USMLE Official 2018 Step 1 Experiences and Scores Thread

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Great job! Feel the same way as you, I have my exam Friday and I just have NBME 19 left to take. Probably going to take it Tuesday or so. I think I'm going to write down a list of everything I want to review over the next 4-5 days that I feel like I'm weak on.
Just did NBME 17 today... got a 261. Up from 248 on NBME 19. Bit surprised to be honest because I felt that this exam was much harder than NBME 19, and I'm also extremely burnt out and panicking because there is so much stuff in First Aid I (think?) I don't know. Exam is Saturday. Not sure what to do this week.

Same boat as your guys - 5 days out I’m not really sure what to do at this point.

I guess I’m just gonna anki, take NBME 17, and maybe leaf through first aid.
 
Motivation for everyone on that STEP grind.

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It's a brutal wait for sure, but I know classmates that took it a week or two before me that either have their scores or no longer have their permit.

I took mine 18/5, for reference.

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Soooo theres hope for the 12/5 takers this week???
 
Because most people hover a bit closer to average:

CBSE (6 weeks out): 192
NBME 15 (5 weeks out): 207
NBME 16 (4 weeks out): 217
NBME 19 (3 weeks out): 207
NBME 17 (2 weeks out): 219
UWSA 2 (1 week out): 237

Real Score: 226

Wanted higher, expected somewhere around national average (plus or minus test's statistical error of 12 points)... not particularly interested in the most competitive specialities to begin with nor many of the commonly most competitive residency institutions (granted this varies a bit from speciality to speciality) so the score is good enough (I assume) to move on too the next stage of my life and not fret to much.
 
Because most people hover a bit closer to average:

CBSE (6 weeks out): 192
NBME 15 (5 weeks out): 207
NBME 16 (4 weeks out): 217
NBME 19 (3 weeks out): 207
NBME 17 (2 weeks out): 219
UWSA 2 (1 week out): 237

Real Score: 226

Wanted higher, expected somewhere around national average (plus or minus test's statistical error of 12 points)... not particularly interested in the most competitive specialities to begin with nor many of the commonly most competitive residency institutions (granted this varies a bit from speciality to speciality) so the score is good enough (I assume) to move on too the next stage of my life and not fret to much.


thanks for posting! What did you do that last week leading up to your exam?
 
Because most people hover a bit closer to average:

CBSE (6 weeks out): 192
NBME 15 (5 weeks out): 207
NBME 16 (4 weeks out): 217
NBME 19 (3 weeks out): 207
NBME 17 (2 weeks out): 219
UWSA 2 (1 week out): 237

Real Score: 226

Wanted higher, expected somewhere around national average (plus or minus test's statistical error of 12 points)... not particularly interested in the most competitive specialities to begin with nor many of the commonly most competitive residency institutions (granted this varies a bit from speciality to speciality) so the score is good enough (I assume) to move on too the next stage of my life and not fret to much.


Congrats! Could you comment on the resources you used and what you did prededicated? Thanks!
 
How cool would it be..
if uworld made a text book with ALL of their questions by organ with the explanation..
oh and in color.


when I grow up I wanna be a doctor so I can eventually work for uworld and make that into reality.

Surprisingly there is a pirated form of uworld available in text book form in certain parts of the world and it is way cheaper than the online uworld.
 
I'm 2 weeks away from my test and I've been nervous about taking another practice test. My latest score was a 223 on 16, and a 225 on 17 1 week apart. I guess I'm consistent at least? Really would feel more comfortable going into the real with at least some practice test in the 230s, especially after reading these horror stories. I still have UWSA2 and NBME 18 to take but I was also wondering if I should take that 150 Kaplan Diagnostic test because I've heard its pretty hard and the questions are styled weird, but you don't get a 3 digit score just a percent correct. I was planning on taking NBME 19 today but I've decided to just review for another day. Is taking NBME 19 worth it even though I'll probably have a bad score on it?
 
Also for anyone who has taken the real test so far, how ****ty is the pharm? Pharm is easily my weakest subject right now, along with neuro.
 
Also for anyone who has taken the real test so far, how ****ty is the pharm? Pharm is easily my weakest subject right now, along with neuro.

A lot of integrated stuff, but I didn't see that much direct pharmacology questions. I think I did a few calculations.
 
Also for anyone who has taken the real test so far, how ****ty is the pharm? Pharm is easily my weakest subject right now, along with neuro.

I swear to God I had <5 pharm questions, and probably even fewer micro questions. So obviously not using sketchy was a great decision for me haha.
 
