USMLE Official 2019 Step 1 Experiences and Scores Thread

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So how likely is it to seriously underperform your final few practice exams? I didn’t feel horrible walking out but I have since remembered so many easy questions I missed. I didn’t have one of the crazy tests people talk about so I’m scared my curve will not be forgiving
Seems pretty uncommon I've read many a dozen reports (so credible I know) and there's usually one person out of at least 10 that that happens to. But you could also be the one who gets a standard deviation above their practice scores too. Big time players making big time guesses haha
 
There’s a lot of super high performers in this thread afraid of the stupid mistakes they made. I imagine the mere mortals who tested with you were probably also making mistakes. It’ll balance out
And the mere mortals (me) will guarantee we messed up enough haha now to hope I got enough right
 
There’s a lot of super high performers in this thread afraid of the stupid mistakes they made. I imagine the mere mortals who tested with you were probably also making mistakes. It’ll balance out
Mere mortals like me would think I didn't make mistakes bc I probably would misinterpret my incorrects as corrects lmaooooo
 
So how likely is it to seriously underperform your final few practice exams? I didn’t feel horrible walking out but I have since remembered so many easy questions I missed. I didn’t have one of the crazy tests people talk about so I’m scared my curve will not be forgiving
so the NBME publishes data on this question when they give you your score reports. It seems like 75%~ of the time people meet or exceed their NBME baseline for each individual test. However there is the 25% of the time where people do worse.
 
so the NBME publishes data on this question when they give you your score reports. It seems like 75%~ of the time people meet or exceed their NBME baseline for each individual test. However there is the 25% of the time where people do worse.
Can't do worse if you never take an NBME
268454
 
Hey guys, anyone know the 3-digit for 48 incorrect? Ugh - I am sorry if I post on the wrong thread. Couldn't find this on the old thread on #incorrect vs 3-digit.
 
Just did the free 120... some really questionable answers I think... Smashed the first block, got tripped up on the 2nd and 3rd blocks, not as easy as people say, IMO. 91% overall.

Score predictor has my 95% CI at 252 - 265.

Excited to get it done tomorrow. Hope to make some magic happen, or at least not under-perform by too much!

Block 3 Q31... reassure the patient on a morphine drip that the chance of becoming addicted to narcotics is "minuscule"? Wtf the NBME smoking?

Block 3 Q37... Our patient with 4 days of vomiting+diarrhea+confusion has hypovolemic shock, not septic shock? **** off... okay fine I guess maybe they're right about this one...
 
Just did the free 120... some really questionable answers I think... Smashed the first block, got tripped up on the 2nd and 3rd blocks, not as easy as people say, IMO. 91% overall.

Score predictor has my 95% CI at 252 - 265.

Excited to get it done tomorrow. Hope to make some magic happen, or at least not under-perform by too much!

Block 3 Q31... reassure the patient on a morphine drip that the chance of becoming addicted to narcotics is "minuscule"? Wtf the NBME smoking?

Block 3 Q37... Our patient with 4 days of vomiting+diarrhea+confusion has hypovolemic shock, not septic shock? **** off... okay fine I guess maybe they're right about this one...
They are “technically right” on the first one. It’s dumb but at the end of the day most of us in this thread could probably take a day or two of continuous morphine and not become addicted.

I think they’re trying to get at the concept that addiction is not just biological but mostly dependent on socio-psychological factors. And as usual they tested it in a contrived way
 
My exam is next week Wednesday, I was thinking about doing the following... thoughts?

Friday (today) - Sunday: UWorld non-stop & re-reading notes at night whilst waiting for that melatonin to kick in

Monday: UWSA2 + Free 120, then re-watch pathoma chapters 1 & 2 in the afternoon/evening

Tuesday: Re-watch pathoma chapters 3 & 4, biostats review vid on Youtube, skim some biochemistry out of FA, & look over my memorization list a couple times (has formulas, TCA, stuff like that; not a very long list)

Morning of Exam: review memorization list before going into exam, maybe do 5 practice Q's or something to get the brain going a little bit (maybe not tho.. what if I get them all wrong & destroy my confidence lol...)
 
My exam is next week Wednesday, I was thinking about doing the following... thoughts?

Friday (today) - Sunday: UWorld non-stop & re-reading notes at night whilst waiting for that melatonin to kick in

Monday: UWSA2 + Free 120, then re-watch pathoma chapters 1 & 2 in the afternoon/evening

Tuesday: Re-watch pathoma chapters 3 & 4, biostats review vid on Youtube, skim some biochemistry out of FA, & look over my memorization list a couple times (has formulas, TCA, stuff like that; not a very long list)

Morning of Exam: review memorization list before going into exam, maybe do 5 practice Q's or something to get the brain going a little bit (maybe not tho.. what if I get them all wrong & destroy my confidence lol...)
Would it be good to spread the pathoma on your Fri to sun too? Idk for you but for me one day of 4 hrs always worse than spread out in terms of retention
 
My exam is next week Wednesday, I was thinking about doing the following... thoughts?

