USMLE Official 2019 Step 1 Experiences and Scores Thread

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Sometimes when I get to a question and I don't instantly know the answer I freak out like that too, so what I started doing is simply flagging it right away and moving on. After like 3-4 more questions I'll come back to it and if I still don't know then I go right back and keep going and then come back to it at the end. I've noticed that there have been multiple questions on each test where at first I freak out but when I come back to it later I'm like, "oh right that's actually pretty straightforward."

That's one of my strategies as well. If I don't immediately have a clue I just flag it and move on. If I see that the question involves math, up down arrows, or some in depth physiology I flag it and move on. I come back to any unanswered question when I went through all 40 questions to answer them, then I do my answered flag questions. I am also a crazy flagger and end up flagging about 50% of any block so that's something else I gotta work on. I think I may need to just start incorporating a mid-block 30 second woosah breathing moment to calm myself down.
 
Sometimes when I get to a question and I don't instantly know the answer I freak out like that too, so what I started doing is simply flagging it right away and moving on. After like 3-4 more questions I'll come back to it and if I still don't know then I go right back and keep going and then come back to it at the end. I've noticed that there have been multiple questions on each test where at first I freak out but when I come back to it later I'm like, "oh right that's actually pretty straightforward."

I just started doing this and am frequently amazed... I'll be going through a block like "f, don't know that... f, don't know that...." get to the end and have left fully half of the questions unanswered. Then I back through starting from the top and just knock them out easy peasy. It's amazing what a fresh set of eyes can bring to a problem sometimes.

I can't seem to get the 217 I got on NBME 20 last friday out of my head, down from a 264 on UW1 a week before. It's really haunting me. I am getting ~85% correct on UW with about 50% done. Idk why I do so much better with UW than NBMEs. After reviewing NBME 20, I made so many dumb mistakes, I think it's the nerves. For some reason, I am always concerned that I am going to run out of time even though I finish every block with around 20 minutes remaining. I have been prioritizing my mental state on the past few UW blocks and have seen an improvement. Anyone have any advice with this kind of testing anxiety?

Hopefully I can do better on NBME 22 on Thursday.

It must be the nerves getting you? Rationally, so many people have crushed Step based on UW alone, and 85% correct is baller status so it shouldn't be a problem with your knowledge base theoretically.
 
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It must be the nerves getting you? Rationally, so many people have crushed Step based on UW alone, and 85% correct is baller status so it shouldn't be a problem with your knowledge base theoretically.

Yea that's probably a big part of it. I'm going to focus on my test taking and motivation and see what happens.
 
Sometimes when I get to a question and I don't instantly know the answer I freak out like that too, so what I started doing is simply flagging it right away and moving on. After like 3-4 more questions I'll come back to it and if I still don't know then I go right back and keep going and then come back to it at the end. I've noticed that there have been multiple questions on each test where at first I freak out but when I come back to it later I'm like, "oh right that's actually pretty straightforward."

Was just doing another block of 10 and experienced this phenomenon again. Couldn't for the life of me remember if EPO comes from the JGA or peritubular capillaries... Came back to the question 5 minutes later and the answer popped right into my head like magic.

I think it goes back to "The Inner Game of Tennis"... The subconscious mind is so much smarter than the conscious mind. When you're at a loss, trying to forcibly pull the answer out of the far reaches of your memory is unlikely to work. But when you're a bit more relaxed, in that flow state, giving your brain a fresh perspective gives your subconscious another shot at making the connection.

I'm going to make a conscious effort to take advantage of this effect going forward.
 
I think this schedule is what I'll do my last week or so too. Will be watching to see if you feel burnt out by the end, or if you feel like it helped build your stamina. Good luck!

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Love the gifs!


Fortunately the burnout has been minimal for me. Took my first day off around 2 weeks ago per the recommendations of this thread and have taken about a half day off each week since.


