USMLE Official 2019 Step 1 Experiences and Scores Thread

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How TF do you finish with thirty minutes less per block?!? If you don't get a 240 I'll be enjoying my 2 digit score. I knew I should have participated in those library reading clubs when I was a kid so it wouldn't take me so long per q lol
the more questions you do the more pattern recognition takes over for some questions. my first nbme i almost ran out of time on 2 blocks and on this past one i had 20+ mins remaining each block. the questions you know for sure can take less than like 20 seconds sometimes. e.g. picture with auer rods -> bleeding in the stem -> t15:17)/vitamin A/DIC or whatever the answer choice is that answers the stem

then that gives you more time to spend on the thinking questions and be 100% on those. by the end you have 10+ minutes to agonize over the marked questions youll never be sure about
 
the more questions you do the more pattern recognition takes over for some questions. my first nbme i almost ran out of time on 2 blocks and on this past one i had 20+ mins remaining each block. the questions you know for sure can take less than like 20 seconds sometimes

then that gives you more time to spend on the thinking questions and be 100% on those. by the end you have 10+ minutes to agonize over the marked questions youll never be sure about
I think I get stuck on some qs and forget the one minute per question rule and then I panic rush lol. I've done like 2kish Q's but still have blocks now and then where I run out of time but hopefully when I finish uw and some nbmes the pattern recognition will be solidified
 
I think I get stuck on some qs and forget the one minute per question rule and then I panic rush lol. I've done like 2kish Q's but still have blocks now and then where I run out of time but hopefully when I finish uw and some nbmes the pattern recognition will be solidified
yeah i think everyone gets there at different points. i did zanki before dedicated so the buzzwords/certain associations ive already seen quite a few times. many UW blocks i can read the just the last 2 sentences + choices for close to 10 questions and be confident.


tbh i think 1 minute per question as a hard rule is too aggressive. especially if its a long stem question and you have to parse out the relevant stuff. its more like 20 seconds for 30% of questions and 1-2 minutes for 50% (arrow questions or acid base etc). personally i just check in with myself at each 10 question mark to make sure im not too bad on timing.
 
yeah i think everyone gets there at different points. i did zanki before dedicated so the buzzwords/certain associations ive already seen quite a few times. many UW blocks i can read the just the last 2 sentences + choices for close to 10 questions and be confident.


tbh i think 1 minute per question as a hard rule is too aggressive. especially if its a long stem question and you have to parse out the relevant stuff. its more like 20 seconds for 30% of questions and 1-2 minutes for 50% (arrow questions or acid base etc). personally i just check in with myself at each 10 question mark to make sure im not too bad on timing.

Agreed with this. I usually had at least one question I would spend 5 minutes on every UWorld block. I tried not to spend more than 90 seconds on any questions on first pass though, to at least make sure I was on track to finish. I'd mark and move on if I wasn't sure after 90 seconds.
 
Hey guys I basically have 3 days left and would appreciate some feedback on how to make sure I maintain my score / potentially bump it up a little.

I just finished UWSA2 and I'm about to take the free 120. In planning content review for the next few days, I am looking at hitting the first 3 chapters of pathoma, and doing some anki cards I made from UWorld.

My weaknesses are currently biostats and anatomy on UWorld, and biostats / ethics / neuro on NBMEs. I've already watched both BnB and Randy for biostats... maybe I need to work through it or buy the UWorld module... unsure.

Any last minute pointers?
 
Hey guys I basically have 3 days left and would appreciate some feedback on how to make sure I maintain my score / potentially bump it up a little.

I just finished UWSA2 and I'm about to take the free 120. In planning content review for the next few days, I am looking at hitting the first 3 chapters of pathoma, and doing some anki cards I made from UWorld.

My weaknesses are currently biostats and anatomy on UWorld, and biostats / ethics / neuro on NBMEs. I've already watched both BnB and Randy for biostats... maybe I need to work through it or buy the UWorld module... unsure.

Any last minute pointers?
im cramming that 100 concept pdf and deck for anatomy personally. watching pathoma ch 1-3 as well and a few chapters on areas that are personally weak (neuro, derm, endo). will probably try to do a once through of the rapid review section of frist aid (theres an anki deck for that too with 500 or so cards). all that with 2 blocks of uw each day as well. day before ill just chill and read thru my entire UW deck


not sure about biostats - i actually sucked at it at the start but the randy video got me to > 95%ile on uworld biostats. maybe you could review/redo the incorrects for those?
 