Friday (today) - Sunday: UWorld non-stop & re-reading notes at night whilst waiting for that melatonin to kick in

Monday: UWSA2 + Free 120, then re-watch pathoma chapters 1 & 2 in the afternoon/evening

Tuesday: Re-watch pathoma chapters 3 & 4, biostats review vid on Youtube, skim some biochemistry out of FA, & look over my memorization list a couple times (has formulas, TCA, stuff like that; not a very long list)

Morning of Exam: review memorization list before going into exam, maybe do 5 practice Q's or something to get the brain going a little bit (maybe not tho.. what if I get them all wrong & destroy my confidence lol...)

That sounds like a solid plan. My test is Thursday and I am going to do something very similar. I may also put some time in for a quick run through of the high yield physiology of the major systems since that is a weak point of mine.
 
Just did the free 120... some really questionable answers I think... Smashed the first block, got tripped up on the 2nd and 3rd blocks, not as easy as people say, IMO. 91% overall.

Score predictor has my 95% CI at 252 - 265.

Excited to get it done tomorrow. Hope to make some magic happen, or at least not under-perform by too much!

Block 3 Q31... reassure the patient on a morphine drip that the chance of becoming addicted to narcotics is "minuscule"? Wtf the NBME smoking?

Block 3 Q37... Our patient with 4 days of vomiting+diarrhea+confusion has hypovolemic shock, not septic shock? **** off... okay fine I guess maybe they're right about this one...

You and I have like the same scores on UW2 and the 120. You better be dragging me with you to your score, haha

Also, that q31 is some straight BS.
 
Thank God. It’s over!

Goal 240....actual...idk...probably 210 lol. If there’s anything I’ve learned these past two years it’s I do the best on stuff I feel awful about...and my worst scores happen when I feel good about something...so at least I have that going for me 🙄
 
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Thank God. It’s over!

Goal 240....actual...idk...probably 210 lol. If there’s anything I’ve learned these past two years it’s I do the best on stuff I feel awful about...and my worst scores happen when I feel good about something...so at least I have that going for me 🙄

There's a theory floating around that each question you get correct in a system/category (GI for example) you get harder questions for that category next time. & with each subsequent question you get right it gets harder until you plateau & start getting questions wrong. & theoretically at the end of the test you'll be at your plateau in all categories. Wherever your overall "plateau point" determines your score.

Idk if it's true or not but it would explain why 100% of people that walk out of step feel like sh**, including the 250+ scorers.
 
Idk if it's true or not but it would explain why 100% of people that walk out of step feel like sh**, including the 250+ scorers.

I wish it was like this but i feel like the old computers used in prometric couldn't handle an intense algorithm like this.

Personally i think its the classic Dunning-Kruger Effect and imposter syndrome. The people who really prepared knew exactly what they were deficit on.
 
There's a theory floating around that each question you get correct in a system/category (GI for example) you get harder questions for that category next time. & with each subsequent question you get right it gets harder until you plateau & start getting questions wrong. & theoretically at the end of the test you'll be at your plateau in all categories. Wherever your overall "plateau point" determines your score.

Idk if it's true or not but it would explain why 100% of people that walk out of step feel like sh**, including the 250+ scorers.
That would be so crazy if it was true. You would be absolutely shook if you felt it was hard then later blocks started asking questions like "what is a statin" lmao
 
There's a theory floating around that each question you get correct in a system/category (GI for example) you get harder questions for that category next time. & with each subsequent question you get right it gets harder until you plateau & start getting questions wrong. & theoretically at the end of the test you'll be at your plateau in all categories. Wherever your overall "plateau point" determines your score.

Idk if it's true or not but it would explain why 100% of people that walk out of step feel like sh**, including the 250+ scorers.
that is for standardized exams with adaptive testing. The number of questions you answer also varies with these types of exams. The STEP 1 to my knowledge is not an adaptive test. The NCLEX is.
 
That would be so crazy if it was true. You would be absolutely shook if you felt it was hard then later blocks started asking questions like "what is a statin" lmao
Or in the last block:
“Which medicine lowers the sugars?”

that is for standardized exams with adaptive testing. The number of questions you answer also varies with these types of exams. The STEP 1 to my knowledge is not an adaptive test. The NCLEX is.
As far as I recall, adaptive testing is really only used for pass/fail exams. Numerical scores I don’t think are really a think in the adaptive testing world.
 
Done...

