USMLE Official 2019 Step 1 Experiences and Scores Thread

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On that note I actually wanted to get some opinions. So I have NBME 19, I am scheduled to take it tomorrow, but do you guys think it would be better to do 19 or 21 instead? I keep thinking there must be a reason 19 was pulled and it might not be that beneficial.
 
On that note I actually wanted to get some opinions. So I have NBME 19, I am scheduled to take it tomorrow, but do you guys think it would be better to do 19 or 21 instead? I keep thinking there must be a reason 19 was pulled and it might not be that beneficial.

The exam itself is relatively easy, it just punishes mistakes heavily. If you review your nbmes well it may be worth it to do one thatll have harder questions on average on it to learn more, but this is just my n=1 opinion. If youre being selective with which ones you do its probably less necessary, but theres more data out there (the reddit converter) to make use of it than the new nbmes
 
The exam itself is relatively easy, it just punishes mistakes heavily. If you review your nbmes well it may be worth it to do one thatll have harder questions on average on it to learn more, but this is just my n=1 opinion. If youre being selective with which ones you do its probably less necessary, but theres more data out there (the reddit converter) to make use of it than the new nbmes

That's the flip side for me, it goes into the converter. and that converter has been my motivatio whether it's real or not lol. I'll probably just do it so I don't waste the 60 bucks. I was planning on doing 19 tomorrow, 21-22 the next two weeks, and then 18 and UW2 about a week and half before my test date. Wasn't planning on forcing in 23-24 because 2 more NBME's in my schedule would take away some full review days.

Ive felt like crap the whole way through, and plan on continuing to feel like crap til im done with both usmle and comlex.

Hold strong, youve got this. The end is in sight!
I've just resigned myself to feeling like crap until I have that match letter in hand. So goes the life of a DO wanting to do something competitive.
 
That's the flip side for me, it goes into the converter. and that converter has been my motivatio whether it's real or not lol. I'll probably just do it so I don't waste the 60 bucks. I was planning on doing 19 tomorrow, 21-22 the next two weeks, and then 18 and UW2 about a week and half before my test date. Wasn't planning on forcing in 23-24 because 2 more NBME's in my schedule would take away some full review days.


I've just resigned myself to feeling like crap until I have that match letter in hand. So goes the life of a DO wanting to do something competitive.

I too love the score converter, putting all my faith in it

Yeah i dont think ill have time for 23-24 either unless i start doing multiple a week, which at least with nbmes i dont see much use in since nbme decided that providing no explanations is the cool thing to do with practice tests.

But amen to that, no part of me is excited about the fact that i could grind my a$$ off to get the scores and application i need to apply to competitive fields and still have a pretty high chance at not matching. Honestly the fear alone ( maybe a slight combination with wanting to chill out my life sooner becuz burnout) has me looking into and seriously considering other non-competitive specialties lol
 
So n=1 but my school used that calculator with student data and it didn't really have a huge correlation. But its worked for some people so who knows.

This link is pretty interesting:


even breaks it down by dates taken and things like that
 
those date adjusted numbers are a fairly generous to say the least.
I know, I mean the average numbers are high for what they are reporting but that’s what you get online I guess. The average reported step was like 240 something haha high achievers. Even that calculator puts some decently high numbers out. This is all such an individualized process with how you work through it all I gues it’s hard to predict
 
The >800mg of caffeine I plan to consume throughout the day might have other ideas about bowel movement, though.

I was planning pepto-bismol, never tried loperamide - worry a little about possible cognitive effects even though according to Zanki it doesn't cross the blood brain barrier (...unlike diphenoxylate which has to be given with atropine...). Maybe I'll try loperamide at some point though.
FWIW, and honestly im probably not the best person to give advice on any of this bc i slept less than 4 hours on both step 1 and CK and felt like **** throughout the day on both days, but i poured 1-2 5 hour energy drinks into a large bottle of water and drank those throughout the day for constant, steady caffeine. I also ate bites of a PBJ on whole wheat bread every break instead of eating a whole lunch in any sitting. Didnt have much of an appetite honestly.
Also i took short breaks after almost every section on step 1 (probably related to the amount of caffeine and water i was drinking) but i didnt mind it and actually thought it allowed me to splash some water in my face and recalibrate.
In hindsight tho, the experience was bad at the time but somehow i view it in a very positive light. Like i actually have very fond memories of that day even tho i thought i underperformed by a lot. I think part of that is definitely due to getting the score i wanted, but the other was just the pure release of all of the stress that had been building up to it, and knowing that there just wasnt anything i could do to change my score at that point.
 
Literally I'm at the point where I'm not sure what I don't know or what I do know. Just give me questions and lets see if I can get get them right :bang:
Exactly. I feel good on my knowledge base but apparently my test taking skills suck? It’s like every one I get wrong is that “duh” feeling, making me feel like an idiot. This process is brutal
 
The >800mg of caffeine I plan to consume throughout the day might have other ideas about bowel movement, though.

I was planning pepto-bismol, never tried loperamide - worry a little about possible cognitive effects even though according to Zanki it doesn't cross the blood brain barrier (...unlike diphenoxylate which has to be given with atropine...). Maybe I'll try loperamide at some point though.