Honestly I’m using this week to isolate weaknesses from NBMEs and just hammer the crap outta them on my review days. Then just cram sketchy and pathoma in the evenings of those days. I don’t actually feel exhausted or tired from doing a lot of questions each day - it’s far more exhausting to review questions for me
 
So all my last second plans have failed lol. The only thing I was motivated to do the last few days was UW questions so I reset the bank and am just hitting topics I feel that could trip me up tomorrow, like biochem, etc. All I'm doing today is glancing through the public health section of FA again. Planning what equations to write down on my scratch paper, cram moding the Rapid Review Anki deck, and one more UW block to purely to keep up the question answering comfort fresh and not for content. Should be done by 2, gonna go hit the gym and get way tired, go get a haircut and then play with my kids until bed time. Once that alarm goes off tomorrow, IT'S GO TIME.


Good luck!!!!
 
How soon after blocks do you guys review questions? Sometimes I get a delay and have to review them one or even two days later. Keeping up with blocks and anki has been hell with classes and I use weekends as catch-up sometimes
 
hooooly crap managed a 257 on nbme 20. stunned. i felt like it was so much more logical than 22 or 24 but i also guessed so much throughout. i think i had 25 minutes left on each of the last 3 sections. this test is so damn mental. i absolutely did better on this nbme vs the previous by just going with my instinct/gut/pattern recognition and leaving the "thinking" for the questions that clearly revolved around it (arrow q's, physiology etc.). i also lucked out that there was very little anatomy on this test.

progression:
225 on 22
264 on uwsa1
238 on 24
257 on 20
9 days to go


i was honestly just hoping to stay above 235 on this test. i still can't shake that it feels nothing like uw and probably is very disimilar to the real thing...but for now its time for beer + uworld and some quality time with the bae (dr. sattar)
 
How soon after blocks do you guys review questions? Sometimes I get a delay and have to review them one or even two days later. Keeping up with blocks and anki has been hell with classes and I use weekends as catch-up sometimes
one day later is fine imo. if you really want to work on thought process/logic then tutor mode is the way to go otherwise i feel like waiting to the next day almost gives you "2 passes" of the material being tested if you are thorough
 
How soon after blocks do you guys review questions? Sometimes I get a delay and have to review them one or even two days later. Keeping up with blocks and anki has been hell with classes and I use weekends as catch-up sometimes

I think tutor mode is the truth - I review my questions immediately after answering them. I think things stick better when you spend some time puzzling, and then get slapped in the face with the explanation for why you were thinking about something the wrong way.

I've also changed up my Anki use recently. I make tons of cards as I go through my UW questions - pretty much every time I didn't know something or I was a little shaky, I make a card.

Importantly, I've basically stopped doing my Zanki reviews, and am prioritizing those new cards I'm making. My %correct on the Zanki reviews has been >90% lately anyways so it was kind of a waste of time. And, if something important comes up that I forgot, well, I'll make a card about it and re-learn it.
 
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I think tutor mode is the truth - I review my questions immediately after answering them. I think things stick better when you spend some time puzzling, and then get slapped in the face with the explanation for why you were thinking about something the wrong way.

I've also changed up my Anki use recently. I make tons of cards as I go through my UW questions - pretty much every time I didn't know something or I was a little shaky, I make a card.

Importantly, I've basically stopped doing my Zanki reviews, and am prioritizing those new cards I'm making. My %correct on the Zanki reviews has been >90% lately anyways so it was kind of a waste of time. And, if something important comes up that I forgot, well, I'll make a card about it and re-learn it.
Also been doing this for the second half of UW (did a mix of notes/reset zanki and excel for the first half). Now I have about 1.5k cards with a 5 day max interval and 95% of zanki suspended which is soo much better. I actually get a lot of cards wrong each day which makes it feel so much more useful than keeping up with zanki

The caveat is ofc that it’s ideal to do both if you can but we didn’t do UW before dedicated so it was never really realistic ‍♂️
 
I think tutor mode is the truth - I review my questions immediately after answering them. I think things stick better when you spend some time puzzling, and then get slapped in the face with the explanation for why you were thinking about something the wrong way.

