Official 2013 Step 1 Experiences and Scores Thread

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Phloston

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I figure now is a good time to jump-start this thread.

Even though some of us who had taken the exam in late-2012 are still awaiting our scores (amid the holiday delays) and could technically still post within last year's thread, it is after all mid-January now, so it's probably apposite that we move forward and hope for a great year.

:luck: Cheers to 2013 :luck:
 
Is there a reason why everyone was stressing Pathoma a couple days ago? I love Dr. Sattar and the style but it seemed kind of superficial. Was his "this is high yield for purposes of board examinations" really high yield?

Ex: I remember how he stresses the unilateral enlarging parotid in Sjogren's but I've never seen that anywhere in Uworld or NBME.

That's your take-home from Pathoma?
 
has anyone ever tried compiling all the data on NBME vs UWSA vs actual step 1 in this thread (or past experience threads)? i feel like it wouldn't be too hard, just time consuming.
 
I'm just a little bit freaking out over here because I tried to reschedule my exam for a few days later, since I had scheduled it for the 21st but I wanted a few more days as a cushion, and apparently there are no available appointments AT ALL in my city (in any of the 4 testing centers) until after my deadline of June 30.

Does this kinda thing change all of the time? Or am I pretty much sentenced to taking mine as scheduled originally? I'm just afraid I won't have time to finish UWorld...
 
The questions were much more similar to Uworld than the NBME practice tests.

On the same token, its the same set of people (essentially) taking a different kind of test (supposedly). I'd assume they'd have to curve the test accordingly. I would imagine the mean for 2013 will rise slightly just like it has every year prior.
 
How much of microcards are you guys learning??
There's a lot of info on the cards, which info do you consider essential (outside of the trees) ?
 
How much of microcards are you guys learning??
There's a lot of info on the cards, which info do you consider essential (outside of the trees) ?

Micro turned from my weakest to strongest subject from those cards.

There's no way to say what is essential outside the trees. There's a lot on each card. The best strategy I've heard and that I used was to read First Aid alongside, then kind of highlight or note what is in First Aid. By doing this, you know what was "essential" - then you can read the background info of the essential stuff (the thought process). This is essentially what Uworld does, take a topic and flesh out the thought process of it - instead of just high yield points from FA.

Good luck Floyd.

Btw, I wouldn't get too deep into the cards if you're pressed for time. FA micro is solid.

Doesn't first aid have those same trees?

Yes and no. FA has bacteria trees (only G+/G-). No virus trees. In microcards: The bacteria trees are ok, best for G+. The virus trees are worth the price of the cards, esp RNA virus tree. The other trees (atypical bacteria, parasites, fungi - these could be skipped). I highly recommend these cards but you need to use FA as a launching pad because there really is about 2-3x the info you need to know on each card, so you need someway to pull out the high yields.
 
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meh, i'm not crazy about the trees, but I have to agree that the cards are outstanding. I am ~95 percentile on uworld in micro largely due to those cards.

on another note, do you guys recommend doing an NBME before the test? I took UWSA1 a week ago and got a 259 and I don't know if it would be super beneficial to do an NBME considering where I'm at (my test is next week). I definitely plan on doing free 150, though.
 
Took it today. Havent posted much but figured since this thread has offered me some reassurance/help/advice in the past, I'd share my experience.

Prep:
USMLE Rx (used alongside FA)
FA (3x)
Pathoma
UWorld
GT from beginning of July 2012 - March 2013 (I loved it but I'm sure you can find a dozen others that hated it)