I swear to God I had <5 pharm questions, and probably even fewer micro questions. So obviously not using sketchy was a great decision for me haha.

God I hope I have that problem. I despise rote memorization which I've been told is the only way to study the pharm and I hate Sketchy Pharm. They videos are too long with too much going on. I've been avoiding it but this week I'm going to try to learn it.
 
God I hope I have that problem. I despise rote memorization which I've been told is the only way to study the pharm and I hate Sketchy Pharm. They videos are too long with too much going on. I've been avoiding it but this week I'm going to try to learn it.

Agree that sketchy pharm is terrible. Micro was good but I just feel like you can get everything you need to know from FA. I would have loved to have a pharm/micro-heavy test though haha
 
Same boat as your guys - 5 days out I’m not really sure what to do at this point.

I guess I’m just gonna anki, take NBME 17, and maybe leaf through first aid.

I wouldn't even take another practice test if you haven't already - it won't add anything and will only take time away from going over somethign else
 
Wanted to post some practice scores to give everyone a little laugh about how all over the board I am with 2 weeks to go. Anyone have any predications for me?

NBME 13 - 198 (9 weeks out)
NBME 15 - 236 (7 weeks out)
NBME 16 - 240 (6 weeks out)
CBSE - 223 (4.5 weeks out)
NBME 17 - 217 (3.5 weeks out)
UWSA 1 - 254 (3 weeks out)
Free 120 - 84% (today - 2 weeks out)

I'm about to take NBME 19 and get crushed to add another randomly low score to the pot! Wish me luck haha.
 
Yeah, I am realizing now that UWorld actually contains a staggering amount of detail. I am starting to wonder if all those people who claim they had topics on their tests that "weren't in UFAP" actually just didn't read UWorld carefully enough. Seriously, adenine phosphoribosyltransferase deficiency? I bet if you ask the average person who finished UW what that is, they wouldn't know or would think it wasn't ever mentioned, but in reality it's right there in the answer explanations for a Lesch-Nyhan question, plain as day. I think what people actually mean when they say that something "wasn't in UW" is that it wasn't featured as a primary learning objective of one of the ~2500 questions.

This is really creating a conundrum for me in terms of my remaining study time. Part of me wants to keep doing this slow, methodical second pass, but as any reasonable person would be, I am also filled with doubt that I may in fact just be wasting my time when in reality the test will just be a giant high-yield buzzword fest provided you learned all the main UW objectives + FA-level detail.
I had a few Qs on my exam that were in the details of the explanation that i got wrong cuz i couldnt learn everything (even with 2 passes).
The value of the 2nd pass with a score as high as your goal is reading those details. They might not be the answer but they can be an answer choice.
 
I have plateaued at 12 questions wrong for the last few NBME's I've taken (offline). At this point, I think the main thing holding me back is test-taking skills. For example, the breakdown of my most recent form (NBME 12) was pretty frustrating:

-7 where I truly got stumped/tricked (I'm OK with getting these wrong)
-2 recall errors
-2 where I simply misread very easy questions
-1 where I egregiously overthought a very easy question

These recall, misreading, and overthinking errors are inexcusable in my opinion. This is what separates good scores from outstanding scores. The best test-takers might not know everything, but they never miss easy points on what they DO know.

Anyone have any advice for overcoming this issue / improving my test-taking skills in general?
I was the student who didnt know everything in FA (far from it) but managed >265. You cant know everything they test you on but you can give yourself the best shot possible. Reread every Q a few times. Take every sentence as a message - one sentence was literally inserted into the stem to tell you that D isnt correct. Find that sentence and trust yourself that youve identified what theyre ruling out. There are other things like this that are important test taking skills for step
 
I just took the 120 at my testing center and I felt like the questions were more straightforward than uworld and NBME.. by no means am I saying it was easy or that I am some sort of genius but for those that took it is that a real representation or just a way to get us accustomed to the testing center/etc?
 
I just took the 120 at my testing center and I felt like the questions were more straightforward than uworld and NBME.. by no means am I saying it was easy or that I am some sort of genius but for those that took it is that a real representation or just a way to get us accustomed to the testing center/etc?

I thought that in terms of difficulty, the free 120 was slightly easier than the real thing, but not by much.
 
Question on how to proceed please!

Quick background: Last year I took COMLEX around this time and decided not to take Step 1 (but decided to take Step 1 this year). I started USMLERx around March/April and have completed about 2/3 of Kaplan. I started UW last week.