I've also changed up my Anki use recently. I make tons of cards as I go through my UW questions - pretty much every time I didn't know something or I was a little shaky, I make a card.

Importantly, I've basically stopped doing my Zanki reviews, and am prioritizing those new cards I'm making. My %correct on the Zanki reviews has been >90% lately anyways so it was kind of a waste of time. And, if something important comes up that I forgot, well, I'll make a card about it and re-learn it.
I still have timing issues on 40 q blocks sometimes so not sure if it's wise for me to make the jump to tutor mode atm :/ thanks for the advice. At the same time though not finishing it is a big problem so idk ..
one day later is fine imo. if you really want to work on thought process/logic then tutor mode is the way to go otherwise i feel like waiting to the next day almost gives you "2 passes" of the material being tested if you are thorough
 
I still have timing issues on 40 q blocks sometimes so not sure if it's wise for me to make the jump to tutor mode atm :/ thanks for the advice. At the same time though not finishing it is a big problem so idk ..

I'm of the opposite mind - I think/hope that more efficient learning will naturally make me faster. Slow is smooth, smooth is fast.

I kind of have "test taking skills" and "learning the material" as two separate things in my head. I'm basically putting off the timed practice and stamina building until towards the end of my dedicated, once my knowledge has peaked. (although, I am doing >100 UW per day + anki so that's gotta count for something on the stamina building front).

Maybe this will bite me in the end, though - time will tell!
 
I'm of the opposite mind - I think/hope that more efficient learning will naturally make me faster. Slow is smooth, smooth is fast.

I kind of have "test taking skills" and "learning the material" as two separate things in my head. I'm basically putting off the timed practice and stamina building until towards the end of my dedicated, once my knowledge has peaked. (although, I am doing >100 UW per day + anki so that's gotta count for something on the stamina building front).

Maybe this will bite me in the end, though - time will tell!
This actually makes a lot of sense. I think another benefit is sometimes I don't do a block because I think how I'm behind on reviewing or need 1 hr plus 2-3 hrs after to review, but tutor mode keeps things "rolling". How does timed tutor mode work? Is it per question?
 
This actually makes a lot of sense. I think another benefit is sometimes I don't do a block because I think how I'm behind on reviewing or need 1 hr plus 2-3 hrs after to review, but tutor mode keeps things "rolling". How does timed tutor mode work? Is it per question?

There's a timer that runs when you're looking at a question you haven't answered yet, but it pauses while you're reading explanations. With untimed tutor the clock doesn't matter and is just for your information... I would guess with timed tutor, there's a time limit and it boots you out if you hit the limit.

Also I do "blocks" of 10 questions at a time so it's a more manageable bite - do some UW, do some anki, mix it up back and forth to keep things interesting.
 
How does timed tutor mode work? Is it per question?

It's just like a normal block except when you submit the question the timer pauses so you can read the explanation and doesn't start until you move on to the next question. I agree that tutor will likely be a benefit to you, and timed tutor is a way to get that but also keep practicing on your timing.

Edit: so it starts at 60 minutes (for 40 question blocks) and counts down as you do the block.
 
There's a timer that runs when you're looking at a question you haven't answered yet, but it pauses while you're reading explanations. With untimed tutor the clock doesn't matter and is just for your information... I would guess with timed tutor, there's a time limit and it boots you out if you hit the limit.

Also I do "blocks" of 10 questions at a time so it's a more manageable bite - do some UW, do some anki, mix it up back and forth to keep things interesting.
Ya I'm gonna try this once I finish the blocks i haven't reviewed. Thanks a lot
 
Finished UW today with an 84%. So begins the final sprint, dont think I have it in me to finish strong and do all that I scheduled for myself. Might readjust to just focus on weaknesses if my pace/motivation dips too much. Right now the plan is pass through FA, pass through my sketchy micro/pharm notes, read through pathoma, anki rapid review deck a few times over, NBME 18, UWSA2, free 120, and all of sketchy path(this is the one most likely to get ignored)

edit: exam is 6/13 taking a day off this weekend and a day off the day before
 
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The stems are long, often up to 10 lines of pure text. The style is mostly Uworld-like with an NBME feeling here and there. The whole thing is really grueling, as breaks are just enough to grab a snack and visit the bathroom due to the check in and out procedures.