(in order)
NBME 7: 247
NBME 15: 252
NBME 13: 257
NBME 12: 257

UWorld average: 82%

Biostats: straightforward and easy.
Bioethics: straightforward. MUCH easier than what I saw on NBMEs. I was worried about this.
Embryo: I almost want to say I had NONE, but I'm sure they were there but easy enough that I clearly don't remember anymore.
Biochem: One of my strongest subjects (majored in it) and the least representative on my test. Kind of a bummer but I'm sure this is good news for most.
Micro: Fair amount; good mix of easy, mid-difficulty, and crazy hard. I think one of the hardest questions I can think of was a Micro/biochem combo question. Weird.
Immuno: Not too bad; there were some gimme's; know your HSRs and all the different component involved in each. Also, know the presentations of the immunodeficiencies
Patholgy: As expected, this was the bulk of my test and I have two words for you: Husain Sattar. But seriously, he's a guru. I know he says "THIS IS HIGH YIELD" every third sentence, but you damn well better listen to him.
Pharm: I drilled and drilled and drilled all the side effects into my head. This was BY FAR my strongest subject. And I had maybe 10 questions total. And all the drugs were SUPER high-yield.
Cardio: They have interactive auscultations where you can move the steth around and the murmur gets louder or quieter. It was actually kinda fun. And there's no static. Thank god. You can actually distinguish S1 and S2. With that said, this had some of the hardest questions in my block. They required a lot of problem-solving and underground knowledge (ie nothing you could have prepared for).
Endocrine: The usual up/down arrow questions.
GI: Fair amount but nothing too crazy
HemOnc: cancers and cancers and cancers and I think more cancers. And then DIC. And then cancer + DIC. Think that sums it up.
Musculoskeletal: Worst subject for me. Got lucky and didnt have too many.
Neuro: I was holding my breath with each block, expecting a TON of neuro/neuroanatomy. I had a few but nothing too crazy. FA did a good job with em.
Psych: Know your time-frames for when the names of disorders change (for example: schizophreniform to schizophrenia at 6 months)
Renal: Lots of fun pictures. Fair but definitely required a good understanding of the physio.
Respiratory: Some tough ones but most were manageable.
Repro: I had a TON of these. Again, good mix of easy, mid, hard.

Post-test advice: Pathoma is by far the best resource of pathology.
Post-test advice for the day of: there will be questions where you realize you're going in circles. Hit skip and come back to it. Don't waste a whole of time on these. They're confidence downers and they'll affect the rest of your block if you let em.

When you start up your first block, don't spend more than two minutes per question. Come back later to them if you need to but keep a steady pace. I say this because your heart's going to be racing and your mind wont be as nimble as it will be later in the block. Get a good groove going.

There WILL be questions you simply don't know. Dont let em get you down. Prepare yourself for them and when they do appear, giggle at the ridiculousness of what they're asking, guess, and keep going without looking back.
I had one of these where I literally stared at the answer choices and just snickered. (they were all drugs in the same class).
Another one was asking for a muscle insertion of a muscle I haven't seen since M1 anatomy. I forget it even existed until the question popped up.

Point being, shrug these off.

Whew. That was mildly cathartic. Good luck everyone. And thank you to all those who shared their experiences in the past few weeks. They certainly helped me prepare for what was to come.
Can you recall what was that muscle?
 
Is there a reason why everyone was stressing Pathoma a couple days ago? I love Dr. Sattar and the style but it seemed kind of superficial. Was his "this is high yield for purposes of board examinations" really high yield?

Ex: I remember how he stresses the unilateral enlarging parotid in Sjogren's but I've never seen that anywhere in Uworld or NBME.

I used pathoma in my last 10 days before the exam and thought it was really helpful (especially for the vascular/cardio chapters) I downloaded pathoma flash cards for each chapter from the flashcard exchange app, and used that alongside the book to flip through a chapter of pathoma in about 30 minutes tops. I starred all the cards I wasn't sure about and came back to them in the last 2-3 days before my exam.

While knowing FA cold > Pathoma....I distinctly remember getting several questions right in under 20 seconds because of concepts Pathoma emphasized and I had gone through in the flashcards.

Also, is there anyone who took the exam May 13-14, and did NOT receive their score last week? It seems like people here did get their scores earlier than the July 10 date. I ask because per the 3 week rule, I should be getting my score this Wednesday...but if the July 10 rule holds, I still have a month of waiting to go.
 
I used pathoma in my last 10 days before the exam and thought it was really helpful (especially for the vascular/cardio chapters) I downloaded pathoma flash cards for each chapter from the flashcard exchange app, and used that alongside the book to flip through a chapter of pathoma in about 30 minutes tops. I starred all the cards I wasn't sure about and came back to them in the last 2-3 days before my exam.

While knowing FA cold > Pathoma....I distinctly remember getting several questions right in under 20 seconds because of concepts Pathoma emphasized and I had gone through in the flashcards.

Also, is there anyone who took the exam May 13-14, and did NOT receive their score last week? It seems like people here did get their scores earlier than the July 10 date. I ask because per the 3 week rule, I should be getting my score this Wednesday...but if the July 10 rule holds, I still have a month of waiting to go.


Where can I get these flashcards? do you have a link?
 