I was slaying for the first 3 blocks. I was like man, this isn't so bad, nuts to all those internet people who said it was hard. Was grinning to myself the whole time, finished each block 10 minutes early and then took luxurious extra-long breaks to go outside and walk around. Step 1 ez game.

Then got rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrroasted the last 4 blocks. Lots of "wtf" questions which I didn't mind so much, but also got a lot of "fml I should know this" questions where I missed free points because I forgot something stupid.

It was hard to hide my disappointment as I was checking out.

Overall I'd guess I'll probably end up somewhere around 245-255. Given my practice scores and the fact that those last blocks left a bad taste in my mouth, I think cracking 260 isn't out of the realm of possibility... <240 is also not out of the realm of possibility.

Feeling a little bit bitter that I studied so hard for the past 2 years and probably under-performed here.

But almost certainly did well enough to keep open all the doors I care about, and at the end of the day that's the important thing.

Ah well. Ice cream for dinner.
 
Done. Honestly don’t know how to feel - made some very stupid mistakes/knew the correct answer but talked myself out of it. Feel like I’m going to underperform which sucks because I was doing so well on practice exams. Ugh. I don’t want to go into anything crazy competitive, but I wanted this score just to prove to myself that I’m good enough. Sorry I know that’s heavy, but my friends from school have all responded with some version of “shut up you’re at the top of our class I’m sure you crushed it” and I just needed someplace to vent
 
Done. Honestly don’t know how to feel - made some very stupid mistakes/knew the correct answer but talked myself out of it. Feel like I’m going to underperform which sucks because I was doing so well on practice exams. Ugh. I don’t want to go into anything crazy competitive, but I wanted this score just to prove to myself that I’m good enough. Sorry I know that’s heavy, but my friends from school have all responded with some version of “shut up you’re at the top of our class I’m sure you crushed it” and I just needed someplace to vent

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I talked myself out of a lot of things and did a lot of second-guessing, which is very unlike me from my practice tests. Not sure if I was right or wrong in the end and now I can't remember to look them up even if I wanted to :scared:
 
Finished each block 15-20 minutes early. Took an hour long lunch. First 4 blocks were easier and the last block was the hardest. Don’t know what I will get but hoping that I break 240. There were about 20% questions on which I was not 100% confident.
 
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I talked myself out of a lot of things and did a lot of second-guessing, which is very unlike me from my practice tests. Not sure if I was right or wrong in the end and now I can't remember to look them up even if I wanted to :scared:
I’m just curious to know a ballpark of the percentage correct that correlates to each score. One of the professors at our school that does something with the NBME (I can’t remember what) said a 60-70% is a 230. Idk if that’s true or not
 
I’m just curious to know a ballpark of the percentage correct that correlates to each score. One of the professors at our school that does something with the NBME (I can’t remember what) said a 60-70% is a 230. Idk if that’s true or not

I've heard that multiple times too. Honestly who knows but it wouldn't surprise me. I've seen a medical educator at a high ranking school say that in a meeting with the NBME the NBME folks basically admitted that the passing line is often as low as 55% even though they say otherwise on their website. I've even had 250+ scorers tell me to my face they are usually very good estimators of how they do on tests and there is no way they got more than 75% of the questions right. Probably depends on the form but overall it wouldn't surprise me if the line for a 250 was lower than we might think.

They are so hush hush with anything about this test we have no idea how to tell what's true and whats not.
 
Done. Honestly don’t know how to feel - made some very stupid mistakes/knew the correct answer but talked myself out of it. Feel like I’m going to underperform which sucks because I was doing so well on practice exams. Ugh. I don’t want to go into anything crazy competitive, but I wanted this score just to prove to myself that I’m good enough. Sorry I know that’s heavy, but my friends from school have all responded with some version of “shut up you’re at the top of our class I’m sure you crushed it” and I just needed someplace to vent
i know this feeling. And I always get the "shut up, you did fine" speech from my friends. This is probably a first world problem, but people's goals are different so the disappointment with not hitting 250+ for people who have busted their behinds is just as real for the person hitting 225 after having their heart set on 230.
I am fairly confident I under performed as well, but , Stick in there, and just keep on working, nothing you can do right now.
 
I've heard that multiple times too. Honestly who knows but it wouldn't surprise me. I've seen a medical educator at a high ranking school say that in a meeting with the NBME the NBME folks basically admitted that the passing line is often as low as 55% even though they say otherwise on their website. I've even had 250+ scorers tell me to my face they are usually very good estimators of how they do on tests and there is no way they got more than 75% of the questions right. Probably depends on the form but overall it wouldn't surprise me if the line for a 250 was lower than we might think.