One week out and I am getting a bit anxious over being surprised at the style of questions. Still finding it weird/hard to believe that step 1 is not similar to NBME practice tests, but somehow is similar to some test prep company.
 
Ya I'm gonna try this once I finish the blocks i haven't reviewed. Thanks a lot
I like to just put it on tutor mode and watch the timer as I go. You don’t have to look at the answer immediately while in tutor mode. That way I can try to keep under the time limit, but if someone comes up and talks to me or something its not a big deal. I check all the answers at the end of the block. I feel like if I got a bunch wrong in a row it would just piss me off and I’d give up lol.

I usually end up under the time limit anyway. But for instance, one time I had >10 calculations and a bunch of psych questions with long stems. No chance. I went like ten minutes over. But I did all the questions because I paid for this and I’m going to use it. The next block was so straight forward I had over 20 minutes left at the end.
 
Finished UW today with an 84%. So beings the final sprint, dont think I have it in me to finish strong and do all that I scheduled for myself. Might readjust to just focus on weaknesses if my pace/motivation dips too much. Right now the plan is pass through FA, pass through my sketchy micro/pharm notes, read through pathoma, anki rapid review deck a few times over, NBME 18, UWSA2, free 120, and all of sketchy path(this is the one most likely to get ignored)

edit: exam is 6/13 taking a day off this weekend and a day off the day before

Dude you're already there. Chill out, take it easy, and Thursday you'll crush it. 84 is an absolutely amazing % in Uworld. May your test be full of somatic function and tissue texture normality 🙄
 
Dude you're already there. Chill out, take it easy, and Thursday you'll crush it. 84 is an absolutely amazing % in Uworld. May your test be full of somatic function and tissue texture normality 🙄
Dont tempt me, I'll take a nap all the way up until my test day! I've already moved toward studying in bed lol. But thanks man!! Best of luck tomorrow and dont forget to attack it with the energy and enthusiasm unknown to man kind!
 
Seriously starting to panic at how I have not improved. I just got the same score on 18 that I got on 23 over a week ago! I need to improve by 10 points for my test in 2 weeks. Is this even possible?
Same boat. Went down 4 points from 23. Thought it was way easier too.
 
It was way easier. Guess I have to come to terms with the fact that I won't get what I need for my desired specialty
F*** that noise!

You might not. I might not either.

But freaking out and getting depressed is a sure fire way to not get what you want.

Gawd! I’ve been bummed all day about that score. What a waste of a day.

I’m going hard AF tomorrow! And you should too. It ain’t over till it’s over!

E99F6E72-C168-4D4E-BE4A-B3D25D1846C8.jpeg
 
It was way easier. Guess I have to come to terms with the fact that I won't get what I need for my desired specialty

1. I'm convinced that believing you can do it is a huge part of this
2. Scores really aren't everything. Charting outcomes shows this even in the competitive specialties. I truly believe there is something to be said about desire and dedication to a field.
 
1. I'm convinced that believing you can do it is a huge part of this
2. Scores really aren't everything. Charting outcomes shows this even in the competitive specialties. I truly believe there is something to be said about desire and dedication to a field.
Where can I find this "charting the outcomez" you speak of? :bookworm:

Isn't your test tomorrow? Get some sleep and good luck!
 
It was way easier. Guess I have to come to terms with the fact that I won't get what I need for my desired specialty
Crazy how it used to be considered one of the hardest NBMEs a couple years ago--per my reddit/SDN perusing. The NBME is pulling off some genetic drift on us to beat all of the study resources.
 
