chocoholicsoxfan

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May 2, 2015
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I'm 12 days out from test day.

My UWorld averages are going up. I'm finishing up my second pass with a few hundred questions left. First pass was mid 60s, beginning of second pass was mid 70s, now averaging low to mid 80s with a few 90s here and there. But the problem is that I feel like I'm just getting better at eliminating the wrong answers, rather than picking out the right answer.

I'm just really scared because my Step I score was a huge disappointment (20 points lower than my last practice test) and I don't want this to go the same way. Any advice? Is this bad?

Got a 230 on NBME 6 10 days ago and a 228 on NBME 7 on Sunday FWIW. Still gotta take the UWSAs and shooting for a 240+.
 

ciestar

All grown up! MS4!
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Okay i feel like i got rocked by that test.
 

StormRising

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Mar 21, 2016
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Just took UWSA 1 today and got 237. A little disappointed. Was hoping to get >240. 11 days to go.
 
Jun 22, 2018
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For those who have taken the exam, did you feel like the content of the NBMEs matched up with what was asked on the actual exams? Not in terms of difficulty but more in terms of certain topics, diseases, and depth of management/treatment.
 
Jul 15, 2017
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MD/PhD Student
Is there anyone here who is done with their exam and still have a week or something of uw subscription left? I have my exam in 10 days, If anyone is willing to share the subscription please let me know. TIA
 
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Nov 18, 2017
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I got 239 on my ck exam with a very strange score report. Just looked at the details of the score today. ALL (~20) of my performance items are "average" - none above or below. Did anyone experience such a strange distribution? Would expect at least some variance between items.

Got 252 and 258 on UW 1 & 2. Am usually a very good test taker so was quite surprised to get such a lower result even though the test was considerably tougher for me than uworld.
 
Apr 11, 2018
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so i have like 2 and half weeks until exam, can push back another week. been studying for like 2 weeks very slowly and half assing it.
anyway.
im 60% uworld
nbme 7 offline - 82 % correct( no idea scoring)
nbme 6- 239 (4 days afterwards)
uworld- 68%
planning to take UWSA1 by this time next week.
Im also ready to put it in high gear with studying. i was busy with research and vacation and what not before.. Although i am semi pleased with nbme 6, but god i am getting crushed on uworld questions about standard of care and vacc schedules and PEDS etc... i feel waay stupider than i did for step 1 prep and worried that nbme 6 is not a good representation of actual score. I also will find it hard to memorize all the immune def disorders, glycosomal storage disorders and all the effing nephrotic/nephritis disorders.... just to name a few.

I scored low 220s on step 1 and aiming for anything on the other side of 240. aiming for EM.
These threads are so beneficial, and i will be back to update yall.
 
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May 17, 2019
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Average is in low 240s. Competitive would be above average (dw you can still match certainly with lower). Aim for a 250 (about what a 240 would on STEP1 aka a solid score).

The score is just equated to a percentile in the residency program algorithms. In the end, the percentile you score in (roughly approximated via just assuming a normal distribution of scores and using the mean and standard deviation for that year), matters the most.
Thanks a lot for the help greatly appreciate it!
 
May 15, 2019
12
1
1
Status
Attending Physician
Hi guys

I am an IMG. I am 40 years old. I finished med school and internship in 2001. Then I worked as a general practitioner for about 7 seven years (including social service). After that, I passed the tests needed to reach the residency I always wished (the way to get a residency here is some different from that in USA, BUT not easier). Now I am a specialist at home since 2015 (a country in Latin America) and work on my own since 1,5 years after finishing residency.
Before ending med school my dream was to take the USMLE steps and do the residency I desired in USA, basically because it could be considered the best of the world not only academically but for job opportunities too... Also I had mates at med school who came from USA to do this career, they were my friends (still are) and influenced me a lot to be always wishing to take the USMLE...
I decided to achieve this personal goal/challenge of passing the boards but now not for a residency in USA since I am already what I wanted to be, but for personal fulfillment, so I started the process one year ago. I passed STEP 1 which I took last December and STEP 2 CK taken last May 17th (got my result today).
I prepared myself alone at home, following the recommendations I read on forum like this. For both I did only the UWORLD and USMLE-rx. For STEP 1 I also reviewed some basic sciences books (Lippincott and FIRST AID FOR STEP 1), since I had to go back and study again things that I saw 20 years ago at med school, specially Biochemistry, Physiology, Pharmacology and Pathology. For STEP 2 CK I did exclusively UWORLD 100 % (including the two UWSA) one time and 50% of USMLE -rx. At this point I became exhausted and burned out as nobody can imagine. A few days before I sat for STEP 2 CK I just did not care about the result, but only for the force necessary to show up and take the test... AND I did it and I passed both tests at the first time. Now I am very happy and feel more confident professionally than before one year ago. Now I think all doctors around world should take these exams to reassurance as doctors, independently of the specialty they have done... My medical criteria when I see a patient now is hugely wider than before and my patients can notice it...