They are so hush hush with anything about this test we have no idea how to tell what's true and whats not.
I have a feeling they mix old questions with new ones to confirm concordance of performance. But the new questions may not matter in that specific sitting. So you might get all the old questions right and all the new questions wrong with a 75% and end up with a 270+ or you may get all the new questions right and all a good chunk of the old questions wrong with all the new questions right and end up with 75% but a 245. so the percent correct may have a large variation with 3 digit performance at the end of the day.

Who knows what goes on at NBME headquarters.
 
Took it yesterday. Felt like a mix of UWorld difficulty with some Free 120 esque freebies sprinkled in. About 10 questions where I literally had no clue wtf they were getting at, I suspect those were experimental. A good portion of my test was pretty straight forward (~40%). And a good portion required some extra thinking and connecting dots. For these kinds of questions you must be comfortable with vague presentations and making logical assumptions while trusting your knowledge base and instincts; UWorld prepares you best for this. All in all I thought the test was fair and totally doable. If you've been putting in the work and doing tons of UWorld questions, it should feel no different. It really did feel like doing a bunch of UWorld blocks back to back.

Didn't feel like the new NBMEs in my opinion. Better written questions overall. I did not feel pressed for time on any block, my timing was exactly the same as when I was doing UWorld blocks. I think the reason a lot of people consistently say they feel pressed for time is because the pressure of performing during the real test makes them scrutinize every choice they make and overthink things. Questions stems were not insanely long like people report.
 
i know this feeling. And I always get the "shut up, you did fine" speech from my friends. This is probably a first world problem, but people's goals are different so the disappointment with not hitting 250+ for people who have busted their behinds is just as real for the person hitting 225 after having their heart set on 230.
I am fairly confident I under performed as well, but , Stick in there, and just keep on working, nothing you can do right now.
Honestly could be realer for people like you since the effort was so insane. I'm aiming for around a 240 realistically, and it seems like the margin for error can get so low and the chance of being hit with a few random things you didn't polish up is so much higher the higher you go. Even with zanki done and hundreds of other questions from alternative banks, consistently hitting 80+ is hard for me and I've plateaued at around 77-78 on average for uworld lol.
 
Step tomorrow. Was supposed to be today by had to move it because of logistics. Wish it was still today so this could be over. Trying to convince myself to chill out and not look at notes or anything...may not be able to resist the urge, so maybe I’ll just page through pathoma and first aid and look at the pictures and histo for “fun” lol.

NBME 13- 228
NBME 16- 234
NBME 23- 244
UWSA 1- 262
NBME 20- 248
NBME 18- 255
UWSA 2- 271
UW correct- 84% (only pass, ~150 questions not finished, oh well)

Idk how I scored that high on UW2 lol, but I think it is safe to say that is going to be a bit of an overprediction haha. My goal is >250 (dream score 260, am okay though not pleased with >240)

I’m really just here to vent out some anxiety/nerves. Even though my scores say I should crush this thing, the self doubt is so real. I feel like there is so much I don’t know and I have an unshakeable fear of getting a test that perfectly exploits my weaknesses. Clearly nobody IRL is going to have much sympathy for me, and I don’t want to go waving my scores in anyone’s face just to up my confidence, but I figured if anyone gets me it will be you all here haha.

I don’t post much but I’ve been following this thread throughout dedicated, and I hope every single one of us crushes/crushed it!
 
Step tomorrow. Was supposed to be today by had to move it because of logistics. Wish it was still today so this could be over. Trying to convince myself to chill out and not look at notes or anything...may not be able to resist the urge, so maybe I’ll just page through pathoma and first aid and look at the pictures and histo for “fun” lol.

NBME 13- 228
NBME 16- 234
NBME 23- 244
UWSA 1- 262
NBME 20- 248
NBME 18- 255
UWSA 2- 271
UW correct- 84% (only pass, ~150 questions not finished, oh well)

Idk how I scored that high on UW2 lol, but I think it is safe to say that is going to be a bit of an overprediction haha. My goal is >250 (dream score 260, am okay though not pleased with >240)

I’m really just here to vent out some anxiety/nerves. Even though my scores say I should crush this thing, the self doubt is so real. I feel like there is so much I don’t know and I have an unshakeable fear of getting a test that perfectly exploits my weaknesses. Clearly nobody IRL is going to have much sympathy for me, and I don’t want to go waving my scores in anyone’s face just to up my confidence, but I figured if anyone gets me it will be you all here haha.

I don’t post much but I’ve been following this thread throughout dedicated, and I hope every single one of us crushes/crushed it!
Don't think I've ever seen someone with your practice scores/UW% score below a 250 lol go kill it
 
Anybody's permit disappearing? My wife took my access to the page away and I can't check anymore 🙁
 
My buttons still there but when i click on it says unavailable, which im pretty sure is not the same thing as “permit disappearing” that people refer to

Yeah, that happens immediately after you took it. Apparently the whole button disappears once AT Still decides he lets the NBME release your score.
 
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