I 've cruised with 6mg of loperamide a day for 2 years because of IBS-D. That's a pill every 8 hours. I never got high. You need a huge dosage of loperamide to bruteforce it's way through the BBB. I strongly advise you take it on test day if you 're even worried about having a BM and messing with your test.
 
I 've cruised with 6mg of loperamide a day for 2 years because of IBS-D. That's a pill every 8 hours. I never got high. You need a huge dosage of loperamide to bruteforce it's way through the BBB. I strongly advise you take it on test day if you 're even worried about having a BM and messing with your test.

Gonna give it a try today based on that recommendation - just took 2mg!
 
Ok, serious question. I just did UW2 a week out. Score at the end: 230. My scores to this point have been in the upper 250s with a 27x on UW1. Cue three seconds of wtf, followed by pressing "re-calculate," at which point my score changed to 262. I swear I'm not making this up.

So now, WTF, but for a different reason. Lol
 
Ok, serious question. I just did UW2 a week out. Score at the end: 230. My scores to this point have been in the upper 250s with a 27x on UW1. Cue three seconds of wtf, followed by pressing "re-calculate," at which point my score changed to 262. I swear I'm not making this up.

So now, WTF, but for a different reason. Lol
I want to know how a computer can misgrade something done by 1000s of people?!
 
I want to know how a computer can misgrade something done by 1000s of people?!

mgc.gif
 
Finishing 1k Rx questions before taking a baseline in two weeks then starting uworld. Instead of dedicated I have many weeks of either half days or 8-5 which sucks, but I have 3 months and all of zanki completed with 66% mature. Currently on timed random blocks I float between 65-85 with most in the low to mid 70s (pathetic I know..) but since I heard it overpredicts like crazy I want to finish it while continuing to review zanki before my first baseline. Just really fear having all this done then getting 50 on uworld or failing the baseline as if all my hard work was for nothing.
 
Finishing 1k Rx questions before taking a baseline in two weeks then starting uworld. Instead of dedicated I have many weeks of either half days or 8-5 which sucks, but I have 3 months and all of zanki completed with 66% mature. Currently on timed random blocks I float between 65-85 with most in the low to mid 70s (pathetic I know..) but since I heard it overpredicts like crazy I want to finish it while continuing to review zanki before my first baseline. Just really fear having all this done then getting 50 on uworld or failing the baseline as if all my hard work was for nothing.

I would bail on Rx and just start UW now. I hate Rx.
 
I would bail on Rx and just start UW now. I hate Rx.
RX really blows. Only a minority of questions ~10% are good the rest are really trash.
You all don't think it would be a waste of $$ to not finish it in 2 weeks? I feel likes it's made me better with seeing things in fa or showing which zanki cards I only knew bc of context or didn't know bc wasn't closed
 
How long before your test date are most of you planning on finishing UWorld?? I'm currently on schedule to finish it with 4 weeks left
 
You all don't think it would be a waste of $$ to not finish it in 2 weeks? I feel likes it's made me better with seeing things in fa or showing which zanki cards I only knew bc of context or didn't know bc wasn't closed

If you have time, you can finish Rx. 2 of my friends who scored above 260 used Rx. But they also did Uworld and Kaplan. Won’t hurt if you’ve got enough time. But if you don’t, just do Uworld.
 
Also I was thinking baselines were supposed to be done before uworld so you can really improve from there or was I mistaken
I also don't really understand the whole 'baseline' notion because I think people use the word in different contexts.

Some people refer to it as before QBanks, some before dedicated, some before UWorld, some before first NBME or with CBSE.

I think the important thing is really to be honest with what you know, and where your weaknesses are, and how much time you have left, in order to best mitigate those weaknesses. The scores we use prior to actual step 1 scores are simply barometers for how much ground is left to cover to attain our goals, and depending on when your 'baseline' is relative to your exam date will give it varying importance, in my opinion.
 
If you have time, you can finish Rx. 2 of my friends who scored above 260 used Rx. But they also did Uworld and Kaplan. Won’t hurt if you’ve got enough time. But if you don’t, just do Uworld.
Yea I followed that study of more Q's higher score so that's a big reason I wanted to continue. I have like 11 weeks to my test but again some weeks will be full time, other half days
 
RX really blows. Only a minority of questions ~10% are good the rest are really trash.
You all don't think it would be a waste of $$ to not finish it in 2 weeks? I feel likes it's made me better with seeing things in fa or showing which zanki cards I only knew bc of context or didn't know bc wasn't closed

Every QBank and self-assessment has its strengths and weaknesses. UWorld is overall > Rx but if you will have time, I think you should do Rx. It provides straight forward classic presentation in buzzwords, and UWorld helps you take those a step further.
 
With 11 weeks left I would see if you could not only finish Rx but also do Kaplan and UWorld
Unlikely some of the full days I'll have less than 4 hours to study and keeping up with zanki will take at least 3. I have like two weeks where I have lots of time but they're too early for me to finish uworld.