My scores are 1 point in STEP 1 and 2 points on STEP 2 CK above the minimum (LOL). Thanks God I am not searching for a residency there. And now I clearly know that with those scores, I would have never reached the specialty I have here in the USA . So, I unintentionally evaded a lifelong frustration!!!

Now, I am considering to take the STEP 2 CS to complete the process and get ECFMG CERTIFIED as an MD in USA. I think this could be the hardest test for me since I have never had any clinical or practice experience in USA, but I will find the way to make it. A friend of mine failed one of 3 parts that compose the STEP 2 CS for not having had any clinical experience in USA (even though he is a specialist here), that means he failed the STEP 2 CS, since it is mandatory to pass the 3 parts of it...

I wonder if a fellowship is in the possibilities now that I passed both, STEP 1 and STEP 2 CK or I will have to wait until I get the ECFMG CERTIFICATE (?)... I also wonder if having passed these steps with low scores will be an obstacle to reach a fellowship (?)...

Also, considering USA the place where everything is possible with great effort, at this point could I get a job opportunity (temporal permit) by working under a specialist supervision (?)...

Is anybody in the boat as me right now?

I felt it was necessary to share my experience with all of you, since yours have been of invaluable worth for me!!

Bless!!
 

pathlologist

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Sep 23, 2016
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Got my score! My background:

Step 1: 240 (struggled a great deal with mental health M1-M2 year but worked hard through 5-week study period, relieved I did well)

Shelf exams: 84-96 raw score (Studied hard for every shelf and did at least 1 NBME for each rotation; one of the best things you can do to study for CK is study well during rotations); mental health was much better M3 year which was very helpful
  • Internal medicine: Did ~1100 out of 1400 UWorld medicine questions
  • Surgery: UWorld, Pestana’s, NMS Casebook (mostly the trauma section)
  • Psychiatry: First Aid Psychiatry, UWorld
  • Neurology: UWorld, Blue Prints (this book was okay but not great imo)
  • OB/Gyn: UWorld, UWise, First Aid Ob/Gyn (under-appreciated resource, I highly recommend)
  • Pediatrics: BRS 2nd edition, UWorld, CLIPP/Aquifer cases (required at my school)
  • Family Medicine: USPSTF A and B Recommendations, Step Up To Medicine Ambulatory chapter
  • UpToDate on every rotation, reading about patients I had

Step 2 Prep: 2 weeks immediately after finishing last rotation of M3 year (family medicine, a good one to end on as it reviews a little bit of everything)
  • UWorld: reset and did a few hundred random timed blocks (average ~85%)
  • Step Up to Medicine: read everything but ambulatory chapter since I just read it for Family Medicine
  • NBME Form 6 (2 weeks out): 262 (moved up my test date up 2 weeks after this because I knew I was at risk of burnout)
  • UWSA1 (5 days out): 268
Step 2 CK: 265 (trust your practice exam scores!)

I felt really crummy walking out and I could remember a few I definitely got wrong. Everyone feels bad on test day. Good luck to everyone still waiting on scores! The wait is the worst.
 

NotYou20

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Dec 23, 2012
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Strongly considering moving up my test. Scheduled for June 26 usmle and June 28 comlex. I start an audition rotation the second week of July and I'd like to have more time off to relax and prep for the audition.

Step 1 high 240s
Nbme 6 last week 260
Uwsa1 yesterday 265

I went through uworld once during third year. Reset it and I'm at 93% after 400 questions. Switched to amboss for the past few days getting about 80%. I have zanki pretty much done. I dont think theres any real benefit to getting 270 rather than 255 or 260 especially compared to being well prepared for the audition rotation. Any thoughts?
 

pathlologist

2+ Year Member
Sep 23, 2016
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Strongly considering moving up my test. Scheduled for June 26 usmle and June 28 comlex. I start an audition rotation the second week of July and I'd like to have more time off to relax and prep for the audition.

Step 1 high 240s
Nbme 6 last week 260
Uwsa1 yesterday 265

I went through uworld once during third year. Reset it and I'm at 93% after 400 questions. Switched to amboss for the past few days getting about 80%. I have zanki pretty much done. I dont think theres any real benefit to getting 270 rather than 255 or 260 especially compared to being well prepared for the audition rotation. Any thoughts?
See my above post, I moved it up 2 weeks (originally planned 4 weeks dedicated, actually did 2). I'm very happy I did move it up. I don't think those 2 weeks woudl have added anything and I would have burned out.
 
