Official 2016 Step 1 Experiences and Scores Thread

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Transposony

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Do you guys ever go on a slump in Uworld? Last week I was consistently scoring in the low 80s and high 70s with a range of 73-88. But last couple of days I have been struggling to score in low 70s. Even dipped into low 60s once. I am not sure whats going on, I expected to continue with the upward trajectory. I feel somewhat concerned.
 
Do you guys ever go on a slump in Uworld? Last week I was consistently scoring in the low 80s and high 70s with a range of 73-88. But last couple of days I have been struggling to score in low 70s. Even dipped into low 60s once. I am not sure whats going on, I expected to continue with the upward trajectory. I feel somewhat concerned.

Yeah, same happened to me and I still haven't recovered. I don't know if it's psyching me out or if the questions are actually harder.
 
I know everyone is hoping to see scores go up today, but I've got a question.

Recently took NBME 15 - 237 (only missed 27 questions/200=86.5% correct) Is that an accurate curve?
I took UWSA1 and got a 255 two weeks ago and I missed 35 on that one...
My test is in 2 weeks and still have a lot to do, but I noticed that the questions I got wrong were rarely over content I didn't know. They were silly mistakes. I don't tend to go terribly fast. Does anyone have experience cutting down on unforced errors?

In the meantime I'm re-reading first aid and plowing through Kaplan. How do you all approach questions?
 
I know everyone is hoping to see scores go up today, but I've got a question.

Recently took NBME 15 - 237 (only missed 27 questions/200=86.5% correct) Is that an accurate curve?
I took UWSA1 and got a 255 two weeks ago and I missed 35 on that one...
My test is in 2 weeks and still have a lot to do, but I noticed that the questions I got wrong were rarely over content I didn't know. They were silly mistakes. I don't tend to go terribly fast. Does anyone have experience cutting down on unforced errors?

In the meantime I'm re-reading first aid and plowing through Kaplan. How do you all approach questions?

Regarding how to approach questions, you'll find this post helpful:

https://forums.studentdoctor.net/th...le-of-step-1-questions.1199416/#post-17751593

Regarding UWSA1: You took it 2 weeks ago, so that makes sense, it's always been a known fact that UWSA's over predict by 10 to 15 points. They recently made it more predictive, however, like a couple days ago. Now it apparently underpredicts/predicts the score you'd get on nbme's and the actual test.

https://forums.studentdoctor.net/threads/final-say-on-uwsa1.1198980/#post-17775495

Hope this helps. I'm better at giving advice than applying it to my own prep though, haha. Good luck.
 
Yeah, same happened to me and I still haven't recovered. I don't know if it's psyching me out or if the questions are actually harder.

Yeah i felt the same exact way, I didn't know if questions just got harder or I am doubting myself more. I tried to take it easy last few days when things didn't go well. I am hoping to break out of it soon. I am doing blocks on untimed mode to take of pressure and not psych myself.
 
Yeah, same happened to me and I still haven't recovered. I don't know if it's psyching me out or if the questions are actually harder.

I am having similar issues however with being over 80% done with it I think my issues are just lack of caring at this point.
 
I'd like to know the same.
Also, when you were at 200, had you already completed another qbank (eg. RX) by that time or none at all?

Whoops, was 229 not 227 (even though it doesnt make much difference). If i remember, i might have been halfway through uworld and had read FA once....then i did a week and a half of just uworld questions (didnt really touch FA from there on out)... then i took UWSA2 amd got 230. I knew my scores would eventually go up after doing so many questions. I think a couple days later i took nbme15 and scored even higher which was great. I think that was 4-5 days before my exam, and i just kept doing UW. Was only able to get through it once, but i felt like that was key in raising my score. My mistake was that i didnt start UW earlier and just read FA at the beginning. Cant be mad at my score since it was a little lower than the max score I got on practice exams. Didnt get a chance to do other qbanks
 
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Anybody getting nailed by behavioral science questions on UW? I feel like some of those "what do you say to the patient" ones are pretty unreasonable. I don't seem to have as much trouble on the NBMEs with these but UW's scenarios and options are either highly convoluted or just plain stupid in an actual clinical setting.
 
Hey everyone! So here are my stats:

5/5/16 CBSE (from school): 200
5/9/16 COMSAE D: 481
UWorld avg: 65% (only 25% completed)
COMBANK avg: 72% (85% completed)

My USMLE is scheduled for 6/28. How indicative is the CBSE of your actual USMLE score? How difficult is it to raise your USMLE score 40-50 points? Which NBME assessments are most predictive of 2016 USMLE scores?

Any advice would be greatly appreciated!
 
Took USMLE recently. Identical to the nbme practice exams. Not longer questions. Had a ton of first order questions I didn't know the answer to tho, just random things I've never seen in FA or Pathoma... but oh well. That really tripped me up the first 2 blocks. Feel pretty crappy overall with my performance, anxiety got the best of me. Will post score after I get it to compare with my NMBE exams and post exam feelings.
 
