Just took the thing today.
Pretty much what everyone in this thread has been saying is true:
Step I >> UWorld >>> NBME
Stats: FA 2x, NBME 11 (237), NBME 13 (~250--offline), UWorld 1x (72%), random Pathoma videos
The questions were very very tricky. They would make a simple concept difficult by throwing in lots of confounders. It seemed like every vignette had the patient's entire medical history, 10 different drugs they were taking and lab values. I would say only 25% of my questions were autoclicks.
I marked 5-10 questions per block in the first 3 blocks. Then 15-20 in the last 4 (crushed any optimism I had that I would have one of the more "fair" exams).
My exam seemed very heavy on renal, cardio, repro, pharm. There was hardly any immuno, psych, endocrine.
I was expecting more neuro/neuroanatomy (and hoping for it too b/c that's my strength), but didn't get it. Instead I got repro, my weakest section.
Biostats/ethics were the highlight of my exam. Felt a little joy every time one of those questions came up.
I think someone mentioned earlier in this thread that the heart sounds on Step I are better than UWorld. I disagree. I had 2 heart sounds, and both of them I couldn't even hear S1/ S2.
Things I wish I did:
More Pathoma, especially the general path/cancers sections. They are glossed over in FA but are a heavy part of the real exam.
Take more shorter breaks than fewer longer breaks. I was getting pretty darn tired in the last 3 blocks. But at that point, I just wanted to get the exam over with, so I tried to power through. I should have taken breaks after blocks 3, 4, 5 and 6 to re-gather my thoughts.
Overall, I rank the resources as: FA > Pathoma > UWorld
Don't get me wrong, UWorld is crucial for reinforcing concepts. But, I feel the explanations go into too much frivolous detail that aren't worth your time. Instead of spending 4 hours reviewing 1 block of questions like I was doing at the beginning, all the key concepts could be obtained by reviewing in <1.5 hours.
Hoping for a generous curve...