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Jul 11, 2018
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I got 239 on my ck exam with a very strange score report. Just looked at the details of the score today. ALL (~20) of my performance items are "average" - none above or below. Did anyone experience such a strange distribution? Would expect at least some variance between items.

Got 252 and 258 on UW 1 & 2. Am usually a very good test taker so was quite surprised to get such a lower result even though the test was considerably tougher for me than uworld.
I had a similar experience. 238 on step 1 and I got 253 and 255 on uwsa 1 and 2 and then my ck was 243. All of the categories on my report were average. None were above or below.
 
Jan 17, 2018
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6 months out from step 2 CK, step 1 232, still have surgery and internal medicine. Already took obgyn, peds, and psych, scored all in the 70s, only resource I used was uworld. Any advice for studying? Goal is 260+ I'm shooting for a competitive EM residency and EM cares more about CK than step 1 apparently.
 
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Feb 28, 2018
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Just took the beast yesterday, figured I’d share a couple thoughts because these threads are always so invaluable to me.

I’ve heard a lot of people say that it felt nothing like UWorld or NBMEs, longer questions, etc.. I disagree. Felt basically like UWorld to me in terms of question length, and for the most part in terms of content but with answer choices that were super vague like you see on NBMEs. Not to say that UWorld really covers absolutely everything, but all the questions felt like something you’d expect to see in UWorld if that makes sense.
I tend to range from having 15min to 2min left at the end of UWorld and it was the same for this. I don’t want to give a ton away and violate any rules but in terms of format it’s just like UWorld except the real thing has a way of doing the drug ads/abstracts that’s more user friendly than UWorlds.

Otherwise, it’s just a super hard test. I can’t say I felt super good about more than maybe 5-6% of the questions. A few I know I got wrong, and a ton more where the answer choices just seemed so unclear that I don’t even know how I’d look them up if I wanted to.

Background:
Shooting for a 250. Scored low 250s on step 1 so just hoping not to make that look like a fluke. How I feel know I could see it being that but wouldn’t be shocked if it was lower.

For studying I did about 3.5-4wks. Felt REALLY burned out coming off 3rd year so every day felt unproductive but I did about 90% of UWorld (is it just me or did they add a TON of questions?) as a second pass since I’d done it through third year.
Practice tests:
NBME 6 (3wks out) 256
NBME 7 (2wks) 246
UWSA2 (5 days) 273
UWSA1 (2 days) 270

As you can see scores were kind of all over and I usually choke on tests so I don’t put a lot of weight in those, but I’ll update with the real deal in case it helps anyone.
 

TheIllusionist

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Aug 9, 2013
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Just took the beast yesterday, figured I’d share a couple thoughts because these threads are always so invaluable to me.

I’ve heard a lot of people say that it felt nothing like UWorld or NBMEs, longer questions, etc.. I disagree. Felt basically like UWorld to me in terms of question length, and for the most part in terms of content but with answer choices that were super vague like you see on NBMEs. Not to say that UWorld really covers absolutely everything, but all the questions felt like something you’d expect to see in UWorld if that makes sense.
I tend to range from having 15min to 2min left at the end of UWorld and it was the same for this. I don’t want to give a ton away and violate any rules but in terms of format it’s just like UWorld except the real thing has a way of doing the drug ads/abstracts that’s more user friendly than UWorlds.

Otherwise, it’s just a super hard test. I can’t say I felt super good about more than maybe 5-6% of the questions. A few I know I got wrong, and a ton more where the answer choices just seemed so unclear that I don’t even know how I’d look them up if I wanted to.

Background:
Shooting for a 250. Scored low 250s on step 1 so just hoping not to make that look like a fluke. How I feel know I could see it being that but wouldn’t be shocked if it was lower.

For studying I did about 3.5-4wks. Felt REALLY burned out coming off 3rd year so every day felt unproductive but I did about 90% of UWorld (is it just me or did they add a TON of questions?) as a second pass since I’d done it through third year.
Practice tests:
NBME 6 (3wks out) 256
NBME 7 (2wks) 246
UWSA2 (5 days) 273
UWSA1 (2 days) 270

As you can see scores were kind of all over and I usually choke on tests so I don’t put a lot of weight in those, but I’ll update with the real deal in case it helps anyone.
sounds similar enough to mine
 

nebuchadnezzarII

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Mar 25, 2015
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I have a NBME 7 baseline/diagnostic score of 185. I have heard this is very underpredictive but am still freaking out a little. Is 5 weeks a realistic study period for me to pass? I am planning on taking another diagnostic measure in 2 weeks or so. Would UWSA1 be appropriate for this?
 