I used pathoma in my last 10 days before the exam and thought it was really helpful (especially for the vascular/cardio chapters) I downloaded pathoma flash cards for each chapter from the flashcard exchange app, and used that alongside the book to flip through a chapter of pathoma in about 30 minutes tops. I starred all the cards I wasn't sure about and came back to them in the last 2-3 days before my exam.

While knowing FA cold > Pathoma....I distinctly remember getting several questions right in under 20 seconds because of concepts Pathoma emphasized and I had gone through in the flashcards.

Also, is there anyone who took the exam May 13-14, and did NOT receive their score last week? It seems like people here did get their scores earlier than the July 10 date. I ask because per the 3 week rule, I should be getting my score this Wednesday...but if the July 10 rule holds, I still have a month of waiting to go.

I was just checking out the flashcards... it seems like there are a lot of individually made pathoma sets for each chapter on flashcard exchange. Which are the ones would you recommend?
 
I just typed in flashcard exchange into google and got to their website and from there, they had a search feature for all their sets.

I got the flashcards deluxe app (I believe it was $4?) You can search for decks via "Quizlet flashcards" or "Flashcard exchange". I would generally just search, for example, "Pathoma Chapter 7" and a huge list of pathoma chapter 7 flaschards would come up. I generally picked decks that had images for most chapters, because I assumed whoever made those probably spent more time on making the deck...but in general most of the decks I found were pretty good with few to no errors.

I also used the pharm flashcards excel spreadsheet that some users on sdn put together about a month ago of all the pharm drugs in FA. That was awesome! And also downloaded a neuro pharm and a psych pharm flashcard set because those always gave me trouble (although there was a not of super detailed pharm neuro/psych on my exam....there was a lot of super detailed pharm micro though so know that cold)

Good luck!
 
There's a list of pharm indications in the back of FA. (In the rapid review) I think it might be worthwhile looking through them. But very rarely did I see them asking for a pharm treatment (unless it was something heavily emphasized in the text; ie Aspirin for Kawasaki's).
 
Hey i have a question... Does anyone who had the exam after may13th received their scores yet?? Cause some dudes posted that they got therirs so rhis would mean that i would get my results in a week 😀 post your recent scores people🙂
 
hey everyone who's taken the test in the last couple days..

is nbme 15 still similar in terms of difficulty level?

i haven't taken either, but I would expect the real thing to be more difficult than the NBME's and probably closer to UWorld (with better wording) and a more forgiving curve.
 
Damn I wish everyone who just took the test would get their scores back before I take it.

I need some reassurance that the practice test scores are still accurate predictors, regardless of the much more difficult exam.
 
Damn I wish everyone who just took the test would get their scores back before I take it.

I need some reassurance that the practice test scores are still accurate predictors, regardless of the much more difficult exam.

I don't see how a practice exam wouldn't be an accurate predictor. If you know more than other people, you know more than other people. The exam's writing was more or less the same as Uworld's - so if you do well on Uworld, you'd probably do well on this exam.
 
Any advice for the last couple of days? I have five days before my test. These are my practice test scores:

NBME 12 (3 weeks out) 240
Free 138 (2 weeks out) 94%
NBME 15 (1 week out) 250
UWSA1 (day after NBME 15) 264

I ran out of time on multiple NBME 15 blocks and made a bunch of careless mistakes, so I'm hoping I can do better on the exam (not that I'd be sad with a 250!). I've finished Uworld, but I still have UWSA2. Is the consensus to stick to FA in the last week, or would it be helpful to do UWSA2?

Thanks in advance.
 
I don't see how a practice exam wouldn't be an accurate predictor. If you know more than other people, you know more than other people. The exam's writing was more or less the same as Uworld's - so if you do well on Uworld, you'd probably do well on this exam.

My comment was just in reference to everyone getting like a 240 average on their practice exams and posting on here saying they would be happy if they got a 220 on the real thing lol.
 
I feel the same as you except on my exam i marked between 25-30 per block xd they seemed really vague and hard concepts being tested haha got the same 240+ on nbmes so i am hoping for the same as you...:/
 
My comment was just in reference to everyone getting like a 240 average on their practice exams and posting on here saying they would be happy if they got a 220 on the real thing lol.

Its my pessimistic mentality. I worked hard the whole year. Did really well, but there is always that fear of "did they just test every weakness I had???"

Its just a weird feeling... you walk away and you don't really feel any resolution after the test. I guess that part doesn't come until July 10th.
 
