My question is: Has anyone done well on the USWA, and then failed the step 2 ck?
Took step 2 yesterday (8/5/14).
Step 1 (235), but that was SIX years ago! i am md/phd and have not had internal medicine or neuro in 5 years, so studying was a lot of deja vu for me. Oh, and I have NOT yet completed my IM AI.
USWA: 262, a few days before the test.
Did not take the NBMEs- did not feel like spending the $$, esp after all the mixed reviews on here.
Study approach:
USMLE world 1.5x through, 75% MTB. lots and lots of google, wikipedia, writing, recapping, note cards. 12 h/d x 6 wks. a half-day off here or there. Tried to exercise most days, eating well, sleeping plenty, chatting with my partner every day. 2-3 hours not studying per day.
The test:
Walked in feeling good, left the test feeling 100% defeated. Felt like I was guessing on most of it, marking a bunch. 2 blocks felt impossible- ran out of time on those, but randomly marked the couple questions I had remaining. 3 felt pretty hard and 3 felt not too bad. I felt rushed the whole time. I missed a bunch of the 1st half of those linked questions, which kills self confidence. on so so many questions, i would come up with my answer and then it wouldn't be there! I felt thrown off by ekgs, pics, etc. It was as if all the topics i was comfortable weren't even covered (common GI, for example)- like I had been studying the wrong stuff for the past 6 weeks. So, I think I failed.
But, the feeling of failure is standard for me. I actually called the med school and told them i failed step 1 after I took it, as I was convinced at the time. And then, a month or so later, I got my score (see above). Regardless, I am curious whether anyone has done well on the practice tests and then failed the actual exam… does that happen? I am collecting data and creating my contingency plan. In the mind-wrenching state of not knowing, it gives me comfort.
General advice for maintaining sanity
Do: bring lots of snacks- quick ones. Take short breaks at least every other block. This test is a total marathon. Use the bathroom before the test and know where it is. Bring extra clothes, as the room might be cold. Caffeine. Plus an extra caffeinated beverage. Read through the regulations of your testing site so there are no surprises.
Don'ts: skimp on sleeping, exercise, healthy food, connecting with people and activities you love while you study. Fiber-overload 1-2 days prior to the test. Consume refined carbs and high fructose drinks/foods day of, as this would set you up to crash halfway through a block. forget your reading glasses (and if you don't wear any, consider 1.00+. seriously reduces eye strain, as you are pretty much giving your eyes magnifying lenses. I wear them with my contacts. embrace the nerdiness.)