MedDoctor92

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Jun 10, 2015
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I have a NBME 7 baseline/diagnostic score of 185. I have heard this is very underpredictive but am still freaking out a little. Is 5 weeks a realistic study period for me to pass? I am planning on taking another diagnostic measure in 2 weeks or so. Would UWSA1 be appropriate for this?
Yes.
 

MedDoctor92

2+ Year Member
Jun 10, 2015
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Would you advise against taking NBME 6?
Yes. Do UW questions. Know what you know; study what you don't - till you know that you know it. Use OME as a guide +/- Anki for things you keep forgetting. Make sure to prioritize UW - do at least 2 blocks a day. My approach was to break it down by organ systems - i.e. peds only then obgyn only...etc. Then after doing each 1-2 blocks of each individual one, then start combining. This way, you know your weak areas. Use OME as a guide if you need to. Do this for 2 weeks. Then do UW1. From the assessment, figure out your weak areas, then do specific blocks for your weak areas (if you have enough questions for them - if not combine. For example, if UW1 tells you your worst section is surgery, then redo surgery as a block on its own. But if it tells you your worst section is rheum, but you don't have enough rheum questions for one block, then combine rheum + another short section that you suck at.) Work at it for another 1.5 weeks, then do UW2 closer to your exam. Hope this helps.
 
Jun 7, 2019
3
0
1
I got my result last week and it’s a 245. A bit disappointed as I had 255 on Uwsa 1 and 252 on Uwsa 2. I felt the exam was brutal in so many ways and I’m just trying to erase it from memory now. My main concern is that Step 1 is 254, and I’m afraid this drop will be a red flag :( What do you guys think? I’m a Non-US IMG, planning to apply for IM or Psych (no need for visa).
 
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TheIllusionist

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Aug 9, 2013
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My test day post below. I expected better, but I am satisfied. Lower than my practice test scores but that is how the cookie sometimes crumbles. After speaking to 4th years interviewing, the people in my range didn't really fare all that differently than the 270+s. This is of course entirely in the context of STEP2 CK. So from a practical standpoint, this doesn't make too much of a difference. My ego is a bit bruised but that speaks to more how fragile my sense of self is. I really went all in on third year and invested too much of my self esteem into silly numbers. I neglected people in my life, who care about me. I have a lot more important things to fix come fourth year. Onwards.

"
Took it today
STEP 1: 247
Rotations- all honors
Average raw score on shelf exams: about 90
Shelf exam percentiles- Ob-gyn- 95th Surgery- 80th (would have done better if I had medicine first) Neurology- 99th Psych- 99th Medicine- 99th Peds- 99th FM: 95th
During year
Ob Gyn- read Beckman's, casefiles, UWISE Questions, U World Questions, NBMEs
Surgery- read Devirgilios twice, U World Surgery, Pestana Audio twice, Pestana book and questions, NBMEs
Neuro- Read Aminoff, case files, firecracker neuro cards, U World, NBMEs
Psych- Read First AID for Psych a couple times, Zanki, U World, NBMEs
Medicine- U World, annotated it into STEPUP2 Medicine supplemented stuff with Goljan Rapid Review, Zanki Medicine, Broencephalon Medicine, NBMEs
Peds- U World, WiWa, Zanki, NBMEs (background was strong enough at this point)
U World- 73% first time through (I blitzkrieg the relevant section near the beginning of rotations and keep reviewing them over and over)
U World 2nd pass- done mostly on my phone in FM rotation (my last rotation) and read all of Goljan's Rapid Review Pathology (this somehow helped me with random **** and contextualizing everything)- 86%

Dedicated Time 3 wks
UWSA1 as a diagnostic- 265
First two weeks
Weaknesses (got 99th on medicine and peds on the diagnostic) were psych, obgyn, and surgery- so redid all obgyn questions slowly and all surgery questions slowly. also reread all of devirgilios- took about 2 weeks (relearned a lot of medicine just doing this too since there is a ton of overlap_
UWSA2- 271
Redid all of WiWa for medicine and peds
2 Days out- To re-familiarize myself with the style NBME 6 and 8 back to back (fried by brain). Scored 267 and like 258 respectively (lot of dumb mistakes on 8, scared me)
1 day out- free 120- 93%. Biostat and ethics review (well worth it)

Exam:

Someone said this earlier and I agree: The questions were similar more similar to the shelf exams than for STEP1. Shelf exams prepare you pretty well and give you a good idea of what it will feel like, particularly the medicine and surgery shelf exams.

