Official 2016 Step 1 Experiences and Scores Thread

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Transposony

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Hey guys, I was originally planning on taking Nbme 15, 16, 17, 18 and UWSA 1 and UWSA2 before my exam coming up in about 4 weeks. I already took nbme 15 and was gonna take UWSA1 this saturday. Should i swap out the two UWSA for nbme 12 and 13.

If i were in your position, I would do as many as possible nbme. You should still do uwsa especially if you already purchased them as part of your uw bundle, but it's really just extra blocks of uworld like an extension pack. You could just do 12 and uwsa on same day and 13 uwsa 2 on same day to train for stamina. Otherwise I'd try and sit for as many nbmes as you can.

15-18 are a must - if you see above, they predicted my score with great accuracy
 
Everyone had a unique experience. Some say really hard, some say like UWorld, some said they felt like it was another nbme
Just based on everyone's responses here it must've been really different for everyone. I took it yesterday and had 40q in every block, thought it was way harder than anything I had seen on uworld or the nbmes
 
Just based on everyone's responses here it must've been really different for everyone. I took it yesterday and had 40q in every block, thought it was way harder than anything I had seen on uworld or the nbmes
What did you think was hard about it? Were there concepts you had never seen before, or?
 
This is random, but how long did it take from when you walked into prometric to the time you sat down? Pre-test jitters are horrible. Also, do the testing centers have fridges?
 
This is random, but how long did it take from when you walked into prometric to the time you sat down? Pre-test jitters are horrible. Also, do the testing centers have fridges?
My center didn't have fridges.

For both my practice and the real thing I found that if I arrived early they allowed me to start early. I had no waiting. Just the signing in process and getting a locker which takes about 15 minutes.
 
What did you think was hard about it? Were there concepts you had never seen before, or?
Although the question number has changed I don't think the content really has much, so I'll answer based on my April experience.

I also thought my exam was harder than UW or NBME. Topics I had never seen before, drugs that weren't in FA or UW, anatomy questions not in FA or UW, a lower proportion of "high yield" questions than I anticipated, and overall the average difficulty of things I had seen before and knew was just a step above UW and NBME. An example of that last point would be an up/down arrow physiology question, but there were additional columns of stuff that I hadn't really considered how they would be affected so I had to make an educated guess. Oh and biostats... I don't think FA/UW prepared me for that very well. My biostats questions weren't simple "calculate the PPV or sensitivity" questions. They were more conceptual and difficult.
 
Although the question number has changed I don't think the content really has much, so I'll answer based on my April experience.

I also thought my exam was harder than UW or NBME. Topics I had never seen before, drugs that weren't in FA or UW, anatomy questions not in FA or UW, a lower proportion of "high yield" questions that I anticipated, and overall the average difficulty of things I had seen before and knew was just a step above UW and NBME. Oh and biostats... I don't think FA/UW prepared me for that very well. My biostats questions weren't simple calculate the PPV or sensitivity questions. They were more conceptual and difficult.

Exactly this. It was the kind of difficult where I don't think any amount of more studying would have helped me. It might just be post-test freaking out but I felt like I was guessing on 90% of questions.
 
Exactly this. It was the kind of difficult where I don't think any amount of more studying would have helped me. It might just be post-test freaking out but I felt like I was guessing on 90% of questions.
I agree. The feeling that I knew my stuff as well as I could based on UFAP gives me a bit of comfort. I wouldn't even know what resources to use for some of the anatomy questions I got short of reviewing an anatomy text book and that is massively inefficient. So... those of you with your exam soon please don't feel the need to review anatomy minutiae. Its not worth the time.

Im a big proponent of studying hard in class because I think that is what gets you the weird questions. There was a drug not in FA but that I sort of recognized the name of and when I looked it up after the exam I was right. We talked about this drug in class and it stuck somewhere in a dark corner of my brain.
 