Any last minute pointers?

Memorize the two tables and the equations. I had them all written out on my scratch paper and it definitely helped. Also a good idea to know what each of the equations (sens, spec, OR, etc) mean conceptually because they are more likely to test your understanding of the concept than if you can simply plug numbers in an equation.
 
How TF do you finish with thirty minutes less per block?!? If you don't get a 240 I'll be enjoying my 2 digit score. I knew I should have participated in those library reading clubs when I was a kid so it wouldn't take me so long per q lol

Agree with @kb1900 about pattern recognition.... I also went a little faster on this NBME because I didn't give af (almost didnt do it as I talked about yesterday)... I missed two questions for putting the glomerulus instead of the PCT on a picture of the kidney, so maybe I would have gotten a 240 if I would have slowed down lol
 
how many mistakes per block do the 270-ers theoretically make on the real thing? out of the total 280 questions how many do you think they get wrong?
 
yeah i think everyone gets there at different points. i did zanki before dedicated so the buzzwords/certain associations ive already seen quite a few times. many UW blocks i can read the just the last 2 sentences + choices for close to 10 questions and be confident.


tbh i think 1 minute per question as a hard rule is too aggressive. especially if its a long stem question and you have to parse out the relevant stuff. its more like 20 seconds for 30% of questions and 1-2 minutes for 50% (arrow questions or acid base etc). personally i just check in with myself at each 10 question mark to make sure im not too bad on timing.
Agreed with this. I usually had at least one question I would spend 5 minutes on every UWorld block. I tried not to spend more than 90 seconds on any questions on first pass though, to at least make sure I was on track to finish. I'd mark and move on if I wasn't sure after 90 seconds.
Thx for the help coaches. Will be lonely when everyone disappears from this thread after late July
 
That kind of learning can only happen early in dedicated when you have large holes in knowledge. 4 weeks later, I dont really have any massive gaps like that (except anatomy i keep procrastinating) so my knowledge is mostly restricted to small subjects in which i have to review more stuff to identify new stuff to learn. E.g. now I need to memorize for the umpteenth time the histology questions of each thyroid cancer just because i missed a convoluted description of orphan annie nuclei - its way lower yield for time input.
Orphan Annie was abandoned by her pappy
And her PSA-momma
because they ran off to pursue their groovy lifestyle
Leaving little orphan Annie to raise her little brothers RET and BRAF


Ionizing radiation
 
Curious to hear input as to where I stand at the moment. I've finished all my content review (with the exception of some pharm stuff) and I'm kinda at a loss for what to do now. Test date is June 22

UW1: took it the very first day of dedicated (5/1) as a baseline- 237
Free 120: took this a week later; 87%
NBME 20: 5/25 234
NBME 21: 6/1 242
NBME 16: 6/5 244
74% through Uworld with 75% avg
 
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how many mistakes per block do the 270-ers theoretically make on the real thing? out of the total 280 questions how many do you think they get wrong?

If the scale is anything like UW2 or the newer NBME's someone hitting 270 is probably in the 90-95% range. Based on how I was feeling during my test I suspect it's probably pretty similar to those. Although I'm sure this fluctuates a decent amount depending on the form given, as some are probably harder than others.
 
Curious to hear input as to where I stand at the moment. I've finished all my content review (with the exception of some pharm stuff) and I'm kinda at a loss for what to do now. Test date is June 22

UW1: took it the very first day of dedicated (5/1) as a baseline- 237
Free 120: took this a week later; 87%
NBME 20: 5/25 232
NBME 21: 6/1 242
NBME 16: 6/5 244
74% through Uworld with 75% avg

You are probably in the 240-possibly 250 range... Depending on what your goal score is, you could probably move your test up. I would focus on finishing UWorld and taking UWSA2... after that there really isn't much to do
 
Curious to hear input as to where I stand at the moment. I've finished all my content review (with the exception of some pharm stuff) and I'm kinda at a loss for what to do now. Test date is June 22

UW1: took it the very first day of dedicated (5/1) as a baseline- 237
Free 120: took this a week later; 87%
NBME 20: 5/25 232
NBME 21: 6/1 242
NBME 16: 6/5 244
74% through Uworld with 75% avg

I would take NBME 18, if you are comfortable with that score +-5 then I would honestly move your test up a week. Right now I would predict you at a mid 240s with a decent shot at a 250.
 