Does anyone else have a hard time picking out "weaknesses"?? I know this sounds stupid, but every single one of my tests is different when it comes to areas I missed questions.. Most of the answers I miss are not due to lack of knowledge/knowing something, but rather being unable to apply that knowledge.

Any advice on how to help with this? I am going to continue to work on the "weaknesses" that come up on my upcoming practice tests, but I still am concerned that it feels like my main problem is being able to apply everything rather than gaps in knowledge
 
I vouch for melatonin too, 2mg before bed worked wonders for me the last few nights before the test. I managed to get a good 7:30 hours of sleep before the test thanks to that with no "hangover" the next morning.

I've been having a lot of trouble getting to bed at a decent time the past couple weeks & was thinking about trying melatonin for the first time. I heard it gives you some pretty crazy dreams though depending on the person that takes it? Did you experience any of this? Or any kind of like excessive morning grogginess?
 
Does anyone else have a hard time picking out "weaknesses"?? I know this sounds stupid, but every single one of my tests is different when it comes to areas I missed questions.. Most of the answers I miss are not due to lack of knowledge/knowing something, but rather being unable to apply that knowledge.

Any advice on how to help with this? I am going to continue to work on the "weaknesses" that come up on my upcoming practice tests, but I still am concerned that it feels like my main problem is being able to apply everything rather than gaps in knowledge
I'm with you on this. Those score reports are ridiculous, imho. What I am doing in these final days is working on what subjects I've spent the least time on. If I could stop choosing zebra answers and fully read questions that would be nice also. -_-
 
I'm with you on this. Those score reports are ridiculous, imho. What I am doing in these final days is working on what subjects I've spent the least time on. If I could stop choosing zebra answers and fully read questions that would be nice also. -_-
Yea missing questions and checking later only to see you missed a classic hint is depressing. Also I'm with you guys as I've said before as a person who uses zanki it doesn't feel you miss a whole concept but more a random info on various subjects. Kinda jealous of nonzankiers since they can probably be like oh yeah forgot about x process or y process, grind it, and really destroy their weakness whereas for me I sometimes feel like I'm plugging random holes in a sinking boat haha
 
I'm with you on this. Those score reports are ridiculous, imho. What I am doing in these final days is working on what subjects I've spent the least time on. If I could stop choosing zebra answers and fully read questions that would be nice also. -_-

Same... It looks like my poor reading comprehension as evidence by my low CARS score from my MCAT may actually end up making a difference lol

Hopefully I can brute memorize my way to a 240 while still being a horrible test taker
 
Does anyone else have a hard time picking out "weaknesses"?? I know this sounds stupid, but every single one of my tests is different when it comes to areas I missed questions.. Most of the answers I miss are not due to lack of knowledge/knowing something, but rather being unable to apply that knowledge.

Any advice on how to help with this? I am going to continue to work on the "weaknesses" that come up on my upcoming practice tests, but I still am concerned that it feels like my main problem is being able to apply everything rather than gaps in knowledge
I have the same issue with regards to my NBME showing different “weaknesses” every time. I might have to check to confirm this but im pretty sure my lowest section has been different every time.

I feel like most if my mistakes are forgetting something i should know or never having seen a concept before (or maybe its just something i should know presented abstractly? Cant always tell because theres no explanations...)

With regards to applying knowledge, the only advice i have is that doing just more and more questions helped me in this aspect. For example ive seen the plummer vinson syndrome anki card 100,000,000 times and know the issues with it like the back of my hand. However, i got a question wrong on it the other day because i genuinely had never seen it presented in a question stem before. Dysphagia, nail issues, fatigue, etc i thought i was looking at a CREST person when i answered it lol.
 