I don't want to be someone who cares too much about %s and not finish uworld but I felt to maximize my chances of a 240, completing Rx and zanki and having like a 215~ish baseline would let uworld Carry me the rest of the way.
 
Did about 50% of Rx before i stopped and about 20-30% of kaplan(dont remember exactly atm) before i switched to UW to finish it on time. Only did the amboss practice exam.

IMO in terms of quality of explanations and questions.

Amboss>UW>Kaplan>Rx

Gave amboss the lead over UW because i can copy and paste freely and I almost never had to refer to other information sources to find what i need everything "extra" was hyperlinked into the explanation.

In terms of kaplan/rx/uw, do however much of kaplan and rx you can but the if youre low on time switch to UW.
 
How long before your test date are most of you planning on finishing UWorld?? I'm currently on schedule to finish it with 4 weeks left
Aiming to have a week of wiggle room if i can keep with my schedule, my last week will just be a pass of FA and pathoma, sketchy, some anki, and UWSA2/Free120.
 
Not planning on doing a pass of Uworld misses?
Nah, I'm sure it'd be helpful though. But after hearing that number of unique questions was more important than another pass of the same questions I reprioritized and instead of starting my dedicated with UW and aim for a pass of wrongs/or a second pass I started with focusing on content and doing kaplan for 1-2weeks before starting UW. So instead I just try and learn the concepts I get wrong as best I can, make a card/note, and hope I learned it well enough to not make the same mistake twice.
 
How long before your test date are most of you planning on finishing UWorld?? I'm currently on schedule to finish it with 4 weeks left

I finished it 3 days before but was doing my incorrects along the way. I didn't want to get out of the habit of seeing novel questions - I think our brains do interesting things when confronted with totally new questions that can't be replicated with repeats.
 
I finished it 3 days before but was doing my incorrects along the way. I didn't want to get out of the habit of seeing novel questions - I think our brains do interesting things when confronted with totally new questions that can't be replicated with repeats.

II've never heard of doing incorrects along the way, I like that idea. Maybe I will start doing 1 new block/ 1 incorrect block a day in order to extend my new Qs
 
Did about 50% of Rx before i stopped and about 20-30% of kaplan(dont remember exactly atm) before i switched to UW to finish it on time. Only did the amboss practice exam.

IMO in terms of quality of explanations and questions.

Amboss>UW>Kaplan>Rx

Gave amboss the lead over UW because i can copy and paste freely and I almost never had to refer to other information sources to find what i need everything "extra" was hyperlinked into the explanation.

In terms of kaplan/rx/uw, do however much of kaplan and rx you can but the if youre low on time switch to UW.
What do you think of doing Kaplan after uworld? I always hear how uworld makes you a good test taker I wonder if that skill wears off. Also when people talk about peaking for step 1 it makes me depressed since I feel like if I have no dedicated or suddenly am busier before the exam I'll just lose what I learned.
 
What do you think of doing Kaplan after uworld? I always hear how uworld makes you a good test taker I wonder if that skill wears off. Also when people talk about peaking for step 1 it makes me depressed since I feel like if I have no dedicated or suddenly am busier before the exam I'll just lose what I learned.
I think its fine, i just saved UW till the end because theres stronger evidence to support a correlation of UW% with USMLE score (because everyone thinks UW is the best so everyone does it so theres more data on it) so i could use it to gauge where im at more accurately(as other people have pointed out theres a strong responder bias with these reddit studies so YMMV). Im sure theres could be a "peak" or even a "plateau" in some peoples dedicated, i dont really think that has to correlate with when you use UW. It could but i have no idea. As long as you feel like youre learning then it doesnt matter that you didnt do UW all the way up until test day, theres plenty of concepts that kaplan qs will be able to teach you as well (i feel their physio is very strong). Just save a NBME 18 the free 120 or UWSA2 til near the end since people claim some of those are "like the exam". If UW really does teach you to be a better test taker then id imagine you wouldnt lose test taking skills that quickly (i assume we're talking a few weeks before the exam?)
 
I think its fine, i just saved UW till the end because theres stronger evidence to support a correlation of UW% with USMLE score (because everyone thinks UW is the best so everyone does it so theres more data on it) so i could use it to gauge where im at more accurately(as other people have pointed out theres a strong responder bias with these reddit studies so YMMV). Im sure theres could be a "peak" or even a "plateau" in some peoples dedicated, i dont really think that has to correlate with when you use UW. It could but i have no idea. As long as you feel like youre learning then it doesnt matter that you didnt do UW all the way up until test day, theres plenty of concepts that kaplan qs will be able to teach you as well (i feel their physio is very strong). Just save a NBME 18 the free 120 or UWSA2 til near the end since people claim some of those are "like the exam". If UW really does teach you to be a better test taker then id imagine you wouldnt lose test taking skills that quickly (i assume we're talking a few weeks before the exam?)
I think one month before the exam is when there will be more full days than half but I couldn't take it earlier for other reasons. So essentially it will be like having 4-5 hours weekdays at most and hopefully 8-10 hour weekends. Maybe by then my zanki cards will be supernatural so that won't be as big of a time sink but I've read posts from people who regretted stopping and others who felt stopping was a good move.
 
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