Hey guys, Just got my score back and thought I would share my experience.

Background: US MD student at a lower-tier state school

During MSI/II: Just focused on classes during first year. Used Pathoma, SketchyMicro, and Kaplan Pharm along with classes during second year. I started using FA and USMLE-Rx halfway through second year. Finished ~70% of USMLE-Rx (84% correct) and read all the organ system chapters before dedicated study period. Other resources I would recommend:

-How the Immune System Works - Sompayrac: Really good for immunology concepts, and a relatively short read
-SketchyPharm: I didn't do too many of these, but the ones I learned turned out to be super helpful and high yield
-HY Neuroanatomy: More of a review than a primary learning source. Good if you need to brush up on neuroanatomy before step 1. I wouldn’t recommend it during dedicated study period, as it will probably take 2-3 days to get through.
-Brosencephalon decks: Went through some of the “patho(ma)logy” deck subject wise after watching the corresponding Pathoma lectures. This turned out to be pretty effective, although time consuming.
-Goljan Audio: Solid resource. I listened to most of them, usually while working out.

Dedicated study: ~5 weeks of UFAP + DIT. My first 18 days consisted of 1 block of UW daily followed by DIT. I did UW random, timed and took about 2 hours to review each question set while annotating FA. After finishing DIT, I started reading FA, and watched YouTube videos/referenced textbooks for every sentence in FA that I did not understand. I finished one full pass of FA a few days before my exam, and I finished UW the day before my exam (83% overall percentage).

NBME 12 (a few weeks before dedicated): 241
CBSE (beginning of dedicated study): 247
UWSA 1 (3 weeks out, after finishing DIT): 259
UWSA 2 (1 week out): 263
NBME 18 (2 days out): 260

Test day: Barely slept the night before my exam, and I didn't feel on my game during the exam. I left the exam center convinced that I either failed or completely blew it. The test itself felt very similar to NBME 18 in terms of difficulty and timing except for my last block, which was by far the most difficult I had ever encountered. I marked over half of the questions and felt like I was blindly guessing on the majority, but I may have just been exhausted after 7 hours of testing.

Real deal: 259

Super happy with my score. I think the most important thing I did was study hard for classes. Step 1 tests on concepts, and you really can't learn everything over a 5 week period. I learned many important concepts during the school year, and I spent my dedicated study period doing UFAP to drill the points I was weak on. Overall, I think First Aid has all the detail you need to do well on step 1, and UW and Pathoma will help you understand the material conceptually.
 
Anki peeps : For the questions that will be due months from now (and are high yield conceptual)- do you just trust the spaced repetition or mark it for reviewing days before the exam? I have several questions that are definitely high yield, but they will be due 2-3 months from now.

OR

Do you just go cram mode a few days before the exam (review all cards- I have close to 4K, and it will take me 2-3 days to review everything). Would that be a good idea?
 
Anki peeps : For the questions that will be due months from now (and are high yield conceptual)- do you just trust the spaced repetition or mark it for reviewing days before the exam? I have several questions that are definitely high yield, but they will be due 2-3 months from now.

OR

Do you just go cram mode a few days before the exam (review all cards- I have close to 4K, and it will take me 2-3 days to review everything). Would that be a good idea?

I've just trusted the algorithm. I've been doing my deck (~12K cards) since September and my longest interval is like 1.9 years. I debated cramming the whole thing during dedicated, but I didn't think that the time:benefit ratio would be worth it. That being said, doing 4K cards would only take a couple days, so it might be worth it in your case.
 
Anki peeps : For the questions that will be due months from now (and are high yield conceptual)- do you just trust the spaced repetition or mark it for reviewing days before the exam? I have several questions that are definitely high yield, but they will be due 2-3 months from now.

OR

Do you just go cram mode a few days before the exam (review all cards- I have close to 4K, and it will take me 2-3 days to review everything). Would that be a good idea?

+1 with Amba here. I'm at the point where I have way too many cards and if I was able to push a card past my step 1 date I'm not going to artificially try to review it. If it was me, I would prioritize weak sections in FA over cramming anki. Depending on your settings, 2-3 months out means you knew it cold at some point.
 
Hey guys, Just got my score back and thought I would share my experience.

Background: US MD student at a lower-tier state school

During MSI/II: Just focused on classes during first year. Used Pathoma, SketchyMicro, and Kaplan Pharm along with classes during second year. I started using FA and USMLE-Rx halfway through second year. Finished ~70% of USMLE-Rx (84% correct) and read all the organ system chapters before dedicated study period. Other resources I would recommend:

-How the Immune System Works - Sompayrac: Really good for immunology concepts, and a relatively short read
-SketchyPharm: I didn't do too many of these, but the ones I learned turned out to be super helpful and high yield
-HY Neuroanatomy: More of a review than a primary learning source. Good if you need to brush up on neuroanatomy before step 1. I wouldn’t recommend it during dedicated study period, as it will probably take 2-3 days to get through.
-Brosencephalon decks: Went through some of the “patho(ma)logy” deck subject wise after watching the corresponding Pathoma lectures. This turned out to be pretty effective, although time consuming.
-Goljan Audio: Solid resource. I listened to most of them, usually while working out.