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
 
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
I love that instead of the classic buzzwords and descriptions of histo junk, they are now using vague words that nobody knows unless you're a pathologist. Basically I'm just gonna memorize the pictures of the ones that pop up everywhere, but other than that its a dart throw
 
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
The test has become a competition to see who can pick an answer choice that indirectly describes the answer for a question that indirectly describes the indirect presentation of a concept. It's really, really dumb. So tired of missing questions because I didn't know the worst way in the world to describe something. The actual like 2nd/3rd order thinking is the easiest part of this exam. I hope my exam has 40 physiology arrow questions instead of this bs.
 
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I love that instead of the classic buzzwords and descriptions of histo junk, they are now using vague words that nobody knows unless you're a pathologist. Basically I'm just gonna memorize the pictures of the ones that pop up everywhere, but other than that its a dart throw
The test has become a competitive to see who can pick an answer choice that indirectly describes the answer for a question that indirectly describes the indirect presentation of a concept. It's really, really dumb. So tired of missing questions because I didn't know the worst way in the world to describe something. The actual like 2nd/3rd order thinking is the easiest part of this exam. I hope my exam has 40 physiology arrow questions instead of this bs.
Ive started to remember silly things out of pure edit: frustration (anger sounds a bit harsh lol). Radiology is even pretty bad "ultrasound shows alternating hyper and hypochogenic bands" (or something like this was target sign for intussception) and "curvilinear ares of lucency" was necrotizing entercolitis or something. It probably took me all of first year to realize "well differentiated" meant looks the same as tissue of origin... why does it not mean its easy to differentiate? IDK english and reading have always been my weak points and I feel like this exam is mocking me sometimes with the vocab they use, like damn let me get my thesaurus out...

Edit: I may also just have issues translating written words to pictures in my mind lol, probably should have read more as a child lol
 
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goljan (2002?) always says stuff like "thats not part 1 stuff" or "thats more suited for pathology boards", and im noticing some of that stuff is definitely showing up in step 1 practice materials. Oh how the times have changed..
For real.
Yea missing questions and checking later only to see you missed a classic hint is depressing. Also I'm with you guys as I've said before as a person who uses zanki it doesn't feel you miss a whole concept but more a random info on various subjects. Kinda jealous of nonzankiers since they can probably be like oh yeah forgot about x process or y process, grind it, and really destroy their weakness whereas for me I sometimes feel like I'm plugging random holes in a sinking boat haha
Crazy -- that's how I feel. I am wishing I didn't do Zanki and just did like 10 thousand questions. I committed pretty religiously to it for the entire year and I'm not seeing the fruits that others are. It's hard to know what learning styles are best going into this haha.
 
Well that was a ****show.

Came in thinking I had a stab at 250 (reddit predictor placed me there). I had a computer failure and by block 4 a full blown migraine. Wouldn;t be surprised if I failed. Taking that everyone feels shotty after this into consideration, I am expecting a 210-220.

Ugh. Hope the triptans kick in soon.
 
Well that was a ****show.

Came in thinking I had a stab at 250 (reddit predictor placed me there). I had a computer failure and by block 4 a full blown migraine. Wouldn;t be surprised if I failed. Taking that everyone feels shotty after this into consideration, I am expecting a 210-220.

Ugh. Hope the triptans kick in soon.
Damn--Judging on your performances in the past I'd doubt that. Forget about this BS for now. How did they remedy the computer failure?
 
For real.

Crazy -- that's how I feel. I am wishing I didn't do Zanki and just did like 10 thousand questions. I committed pretty religiously to it for the entire year and I'm not seeing the fruits that others are. It's hard to know what learning styles are best going into this haha.
Ya starting questions really glued zanki together for me though I'm nothing compared to the juggernauts in this thread. I think I wouldn't have been able to keep up with everything without it but it sure was a lot of work.

Well that was a ****show.

Came in thinking I had a stab at 250 (reddit predictor placed me there). I had a computer failure and by block 4 a full blown migraine. Wouldn;t be surprised if I failed. Taking that everyone feels shotty after this into consideration, I am expecting a 210-220.

Ugh. Hope the triptans kick in soon.
They say trust the scores, who knows what will happen. I hope you are like those others who thought they failed then killed it
 
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