The questions were a mix. Some freebies, mostly medium level, and a few ultra vague or ultra specific pain in the ass types. I finished blocks a lot earlier than I did for STEP1. The questions I didn't know tended to be very specific nuances of common conditions rather than random diagnoses. What made me very happy about how I felt, regardless of what my actual score will be, is that I didn't feel regrets about "not studying" certain things during the test. The types of things that stumped me were stuff that I genuinely did not see before or saw before on floors but just couldn't remember specifically enough. It was an extremely fair test. It was way less out of left field compared to STEP1.

Don't neglect learning how to interpret images on floors. Don't neglect just common protocals followed on floors, ideally look up why things are done for the reason they are done. Try to always be curious about pathogenesis of treatments and diseases. Anyway, laid it all on the line. As you can see my practice scores all ranged. I'll get what I get. Certainly an element of luck to it as well."
 
Last edited:

oshanimalia

2+ Year Member
Aug 12, 2015
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261

My test day post below. I expected better, but I am satisfied. Lower than my practice test scores but that is how the cookie sometimes crumbles. After speaking to 4th years interviewing, the people in my range didn't really fare all that differently than the 270+s. This is of course entirely in the context of STEP2 CK. So from a practical standpoint, this doesn't make too much of a difference. My ego is a bit bruised but that speaks to more how fragile my sense of self is. I really went all in on third year and invested too much of my self esteem into silly numbers. I neglected people in my life, who care about me. I have a lot more important things to fix come fourth year. Onwards.

"
Took it today
STEP 1: 247
Rotations- all honors
Average raw score on shelf exams: about 90
Shelf exam percentiles- Ob-gyn- 95th Surgery- 80th (would have done better if I had medicine first) Neurology- 99th Psych- 99th Medicine- 99th Peds- 99th FM: 95th
During year
Ob Gyn- read Beckman's, casefiles, UWISE Questions, U World Questions, NBMEs
Surgery- read Devirgilios twice, U World Surgery, Pestana Audio twice, Pestana book and questions, NBMEs
Neuro- Read Aminoff, case files, firecracker neuro cards, U World, NBMEs
Psych- Read First AID for Psych a couple times, Zanki, U World, NBMEs
Medicine- U World, annotated it into STEPUP2 Medicine supplemented stuff with Goljan Rapid Review, Zanki Medicine, Broencephalon Medicine, NBMEs
Peds- U World, WiWa, Zanki, NBMEs (background was strong enough at this point)
U World- 73% first time through (I blitzkrieg the relevant section near the beginning of rotations and keep reviewing them over and over)
U World 2nd pass- done mostly on my phone in FM rotation (my last rotation) and read all of Goljan's Rapid Review Pathology (this somehow helped me with random **** and contextualizing everything)- 86%

Dedicated Time 3 wks
UWSA1 as a diagnostic- 265
First two weeks
Weaknesses (got 99th on medicine and peds on the diagnostic) were psych, obgyn, and surgery- so redid all obgyn questions slowly and all surgery questions slowly. also reread all of devirgilios- took about 2 weeks (relearned a lot of medicine just doing this too since there is a ton of overlap_
UWSA2- 271
Redid all of WiWa for medicine and peds
2 Days out- To re-familiarize myself with the style NBME 6 and 8 back to back (fried by brain). Scored 267 and like 258 respectively (lot of dumb mistakes on 8, scared me)
1 day out- free 120- 93%. Biostat and ethics review (well worth it)

Exam:

Someone said this earlier and I agree: The questions were similar more similar to the shelf exams than for STEP1. Shelf exams prepare you pretty well and give you a good idea of what it will feel like, particularly the medicine and surgery shelf exams.

The questions were a mix. Some freebies, mostly medium level, and a few ultra vague or ultra specific pain in the ass types. I finished blocks a lot earlier than I did for STEP1. The questions I didn't know tended to be very specific nuances of common conditions rather than random diagnoses. What made me very happy about how I felt, regardless of what my actual score will be, is that I didn't feel regrets about "not studying" certain things during the test. The types of things that stumped me were stuff that I genuinely did not see before or saw before on floors but just couldn't remember specifically enough. It was an extremely fair test. It was way less out of left field compared to STEP1.

Don't neglect learning how to interpret images on floors. Don't neglect just common protocals followed on floors, ideally look up why things are done for the reason they are done. Try to always be curious about pathogenesis of treatments and diseases. Anyway, laid it all on the line. As you can see my practice scores all ranged. I'll get what I get. Certainly an element of luck to it as well."
They were more similar to the shelves on that you would advise doing the protective nbmes for each rotation instead?
 