Hopefully Uworld prepares me well. I'm totally counting on it. Thanks for the response!!
It will, as long as you take the time to read through all the answer choices (both correct and incorrect questions) --> I made a UW notebook and that was my cram tool for the few days leading up to the test.
 
If i were in your position, I would do as many as possible nbme. You should still do uwsa especially if you already purchased them as part of your uw bundle, but it's really just extra blocks of uworld like an extension pack. You could just do 12 and uwsa on same day and 13 uwsa 2 on same day to train for stamina. Otherwise I'd try and sit for as many nbmes as you can.

15-18 are a must - if you see above, they predicted my score with great accuracy

I just thought that self assessment have explanations So i could properly review the test and all the questions as opposed to the nbmes were you can only review your mistakes. So you still believe the old nbmes are still good practice and worthwhile.
 
I agree. The feeling that I knew my stuff as well as I could based on UFAP gives me a bit of comfort. I wouldn't even know what resources to use for some of the anatomy questions I got short of reviewing an anatomy text book and that is massively inefficient. So... those of you with your exam soon please don't feel the need to review anatomy minutiae. Its not worth the time.

Im a big proponent of studying hard in class because I think that is what gets you the weird questions. There was a drug not in FA but that I sort of recognized the name of and when I looked it up after the exam I was right. We talked about this drug in class and it stuck somewhere in a dark corner of my brain.

Could you please elaborate a little about the weird drugs that were a part of your exam?
For example, was it like a drug named abcdefolol (so although the we wouldnt have heard about this drug before but since it ends with an -olol we could know that it's a beta blocker they're talking about). Was it like this? New drugs but from a class that's common and we already know about it.

Also, for the particular drug you're talking about, did you come back and opened any other pharm books to check if it might be mentioned? I am not directly asking for the name of the drug but just trying to sort of get an idea what extra material could be closest to the weird/new stuff mentioned in the exam.

Hope you can tell. Thanks
 
What's a normal UW second pass %?

edit: I'm getting very high percentages and wanted to know if this is worth it/normal
 
Could you please elaborate a little about the weird drugs that were a part of your exam?
For example, was it like a drug named abcdefolol (so although the we wouldnt have heard about this drug before but since it ends with an -olol we could know that it's a beta blocker they're talking about). Was it like this? New drugs but from a class that's common and we already know about it.

Also, for the particular drug you're talking about, did you come back and opened any other pharm books to check if it might be mentioned? I am not directly asking for the name of the drug but just trying to sort of get an idea what extra material could be closest to the weird/new stuff mentioned in the exam.

Hope you can tell. Thanks
I'll just say it was a "miscellaneous" drug. I'm sure it's in some textbook but it's probably not worth your time to go looking for that stuff because you don't know what weird drugs your will get if any. I'm sure many people have exam forms in which all the drugs were mentioned somewhere in FA.


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Is the USMLE curved to adjust for variation in difficulty between different versions? If that's the case, then I see no reason for freaking out over the fact that it maybe much harder than UW/NBME or contains questions that test weird topics.
 
Is the USMLE curved to adjust for variation in difficulty between different versions? If that's the case, then I see no reason for freaking out over the fact that it maybe much harder than UW/NBME or contains questions that test weird topics.
Yes it is. Its part of why I don't recommend people searching for potential low yield things.


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What's a normal UW second pass %?

edit: I'm getting very high percentages and wanted to know if this is worth it/normal
I'm wondring abou the same thing. I'll be finishing my first pass this weekend and starting my second pass next week. My first pass is 70%. However, I have a feeling that my second pass will be in the upper 80s because I kinda still remember most of the questions/topics.
 
Yes it is. Its part of why I don't recommend people searching for potential low yield things.


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Thank you for replying. This puts my mind at ease. I know that there will always be those outliers that get those weird qs right, but I'm not concerned with them because, as a standardized exam, the USMLE must produce a bell curve.

