I'll go as far as to say it was easier than some of our shelf exams. Coming out of the exam, you will feel like your innocence has been stripped from you - but looking back, UWorld was wayyy harder than 60% of the questions on the real thing. You will get LOTS of gimmie questions - first order, easy questions that make you look around and want to ask, I did sign in for Step 1 right??
It's a friggin marathon though, and I think that's what makes the difference. My brain wanted to shut down after 5 blocks. I can't stress enough to do 3 blocks of q's day timed in random mode of 48 q's to really get used to answering q's and build stamina. Stimulate a full length exam (2 NBMEs back to back) about 2-3 weeks before the exam (don't do it too close to the date bc it really wears you out). Also, the more questions you do, the better you get at answering them. I did just over 5000 questions (UW, some of Kaplan Qbank, NBMEs, WebPath, some UConsult). In retrospect - I would've kept it to UW, NBME and WebPath. Any extra time you have to do questions, spend it doing UW over and over instead of looking for other Qbanks.
I effed up big time with timing breaks...I had only 54 mins for my last block, but thankfully was one of the easier blocks. I would recommend setting a timer on your phone and having it ready to go once you're at your locker. Also, the dude signing me in and out was often not at his desk or signing in other people and took far more time than necessary...all of which factors into break time. Don't wear pants with too many pockets, you have to turn out every pocket when you sign back in from breaks. Even more importantly, never get behind the guy with 18 pocket cargo pants when signing back in.
As for study tips -one big mistake on my part was not keeping it to the high yield stuff - def go into details about the high yield stuff (this is what will get you 230+), but leave out details on low yield stuff. Doing UW can sometimes be a crutch that way - you'll see an obscene amount of detail on low yield stuff - skip it. ALWAYS keep the big picture in mind - the majority of the test was big picture, not details. Also, I wish I was more organized with the studying - in retrospect, I would've done it exactly the way it's laid out in FA (with simple embryo added to to the beginning of each system).
Narrowing down to 3 sources - FA, UW and RR. 75% was straight out of FA one way or another - use it as an outline and annotate the ish out of it. During the last week or so, just do FA, questions and various High Yield notes. floating around. Keep it simple during the last week.
So, bearing in mind the test varies for everyone, my test was very heavy on renal, genetics, acid/base, immuno pharm (especially monoclonal Ab), freaking anatomy and for the love of Goljan - embryo!!
Do not neglect basic anatomy - I don't mean read the 5000pg textbook on anatomy, but a good high yield review book is...wait for it....High Yield Anatomy. It's really short and would be easy to flip through. FA wasn't enough, imo. Also, I don't learn very well from facts just listed - I need some kind of explanation. This probably why Anatomy is my weakest subject.
Regarding embryo - everything was in FA - having said that - I don't think I could have just memorized everything; I wish I had taken every embryo section that was given in FA and learned it well using an outside source.
I had some tough biostats questions - Kaplan Vids are enough (High Yield Biostats is a great alternative). Understand the basic principles. I wish I had made more time for it bc those were really easy points if you knew what it was asking. On the other hand, had a lot of easy Sensitivity, Specificity, PPV, NPV.
Behavioral - easy stuff - FA is enough. Know the pharm really well.
Biochem - pretty basic questions that tested on principles and not so much pathways. Know insulin/glucagon inside out, fasting/fed, know which processes occur in cytosol, mitochondria, etc. Rapid Review Biochem is worth double its weight in gold.
Genetics - I got quite a bit of "thinking" questions like Disease X with this certain pattern on pedigree and why the grandparent didn't have the disease - I think the Kaplan vids are enough, with FA. LOTS of questions on DNA and DNA/RNA enzymes. Not terribly difficult questions if you understand the processes. Memorizing stuff will get you no where with genetics.
Micro - know you toxins!! TONS of questions on HIV...know this sucker inside out - what diseases you get at what CD count, Tx (and adverse effects), down to it's genome. Everything on HIV is high yield. FA is actually pretty decent on micro. KNOW the TORCHES infx. - CMV, Rubella and Toxo have similar presentations - know what sets each apart
Immuno - know your cytokines, ILs....can't say enought about the immuno section in Lange's Micro and Immuno. Also, know your monoclonal Ab+...ugh, I die a little each time I think about how easy those questions were if I'd only memorized them.