USMLERx: 80% (skipped the questions that they marked as "easy" questions)
Kaplan: 77% (completed 64% so far)
UWorld: 85% (just started through 8 blocks)

So since last year I completed UW once (77% average) and completed NBME 16-19 + both UWSA1/2, I really have no way of accessing how I am doing/where I am at with my scores. I remember my NBME scores were between 236-245. My test date is July 20, and up to this point I haven't done any content review since COMLEX last year (other than doing the questions listed above).

I am now in my "dedicated" period doing two UW blocks a day, 25 Kaplan questions, and then using Boards and Beyond for my content review.

Any suggestions on how I should access my scores?


I would just do the UWSAs / NBME 18/19... I mean I don't imagine you have all the questions 100% memorized from last year, and if you do then I would say you just know that information ya know? What made you decide not to take it last year? Your scores were good!
 
I thought that in terms of difficulty, the free 120 was slightly easier than the real thing, but not by much.
I felt like the free 120 was harder than UW/UWSAs and felt different than the NBMEs. Could you describe what felt closest to the style of the real thing?
 
I would just do the UWSAs / NBME 18/19... I mean I don't imagine you have all the questions 100% memorized from last year, and if you do then I would say you just know that information ya know? What made you decide not to take it last year? Your scores were good!

Looking back, I probably should have just taken it last year, but I am in a special circumstance this year where it allowed me to have this entire year for teaching/research purposes. Knowing I had this extra time and that I hadn't hit 250 on my practice tests or completed USMLERx or Kaplan, I decided to postpone USMLE and then do the RX/Kaplan this year and try to increase my scores.
 
I felt like the free 120 was harder than UW/UWSAs and felt different than the NBMEs. Could you describe what felt closest to the style of the real thing?

I wish I had a better answer to this. If I had to pick, I would say that style-wise, it was most similar to NBME 17 and 18. But even then there were some differences. The length of the vignettes, for example, was totally different than any NBME or UWSA. There were also quite a few gimmes similar to those seen on NBME 19, but overall it was definitely harder than 19.
 
I wish I had a better answer to this. If I had to pick, I would say that style-wise, it was most similar to NBME 17 and 18. But even then there were some differences. The length of the vignettes, for example, was totally different than any NBME or UWSA. There were also quite a few gimmes similar to those seen on NBME 19, but overall it was definitely harder than 19.
I felt that 19 was relatively fair, but the curve was brutal. Granted, when I was taking most NBMEs, I felt like I had to make plenty of educated guesses.

If I had to compare the practice MCATs to the real deal, I felt like my passages were about 50% longer on average on the real deal. Is that the kind of difference in length for Step1?
 
I felt that 19 was relatively fair, but the curve was brutal. Granted, when I was taking most NBMEs, I felt like I had to make plenty of educated guesses.

If I had to compare the practice MCATs to the real deal, I felt like my passages were about 50% longer on average on the real deal. Is that the kind of difference in length for Step1?

To me it seemed like the average vignette was twice as long on the real thing vs the practice exams.
 
I felt that 19 was relatively fair, but the curve was brutal. Granted, when I was taking most NBMEs, I felt like I had to make plenty of educated guesses.

If I had to compare the practice MCATs to the real deal, I felt like my passages were about 50% longer on average on the real deal. Is that the kind of difference in length for Step1?


But even with that length did you feel like you needed all that info. I haven't taken it .. but I am hoping the length is just to "Scare" the test taker and in reality all we really need is a few lab values/key phrases.. but I could also be completely wrong lol
 
But even with that length did you feel like you needed all that info. I haven't taken it .. but I am hoping the length is just to "Scare" the test taker and in reality all we really need is a few lab values/key phrases.. but I could also be completely wrong lol

You almost never need all the info. Read the question and answers, find what you need to answer it, and pick one. On occasion the answer choices will be so similar that you need the entire stem to differentiate them, but this is rare. If you don't know the answer, just pick one that feels right, mark the question, and move on. If you do this for every question you should have plenty of time at the end to spend more time on your marks.

At least 50% of the exam can be answered in < 30 seconds; don't use the extra time checking over the gimmes, use that time thinking over the hard ones.
 
But even with that length did you feel like you needed all that info. I haven't taken it .. but I am hoping the length is just to "Scare" the test taker and in reality all we really need is a few lab values/key phrases.. but I could also be completely wrong lol

Oh I totally agree. My test taking strategy is always to do a first pass where I skim the passages and I'm usually able to answer most questions just by reading the last sentence + lab results/images. Then I do a second pass where I read the full vignette to make sure I didn't miss anything.
 
Looking for some help. I wanna change up my schedule. I know I'm not performing to the extent I should/could be.