With that said, I'll just continue doing what I'm doing (UFAPing) and hope for the best.
 
I'm wondring abou the same thing. I'll be finishing my first pass this weekend and starting my second pass next week. My first pass is 70%. However, I have a feeling that my second pass will be in the upper 80s because I kinda still remember most of the questions/topics.

Thanks for replying with useful info. I am currently on my second pass and have completed about 20% at 96% correct. First pass:72%. I totally agree that a lot of the content just seems so familiar its hard to tell if I'm getting anything from it.
 
Thanks for replying with useful info. I am currently on my second pass and have completed about 20% at 96% correct. First pass:72%. I totally agree that a lot of the content just seems so familiar its hard to tell if I'm getting anything from it.

I think you should feel good about it regardless of the fact that you may still remember what the correct answer was. The whole point from doing Qbanks is to learn and to actively memorize the little minutiae. By scoring 72% on the first pass, you have demonstrated that you know the material well. On the other hand, your 96% on the second pass clearly shows that you have learned from your mistakes and you still remember the little minutiae. Well, that's my (wishful 🙂) opinion.
 
Have not posted here in a bit but just finishing out my first (partial) week of dedicated so I figured I'd come back to this thread. I really appreciate all of the advice given so far by people who have taken the test! My school administered CBSE has me around 235 as a baseline - I'm pretty certain that is an overestimate but we'll see once I take an NBME in a week or two. Happy studying everyone!
 
I got my score back this past Wednesday. Here's my experience.. It's long.

Real Score: 264

Kaplan Qbank: 64% correct (completed 94%)
UWorld Qbank (Timed, random): 80% correct
NBME 13 (6wks before): 230
UWSA1 (4wks before): 245
NBME 15 (3wks before): 258
NBME 18 (1wk before): 254
NBME 17 (4d before): 14 wrong (I think... took it offline)
NBME 16 (3d before): 11 wrong (I think... took it offline)

First Year: No specific prep

Second Year: Throughout M2 I used Firecracker to study for classes by marking material I was learning that week. I would do ~150 questions per day. FC was great because I was constantly reviewing material and it stuck with me pretty well. I studied pretty hard for my exams and averaged ~94% on them throughout the year. During dedicated study period, I struggled the most with content that was covered during M1 and because of this, I wish I would have used FC during first year too so I could have reviewed that material. I stopped FC altogether when I began my study period. In addition to FC, I did 1-2 Kaplan Qbank blocks per week throughout second year (usually on the weekends). This wasn't enough to finish the QBank by the end of the school year (my goal) so I did more blocks during breaks (thanksgiving, winter) from class in order to catch up. I took NBME 13 before I began my dedicated study period to gauge where I was at.

Study Period: I didn't have a set schedule and played everything by ear. I decided a schedule would only do harm by creating anxiety and making me focus on things that may not be a weakness. Instead, I approached my dedicated study period with the goal of learning something each day that I didn't know before. This seemed to work out.

I started by watching all of Pathoma (which I did not use during M2) while doing 1-2 UWorld blocks per day. This took a little over 1 week and then I took UWSA1. After finishing Pathoma, I focused solely on hammering away at UW and did 3-4 blocks/day. I spent about 3-4hrs/block. 1 hour to take it and 2-3hrs to review. I reviewed by reading the explanations of all questions, but focused mostly on those that I got wrong. I took about 1 page of handwritten notes per block and kept it to concise concepts. I took NBME 15 after I was about half way through UW and kept going. I finished UWorld exactly 1 week before my exam.

During that last week, I did a lot of random stuff. I got my hands on PDFs of NBME 17 and 16... Since I took these offline, I didn't get official scores, but looked up answers online. I also used this week to go through all my incorrects of UWorld and reviewed my incorrects from NBMEs. I also focused on facts that I had neglected to memorize (ie. random anatomy, embryo, micro, etc).