I would take NBME 18, if you are comfortable with that score +-5 then I would honestly move your test up a week. Right now I would predict you at a mid 240s with a decent shot at a 250.
My ultimate goal is a 250 - if the actual exam is more like the old NBMEs/UWorld I feel pretty comfortable having somewhat of a shot at achieving that, but if its more like the new NBMEs ..... idk lol I felt like I was doing a heck of a lot of guessing (especially on NBME 20)
 
My ultimate goal is a 250 - if the actual exam is more like the old NBMEs/UWorld I feel pretty comfortable having somewhat of a shot at achieving that, but if its more like the new NBMEs ..... idk lol I felt like I was doing a heck of a lot of guessing (especially on NBME 20)


Am in same boat as you. Feel like Uworld tests ability to actually reason through stuff. NBMEs are like being pimped on stuff you have never hear before. It is my understanding that the exam is more uworld like ergo, I would assume that UW 1st pass and UWSA1/2 are proabbly more reliable indicators of the your performance/the actual exam
 
Finished the free 120 earlier today after taking UWSA2 and have practically completed all my prep for this beast. At this point, I know there is still a lot that I do not know, and a lot left on my list that I did not accomplish, but I can still be happy with how far I've come.

Med School Study Timeline with Scores:

Discovered Anki and made some cards for class first semester.
Started Zanki second semester first year in January, finished it in February this year.

After finishing Zanki, in March I took my first NBME, form 16, and got a 238.
I then did the Rx Qbank in March 80/day and finished with just over 80% correct.
In April I tried to get through Kaplan but local curriculum only allowed me to get through 1/3 of it, at 86% correct.

CBSE just before dedicated 250. 6 weeks of dedicated.
Took the first week to do general content review.

The following week, took NBME 21 for a 246. Started UWorld at that point.
After my first week of UWorld I took UWSA1 and got a 269.
Next week, 244 on 17 and 246 on 22.
Next week, 255 on 23 and 248 on 24.
255 on 18, and 252 on 20.

Today, 262 on UWSA2 and 94% on free 120.

Currently sitting at 88% on UWorld, with a few more blocks to finish up these next few days.

I haven't sat for the test yet, but currently my only regrets are that I didn't fully keep up on my Zanki reviews and that I didn't finish Kaplan, namely because I cared too much about my local curriculum during the first two years. If I could take it back, I would have ignored my local more than I did, and study out of the boards resources more.

Wishing the best for everyone on this thread and for the future readers of this thread. SDN and Reddit have been huge contributors to my medical school education, and I certainly would not be doing nearly as well without the posters from prior years. Hopefully this helps, and if anyone has questions feel free to post here or PM me. Will post back once I get my final score
 
Haven't posted on here since the pre-med days but wanted to give my two cents on how my test went in late May. The exam was a lot more manageable than I had expected overall. Had a similar experience to @AnatomyGrey12. I did think the topics played to my strengths pretty well but then came two blocks that were a blur. Those two were definitely harder than anything I had come across before so those will probably be the ones to decide how I score. Was able to focus pretty well the entire time and no questions were wtf style. Similar to UW but definitely had some gimmes in there and ones to just answer and move on. Besides the two blocks of death I typically was able to finish with 8-10 minutes to spare. Hoping to score at least 240 but my goal was really about a 250.

UW: 75%
UWSA1: 256 - Eight weeks before
UWSA2: 247 - Seven weeks before, took this too early
NBME 20: 219
NBME 21: 230 – Six weeks before
NBME 13: 230 - Four weeks before
NBME 15: 235 – Three weeks before
NBME 19: 240 – Two weeks before
NBME 22: 234
NBME 16: 236 - One week before
Free 120: 83%
NBME 17: 250
NBME 18: 232
 
[
Haven't posted on here since the pre-med days but wanted to give my two cents on how my test went in late May. The exam was a lot more manageable than I had expected overall. Had a similar experience to @AnatomyGrey12. I did think the topics played to my strengths pretty well but then came two blocks that were a blur. Those two were definitely harder than anything I had come across before so those will probably be the ones to decide how I score. Was able to focus pretty well the entire time and no questions were wtf style. Similar to UW but definitely had some gimmes in there and ones to just answer and move on. Besides the two blocks of death I typically was able to finish with 8-10 minutes to spare. Hoping to score at least 240 but my goal was really about a 250.