Dedicated study: ~5 weeks of UFAP + DIT. My first 18 days consisted of 1 block of UW daily followed by DIT. I did UW random, timed and took about 2 hours to review each question set while annotating FA. After finishing DIT, I started reading FA, and watched YouTube videos/referenced textbooks for every sentence in FA that I did not understand. I finished one full pass of FA a few days before my exam, and I finished UW the day before my exam (83% overall percentage).

NBME 12 (a few weeks before dedicated): 241
CBSE (beginning of dedicated study): 247
UWSA 1 (3 weeks out, after finishing DIT): 259
UWSA 2 (1 week out): 263
NBME 18 (2 days out): 260

Test day: Barely slept the night before my exam, and I didn't feel on my game during the exam. I left the exam center convinced that I either failed or completely blew it. The test itself felt very similar to NBME 18 in terms of difficulty and timing except for my last block, which was by far the most difficult I had ever encountered. I marked over half of the questions and felt like I was blindly guessing on the majority, but I may have just been exhausted after 7 hours of testing.

Real deal: 259

Super happy with my score. I think the most important thing I did was study hard for classes. Step 1 tests on concepts, and you really can't learn everything over a 5 week period. I learned many important concepts during the school year, and I spent my dedicated study period doing UFAP to drill the points I was weak on. Overall, I think First Aid has all the detail you need to do well on step 1, and UW and Pathoma will help you understand the material conceptually.

Congrats on the fantastic score, my dude. My practice exam scores and experience on exam day (took it 5/10) seem eerily similar to yours. I just hope to come within 10 points of your actual score. Cheers!
 
Took the real deal today. It was pretty similar to UWorld and NBME 18 for me. Not particularly easier or more difficult overall than both of those. Made my share of stupid mistakes, but there were enough things on there that I felt I knew that i'm hoping I did alright. Ethics questions were brutal at times - so many cases where 2-3 of the options seemed perfectly normal. I also did end up having 40 on my last block, not less like some people have reported. The day is mentally and emotionally draining, especially when you hit a patch of hard questions. Overall I hope I hit my target score (230) but I honestly have no idea where I will land. Could be a bit better, could be worse too. Out of 280 questions (of course, some are experimental so they might not count) I wonder what % you need to score around average. I suppose it depends on the exam form but does anyone have anecdotal data of a ballpark estimate? Waiting a month and half is going to be a killer, but glad to have it over with!
 
Hey folks,

So I'm hoping for some advice from the veterans.

Currently 2.5 weeks away from the real thing. USMLE on 6/13 and COMLEX 6/17. Progress so far:

COMBANK-2000 questions or so
USMLE-RX - Finished this with a 90% (did this for about 6 weeks alongside school work)
Uworld first pass: 76% (Didn't really read FA prior to this (aside from random things for classes throughout the years). Started this 4 weeks ago alongside the end of classes, I did anywhere between 2-5 blocks a day (kinda wanted to blast through it, and spent a very long time reviewing every question, making rather dense anki cards for review).
Listened to goljan

Watched most of Pathoma (but I find it rather simplified and mostly review), and read through a lot of FA (but again, I feel like a lot of this is review and better time can be spent elsewhere).

I made a rather dense anki deck with all of the information from UWorld/RX (especially the content that I got wrong) - ended up with 1400 cards. These were annotated with countless pictures, graphs, and information from goljans rapid review and a lot of Up2Date content.

I have not taken an assessment exam yet, as a DO student I merely took the school-issued COMSAE D and managed a 642.

So, I've been contemplating dong Kaplan. Is Kaplan a must to do?

Right now I'm just slamming this huge deck and condensing everything together.

Here are my pressing questions:

1) Is there a particular order in which I should take the NBME's and UW assessments?

2) Should I get started on Kaplan asap after I finish this anki deck, or should I just stick to redoing UW or something else?

3) Are Conrad Fischer's PE and pharm useful to go through? Or should I not spend the time on that, being this close to the exam?

4) Is it worthwhile to familiarize with current events like Zika? I'm not sure what kind of time frames the USMLE question writers operate under.

I feel like redoing anything more than marked/incorrects in UW is rehashing stuff I already know (especially after doing this anki deck, which basically has all of uworld explained in it), but I'm not sure how to proceed. Feeling a bit nervous about taking assessments, as a crappy score 2.5 weeks away would be demoralizing...I know that's terrible logic. Starting to feel a bit panicky given how close this thing is.

Thanks in advance.
 
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Hello, infrequent poster here but thought I'd share my experiences. I took my exam on 5/4, received score back last Wednesday. For background, I attend a mid/low-tier US school. Since I was undecided about residency, I just wanted to score a 240+ to keep my options open. For waaaaay far back background, I got a 32 MCAT for med school, decided to retake, and only got a 31. It still bugs me to this day (but back then it was devastating.) This time around, I just wanted to do well enough to have options.

Leading up to dedicated: First year, watched lectures and reviewed everything 2-3x, but otherwise didn't do anything special. Second year, I used BRS Physiology, Sketchy Micro, Pathoma, and 1/2 of FA. I also purchased DIT, skipped doing their primer videos, but did their "Part 1" question series consistently. My school gives us an NBME exam at the end of second year, but I'm not sure what number it was. Scaled score on that was 210 entering dedicated, weakest area was probably pharm. I also honored about half the blocks in med school, but often felt I was just binging and purging information.

Dedicated: I had roughly over 5 weeks to prepare. I would try to do 1-2 44q Uworld blocks every morning using timed random mode. Then I'd review every single question, right or wrong, reading the entire answer. This part took hours in the beginning, but got better over time (for the last ~100 questions or so I was really losing steam and used timed tutor mode jut so I wouldn't be tempted to not review them afterward.) Once you're sure you can complete 44 q's in one hour, I think this is a pretty viable way of using Uworld. I had separate notebooks for Uworld notes since I found that annotating into FA when they don't give you pages numbers was way too time-consuming. For the first 20 days or so I'd also do 12-15 DIT videos daily. I used their study guide to take notes along with the videos. I did not have time to also use FA during this time. For my lunch "breaks" I began watching sketchy pharm and quickly noticed an improvement there. After DIT's program, I reviewed Pathoma (second pass), read FA, kept up Uworld, and also was able to rewatch every single Sketchy Micro video and finish Sketchy Pharm (although neuro was still rolling out). This was the most challenging part of the study period for me. I absolutely HATED reading through first aid and I didn't finish my 1.5x pass through it honestly until the last few days before my exam. My last few days were spent doing a third pass through Pathoma (book only now), rereading my Uworld notes, and rewatching Sketchy pharm videos.

I only took one practice exam throughout this entire period since I heard you couldn't really review them. I wanted to know I was on track, but I personally felt that I needed to keep studying more so than I needed to see score improvements. I took NBME 17 maybe just under a month into dedicated, scored 243. Uworld 70% if that matters.

Real thing: 245.

First block was the hardest just because I couldn't focus on reading any of the words. Don't let that bother you. After the first block, you'll fall into a groove. Learn whether you can do blocks back to back or if you need short breaks in between (like I did.) I thought question difficulty was comparable to Uworld/I didn't feel like I was being asked too many outrageous things.

Major takeaways: Learning styles and what you've covered prior to study period will really shape your schedule. If it wasn't obvious, I'm an audiovisual learner with a huge procrastination streak. For this reason, dropping money on DIT, Sketchy, and Pathoma was the right choice for me. Without it, I'm not sure I would have gotten through everything while paying attention to the right things. I also found DIT's quizzes really helpful and helped with my "active" learning. This is also the reason Uworld is so highly recommended, since otherwise just doing FA/Pathoma you can trick yourself into thinking you've done a lot when you understand very little. I also purchased a subscription to Cramfighter (schedule app), which moderately lessened my anxiety levels. Other tips? It's okay to do whatever you need to do in order to get yourself to finish Uworld. I talked to people who liked to go by systems, even though that's not the prevailing wisdom (unless you do systems throughout MS2 and then reset and do random for dedicated). I personally listened to music, ate snacks, and generally did not listen to advice to "simulate test taking conditions" since otherwise I'd be completely miserable. Timed tutor mode is excellent once you have the timing down. Also, I didn't really start board prep until around January, and even then only a few hours every week. That's okay. Studying for classes counts as board prep. My two highest sections on Step 1 were in Heme/Onc and MSK/Skin/CT and they happened to have been covered last in school. Board prep will be easier to do during dedicated when you have no other distractions and 5 weeks is more than enough time to do it in. Other people in my class only used 4 weeks and also found that it worked well for them.

Lastly, to all my fellow procrastinators out there: do whatever it takes to get yourself to make and stick to a plan. I had a friend who'd text me nearly daily and we kept each other accountable. Cramfighter helped for me, DIT majorly helped for me, especially for long-forgotten topics like biochem. I thought going into my study period that I'd also fix my sleep schedule and start a fitness routine but those were tall asks. I studied from 10am-2am, didn't work-out, ate and slept well though, and it was fine. I was able to correct it in my last week, experimenting with melatonin doses. Woke up well-rested but nervous on test day, as to be expected. You can tackle that stuff later; prioritize studying now. No one likes to study for 10-12 hours a day, but it'll be over soon. Something that really stuck with me was when an MS4 told me "This is only one month of your life. Don't look back on this time with any regrets."

Good luck!
 
Hello, infrequent poster here but thought I'd share my experiences. I took my exam on 5/4, received score back last Wednesday. For background, I attend a mid/low-tier US school. Since I was undecided about residency, I just wanted to score a 240+ to keep my options open. For waaaaay far back background, I got a 32 MCAT for med school, decided to retake, and only got a 31. It still bugs me to this day (but back then it was devastating.) This time around, I just wanted to do well enough to have options.

Leading up to dedicated: First year, watched lectures and reviewed everything 2-3x, but otherwise didn't do anything special. Second year, I used BRS Physiology, Sketchy Micro, Pathoma, and 1/2 of FA. I also purchased DIT, skipped doing their primer videos, but did their "Part 1" question series consistently. My school gives us an NBME exam at the end of second year, but I'm not sure what number it was. Scaled score on that was 210 entering dedicated, weakest area was probably pharm. I also honored about half the blocks in med school, but often felt I was just binging and purging information.

Dedicated: I had roughly over 5 weeks to prepare. I would try to do 1-2 44q Uworld blocks every morning using timed random mode. Then I'd review every single question, right or wrong, reading the entire answer. This part took hours in the beginning, but got better over time (for the last ~100 questions or so I was really losing steam and used timed tutor mode jut so I wouldn't be tempted to not review them afterward.) Once you're sure you can complete 44 q's in one hour, I think this is a pretty viable way of using Uworld. I had separate notebooks for Uworld notes since I found that annotating into FA when they don't give you pages numbers was way too time-consuming. For the first 20 days or so I'd also do 12-15 DIT videos daily. I used their study guide to take notes along with the videos. I did not have time to also use FA during this time. For my lunch "breaks" I began watching sketchy pharm and quickly noticed an improvement there. After DIT's program, I reviewed Pathoma (second pass), read FA, kept up Uworld, and also was able to rewatch every single Sketchy Micro video and finish Sketchy Pharm (although neuro was still rolling out). This was the most challenging part of the study period for me. I absolutely HATED reading through first aid and I didn't finish my 1.5x pass through it honestly until the last few days before my exam. My last few days were spent doing a third pass through Pathoma (book only now), rereading my Uworld notes, and rewatching Sketchy pharm videos.

I only took one practice exam throughout this entire period since I heard you couldn't really review them. I wanted to know I was on track, but I personally felt that I needed to keep studying more so than I needed to see score improvements. I took NBME 17 maybe just under a month into dedicated, scored 243. Uworld 70% if that matters.

Real thing: 245.

First block was the hardest just because I couldn't focus on reading any of the words. Don't let that bother you. After the first block, you'll fall into a groove. Learn whether you can do blocks back to back or if you need short breaks in between (like I did.) I thought question difficulty was comparable to Uworld/I didn't feel like I was being asked too many outrageous things.

Major takeaways: Learning styles and what you've covered prior to study period will really shape your schedule. If it wasn't obvious, I'm an audiovisual learner with a huge procrastination streak. For this reason, dropping money on DIT, Sketchy, and Pathoma was the right choice for me. Without it, I'm not sure I would have gotten through everything while paying attention to the right things. I also found DIT's quizzes really helpful and helped with my "active" learning. This is also the reason Uworld is so highly recommended, since otherwise just doing FA/Pathoma you can trick yourself into thinking you've done a lot when you understand very little. I also purchased a subscription to Cramfighter (schedule app), which moderately lessened my anxiety levels. Other tips? It's okay to do whatever you need to do in order to get yourself to finish Uworld. I talked to people who liked to go by systems, even though that's not the prevailing wisdom (unless you do systems throughout MS2 and then reset and do random for dedicated). I personally listened to music, ate snacks, and generally did not listen to advice to "simulate test taking conditions" since otherwise I'd be completely miserable. Timed tutor mode is excellent once you have the timing down. Also, I didn't really start board prep until around January, and even then only a few hours every week. That's okay. Studying for classes counts as board prep. My two highest sections on Step 1 were in Heme/Onc and MSK/Skin/CT and they happened to have been covered last in school. Board prep will be easier to do during dedicated when you have no other distractions and 5 weeks is more than enough time to do it in. Other people in my class only used 4 weeks and also found that it worked well for them.

Lastly, to all my fellow procrastinators out there: do whatever it takes to get yourself to make and stick to a plan. I had a friend who'd text me nearly daily and we kept each other accountable. Cramfighter helped for me, DIT majorly helped for me, especially for long-forgotten topics like biochem. I thought going into my study period that I'd also fix my sleep schedule and start a fitness routine but those were tall asks. I studied from 10am-2am, didn't work-out, ate and slept well though, and it was fine. I was able to correct it in my last week, experimenting with melatonin doses. Woke up well-rested but nervous on test day, as to be expected. You can tackle that stuff later; prioritize studying now. No one likes to study for 10-12 hours a day, but it'll be over soon. Something that really stuck with me was when an MS4 told me "This is only one month of your life. Don't look back on this time with any regrets."

Good luck!

How was the statistics portion of the exam? Comparable to Uworld as well?
 
Need advice:

Just took nbme 16 and got 237, same as nbme 15. Hoping to get higher than 250. My UW avg is 75% and my UWSA are 255 and 260. My nbme's haven't gotten above 240. What is going on?
 
Just confronted the beast today, came out for the most part unscathed haha. Honestly, I felt it was surprisingly more straight forward and easy than I was expecting. I think part of that was that I was just so overworked about it, so I think that was actually good because my confidence built as the exam continued.

Anyway, overall pretty straight forward not much to be said from what others have said 40 q's per block, a couple wtf questions (one was ridiculous like in pretty sure only an surgeon could answer confidently). Timing was fine, the first block I was super annoyed I like had this epiphany and figured out this tough question went to change it and time expired doh! Haha whatever, what can you do. I def missed a couple dumb ones I can recall off the top of my head and I'm sure there are plenty that I don't think I missed that I did haha. All in all though I feel like it was straightforward, in line with the NBME's (esp 18 although even more straight forward I dare say but that is totally dependent on your form).

Anatomy was what I was really quite worried about and I think it was ok, there was the WTF a couple tough ones that I wasn't sure on and the rest were fine, even by my crappy anatomy standards. Biostats was easy and straightforward (but that is a fairly strong area for me generally) mine felt a little behavioral heavy maybe but I'm sure it was even spaced and I just noticed those for whatever reason.

In case anyone was wondering too I used caffeine tablets (cheap and smoother time course than my beverages plus no added fluid intake), took 100mg every 3.5 hrs or so. Had plenty of snacks and drinks. Took breaks after every block to decompress and get the blood flowing. Over all not nearly as fatiguing as I thought, I was a ball of nerves tho (I always get way freaked out for these tests) so I mainly has to force myself to calm down and relax more than wake up haha. Anyway breaks were fine timing was fine.

As for now I'm heading out on vaca with the highly attention deprived wife and kid before rotations start. I'll report back on the prep and such when I get my score to better frame how it went (then we can see if my methods were good or less than advisable haha). Good luck everyone!

P.s sorry for the total stream of consciousness in that post and I apologize in advance for the grammar. This being on my phone and written with a fried brain is a terrible combo I'm sure. Haha 🙂


Sent from my iPhone using SDN mobile app
 
Anyone have any tips on how to tackle anatomy on Step? I've been hearing there's a good amount, but I feel like FA/UW only cover the more common stuff. Thanks!
 
Anyone have any tips on how to tackle anatomy on Step? I've been hearing there's a good amount, but I feel like FA/UW only cover the more common stuff. Thanks!

Whatever is not in FA and UW is honestly not worth the effort to cover. You'll remember some tidbits from your school anatomy courses, you'll be able to reason some things out, and whatever is not covered by that will likely be pretty minute details that you're not going to really learn during dedicated. So don't worry about it. FA and UW covers 90%+ of the high yield anatomy for the exam. Google some neuroanatomy stuff if you really want but outside of that I wouldn't sweat it. That time is better spent on other things.
 
Need advice:

Just took nbme 16 and got 237, same as nbme 15. Hoping to get higher than 250. My UW avg is 75% and my UWSA are 255 and 260. My nbme's haven't gotten above 240. What is going on?
Unfortunately, these scores sound about right. Just keep studying the way you're studying and taking NBMEs to track your progress. If you're hitting 240s within 2 weeks out you'll have a good chance at >250 if you have a great test day. UWSAs tend to overpredict (and unless you're scoring >265 which indicates you're in >255 range, they're nonpredictive despite their algorithm changes), and UWorld averages are nonpredictive (though in the low 70s you're probably in 230-240 range, and high 70s you're probably in the 240-250 range if I had to throw an educated guess out there).

Just stay positive and focused. Good luck.
 
Unfortunately, these scores sound about right. Just keep studying the way you're studying and taking NBMEs to track your progress. If you're hitting 240s within 2 weeks out you'll have a good chance at >250 if you have a great test day. UWSAs tend to overpredict (and unless you're scoring >265 which indicates you're in >255 range, they're nonpredictive despite their algorithm changes), and UWorld averages are nonpredictive (though in the low 70s you're probably in 230-240 range, and high 70s you're probably in the 240-250 range if I had to throw an educated guess out there).

Just stay positive and focused. Good luck.

Thanks amigo!
I thought the same thing.
I've done tons (8000) of practice questions annotating into first aid b/c that is how I learn best and have probably read all the chapters 2 x. I'm going to start a final 3rd pass to connect everything and work on weaknesses. I have 10 days to keep working hard. I'll continue posting updates on nbme's.
 
Can recent test takers (or people going to take the test soon) help please.
These metabolic/respiratory acidosis/alkalosis.. How much in depth do we need to know?
Let's say if ABGs are given, it's pretty easy to find out which one of the 4 disorders is it.
But... the next thing, to find out whether it's acute or chronic, compensated or uncompensated, mixed type, all the related equations and ratios (eg the Winters formula). The stuff given in kaplan physio. Do we need to know all this?
Thanks
 
Can recent test takers (or people going to take the test soon) help please.
These metabolic/respiratory acidosis/alkalosis.. How much in depth do we need to know?
Let's say if ABGs are given, it's pretty easy to find out which one of the 4 disorders is it.
But... the next thing, to find out whether it's acute or chronic, compensated or uncompensated, mixed type, all the related equations and ratios (eg the Winters formula). The stuff given in kaplan physio. Do we need to know all this?
Thanks

Everyone should have absolutely no problem in identifying specific type of alkalosis/acidosis based on lab findings. aka test-makers probably won't make up a simple question asking you is this metabolic acidosis or resp. acidosis. So i would say, know the causes of each type, esp metabolic acidosis. know AG-normal vs AG-elevated. tie in acidosis/alkalosis with pulmonary chapter, eg PE, chronic bronchitis. Some drugs are also important to know, such as ASA and etc.
 
Can recent test takers (or people going to take the test soon) help please.
These metabolic/respiratory acidosis/alkalosis.. How much in depth do we need to know?
Let's say if ABGs are given, it's pretty easy to find out which one of the 4 disorders is it.
But... the next thing, to find out whether it's acute or chronic, compensated or uncompensated, mixed type, all the related equations and ratios (eg the Winters formula). The stuff given in kaplan physio. Do we need to know all this?
Thanks

I'd imagine it'd only be as much as you've seen in UW. Honestly though, if you understand the concept behind what causes them, it's pretty easy to figure out given the scenario. Besides that, memorize the anion gap mnemonics and Winter formula and you should be set. Also, if you see salicylates, keep mixed in the back of your mind.
 
Everyone should have absolutely no problem in identifying specific type of alkalosis/acidosis based on lab findings. aka test-makers probably won't make up a simple question asking you is this metabolic acidosis or resp. acidosis. So i would say, know the causes of each type, esp metabolic acidosis. know AG-normal vs AG-elevated. tie in acidosis/alkalosis with pulmonary chapter, eg PE, chronic bronchitis. Some drugs are also important to know, such as ASA and etc.

I'd imagine it'd only be as much as you've seen in UW. Honestly though, if you understand the concept behind what causes them, it's pretty easy to figure out given the scenario. Besides that, memorize the anion gap mnemonics and Winter formula and you should be set. Also, if you see salicylates, keep mixed in the back of your mind.

Thanks for your advice guys. So I'll pay more attention to the causes and the anion gap thingy and leave the extra ratios/equations given in kaplan aside. Except winters formula, I guess that's high yield cuz it's even mentioned in FA.
 
Dialysis would be done in a patient with renal failure and acidaemia secondary to severe ethylene glycol poisoning, however you'd still start him or her on fomepizole first regardless. It would also be maleficent to speculate about exact timing of last intake and one would want to prevent any residual EG from converting to the aldehyde form. Even if you are definitely going to dialyse because of severity, you'd start the fomepizole and dose according to the hemodialysis. Peritoneal dialysis isn't effective.

Bronchoalveolar lavage is always the best for pneumocystis diagnosis. CXR is worthless for diagnostic purposes. Yeah, you'd do a CXR in any patient whom you suspect infection/want clarification, but when the word "diagnosis" is in the vignette, CXR is wrong for pneumocystis. If you do not yet know a lung infection is even the cause of the patient's presentation, then do CXR first, but once again, it's not diagnostic. Sputum sensitivity is limited, as is the case when it's used for most things. The Step might mention in a vignette silver staining showing yeast, but it's more for descriptive purposes vs what's actually used in practicality.
 
🤔
Dialysis would be done in a patient with renal failure and acidaemia secondary to severe ethylene glycol poisoning, however you'd still start him or her on fomepizole first regardless. It would also be maleficent to speculate about exact timing of last intake and one would want to prevent any residual EG from converting to the aldehyde form. Even if you are definitely going to dialyse because of severity, you'd start the fomepizole and dose according to the hemodialysis. Peritoneal dialysis isn't effective.

Bronchoalveolar lavage is always the best for pneumocystis diagnosis. CXR is worthless for diagnostic purposes. Yeah, you'd do a CXR in any patient whom you suspect infection/want clarification, but when the word "diagnosis" is in the vignette, CXR is wrong for pneumocystis. If you do not yet know a lung infection is even the cause of the patient's presentation, then do CXR first, but once again, it's not diagnostic. Sputum sensitivity is limited, as is the case when it's used for most things. The Step might mention in a vignette silver staining showing yeast, but it's more for descriptive purposes vs what's actually used in practicality.
:hijacked:
 
Unfortunately, these scores sound about right. Just keep studying the way you're studying and taking NBMEs to track your progress. If you're hitting 240s within 2 weeks out you'll have a good chance at >250 if you have a great test day. UWSAs tend to overpredict (and unless you're scoring >265 which indicates you're in >255 range, they're nonpredictive despite their algorithm changes), and UWorld averages are nonpredictive (though in the low 70s you're probably in 230-240 range, and high 70s you're probably in the 240-250 range if I had to throw an educated guess out there).

Just stay positive and focused. Good luck.

I do not agree with this...numerous people I know personally and on SDN have scored around their uworld assessment score averages. Obviously there will also be people (such as yourself) who didn't perform as well on NBME as compared to uworld, but this is highly variable and you can't say that they are not predictive.
 
Obviously there will also be people (such as yourself) who didn't perform as well on NBME as compared to uworld
Not sure where you're getting your information. I scored 98/>260 on the CBSE, >260 on every NBME, >265 on both UWSAs, 88% UWorld (one pass), 97% on FRED, and >260 on step 1.

I do not agree with this...numerous people I know personally and on SDN have scored around their uworld assessment score averages.
You're entitled to disagree, but the statement you're quoting is rooted in my experience in speaking to countless students and reading countless step 1 write-ups and score reports over the past 3 years.
 
Not sure where you're getting your information. I scored 98/>260 on the CBSE, >260 on every NBME, >265 on both UWSAs, 88% UWorld (one pass), 97% on FRED, and >260 on step 1.
You're entitled to disagree, but the statement you're quoting is rooted in my experience in speaking to countless students and reading countless step 1 write-ups and score reports over the past 3 years.

:whoa:
 
I do not agree with this...numerous people I know personally and on SDN have scored around their uworld assessment score averages. Obviously there will also be people (such as yourself) who didn't perform as well on NBME as compared to uworld, but this is highly variable and you can't say that they are not predictive.

Thank you for your encouraging words @GomerPyle !

Thank you for the statistics @plasmodium - reality checks and fear of not reaching my goal are making me push harder!

I've read a ton of 1st aid since I posted that, just trying to wrap up reading biochem and micro (this was my major so it's a strength of mine) today and tomorrow. Then I'm going to go through kaplan qbank by my weak subjects and do as many as I can. After that I'll redo my flagged and wrong on Uworld then I'll take my last NBME Saturday. I will update you all then. My exam is next Thursday the 9th.
 
Thank you for the statistics @plasmodium - reality checks and fear of not reaching my goal are making me push harder!
I wouldn't consider them statistics, they were just my own speculation. Take everything you read on here and elsewhere with a grain of salt.

Just focus on doing the best that you are capable of doing. Don't get too caught up with SDN.
 
The UWSAs have been rumoured to over-predict based on some students receiving varied results who've posted here over the years. But they're generally pretty accurate. A 255 and 260 UWSA sequence, according to an above poster, with only sub-240s NBMEs, yes, is very unusual. Mid-70s in UW if timed, random, and within three months of the exam, should be bare minimum 240s.
 
So my test is in about a week, and I've taken all of the NBMEs except 18. And this may even be the wrong thread to ask this, but for anyone who has been taking them have they felt like they were making educated guesses on let's say 20-25% of the exam? Is that normal?

And for anyone who has taken the exam already - did you feel this way after finishing?

I normally mark that amount of questions, and end up really only missing 20-30 questions total (so about 10-15%). Just asking because I'm hoping my intuition and reasoning ability can get me through test day 😛
 
My most recent was NBME 16, and I felt like for most of the questions, I knew it cold. I think that's where you want to get to because on the real deal, not every question will be like that, so you want to maximize the ones you know cold so you can spend time thinking and reasoning out the ones that are more difficult.

That being said, if you are consistently getting good marks with "educated guesses," then I guess it doesn't matter because the ends justify the means. I would just be concerned that it's been a trail of good luck rather than knowing my material well, which could end up hurting you come exam day.
 
My most recent was NBME 16, and I felt like for most of the questions, I knew it cold. I think that's where you want to get to because on the real deal, not every question will be like that, so you want to maximize the ones you know cold so you can spend time thinking and reasoning out the ones that are more difficult.

That being said, if you are consistently getting good marks with "educated guesses," then I guess it doesn't matter because the ends justify the means. I would just be concerned that it's been a trail of good luck rather than knowing my material well, which could end up hurting you come exam day.

Thanks for your input!

And just to clarify, when I say educated guesses I mean I limit the answer choices down to 2 - either by eliminating others or getting caught up by NBME when they put two very similar answer choices.

I'll be honest, I'm close to losing all motivation to study because I'm not interested in any competitive specialties, if specializing at all. I wish I could just take it tomorrow and spend time with attention-deprived wife and kitten
 
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