It was hard for me to use First Aid. I really didn't like it for some reason. I tried using it during M2 year, but never stuck with it for more than a day or two. I used it during study period to learn material from M1 that I had forgotten. I went through the micro section maybe 2-3x and pharm/biochem/immuno 1-2x. I focused on trying to learn the charts (I found these helpful) in those sections. I hardly touched the organ system sections (except anatomy/embryo).

Exam: I felt anxious and nervous on exam day, which is not typical for me. My first block was tougher than any block that I have taken which freaked me out. The rest of the exam was comparable to UWorld and NBMEs, but with a few more curveballs. However, most of the exam was a blur. After the exam, I felt like ****. I started to question everything and felt very insecure/vulnerable. I thought there was no way I got close to my NBME average. While I had heard how it is typical to feel this way, I truly felt that I underperformed. This started to fade over the next few weeks, but still lingered.

In general, make sure you take care of yourself! I did something active daily and did my best to eat healthy foods/snacks. I did fun things every once in awhile to take a break (went out with friends once or twice, played some Xbox, shopping, etc). Also, don't stress about what other students are doing. I was constantly questioning whether I was studying correctly and feared that I had neglected information by not using FA. However, remember that there are endless amounts of study materials out there and that you are not going to be able to do them all. You gotta do what is best for you and focus on that. UW and NBMEs were the best. They helped me realize that I didn't need to study certain topics, while making me focus on other content I seemed to struggle with more.

Best of luck with your studying. Hopefully this was helpful for someone.
 
What is the highest amount of repeats you've personally heard of on the real deal from NBMEs/free 150? The past few days I've heard from people taking it at my school and it seems like anywhere from 1 to 5 is common. How about everyone here?
 
What is the highest amount of repeats you've personally heard of on the real deal from NBMEs/free 150? The past few days I've heard from people taking it at my school and it seems like anywhere from 1 to 5 is common. How about everyone here?

I always wonder if these people are just associating similar questions as opposed to actually seeing repeats. The NBME isn't some amateur organization, it's pretty good at making the test hard on us. How does it make any sense that they'll reuse questions that are publicly available?
 
Looking for some advice. I'm making anki cards for all of my incorrect questions in UWorld, do you guys think its still worth it to also annotate into First Aid? I have a highly flashcard-based study plan and I'm worried that I am being too redundant and wasting time with the annotating. I also am going through FA via an anki image occlusion deck that I made so I feel like I'm already seeing every page many times that way... any thoughts?
 
Looking for some advice. I'm making anki cards for all of my incorrect questions in UWorld, do you guys think its still worth it to also annotate into First Aid? I have a highly flashcard-based study plan and I'm worried that I am being too redundant and wasting time with the annotating. I also am going through FA via an anki image occlusion deck that I made so I feel like I'm already seeing every page many times that way... any thoughts?

I mostly use Anki as well. If I think the UWorld fact is something I want to make sure I'm reminded of (ex. a disease I've only seen in UWorld) I either type it up in a world document or just write the Question ID number in FA to save time
 
Looking for some advice. I'm making anki cards for all of my incorrect questions in UWorld, do you guys think its still worth it to also annotate into First Aid? I have a highly flashcard-based study plan and I'm worried that I am being too redundant and wasting time with the annotating. I also am going through FA via an anki image occlusion deck that I made so I feel like I'm already seeing every page many times that way... any thoughts?
As long as you're doing all your flash cards, you should be good without annotating into FA.
 
Anyone scoring in the high 70s+ in Rx... I am really frustrated with the amount of minutiae Rx expect people to know... Sometimes I am reading the stem and I know the disease immediately, but still got the questions wrong because they ask for something associated with the disease which I thought was not extremely important to know... After doing over half of Rx, I can notice that I am mostly missing questions that require straight recall.

Maybe might expectation was too high thinking I should be scoring 75+ on every block by now... Still stuck in the mid 60s to low 70s... It's really frustrating!