NBME 13 (5 weeks out) - 209 (-41)
UWSA 1 (3.5 weeks out) - 237 (-51)
NBME 15 (3 weeks out/today) - 221 (-35)

I've been through a first pass of FA .5 of Pathoma. My schedule looks like this:
8 hours going through 2 UWorld blocks
4 hours through Pepper Anki for Micro/Pharm
3/4 hours doing FA for the system that day
1 hour Anki of misc from exams, things I don't remember etc

I've been spending too much time I think on Pepper and am thinking of eliminating it entirely and just looking at the pictures each night for an hour and doing more FA and pathoma each day. Maybe just really splitting my day into half UWorld and half FA/Pathoma. Also I usually learn via questions and wanna insert more of those.

I'm a top 25% student in my classes. Usually study via Zanki and doing a million questions before each exam during the system blocks.

Any thoughts? Really need some help.
 
What order should I take NBME 19, 18, and USWA2 in the next week? My test is next Friday. Should I even do 19?
I was thinking of doing NBME 19 and the USWA2 the same day to simulate a full exam? Not sure if that's something people do.
 
What order should I take NBME 19, 18, and USWA2 in the next week? My test is next Friday. Should I even do 19?
I was thinking of doing NBME 19 and the USWA2 the same day to simulate a full exam? Not sure if that's something people do.

Doing layered practice (back to back exams) like that is a good idea in my opinion.
 
Does the permit disappear if your eligibility period ends? I took my test on 5/12 and noticed my permit disappeared. Don't want to get my hopes up that I may get my score this week but just was curious!
 
Hey all, took step 1 today, figured I'd post my thoughts as this thread has been of some help to me throughout studying.
DO student here, so I'll be taking COMLEX soon...
As some background:
NBME 15 (8 wks out): 230
NBME 16 (4.5 wks out): 223
NBME 17 (3 wks out): 232
UWSA1 (2.5 wks out): 264
NBME 19 (1.5 wks out): 248
Free 120 (1 wk out): 87%
NBME 18 (4 days out): 252
UWSA2 (3 days out): 258
UWorld 1st pass: 76%

Overall, I thought step was hard. Harder than NBME's, similar difficulty to UWorld, but very different wording. As someone else has stated, UWorld is easier to eliminate wrong answers b/c you know that every answer corresponds to a different disease/abnormality/whatever. Real thing was much harder to eliminate wrong answers.

My test was GI phys/pathophys heavy. Micro and pharm were very light. Moderate biochem. Moderate biostats/ethics. Only had 3-4 questions that were totally out of left field, but only about 5-6 gimmies per block.

Really hoping for a 245, so we'll see how it goes. Best of luck to those still studying, keep after it.

Will update when I get my score back.
 
Does the permit disappear if your eligibility period ends? I took my test on 5/12 and noticed my permit disappeared. Don't want to get my hopes up that I may get my score this week but just was curious!

I heard that if the link disappears before your period ends, that’s a good sign that your score can come in really soon (by next week?). I took the test on the same day, buy my permit link has yet to disappear 🙁
 
Listen bro, your saying that I am using a defense mechanism, probably intellectualization lol, but to me that says that your knowingly attempting to spread anxiety or unwanted feelings among medical students with your posts. You know exactly what your doing by making these types of posts on here, I take it that a guy like you that made it this far in life is not dumb.

Even if your friend was real, (and btw now your trying to rationalize his low score by saying he could have cheated on his nbmes by 2-3 q a block, but ok), why would you post that on here in the exam experience section of SDN?

I also have a "friend" and he thinks you and your friend are full of it. Regardless I can't wait to see your write up and how your exam went! Looking forward to it.
I was claiming he was using a defense mechanism, not you. Anyway, I'm certainly not trying to spread anxiety. I'm trying to let people know how this exam went for myself and for a few others. My exam was very odd and not even remotely what I expected. If that causes anxiety, then the alternative is lying to people. I wrote up a separate post of my experience and the types of questions they ask. Everyone here is intelligent enough to recognize that one person's experience does not represent another's exactly. Some people get absolutely killer exams and others get pretty mild exams with relatively few curveballs. Everything needs to be represented, and maybe my posts gave you anxiety, but I put them in context and provided an overview of my test and why it felt so difficult. I don't see how that would do anything but help you on test day. If you want to hear how easy the exam is and how it's just like UWorld and everything you've done before, there are plenty of posts here saying that. However, most people I've talked to, hardcore gunners included, thought it was at least not what they expected.