Feb 12, 2019
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Medical Student
I took step 2 yesterday. I’m in a unique situation as I just graduated. I’m a DO that didn’t match ortho and now will be reapplying ortho plus gen surg. Decided to take usmle step 2 to help my application.

I did 2000 AMBOSS questions since April and then 50% of uworld during my dedicated 2 weeks. I already did uworld twice last year when I was studying for comlex level 2, so I didn’t feel I was missing anything by not completing it this year.

Usmle step 1 was 243
Comlex Level 2 last year was 690

UWSA 1 last year 240 this year 261
UWSA 2 last year 245 this year 256

( I know there is inflation but I truly didn’t remember more than 10 questions, or remembered the question but not the answer)

Nbme 6 last year 228
Nbme 8 last year 235
Nbme 7 this year 235

The test was rough but not crazy. I felt 50% of it was easy. 25% more difficult and then 20% narrowed down to 2 with a 50/50 and finally 5% no idea.

It was way more similar to the UWSA compared to Nbme exams

Honestly, after not matching and not getting a lot of love in the soap, I just wanted a passing score on step 2 so programs don’t screen me out this year.

I’ll update later!
 

nebuchadnezzarII

Gotham Siren
2+ Year Member
Mar 25, 2015
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I took step 2 yesterday. I’m in a unique situation as I just graduated. I’m a DO that didn’t match ortho and now will be reapplying ortho plus gen surg. Decided to take usmle step 2 to help my application.

I did 2000 AMBOSS questions since April and then 50% of uworld during my dedicated 2 weeks. I already did uworld twice last year when I was studying for comlex level 2, so I didn’t feel I was missing anything by not completing it this year.

Usmle step 1 was 243
Comlex Level 2 last year was 690

UWSA 1 last year 240 this year 261
UWSA 2 last year 245 this year 256

( I know there is inflation but I truly didn’t remember more than 10 questions, or remembered the question but not the answer)

Nbme 6 last year 228
Nbme 8 last year 235
Nbme 7 this year 235

The test was rough but not crazy. I felt 50% of it was easy. 25% more difficult and then 20% narrowed down to 2 with a 50/50 and finally 5% no idea.

It was way more similar to the UWSA compared to Nbme exams

Honestly, after not matching and not getting a lot of love in the soap, I just wanted a passing score on step 2 so programs don’t screen me out this year.

I’ll update later!
Why did you take NBMEs last year? Your scores look pretty good!!!
 
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jlgr232

2+ Year Member
Aug 18, 2015
9
7
61
Kentucky
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Medical Student (Accepted)
Got my score today! I’ve been really anxious over the last 3 weeks because the test felt terrible while taking it. I used all the allotted time during each section. A lot of questions were nothing like what I saw during my 1.5 passes through UWorld. The test is long and tiring, so I missed a few easy questions just because I couldn’t think straight. I only took 3 weeks for dedicated study and didn’t have the time or concentration to use any resources other than UWorld.

Step 1: 254

NBME 6: 228 (before starting my studies).
Uworld 1: 244
Uworld 2: 259
NBME 8: 247

Step 2 CK: 264!

I am so relieved! Trust your practice scores.
Do you mind sharing what your raw % correct was on NBME 6?
 

doctororsomething

2+ Year Member
Jul 13, 2015
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Took the exam about 3 weeks ago. My score report should come out Wednesday. I think the exam was fair but man 8 hours is a long time to be taking a test. I know I missed some easier gyn questions but otherwise haven’t thought about the exam too much. Anyone else starting to get anxious for next week?
 
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Jun 12, 2019
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Medical Student
CK: 275

The bulk of my studying came in my last rotation which was internal medicine. It was a bit of a grind and I tried to do 1 set of Uworld a day on untimed, tutor mode, and really spend a lot of time reviewing each question. By the end of that I had a really solid grasp on the material and ended up getting a 93 on the shelf exam. I reset my questions before starting medicine and finished all but around 100 by the end of it.
After that I spent 3.5 weeks on dedicated, spending the first week reviewing my notes from each rotation and compiling them into one notebook, and then spending the rest of the time doing 1-3 Uworld sets on mixed, timed until a couple days before the test.
Practice tests were:
UWSA1: 268, 2.5 weeks out
NBME 6: 275, 10 days out
NBME 8: 277, 1 week out
UWSA2: 271, 5 days out
I really think most of my knowledge came from studying for my rotations 3rd year, and especially having medicine at the end and pushing myself during that one. Because I went into dedicated with such a strong foundation in the majority of the test from that, I was able to relax, get good sleep, exercise, and focus on other weaker areas during dedicated like OB and psych.
Test day itself felt just like the shelf exams from rotations, with mostly stuff you knew but a couple random oddball questions you couldn't really predict. It was more of an endurance test than anything, so knowing you can focus and perform well for that long beforehand is very helpful.
In all I think approaching this as just an extension of the medicine shelf is a very feasible and successful way to spend dedicated time, and laying down the foundation at the end of rotations/beginning of dedicated is what makes that possible.
 