Should I stop doing practice questions and just spend a weak doing content review in subjects that I am weak on? I still have about 8 weeks left before taking the test!😉
 
Anyone scoring in the high 70s+ in Rx... I am really frustrated with the amount of minutiae Rx expect people to know... Sometimes I am reading the stem and I know the disease immediately, but still got the questions wrong because they ask for something associated with the disease which I thought was not extremely important to know... After doing over half of Rx, I can notice that I am mostly missing questions that require straight recall.

Maybe might expectation was too high thinking I should be scoring 75+ on every block by now... Still stuck in the mid 60s to low 70s... It's really frustrating!

Should I stop doing practice questions and just spend a weak doing content review in subjects that I am weak on? I still have about 8 weeks left before taking the test!😉
Kaplan and Rx test minutiae, which is a solid way to reinforce textbook/FA material, however Uworld has more concept based (pathogenesis, mechanism, integration) questions. With 8 weeks at hand, I would definitely finish Rx, but would still keep enough time for Uworld.
Don't stop practicing questions- that is the only way to test your knowledge/active learning. You could review content for weak areas, followed by Rx for that topic-- this would actively test what you've learnt! I strongly feel that active learning is superior to passively reading text.
 
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Thanks! Good news- I took NBME 13 today and scored a 240 🙂 Lets hope that score keeps going up!
Good job! I took the NBME 2 weeks ago and got a 200 :/ A good friend of mine got a 234. You're both killers!
I scored low in cardio and renal. I think it has everything to do with those being the first classes of the year. In other words I haven't studied the material well since October. I hope my score will jump at least 20 points after 1 or 2 weeks of studying cardio and renal. Got 6 weeks!
 
Good job! I took the NBME 2 weeks ago and got a 200 :/ A good friend of mine got a 234. You're both killers!
I scored low in cardio and renal. I think it has everything to do with those being the first classes of the year. In other words I haven't studied the material well since October. I hope my score will jump at least 20 points after 1 or 2 weeks of studying cardio and renal. Got 6 weeks!
A jump from 200 to 220 is easier than a jump from 230-250. You can do it!!
 
Anyone scoring in the high 70s+ in Rx... I am really frustrated with the amount of minutiae Rx expect people to know... Sometimes I am reading the stem and I know the disease immediately, but still got the questions wrong because they ask for something associated with the disease which I thought was not extremely important to know... After doing over half of Rx, I can notice that I am mostly missing questions that require straight recall.

Maybe might expectation was too high thinking I should be scoring 75+ on every block by now... Still stuck in the mid 60s to low 70s... It's really frustrating!

Should I stop doing practice questions and just spend a weak doing content review in subjects that I am weak on? I still have about 8 weeks left before taking the test!😉


Do uworld now... 8 weeks is def needed to make concepts clear and finish uworld properly.
 
Hey guys. For the Free 150, what percentage correlates to a 240+?
There is no solid correlation. There are too few questions to give a good estimate. I'd say if you're at 85% or higher it's possible. Maybe other people can also comment, but they'll probably tell you there's also no correlation
 
Just took UWSA 1 today, got a 242. Which was roughly 75% correct, which was right around my Uworld average. Its significantly higher than my first nbme of 228. I am assuming they still over predict?
 
Just took UWSA 1 today, got a 242. Which was roughly 75% correct, which was right around my Uworld average. Its significantly higher than my first nbme of 228. I am assuming they still over predict?

I wish I had more to share than just my experience but I took Form 17 immediately after UWSA1 and scored 1 pt higher on 17.
 
I wish I had more to share than just my experience but I took Form 17 immediately after UWSA1 and scored 1 pt higher on 17.

So do you think they are pretty reliable? I know the curves are a lot tighter on the nmbe, so I wasn't sure if this would translate to a good score on my next nbme. I took 15, I will prolly take 13 next, followed by 16, 17, and 18 in subsequent weeks.
 
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