Pharm - I didn't get many graphs, but the one that sticks out is the competitive/noncompetitive inhibitor graphs. Basic stuff in FA is enough for the kinetics part. As for the rest of pharm - immuno pharm was super high yield, followed by micro, cardio, ANS ANS ANS.....mostly adverse effects. Pharm was pretty straighforward. No where as crazy detailed as UW.
Path - about 70% of the test. I don't really have much to say except know G'man's audios and RR inside out. The 3rd ed is much more comprehensive and worth buying.
Neuro - I know everyone's been saying they got a lot of neuro, but I didn't get much on my exam - really easy stuff.....know your lesions in spinal cord and brainstem. KNOW your pics - angiograms were toughest.
Know the menstrual cycle through and through - what hormone comes up when. Also, Turners, Congenital adrenal hyperplasia, 5-alpha reductase def, Kleinfelters, Testicular Feminization (Androgen insensitivity syndrome) - know the differences among each of them - all the Sx and causes of ambiguous genitalia all sound similar, know what differentiates each of them. I had a good amount of questions on this and all of the aforementioned Dz were listed as ans choices.
I had a fair amount of endocrine - FA is pretty good, but I def recommend kaplan phys vids
Renal - you name it, I had it. One thing that would've really helped would be to understand FeNA and BUN:Cr - when it's normal, when it's prerenal and when it's renal. Know the pictures of renal path....I honestly had just about everything.
I had neoplasia up the waazu -- know that chapter inside out from RR
I had one identical question from the NBME - I spent roughly 300 bucks for all the ones I did and spent/wasted hours looking up answers - was it worth it for one question? meh..I'll let you know after I get my score. I thought my exam was most like NBME 6 and 7 for path and general stuff and NBME 3 and 4 for the molecular genetics/biochem stuff.
Things I wish I had done differently:
- kept to an organized schedule
- spent more time annotating from UW into FA and RR
- more time actually using FA
- skipped the crazy details
- looked at more path pictures - RR was not enough - I had a lot of pictures of tumors (not cellular pics but gross tumor pics)
- Webpath questions - these suckers are great! Not really in terms of what the test was like, but in testing knowledge
- Robbins Review of Path Q's - also great in testing knowledge and forces you to look at pictures
- Write out all the charts/tables in RR - these were key, esp for cancers from every section and the micro tables
What I actually did:
- watched kaplan videos for physio (Dr. Kudrath) and annotate into BRS/FA -- this is probably one of the most helpful things I've done and if you have time, do it twice. BRS is solid, FA is not enough for physio, not even close.
- kaplan pharm videos - ANS section is torture, but a must. I had countless ANS questions (luckily not many graphs).
- Lange review of Micro and Immuno and annotated micro into FA (wish I'd annotated immuno as well) - great book, can't say enough about it, but FA is okay for micro, not enough for immuno. It's hard to read this book 6 weeks before the exam; I'd used it during my micro class. Micro is ludicrously high yield - use whatever book you are comfortable with and understand it. Don't just memorize micro - I got a lot of questions that gave made up toxins and diseases and asked which process was most similar in the bug that is most like the one given (...sorry I know that was a horrible explanation)
- Goljan audios and annotated into RR (100%)
- HY Neuro (60%)
- RR Biochem (100%)
- Kaplan vids for biostats and defense mechanisms
- Annotate UW into FA and RR - I annotated about half of UW....I wish I'd done all of it. If I could pick ONE thing to do and nothing else - this would be it. Do UW q's at least twice. I did about 1.5x, wish I'd had time to do it 3x
My Stats:
NBME Shelf via School - 230
NBME 1 - 234 // Nov 24 - 1 week before starting review
NBME 3 - 240 // Dec 11
NBME 4 - 244 // Dec 26
Free 150 - 86% // Dec 30
NBME 6 - 238 // Jan 10
UWSA 2 - 254 // Jan 10
NBME 5 - 236 // Jan 11
NBME 7 - 247 // Jan 12
UW = 73% all blocks of 48, random, 100% completed
Hope to get my score this week and have never been more nervous in my life. Fingers crossed and stomach firmly knotted.
I feel like I'm making an acceptance speech at some cheesy awards show, but here goes anyway. Thank you for all those continually posting and giving advice. SDN got me through some dark, frustrating times and not to mention was always a more productive source of procrastination =)
Good luck to you all!!
Hi folks, just want to get people's opinions. I took the test a few weeks ago and should be getting my score back soon. Except for the one 270+ score there haven't been any crazy scores yet in 2010 (i.e. 260+). In fact a few people have undershot their practice scores. Do people think that the Step is getting harder? This may seem like a dumb question but humor me
Anyone know how long it takes for the score to be released? I heard it's available 3 Wednesdays after your test date. If you took the test on, say, a Tuesday, does the Wednesday the day after count as the first Wed? Or the first Wed is the Wed the week after?
Anyone know how long it takes for the score to be released? I heard it's available 3 Wednesdays after your test date. If you took the test on, say, a Tuesday, does the Wednesday the day after count as the first Wed? Or the first Wed is the Wed the week after?
Thats true but then again most students dont take it till June. Another trend is the low three digit scores with 99 as the double score, saw a 229/99, i always thought 99 started ~235.
The exam makers are constantly making changes though so who knows, first they raise the passing score to 188, then reduce the # of questions per block and increase the clinical based questions.
sure its possible, a know someone who got their score back last week and had a 230/99
thanks for the replies so far guys.. I'm 7 weeks out from the exam doing FA/world/BRS path/BRS phys/pharm/micro cards at the moment.. I'm still debating using goljan audio.. I just can't stand sitting there for 36 hours but hope I'm not doomed without it lol.
sure its possible, a know someone who got their score back last week and had a 230/99
What the heck is the "99" part of the score? Ex: 240/99? 99th percentile? Why the heck does the 2nd number matter?
It's a remnant of an old system when USMLE scores were reported as 2-digit numbers, I believe. Passing score was always a 75 (?) and so everything else was scaled around that considering the passing score on the 3-digit scale has changed over time.
It is neither a percentage nor a percentile.
My advice would be to just ignore it.
I listened to about 3 lectures of Goljan Audio before I dropped it, and proceeded to go on a RR Path rampage. I feel that a minute reading RR> a minute listening to the Audio...but this is just for people like me who don't learn well from listening to lectures
I left the exam feeling...unsettled. I felt like I was flagging way more per section than I ever would while taking an NBME. It has been driving me crazy and I was hoping someone who has recently gotten their score had a similar experience but did as well as they wanted.
My low down: I thought maybe over half of the exam was pretty easy, maybe a quarter moderately challenging, and then rest of it not necessarily very challenging, but written in a less than clear manner. (I scored in the high 250s on NBMEs 6 & 7 and a 129/146 on the free 150...I felt very confidant finishing these, much unlike how I left on the real thing...Additionally, I was in the high 60% on Uworld and moved up to 72% after redoing the ones I had missed)
What perhaps has made my anxieties worse is that I don't feel like anything on the exam was truly unreasonable-- perhaps I was freaked out the most by seeing a good number of questions I never had in FA or in UW, but things I had heard in clinic or at a random lecture.
What probably has been gnawing at me the most (took the exam just over a week ago) was the number of stupid mistakes I made. Questions that I should have known the answer to, or got mixed up in my mind (inhibitors of inhibitors kind of thing). I can think of at least a dozen such mistakes I made and a lot more that I was unsure about. Again, seemingly more than I did when taking NBMEs. I am worried bc if I did in fact have an "easier" test version, perhaps the curve will be less forgiving?
It might be that this is a case of me only remembering the ones I missed or was uncertain about, but I was just wondering if other people who have finished recently had the same feelings/guilt over missing easy questions and ended up doing spect well regardless...
Also just FYI for people taking it in the future: I was having such a high number of questions repeat on the exam, that I cracked open my FA during my lunch break and double checked a few things that I was "50/50" on...glad I did bc some of those questions that I looked up I was asked again in blocks 5-7! A LOT of questions, barely rephrased, repeated themselves and I did have some repeats from NBMEs as well (i took 1-7 + UW1&2)
Because of the exam changing to more clinical vignettes after May 15, I went to USMLE website to get info on it and I found this: "Most score reporting of Step 1 results occurs within four weeks of testing. However, because of the change in timing described above, as well as routine modifications to the test item pool, there will be a delay in score reporting for most Step 1 examinations administered in late May and June. The target date for reporting Step 1 scores for most examinees testing from May 15 through late June will be Wednesday, July 14, 2010. " Does that mean that everyone in May and June will get their scores on the same day? Ouch, it will suck waiting for that long since I'm taking it in late may...
over here we are quickkkkkkk this we know and is old news people have posted this the first 20 mins it was posted on the usmle site,,have to to quick here to be a player but thanks for the heads up anyways
a pleasant surprise: Pass: 254/99