oshanimalia

2+ Year Member
Aug 12, 2015
503
561
81
Status
Pre-Medical
Yeah you need to know that despite the surveys, uwsas over predict by about 15. So you really needed about a 260 to get what you wanted
I got my result last week and it’s a 245. A bit disappointed as I had 255 on Uwsa 1 and 252 on Uwsa 2. I felt the exam was brutal in so many ways and I’m just trying to erase it from memory now. My main concern is that Step 1 is 254, and I’m afraid this drop will be a red flag :( What do you guys think? I’m a Non-US IMG, planning to apply for IM or Psych (no need for visa).
 
Feb 12, 2019
32
35
21
Status
Medical Student
Yeah you need to know that despite the surveys, uwsas over predict by about 15. So you really needed about a 260 to get what you wanted
That doesn’t make sense. It can over-predict as well as under-predict. But the numbers don’t lie. That’s why it’s an average
 
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TheIllusionist

5+ Year Member
Aug 9, 2013
382
566
131
East Coast Best Coast
Status
Medical Student
CK: 275

The bulk of my studying came in my last rotation which was internal medicine. It was a bit of a grind and I tried to do 1 set of Uworld a day on untimed, tutor mode, and really spend a lot of time reviewing each question. By the end of that I had a really solid grasp on the material and ended up getting a 93 on the shelf exam. I reset my questions before starting medicine and finished all but around 100 by the end of it.
After that I spent 3.5 weeks on dedicated, spending the first week reviewing my notes from each rotation and compiling them into one notebook, and then spending the rest of the time doing 1-3 Uworld sets on mixed, timed until a couple days before the test.
Practice tests were:
UWSA1: 268, 2.5 weeks out
NBME 6: 275, 10 days out
NBME 8: 277, 1 week out
UWSA2: 271, 5 days out
I really think most of my knowledge came from studying for my rotations 3rd year, and especially having medicine at the end and pushing myself during that one. Because I went into dedicated with such a strong foundation in the majority of the test from that, I was able to relax, get good sleep, exercise, and focus on other weaker areas during dedicated like OB and psych.
Test day itself felt just like the shelf exams from rotations, with mostly stuff you knew but a couple random oddball questions you couldn't really predict. It was more of an endurance test than anything, so knowing you can focus and perform well for that long beforehand is very helpful.
In all I think approaching this as just an extension of the medicine shelf is a very feasible and successful way to spend dedicated time, and laying down the foundation at the end of rotations/beginning of dedicated is what makes that possible.
I scored similarly on U World Self Assessments but worse on NBMEs. Maybe that can explain my lower than U World average score. I sound like an idiot feeling this way but still disappointed I didn't hit my U World average. My 261 is an 85th percentile score which is incongruent with several 99th percentile, including medicine shelf, scores.
 

doctororsomething

2+ Year Member
Jul 13, 2015
94
134
81
Status
Medical Student
Yeah you need to know that despite the surveys, uwsas over predict by about 15. So you really needed about a 260 to get what you wanted
Just remember the higher the score the less margin for error. If you are averaging in the 260s and have a bad test day your score could drastically drop. But if you are averaging 230s you have more room for silly mistakes.
 
Jun 13, 2019
2
9
11
Status
Medical Student
Just got my score back yesterday. Step 1 was 213 for reference! This score seriously haunted me throughout 3rd year, always making me feel like my medical knowledge was inadequate and as a result I would be an inadequate physician. I used DIT for step 1 prep, which I think took a ton of time away from doing questions. This time around, I kept my resources extremely limited to just uworld and maybe 3-4 sketchy path vids and 3-4 OME vids. I had a lot of pressure to do well on step 2 as I am geographically limited to a big city for residency due to significant other. I finished my first pass of uworld during my 3rd year (68% average). I took 6 weeks off to study, which in hindsight I think was overkill (4.5 weeks would have been perfect) and I did 80-100 uworld questions a day, random, timed (78% average). I took lots of days off to try to prevent burn out and only got about 75% of the way through UW, which had me concerned as I saw all my classmates posting about how they finished uworld in its entirety at least 2 times.