UW: 75%
UWSA1: 256 - Eight weeks before
UWSA2: 247 - Seven weeks before, took this too early
NBME 20: 219
NBME 21: 230 – Six weeks before
NBME 13: 230 - Four weeks before
NBME 15: 235 – Three weeks before
NBME 19: 240 – Two weeks before
NBME 22: 234
NBME 16: 236 - One week before
Free 120: 83%
NBME 17: 250
NBME 18: 232
What did you do to get those sick baselines?
 
[

What did you do to get those sick baselines?
Worked really hard my first two years lol. Made my own flashcards from all the resources I used. Maybe overkill but I can't learn from just using pre-made decks/resources etc. If I'm able to score what I want I can elaborate more.

Definitely didn't hit those numbers on the NBMEs though so we'll see what happens.
 
If an adult starts smoking at age 40 and develops emphysema and liver disturbances within 5 years, is he a PiMZ heterozygote or a PiZZ homozygtoe? His brother died at age 10 due to liver and lung failure.
Is the question trying to indicate that the brother had a full-blown PiZZ mutation and the adult has smth less severe, which only became evil once he started smoking, and which now of course wud mean a PiMZ heterozygote in this case?
Several sources say though that PiMZ carriers are largely asymptomatic and might at their worst get emphysema only, and not necessarily accompanying liver failure. This pt has both. So what do you think ?
 
taking NBME 18 today. I hate how much this process makes you doubt yourself.

“Hey, you only did well on the newer NBMEs because of the curve allowing more mistakes and guessing lucky. No room for that on 18!”

Just hoping to break 240 so I don’t feel like pushing back my date and taking away the 1 week of vacation I have is all I ask for
 
taking NBME 18 today. I hate how much this process makes you doubt yourself.

“Hey, you only did well on the newer NBMEs because of the curve allowing more mistakes and guessing lucky. No room for that on 18!”

Just hoping to break 240 so I don’t feel like pushing back my date and taking away the 1 week of vacation I have is all I ask for
I've hit that point where I feel like I'm hemorrhaging information...taking UWSA2 tomorrow and praying it comes out alright. 18 was hard but I found it more doable than 23
 
I've hit that point where I feel like I'm hemorrhaging information...taking UWSA2 tomorrow and praying it comes out alright. 18 was hard but I found it more doable than 23
Appreciate that! I made the mistake of looking up the curve before hand smh.

Will be right with ya on UWSA2/free 120 tomorrow/sunday. Definitely feel that loss of information - rationalizing that I’m just moving 90% of short term memory to long term and some stuff is lost in that process from not getting seen a lot in questions and is low yield anyway.
 
Appreciate that! I made the mistake of looking up the curve before hand smh.

Will be right with ya on UWSA2/free 120 tomorrow/sunday. Definitely feel that loss of information - rationalizing that I’m just moving 90% of short term memory to long term and some stuff is lost in that process from not getting seen a lot in questions and is low yield anyway.
I hit 220 on 18 last week and take the test the 17th. Really just hoping for a 230 at this point but who the hell knows. Anything above that is gravy but I’m worried I peaked or something. The normal paranoia is setting in haha
 
I've hit that point where I feel like I'm hemorrhaging information...

:whistle::whistle::whistle:

Image 5.png


If an adult starts smoking at age 40 and develops emphysema and liver disturbances within 5 years, is he a PiMZ heterozygote or a PiZZ homozygtoe? His brother died at age 10 due to liver and lung failure.
Is the question trying to indicate that the brother had a full-blown PiZZ mutation and the adult has smth less severe, which only became evil once he started smoking, and which now of course wud mean a PiMZ heterozygote in this case?
Several sources say though that PiMZ carriers are largely asymptomatic and might at their worst get emphysema only, and not necessarily accompanying liver failure. This pt has both. So what do you think ?

I vote PiMZ for the adult, but heck if I know...
 