Ahhh it's good to be back. How are all you people on this wonderful day? That was the longest 8 hours I can remember, but now I feel great. I don't even care how I did, and I'm suppressing the urge to look stuff up I was unsure about.

The reason why everybody is expecting lower scores than their practice tests is because the real test is, in fact, harder than the practice tests. Just remind yourself periodically that everybody is feeling the same way, and to take it one question at a time. I really don't have too much to add because I'm so over it at this point, but it's really exactly what you expect it to be like. Hard but not ridiculous, and no point in getting upset if you don't do that well. Hang in there to those of you who haven't taken it yet :luck:
 
Ahhh it's good to be back. How are all you people on this wonderful day? That was the longest 8 hours I can remember, but now I feel great. I don't even care how I did, and I'm suppressing the urge to look stuff up I was unsure about.

The reason why everybody is expecting lower scores than their practice tests is because the real test is, in fact, harder than the practice tests. Just remind yourself periodically that everybody is feeling the same way, and to take it one question at a time. I really don't have too much to add because I'm so over it at this point, but it's really exactly what you expect it to be like. Hard but not ridiculous, and no point in getting upset if you don't do that well. Hang in there to those of you who haven't taken it yet :luck:

Thanks man, feeling nervous about tomorrow. Golfed today and playing starcraft now, trying not to think about it or look over anything even though I probably should. And thanks to all of you who had good input and did your best to help everybody out. I appreciate all the advice and good luck to all those taking it tomorrow too.
 
Also the big reason people always report the real thing being so hard is that they actually care whats going on. On Uworld or NBME you see a question completely out of left field probably 3 or 4 times a block and you will sit there and think about it and then eventually just be like "screw it" and move on like nothing happened. On the real deal your going to be thinking about those really weird questions for the rest of the block.
 
Also the big reason people always report the real thing being so hard is that they actually care whats going on. On Uworld or NBME you see a question completely out of left field probably 3 or 4 times a block and you will sit there and think about it and then eventually just be like "screw it" and move on like nothing happened. On the real deal your going to be thinking about those really weird questions for the rest of the block.

Nope. Definitely thought "screw it" on the real test too. By block 6 you just want to get out of there.
 
Thanks man, feeling nervous about tomorrow. Golfed today and playing starcraft now, trying not to think about it or look over anything even though I probably should. And thanks to all of you who had good input and did your best to help everybody out. I appreciate all the advice and good luck to all those taking it tomorrow too.

I, too, long for Auir.
 
Nope. Definitely thought "screw it" on the real test too. By block 6 you just want to get out of there.

Yeah.. I was the same way. I had to keep reminding myself for every question I would waste time on there would be 2 or 3 that I'd have a good shot of answering correctly. So I gave my best guess and didn't dwell on them.
 
For those who've taken it, did you feel there were trick questions where they would try to fool you on a technicality or minor detail? Where they would lead you to one diagnosis but a minor detail suggests another?
 
For those who've taken it, did you feel there were trick questions where they would try to fool you on a technicality or minor detail? Where they would lead you to one diagnosis but a minor detail suggests another?

I never felt they were trying to trick me per se. They just wanted to ensure I could differentiate between two or more similar presentations. It wasn't like they were 'out to get me'.

For example, (just an example; this wasnt on the test) dude has sudden shortness of breath. They will then give me a long vignette, past medical hx, blah blah blah. But then they'll tell me he's also got hyperresonance to percussion. Rest of vignette doesn't matter. I already know he had a pneumothorax.

Point being, the excess info in the vignette isn't trying to trick you into thinking something else. It's requiring you to understand which dots to connect and reach the proper conclusions.

Hope that helps.
 
Damn... just realized scores wont be released until july 10!! I know its been mentioned here several times, but I just thought that was release date for later testing dates. ok only 29 days left... 🙄
 
Jonari's disappearance is really starting to freak me the f*** out!! lol

Yeah I am genuinely concerned for a bro. I have even been checking to see if he has viewing the forum (I know stalker...). No dice.

You n me both man...:laugh:

Glad to have dat emotional backup, even if it's online. I'm doing well fellas. Was just enjoying my post Step 1 break. Went out of town for a bit, getting necessary paperwork for rotations filled out, etc etc. I'll come back when the scores are released, and provide my input. Exam was difficult, lets see what happens. Hope you guys are killing it. See you guys in a few weeks.

He's fine, I have talked to him on another forum.

:mamoru:
 
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