USMLE Official 2018 Step 1 Experiences and Scores Thread

Discussion in 'Step I' started by Foot Fetish, Oct 15, 2017.

  1. sovereign0

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    I started at around 55-60% too. Don't be discouraged! I'm halfway through now and I'm averaging 75% or so. The questions are tough but the explanations make it such an incredible learning tool. UFAPS is a great system, but for me the "FAPS" part is just there to provide a foundation to optimize learning from UWorld.
     
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  2. starlite911

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    I really wish there was something magical I could say I did, but I honestly feel like the 230 was an underestimate (in my first 2 weeks of dedicated only making 5 pts of progress seemed unlikely, or frustrating at the very least). And I also feel like the 267 is an overestimate -- I'm in the top quarter of my class, but I didn't really think I was capable of something like that. I'd be very pleased to fall somewhere in between these 2 scores

    What helped me the most was to revert to study strategies I'm comfortable with. For example, I tried using Anki during the school year and didn't really like it, but I was convinced at the beginning of dedicated I needed to do it. My number one piece of advice would be to stick with what has worked for you historically. For me, that's working through problems and understanding concepts primarily while memorizing what is only absolutely necessary.

    I can give more info if anyone is interested but didn't wanna write a novel -- it's my first time back here in quite sometime.
     
  3. sharkbyte

    sharkbyte Take me to the top
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    I know everyone's exams are different, but is the general consensus that the Step 1 exam is slightly easier than UWorld?
     
  4. DubbiDoctor

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    What resources are you using, and what have you used throughout medical school? Is there anything you would have done differently?
     
  5. Drkr91

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    Hey everyone! Just wondering if results come out at 3 weeks or 4...took my exam March 30th (Friday), wondering if I should expect my result next week or the week after...
     
  6. SandP

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    I think it's next week (3/18). a Friend of my also took it on a friday and got his results 19 days later.
     
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  7. Drkr91

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    Dreading it so much...definitely feel like I failed and sucks that I'm going to find out for sure next week :/
     
  8. SandP

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    Right there with you...distract yourself with family and friends!
     
  9. Drkr91

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    When did you take it? If you dont mind me asking...I was averaging 235 on NBMEs and feel like I completely bombed the test...my brain just stopped working. Missed easy questions and God knows how many others that I can't even remember
     
  10. SandP

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    3/30 as well! don't think about it!! easier said than done..but I've just been spending time chilling...and the test is a blur at this point haha
     
  11. Drkr91

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    Yup, I wrote down what I could after the test but didn't go back to look over it after...can't even remember what I put or what questions I saw....hoping for the best!!! Good luck to you! Hope to hear good news next week :)
     
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  12. idkididk

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    I think you're in pretty good shape! I'm in a similar boat to where you were, where I didn't really see progress with a week of studying. Trying to drag myself out of this hump. Thanks for sharing!
     
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  13. SandP

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    you too!
     
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  14. Foramenlacerum

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    GOD NO. I thought UWorld was 1000000x easier than the exam I got. I thought UWorld was easier than the NBMEs, so maybe I am not a good judge, but on NO LEVEL was my test easier than UWorld. And you wanna talk about the most random conglomeration of low yield stuff, sit my exam..... #things you will LITERALLY NEVER NEED TO KNOW
     
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  15. Greyhame

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    IMG here. Gave my exam on 23rd March, got the results back today.
    Real deal: 256
    UW first pass (subject-wise): 84%
    NBME 15- 263 (6 weeks out)
    UWSA 1- 271 (5 weeks out)
    NBME 16- 265 (4 weeks out)
    UWSA 2 - 260 (3 weeks out)
    NBME 18- 257 (10 days out)
    NBME 19- 259 (3 days out)

    Personally found the exam to be much more difficult than UW or NBMEs. Marked a lot more questions. Don't know if it was down to lack of sleep or a mental block or a focus on concepts/topics I didn't realise I hadn't mastered. Haven't freaked out this much over an exam ever. Had subconsciously lowered my expectations to 250s. A bit disappointed I missed out on a 260, but relieved at the same time that it wasn't lower.
     
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  16. SandP

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    Congrats, still an awesome score! Any idea of how many you missed?
     
  17. Greyhame

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    I'm not sure. But definitely more than 15, maybe even 20. I stopped trying to recall after a while. If I'd missed the same number on, say NBME 18, I'd probably have ended up with a lower score.
     
  18. SandP

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    Thanks! And curious--how many did you mark?
     
  19. Greyhame

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    lol, marked 15 on some. Averaged around 10-12.
     
  20. SandP

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    per block?
     
  21. Greyhame

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    yup
     
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  22. Foramenlacerum

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    This is the most poignant and honest thing that has probably ever been written on SDN. I wish you would send this to the people at the AAMC/NBME because I think it speaks volumes. We literally allow 1 test to determine the path our lives can take. To think that someone who is not good at answering questions on a multiple choice standardized test may be kept from a specialty they are passionate about simply because of this stupid exam, is incredibly disheartening.

    Congratulations on your amazing score. You are clearly going to be a FABULOUS doctor and I am glad to have future colleagues that write things like this to bring us all back to reality.
     
  23. Lannister

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    Does anyone else have an issue with Kaplan where they'll be reading an answer explanation and all of a sudden it jumps to the top of the page and you have to scroll back down to see the explanation again? It's a minor problem but kind of irritating.
     
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  24. MrTaco92

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    Yeah basically every time I move on to a new question to review and scroll down this happens to me. I'm used to it by now though
     
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  25. Lannister

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    Thanks, glad to know it's not just me!
     
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  26. pbrocks15

    pbrocks15 Romans 8:28
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    I'll let others comment on actual advice since that's not my forte yet, but I would like to say your improvement from the start of dedicated is impressive and you're doing great. I think you're well on your way to hitting your target but most likely you'll break your goals.

    Goodluck!!!
     
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  27. Foramenlacerum

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    I would look at topics in the Qbanks you are missing a lot. Especially if you are doing Uworld. Because you can kill multiple birds with 1 stone. If you read about the answer and the incorrects you cover a ton of material. You’re at a point where’s only a few more corrects will jump your score up. So I would focus on filling those gaps not just taking practice exams hoping to get better. I didn’t find the NBMEs helpful really. I would spend this week really studying and then take an exam after this week and see if you have improved.
     
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  28. sovereign0

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    Be sure to take UWSA2. Not only is it the most predictive, it has explanations so you can see where you went wrong. I'd take it sooner rather than later so you can identify some weak spots to shore up and maximize the efficiency of the time you have left.

    NBMEs are not really a good learning tool, but rather a way to test your progress and practice endurance for the real deal.

    5 more days could be useful, but probably won't make or break your exam.

    How is UWorld going? Have you finished your first pass?
     
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  29. Cremaster reflex

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    Looking for advice....test is in 6 days....originally wanted 260, then 255+, now I would be happy to break 250 lol

    Scores have been:

    Uworld 1st pass timed, random: 82%
    NBME 18 baseline (7 weeks out) = 211
    NBME 13 (5.5 weeks out) = 232
    UWSA1 (~5 weeks out) = 260
    NBME 15 (4 weeks out ) = 240
    NBME 19 (3 weeks out) = 238
    NBME 16 (2 weeks out) = 252
    NBME 17 (1.5 weeks out) = 248
    UWSA2 (1 week out) = 249

    Given what I have seen in other people with a similar Uworld Qbank % I feel like my scores on these tests should be higher.

    Not happy with how I did on UWSA2 at all, reviewed it and made a ton of really stupid, careless mistakes.

    My weakness has always been Repro. I am doing sketchy path for it now and was going to redo all the Uworld repro questions, however I still seem to suck at the physiology of it even after doing B&B + Costanzo. Does anyone have any recommendations for this? I was considering going through Medbullets step 1 reproductive for this

    Also any advice on what to do for the last few days leading up to exam? I was planning on cramming FA as hard as possible and hitting memorization heavy things like Nephritic/Nephrotic, Vasculitis, Lysosome, Glycogen storage diseases, CAH, equations etc. Thoughts?

    Feeling discouraged.
     
    #979 Cremaster reflex, Apr 11, 2018
    Last edited: Apr 11, 2018
  30. Rahas

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    @sahell

    I'm afraid I'm going to have to bug you about all confusions regarding offline NBMEs, since its you who put me on this damned path in the first place!

    NBME 4 has this ethics question about a child with Fragile X Syndrome, with the fathers sister being pregnant. Since the disease is X linked, I concluded the pregnant woman couldn't be a carrier, and marked "Keep the diagnosis confidential". All online discussions agree with this, except one guy, who suggested "Recommend family counseling" since the mother must've been the carrier, and she had a sister (who might want to have children in the future). But then again, I'm not sure what could be done with this information, since its an untreatable condition, unless you decide not to have kids and adopt, or to abort all male fetuses?? (that sounds horribly unethical though)

    What did you conclude?
     
  31. sahell

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    Don't blame me. I'm just offering advice to procrastinate my CK studying.

    The reasoning behind family counselling is a stretch. If you read the question carefully, it only asks about the woman's sister in law. I agree with your conclusion. If you have to twist the scenario to fit an option, it's usually wrong. Try going for the simplest answer wherever possible.

    If you have any more NBME questions mention the block and question number.
     
    #981 sahell, Apr 12, 2018
    Last edited: Apr 12, 2018
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  32. anonymousdoctobe

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    Not sure how much you could gain by looking at another resource since those are pretty comprehensive. To improve on repro, maybe invest into another qbanks just to practice repro and figure out why you are getting the questions wrong.
     
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  33. UncleMinnie

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    Actual Step score: >270
    I did half of uworld in the semester leading up to my dedicated time, and I did it randomly.
    Final uworld was 80%, then I did it all again in the 90’s
    NBME 13 at beginning of study period: 250
    UWSA1 4 weeks out, 272
    UWSA2 3 weeks out: 262
    NBME 15 few weeks out: 260
    Final 2 weeks:
    NBME 16: 262
    NBME 19: 253
    NBME17: 260
    NBME 18: 268

    Actual test didn’t feel too much harder than 19 and 18, but luckily treated be much better than 19



    Sent from my iPhone using SDN mobile
     
  34. starlite911

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    Pretty much using UFAP + Sketchy (micro & pharm). Went through Goljan & USMLERx during the school year, and I've referenced Goljan occasionally during dedicated.

    Looking back, I wish I had spent a non-zero amount of time (so ~2 hours one day a week) on cummulative review throughout medical school. Be that flash cards, or questions, or whatever works for you, I think it would have helped to not have had some topics that I hadn't seriously seen for 1.5 years going into dedicated.
     
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  35. Barry'sAneurysm

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    Congrats! Any guess on how many questions you got wrong on the exam?
     
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  36. DubbiDoctor

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    DAMN - awesome score! One of the few 270+ scores to post on SDN. Numerous questions: what resources did you use during dedicated and throughout medical school? What was your goal score? How did you do on the MCAT? Are you US MD - top 25? Did you take the exam before or after core rotations? Were you at the top of your class pre-clinicals? What specialty do you plan on pursuing? What percentage of questions do you think you got correct? How important was doing all six available NBMEs (seems like most do 2-4)? Was there anything you think you could have done differently to answer correctly the small number of questions you got wrong?
     
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  37. UncleMinnie

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    I know of one question that I absolutely got wrong. There were plenty of what felt like 50/50 guesses (at least 3 per section). I’m assuming that I got lucky on most of them given my score.


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  38. UncleMinnie

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    Same resources as everyone except that I used Boards and Beyond for all videos on material in First Aid not covered by Pathoma or sketchy Micro/Pharm.
    Goal score was to break 260. Regardless of my goal, I just dedicated 12-14 hours a day to study for 6 weeks.
    Top 25 medical school with a 40 mcat (did almost perfect in sciences and good enough in verbal).
    Going into ENT
    I did well in preclinical, but my school doesn’t report quartiles for me to know for sure.
    I think doing all of the NBMEs is nice if you can afford it, because they inevitably have questions that will throw you off guard, and the more experience working through questions like that the better.
    Nothing I would change to do better. Well, I had to submit a grant and an abstract in the middle and which I hadn’t done that. I could have used that time to do something good for the soul, like exercise or watch a movie once a week during the insanity.
    I used cram fighter to keep me on track (uworld 2x, FAx3, Pathoma, sketchy micro and pharm, boards and beyond videos)
    I anki’d any questions I got wrong or anything in FA that I saw a knew I wouldn’t remember without Anki.

    I guess one piece of advice if you want a 280 or above is to memorize FA and then read things like the Wikipedia page on everything because they like to throw some random crap in the “difficult” questions that they know isn’t in FA.

    I feel like they’re starting to do some biostats stuff that’s not in FA, but it was the type of stuff that you could logic your way through alright without prior knowledge.



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  39. Barry'sAneurysm

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    Damn! Only one?! When did you take your test?
     
  40. UncleMinnie

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    Mid February


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  41. UncleMinnie

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    After looking up one and seeing that it was wrong, I couldn’t stomach looking up any others. I’m a wuss with stuff like that.


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  42. DubbiDoctor

    DubbiDoctor SDN Gold Donor
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    Thanks for the thorough response. Did you use the rx or kaplan Qbanks at all? Did you use B/B, pathoma and sketchy throughout pre-clinicals? What about anki or firecracker?
     
  43. UncleMinnie

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    The only other question I used were from a FA Q&A I found laying around my medical school.

    I wish I had heard of B/B before Step study, I like that guys style a lot (he still geeks out on organic chemistry stuff, how great!). Yes, I don’t think any medical student does pre clinicals without Pathoma and those two sketchys. I tried sketchy path, but just didn’t like it.


    Sent from my iPhone using SDN mobile
     
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  44. Oh_Gee

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    does USMLE test on drugs that haven't been on the US market for years? and what about drugs that the FDA have taken off recently?

    and drugs Available via FDA investigational drug [IND] protocol only?
     
  45. idkididk

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    NBME 13 - 232 (86.5%), 5 weeks out
    NBME 15 - 232 (86%), 4 weeks out
    NBME 19 - 232 (88%), 3.5 weeks out, today

    Man this is frustrating. Looking over the questions I got wrong on 19 today, some of them are the really vague/obscure questions, others are topics that I haven't had a chance to review yet. Doing better with eliminating stupid mistakes by double checking every question.

    I've been reviewing my weak points with B&B videos + Anki. On my 2nd pass of UWorld. Anyone else in/been in a similar situations? Any advice?
     
  46. Lannister

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    I can finally contribute some actual data to this thread!
    Step 1 date: 6/7/18 (8 weeks away)
    Goal score: 230 would make me happy, would be thrilled with a 240
    Kaplan: 81%, systems-based untimed, about 1/3 complete
    Rx: 84%, random untimed with about 150 questions left to go
    NBME 13: 234

    I took NBME 13 this morning and was told to expect a sub-200 score so I'm pretty pleased with the 234, although I'm not entirely sure how to interpret this. How much do people usually improve from their first NBME? I have 3 more weeks of class during which I'll probably be doing about 8 hours of step studying a day, and then 4.5 weeks of dedicated.

    Edit: Also...how tf do I stop thinking ciprofloxacin is a cephalosporin? I have gotten multiple questions wrong because of this and it's the most ridiculous thing ever. Like I just see the letter "c" and ignore the "floxacin" part.
     
    #996 Lannister, Apr 13, 2018
    Last edited: Apr 13, 2018
  47. sharkbyte

    sharkbyte Take me to the top
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    Great job! That's a really solid starting score on an NBME. Are the NBME's full length, like 7 sections of 40?
     
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  48. Lannister

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    Thanks! And they are not, 13 was 4 blocks of 50 questions for a total of 200 questions. I assume the others are the same!
     
  49. DubbiDoctor

    DubbiDoctor SDN Gold Donor
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    Sounds like you're off to a great start. How much time does your school give for dedicated?
     
  50. Lannister

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    We get just under 7 weeks, maximum. But I'm spending the last two weeks in Italy (no regrets, I am sure I will be very burnt out by my test date).
     
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