As for the NBME thing, I was entertaining the possibility that he could have potentially cheated on NBMEs. It's unlikely, but you raised suspicions so I yielded that maybe it's possible. I still think it's unlikely, and that the real explanation is that he got an exam that way overemphasized his weaknesses and that caused him to freak out on test day and bomb the thing. He is a real person, and it kind of stinks to see him going through this and having people on the internet dismissing the possibility of it happening.

Also, "[y o u ' r e] means 'you are', [y o u r] means 'your'!" -Ross
 
Took my exam last week. I walked out feeling "ok". I thought the timing was tough and felt really pressed (not sure if that is normal?)
I normally had about 15 minutes left in each block on practice exams but on the exam I had about 5 min left with 2 blocks that I finished just in time.
Hopefully that won't kill my score.
UWSA1/2 ~265
NBME avg ~255
Free 150 ~91%
 
Hey all, took step 1 today, figured I'd post my thoughts as this thread has been of some help to me throughout studying.
DO student here, so I'll be taking COMLEX soon...
As some background:
NBME 15 (8 wks out): 230
NBME 16 (4.5 wks out): 223
NBME 17 (3 wks out): 232
UWSA1 (2.5 wks out): 264
NBME 19 (1.5 wks out): 248
Free 120 (1 wk out): 87%
NBME 18 (4 days out): 252
UWSA2 (3 days out): 258
UWorld 1st pass: 76%

Overall, I thought step was hard. Harder than NBME's, similar difficulty to UWorld, but very different wording. As someone else has stated, UWorld is easier to eliminate wrong answers b/c you know that every answer corresponds to a different disease/abnormality/whatever. Real thing was much harder to eliminate wrong answers.

My test was GI phys/pathophys heavy. Micro and pharm were very light. Moderate biochem. Moderate biostats/ethics. Only had 3-4 questions that were totally out of left field, but only about 5-6 gimmies per block.

Really hoping for a 245, so we'll see how it goes. Best of luck to those still studying, keep after it.

Will update when I get my score back.


You've got great scores I am sure it will transfer to your actual score! what advice do you have as far as answering questions, kind of like trust your gut or not look at answers and try to answer it.. since you mentioned eliminating answer choices was hard.

I ask because I heavily rely on eliminating wrongs before choosing a right so in case that doesn't work I am wondering what the next best step would be!
 
I was claiming he was using a defense mechanism, not you. Anyway, I'm certainly not trying to spread anxiety. I'm trying to let people know how this exam went for myself and for a few others. My exam was very odd and not even remotely what I expected. If that causes anxiety, then the alternative is lying to people. I wrote up a separate post of my experience and the types of questions they ask. Everyone here is intelligent enough to recognize that one person's experience does not represent another's exactly. Some people get absolutely killer exams and others get pretty mild exams with relatively few curveballs. Everything needs to be represented, and maybe my posts gave you anxiety, but I put them in context and provided an overview of my test and why it felt so difficult. I don't see how that would do anything but help you on test day. If you want to hear how easy the exam is and how it's just like UWorld and everything you've done before, there are plenty of posts here saying that. However, most people I've talked to, hardcore gunners included, thought it was at least not what they expected.

As for the NBME thing, I was entertaining the possibility that he could have potentially cheated on NBMEs. It's unlikely, but you raised suspicions so I yielded that maybe it's possible. I still think it's unlikely, and that the real explanation is that he got an exam that way overemphasized his weaknesses and that caused him to freak out on test day and bomb the thing. He is a real person, and it kind of stinks to see him going through this and having people on the internet dismissing the possibility of it happening.

Also, "[y o u ' r e] means 'you are', [y o u r] means 'your'!" -Ross
Thanks for the grammar lesson chief, let me see if I learned:
"you're spreading anxiety, and plenty of people post on here about the exam being different, but your experience was borderline fear mongering. and you're a bad friend for talking about your imaginary friend's shortcomings all over SDN"

still looking forward to that write up...
 
Is there any way to tell if your score is going to be delayed? Took my test 5/14. Never received an email and today was the first I heard of the delay.
 
I think memorizing will only take you so far.

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I agree, but for pharm and micro I feel like it's mostly memorizing. I just don't know if its worth stopping the Pepper and just reviewing the pictures lightly and then dedicating that time instead to FA and Pathoma and other questions (kaplan, rx, etc)

Edit: do you (or anyone) think that stopping it is worth it? it seems that a lot of people have not had heavy micro or pharm on their exams lately.

@Lannister any thoughts? 🙂
 
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Note they say "may" in their announcement so it all depends. Just chill and wait for the email.

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