Hey guys,

I'm 4 days out from my test (3 days of actual studying) and i'm trying to wonder what my next best steps should be for the short time period.

As of now, my scores are:
CBSE 1: 245 taken at school
CBSE 2: 246
NBME 20: 252
NBME 21: 246
NBME 22: 248
NBME 23: 257
UWSA 1: 269 15 days out
NBME Free 120: 88% 2 weeks out
UWSA 2: 271 5 days out
UWorld average: 89%

My study period has been pretty sloppy because quite frankly, i'm the kind of person who tends to slack off but then goes hard when things get urgent. I started just reviewing incorrects and flagged later on, so I have 8 UWorld blocks of corrects, and my UWSA 1 and 2 corrects (again, I reviewed the flagged and incorrects) to go over. Moreover, I still have to review 2 of my NBMEs.

Meanwhile, I haven't done any of my UWorld incorrects yet and i've been blowing off my anki cards to prioritize reviewing UWorld.

As of now, i'm trying to figure out what to do with the last 3 days of studying. I could do some studying the day before (making it 4 days) but I want to limit it to just probably laying back and binge watching Pathoma, Boards, Sketchy, etc.

I was looking for input as to which of the things I mentioned would be the most effective use of my time based on others' experience. Any advice would be appreciated!
 
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Hey guys,

I'm 4 days out from my test (3 days of actual studying) and i'm trying to wonder what my next best steps should be for the short time period.

As of now, my scores are:
CBSE 1: 245 taken at school
CBSE 2: 246
NBME 20: 252
NBME 21: 246
NBME 22: 248
NBME 23: 257
UWSA 1: 269 15 days out
NBME Free 120: 88% 2 weeks out
UWSA 2: 271 5 days out
UWorld average: 89%

My study period has been pretty sloppy because quite frankly, i'm the kind of person who tends to slack off but then goes hard when things get urgent. I started just reviewing incorrects and flagged later on, so I have 8 UWorld blocks of corrects, and my UWSA 1 and 2 corrects (again, I reviewed the flagged and incorrects) to go over. Moreover, I still have to review 2 of my NBMEs.

Meanwhile, I haven't done any of my UWorld incorrects yet and i've been blowing off my anki cards to prioritize reviewing UWorld.

As of now, i'm trying to figure out what to do with the last 3 days of studying. I could do some studying the day before (making it 4 days) but I want to limit it to just probably laying back and binge watching Pathoma, Boards, Sketchy, etc.

I was looking for input as to which of the things I mentioned would be the most effective use of my time based on others' experience. Any advice would be appreciated!

You're gonna crush this test. Honestly I would just brush up on the basics like pathoma 1-3, biostats, etc....
Don't stress at all the next couple of days, binge watching Dr. Sattar or Dr. Ryan is probably a nice way to "study" while not stressing yourself out

Take care of the additional things you need for your test (make sure you know what you're gonna eat for (breakfast, lunch, snacks), print out your forms, etc) so you don't need to worry about any of that stuff the day before/on test day
 
Anyone else just taking the L on histo/histo discriptions? I feel like i can only spot buzz words with histo descriptions (and god do they love to avoid these) and the only two things i can spot semi-confidently in an image are multinucleated giant cells and reed sternberg cells. Everything else just looks like abstract art to me

This was the best concise histo resource I used while studying. Went through it in the morning the few days before dedicated and was really glad I did. Lots of histo on the test

 
got a 257 on nbme 18! feel much more ready for this exam now and actually believe i can get my target of > ~240. still feel like there is an extraordinary amount of stuff i want to review in these last 4 days. but its crazy relieving to be much less anxious

progress:
NBME 22 (4 weeks ago): 225
UWSA1 (3 weeks ago): 264
NBME 24 (2 weeks ago): 238
NBME 20 (5 days ago): 257
NBME 18 (today): 257 again!
UWSA2/120: sunday
real deal: wednesday
 
Guys I know this probably doesn't mean anything in the grand scheme of things (sample size and all that) but I finally got a good score on uworld. Was stuck at 70-80 (with a mid 70s avg and griped about it in this thread a few times lmao) and didn't do uw for two days just carding incorrects and reviewing the backlog of uworld questions (catch-up pretty much) and felt hopeless but I got a 95% today on a block! Hoping just more incorrects and not rushing it is the way to go and that this wasn't a fluke but we'll see.
 