UWSA 1- 230 (5 weeks out)
NBME 6-256 (3 weeks out)
NBME 7-228 (2 weeks out)
UWSA 2-247 (5 days out)
Free 120-91% (4 days out)

I took nbme 8 offline, casually, just to familiarize myself with the questions 2 days before exam and got about 86% raw score.

Step 2CK: 251 !!!

I cried with disbelief and happiness for at least 45 minutes when I saw my score. Main thing that helped was trying really hard during third year, finishing the entire pretest for each rotation, the corresponding uworld questions, devirgilio for surgery, and some amboss for peds. I also took a PICU rotation right before my "dedicated" 6 weeks, which helped solidify some physio that I frankly did not understand when I took step 1. I also felt like reading forums like this one helped calm me down!!!

An almost 40 point score increase has me through the moon! Good luck to all my underdogs!
 
Jun 19, 2018
10
4
51
Just got my score back yesterday. Step 1 was 213 for reference! This score seriously haunted me throughout 3rd year, always making me feel like my medical knowledge was inadequate and as a result I would be an inadequate physician. I used DIT for step 1 prep, which I think took a ton of time away from doing questions. This time around, I kept my resources extremely limited to just uworld and maybe 3-4 sketchy path vids and 3-4 OME vids. I had a lot of pressure to do well on step 2 as I am geographically limited to a big city for residency due to significant other. I finished my first pass of uworld during my 3rd year (68% average). I took 6 weeks off to study, which in hindsight I think was overkill (4.5 weeks would have been perfect) and I did 80-100 uworld questions a day, random, timed (78% average). I took lots of days off to try to prevent burn out and only got about 75% of the way through UW, which had me concerned as I saw all my classmates posting about how they finished uworld in its entirety at least 2 times.

UWSA 1- 230 (5 weeks out)
NBME 6-256 (3 weeks out)
NBME 7-228 (2 weeks out)
UWSA 2-247 (5 days out)
Free 120-91% (4 days out)

I took nbme 8 offline, casually, just to familiarize myself with the questions 2 days before exam and got about 86% raw score.

Step 2CK: 251 !!!

I cried with disbelief and happiness for at least 45 minutes when I saw my score. Main thing that helped was trying really hard during third year, finishing the entire pretest for each rotation, the corresponding uworld questions, devirgilio for surgery, and some amboss for peds. I also took a PICU rotation right before my "dedicated" 6 weeks, which helped solidify some physio that I frankly did not understand when I took step 1. I also felt like reading forums like this one helped calm me down!!!

An almost 40 point score increase has me through the moon! Good luck to all my underdogs!
Strong work!!! Would you recommend anything u wish u would have done differently after taking the exam? Also how closely does uw resemble the real deal? Thanks!!
 
Jun 13, 2019
2
9
11
Status
Medical Student
Strong work!!! Would you recommend anything u wish u would have done differently after taking the exam? Also how closely does uw resemble the real deal? Thanks!!
Yeah! I felt prepared for the easy-medium questions with uworld alone. Make sure you are really solid on biostat concepts, not really the formulas but like study types and type I/II errors. Also I had 1-2 risk factor questions per block which were usually straight forward but I wish I would have just solidified these a little further. I also planned to do the derm zanki deck the week of my test and never got around with it, which I know would have helped me with 2-3 questions. Also, this was weird but my test had THREE peds milestones questions. Luckily I'm going into peds but that felt like, really over the top and unfair. I thought it resembled the shelf exams most!! I felt pretty bad after the test like I really felt like I got a 230 at the most. I counted 30 questions that I thought I got wrong, and 15 I KNEW I got wrong immediately after test. But, like everyone says here and reddit, trust the practice scores!
 
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Jun 19, 2018
10
4
51
Yeah! I felt prepared for the easy-medium questions with uworld alone. Make sure you are really solid on biostat concepts, not really the formulas but like study types and type I/II errors. Also I had 1-2 risk factor questions per block which were usually straight forward but I wish I would have just solidified these a little further. I also planned to do the derm zanki deck the week of my test and never got around with it, which I know would have helped me with 2-3 questions. Also, this was weird but my test had THREE peds milestones questions. Luckily I'm going into peds but that felt like, really over the top and unfair. I thought it resembled the shelf exams most!! I felt pretty bad after the test like I really felt like I got a 230 at the most. I counted 30 questions that I thought I got wrong, and 15 I KNEW I got wrong immediately after test. But, like everyone says here and reddit, trust the practice scores!
Thanks! will def focus more on biostats :vomit: