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Hello everyone. I am a second year who will write the exam in June 2011. Meanwhile let this be a good thread where everyone share their study progress and recent trend of the exam.
Took the step 1 on 6/29, and my experience is that it was "Harder than UWorld" fo sho.
15% of this exam I have never seen before
30% of it was Difficult / Really Hard / Confusing
30% was fair
15% wasn't even a question - answer was so obvious
Block #5 was my "impossible" block - from the behav sci, to the obscure molecular cell - one question after another were things that I cannot recall any clear knowledge or memory of during my prep time.
My step 1 test prep experience:
UWorld - 2 passes, 70% correct 1st pass, 82% correct 2nd pass
Kaplan QBank - 1 pass, 72% correct
USMLE Rx - only did 1/4 of this qbank - 71% avg correct
DIT 2011 - finished 5 weeks out
-UWSA1 - 247 (taken 5 weeks out)
-UWSA2 - 247 (taken 4 weeks out) - i accidentally activated both at the same time, so had to do both of them quickly : (
-NBME 11 - 250 (taken 1 week out)
-First Aid 2011 - cover to cover 3 times
-RR Path
-RR Micro & Immuno
-RR Biochem
-MMMRS
-HY Neuro
-HY Biostats
-HY Embryo
-SS Patel Notes - Immuno
So I really thought this had prepared me "adequately" enough for this exam - being an A/B student that literally had to deprive myself of life, liberty, and happiness to get a 91% on an exam
Sadly - I don't believe it was enough.
10-15 questions per section were marked (meaning they were at best an educated guess) - and I didnt have a chance to go back to them.
Ran out of time during my "horror block #5" - C's from 42-46
So basically - my own experience was terrible, and "knowing" the 18 or so questions that i KNOW i got wrong just adds a lil NaCl to the erosion.![]()
Stumbled upon your post - you summed up my experience taking USMLE 1 on 06/4 pretty nicely - your difficulty breakdown is on par with my experience. I hope that's a good sign for both of us. I was really disheartened leaving that exam - and I have to say in the first block I must have tagged 15-20 of the questions... but as you said, no time to review.
good luck to you.
I wouldn't overly freak out - I've been finishing up UW and seeing that the new questions in it have 30-50% correct (vs 70-80% for old questions everyone's drilled). hard as fk = good for us (easy curve)
On the actual test, did anyone have wigger diagrams? I've noticed that the "normal" in UWorld is wrong - they show aortic pressure less than LV even at closure of the valve. Should I expect this incorrect portrayal of "normal" on the step? Or can I safely consider lower aortic pressure than LV pressure going up to the incisura/dichrotic notch to be pathologic (i.e. aortic stenosis)
Had a ton of micro, and then just a whole bunch of abstract stuff that I had trouble figuring out exactly what they were asking.
We had very similar experiences. I was so depressed when I walked out of the testing facility, convinced that I failed. Hopefully there is a curve and it's generous!
stupid question, but when you say curve, what does it mean?
It's slightly unnerving to read so much feedback from recent test takers which all seems to have a common theme: there's a bunch of stuff on the exam that isn't in FA, UW, or X number of other commonly used resources. I can understand that this may be the case for a handful of questions, but for those that have left feeling this way about the exam - have you actually scoured the resources you used (and others that you didn't, but that are commonly used) to confirm that so much info really wasn't available anywhere? I'm just finding it hard to believe that in the immense troves of information that are FA, and UW (and RR, for that matter), that so much info could be left out. I have high praise for anyone that actually knows, and can explain, every single factoid/concept in FA/UW - so if these individuals are struggling I feel as though I may at be at a severe disadvantage. But my test is in 5 days, I've finished UW and am redoing several hundred questions, and am revisiting FA (some sections in excruciating detail) for roughly the 4th time. What gives?
It's slightly unnerving to read so much feedback from recent test takers which all seems to have a common theme: there's a bunch of stuff on the exam that isn't in FA, UW, or X number of other commonly used resources. I can understand that this may be the case for a handful of questions, but for those that have left feeling this way about the exam - have you actually scoured the resources you used (and others that you didn't, but that are commonly used) to confirm that so much info really wasn't available anywhere? I'm just finding it hard to believe that in the immense troves of information that are FA, and UW (and RR, for that matter), that so much info could be left out. I have high praise for anyone that actually knows, and can explain, every single factoid/concept in FA/UW - so if these individuals are struggling I feel as though I may at be at a severe disadvantage. But my test is in 5 days, I've finished UW and am redoing several hundred questions, and am revisiting FA (some sections in excruciating detail) for roughly the 4th time. What gives?
It's slightly unnerving to read so much feedback from recent test takers which all seems to have a common theme: there's a bunch of stuff on the exam that isn't in FA, UW, or X number of other commonly used resources. I can understand that this may be the case for a handful of questions, but for those that have left feeling this way about the exam - have you actually scoured the resources you used (and others that you didn't, but that are commonly used) to confirm that so much info really wasn't available anywhere? I'm just finding it hard to believe that in the immense troves of information that are FA, and UW (and RR, for that matter), that so much info could be left out. I have high praise for anyone that actually knows, and can explain, every single factoid/concept in FA/UW - so if these individuals are struggling I feel as though I may at be at a severe disadvantage. But my test is in 5 days, I've finished UW and am redoing several hundred questions, and am revisiting FA (some sections in excruciating detail) for roughly the 4th time. What gives?
What is a curve? It is an adjustment of scores based on how everyone did. Some people say there is one since the forms are of varying difficulty but the NBME is very vague about it.
It's slightly unnerving to read so much feedback from recent test takers which all seems to have a common theme: there's a bunch of stuff on the exam that isn't in FA, UW, or X number of other commonly used resources.
[...]
What gives?
If the NBME tests estimate your score correctly, then the grading scale is definitely different, because there's no way I could have got the same percentage right on the test as I did on the practice test. If that's what people mean by a curve, then yes, that's what happens. On top of that, the NBME folks say they try to normalize scores, comparing all of us with people who've taken the test before us, to try to make sure that a 220 means the same no matter which year you take the test. I have no idea how they do that. A few pages back, someone whose parents work for a standardized testing company laid out some general principles on how they set up big standardized tests like this... if you're really curious about this stuff, I'd go find that post.
There are a few ways to look at this, but before I go further, I'd say your time is probably best spent doing what you're doing, and going through FA these last few days.
As far as the test... people focus on the WTF questions that they had, so bear that in mind. I had a question that mentioned a ridiculous detail, but the way the question was asked, I reasoned my way through to an answer. When I looked it up after my test, I was amazed by how obscure this gene was, but the point of the question was whether or not I could draw an analogy with another gene that I remembered (that was in FA).
Supposedly, NBME is trying to minimize the impact of the popular question banks and FA, but I don't think they're trying to do that by just asking totally random stuff. The way they seem to do it is figure you know what's in FA, and then ask you to use that information to answer a new question. There are still straightforward, "Remember this?" kind of questions, but the hard ones really try to make you work.
Back to the question I mentioned. The odds of me remembering this one random detail were basically zero. That's how random it was. It wasn't in FA, but what was in FA helped me reason my way to the answer. Does that mean FA is incomplete, or does it mean it's good enough? Depends on how you look at things, I guess.
Getting all the way through UW, and going through FA as many times as you have will help you. Just stick with it, and don't let our venting about stuff stress you out.
It's slightly unnerving to read so much feedback from recent test takers which all seems to have a common theme: there's a bunch of stuff on the exam that isn't in FA, UW, or X number of other commonly used resources. I can understand that this may be the case for a handful of questions, but for those that have left feeling this way about the exam - have you actually scoured the resources you used (and others that you didn't, but that are commonly used) to confirm that so much info really wasn't available anywhere? I'm just finding it hard to believe that in the immense troves of information that are FA, and UW (and RR, for that matter), that so much info could be left out. I have high praise for anyone that actually knows, and can explain, every single factoid/concept in FA/UW - so if these individuals are struggling I feel as though I may at be at a severe disadvantage. But my test is in 5 days, I've finished UW and am redoing several hundred questions, and am revisiting FA (some sections in excruciating detail) for roughly the 4th time. What gives?
i had about six weeks of dedicated study time after 2nd year ended. my practice test score progression was:
school cbse: 205
nbme 11 (after two weeks of dedicated study): 226
nbme 6 (four days later): 205 (this was after a LOOONG day of studying)
nbme 5 (two days after nbme6): 233
nbme12 (one week later): 235
uworldSA1 (two days before step1): 261
uworldSA2 (day before step 1): 259
Great reply, thanks for calming my nervesI am 3 days out, you think i should do incorrect questions as well or keep going over FA?
Took the test today. Going to make this quick since I can't remember specifics about particular sections...i'm really bad at remembering tests after they are done.
I found my test to be pretty fair and was very similar to the NBMEs (probably not as hard as 11 and 12 though). I would say 95% of it was from First Aid, but as many people have said you need a strong background in addition to knowing the facts to get the harder questions right. I did DIT and although I didn't get any questions on any of the extra material it presented, the random stuff that was in first aid that was emphasized (that I would have otherwise overlooked) came up on my test.
I think the hardest part of my exam was the fatigue at block 5-7. It is probably the MAIN reason why I would have missed questions on those blocks. If fatigue was not an issue and I had First aid down COLD and every word ingrained my head (which I did not - i probably knew 85-90% of it cold) I could see myself getting a 260+ on my exam. If I had to guess I probably got between 75-90% which I would think translates to between 230 and 260, depending on how many dumb mistakes I made/ how lucky I was.
In the end FA + uworld were all you needed. Uworld only helped with seeing how questions can be presented and training yourself on how to think through them. Content wise i'm not sure how much I got out of it that came up on my test.
If you have any specific questions let me know and I'd be happy to answer. Good luck to everyone who still has to take it! My advice is to work on your weaknesses (they WILL come up) and to stay confident. If you have been working hard you will be fine for this test. It was not as hard as I made it out to be in my head before going in.
Took the test today. Going to make this quick since I can't remember specifics about particular sections...i'm really bad at remembering tests after they are done.
I found my test to be pretty fair and was very similar to the NBMEs (probably not as hard as 11 and 12 though). I would say 95% of it was from First Aid, but as many people have said you need a strong background in addition to knowing the facts to get the harder questions right. I did DIT and although I didn't get any questions on any of the extra material it presented, the random stuff that was in first aid that was emphasized (that I would have otherwise overlooked) came up on my test.
I think the hardest part of my exam was the fatigue at block 5-7. It is probably the MAIN reason why I would have missed questions on those blocks. If fatigue was not an issue and I had First aid down COLD and every word ingrained my head (which I did not - i probably knew 85-90% of it cold) I could see myself getting a 260+ on my exam. If I had to guess I probably got between 75-90% which I would think translates to between 230 and 260, depending on how many dumb mistakes I made/ how lucky I was.
In the end FA + uworld were all you needed. Uworld only helped with seeing how questions can be presented and training yourself on how to think through them. Content wise i'm not sure how much I got out of it that came up on my test.
If you have any specific questions let me know and I'd be happy to answer. Good luck to everyone who still has to take it! My advice is to work on your weaknesses (they WILL come up) and to stay confident. If you have been working hard you will be fine for this test. It was not as hard as I made it out to be in my head before going in.
It's slightly unnerving to read so much feedback from recent test takers which all seems to have a common theme: there's a bunch of stuff on the exam that isn't in FA, UW, or X number of other commonly used resources. I can understand that this may be the case for a handful of questions, but for those that have left feeling this way about the exam - have you actually scoured the resources you used (and others that you didn't, but that are commonly used) to confirm that so much info really wasn't available anywhere? I'm just finding it hard to believe that in the immense troves of information that are FA, and UW (and RR, for that matter), that so much info could be left out. I have high praise for anyone that actually knows, and can explain, every single factoid/concept in FA/UW - so if these individuals are struggling I feel as though I may at be at a severe disadvantage. But my test is in 5 days, I've finished UW and am redoing several hundred questions, and am revisiting FA (some sections in excruciating detail) for roughly the 4th time. What gives?
I did look through FA (I annotated EVERYTHING into it from UW and some RR and BRS Physio) and didn't find answers to about 20-25 questions that I remembered. However, that said, I think most of those are "experimental" questions because the only info I could find on them was in research articles or were an obscure disease that isn't in those resources.
That means that probable at least 270 of my questions were from UW or FA so I'd stick with that. I really think that I just got a tough test, at least that is what I am hoping. I'd stick to your plan, you'll do great.
Thanks for the write up man. I rescheduled my test because I freaked out! Taking it in a week. I was wondering if you thought the test compared to the Free 150?
I thought mine was similar to the prometric version of the free 150 plus a few more hard questions. The free 150 that you can download was easier than the one at the prometric imo.
Um I'm about 95% sure it's the same thing
If it is just like the prometric, I ll be in disbelief
If it is 95% from FA, I will donate a lot of things from my Apt to the shelter before I leave here 🙂
I dunno if i was lucky but I can only remember about 7-8 questions that werent in FA/UW and 2 of those were in RR. I wrote down pretty much everything in UW and that netted me anywhere to 20-30 questions that I def. would have gotten wrong.
Similar experience last yr. Used FA/UW/RR. Maybe 5 questions that were completely foreign and had to make a completely uneducated guess
Did anyone notice any changes to their page?
I think my Review Document Request History page changed.
At the top it says "Click a Reference ID below to view your original request, view additional processing details, and print the forms that may be required to fulfill your request."
Beneath that, it shows boxes with "Reference ID," "Submission Date," and "Status" and underneath those boxes it says "There is no history."
Has it always said that? b/c i don't remember it saying that and i've check fairly regularly...
should I be able to diff the types of malaria? I can't really tell some of the stages even looking at the pictures
Not step 1 related at all. I just wanted to say, your 4th year schedule looks pretty friggin awesome.
should I be able to diff the types of malaria? I can't really tell some of the stages even looking at the pictures
what % of the q's had pics on the actual exam? 20-30ish like in world? or more
do abcde and the arrows work on the actual test? or is it mouse only
I never knew you could use the keyboard...