Hey y'all. Looking for ideas on discrepancies in my scores. I have not done very well on the NBMEs, but have done pretty decently on both UWSA1 and 2. I got a 217 on NBME 18 (5 days ago) and just got a 241 on UWSA1 (today). I really wanna hit 230+, and my gut tells me to ignore the NBMEs in terms of predictive value. I mean, not like fretting over anything is going to help me right now when I'm two days away 😛

I bring this up because it seems that in many archived threads people were scoring low on NBME 18 and doing well on the UWorld assessments which translated into their actual exam. There is an obvious bias of high scorers posting here, but I find it odd that most people don't have such large discrepancies in scores as I do.
 
Wow congrats! What did you think caused the big jump from 24?
Thank you! I think getting used to NBME style questions and my mental attitude was important. Basically asking myself “what concept is being tested that I’ve seen tested before” instead of knowing the exact answer every time.

Also lots of pattern recognition from doing almost 30% of UW in that time.

Example:
It’s much easier to remember that they always test renal artery stenosis as only a few things:
Refractory htn or increased after ACE inhibitor starting
Increased PRA and Aldosterone aka secondary hyperaldosteronism
Probably 2/2 atherosclerosis in eldery
Probably 2/2 fibromuacular dysplasia in young woman
Bruit in abdomen
 
Another 140 question UW day in the books... Just in time to go to bed and do it again tomorrow! Finished the day at 2% above my cumulative performance so can't complain to much. 6 more of these days, then on to 8 days of timed practice and focused review / maybe catching up on some anki!

If I can do a week straight of 140 questions + reviews, the actual test should be a breeze stamina-wise...
 
Guys I know this probably doesn't mean anything in the grand scheme of things (sample size and all that) but I finally got a good score on uworld. Was stuck at 70-80 (with a mid 70s avg and griped about it in this thread a few times lmao) and didn't do uw for two days just carding incorrects and reviewing the backlog of uworld questions (catch-up pretty much) and felt hopeless but I got a 95% today on a block! Hoping just more incorrects and not rushing it is the way to go and that this wasn't a fluke but we'll see.
I got my first 100% today. It was glorious. And will never happen again
 
Does anybody know how much bombing a single category on an NBME can kill your score?

Finished NBME 22 yesterday at 223... went down 5 pts from NBME 21. My categories were all 3/4 to completely to the RT in my score breakdown except for biostats (100% bombed. The red star was at the left side & everything. Never had that happen to biostats before?...)

Thinking about doing review of biostats today, then doing a block or 2 of UWorld, then taking UWA1 tomorrow to (hopefully) resurrect my confidence.
 
Does anybody know how much bombing a single category on an NBME can kill your score?

Finished NBME 22 yesterday at 223... went down 5 pts from NBME 21. My categories were all 3/4 to completely to the RT in my score breakdown except for biostats (100% bombed. The red star was at the left side & everything. Never had that happen to biostats before?...)

Thinking about doing review of biostats today, then doing a block or 2 of UWorld, then taking UWA1 tomorrow to (hopefully) resurrect my confidence.
Have you used the uw biostats package or is that not worth
 
Does anybody know how much bombing a single category on an NBME can kill your score?

Finished NBME 22 yesterday at 223... went down 5 pts from NBME 21. My categories were all 3/4 to completely to the RT in my score breakdown except for biostats (100% bombed. The red star was at the left side & everything. Never had that happen to biostats before?...)

Thinking about doing review of biostats today, then doing a block or 2 of UWorld, then taking UWA1 tomorrow to (hopefully) resurrect my confidence.
Not sure how it works on the real deal but on the practice NBMEs I’m pretty sure the scores are pretty much just dependent on % correct overall so if there is a lot of biostats and you bomb it then it can be more determiental to your score.


I’d definitely review the randy videos on YouTube and get to the point where you know how to do all thoze questions. That’s for calculations. For conceptual stuff I’d honestly just memorize definitions at this point. Aka putting PPV into your own words or onto a flash card. Same thing with types of experimental designs where the question is “is this a cross over study or cross sectional or case control or case series etc”

Biostats is free points imo and you’re looking at like a 10 point improvement right there if you go from bombing it to acing it.
 
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