Official 2019 Step 2 CK Experiences and Scores Thread

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

curiousmind8

Full Member
2+ Year Member
Joined
Oct 3, 2018
Messages
23
Reaction score
8
Please, limit your posts and questions to only CK exam experience related. It's hard for others to go through so many unrelated posts to finally a post about CK exam.

Thank you very much to all those who share their experience with everyone.

Best of luck!

Members don't see this ad.
 
Last edited:
  • Like
Reactions: 3 users
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!
 
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!!
 
  • Like
Reactions: 1 user
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.
 
Members don't see this ad :)
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?
 
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.
 
  • Like
Reactions: 1 user
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.
 
  • Like
Reactions: 1 user
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.
 
  • Like
Reactions: 2 users
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
 
  • Like
Reactions: 1 users
I'm four days out. Took SA2 today and I'm happy. This is my last practice test.

SA1: 237 (11 days out)
SA2: 249 (4 days out).

Good luck everyone!
 
  • Like
Reactions: 1 users
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?
 
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.
 
Members don't see this ad :)
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.
 
  • Like
Reactions: 2 users
just to clarify: yes, I would advice you NOT to take NBME6. just do UW
Thanks for this, and your previous advice is very helpful. I am going to prioritize UW because that also helped me climb 30 pts on STEP 1.
 
Last edited:
  • Like
Reactions: 1 users
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).
 
Last edited:
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."
 
Last edited:
  • Like
Reactions: 4 users
UWSA1: 268
UWSA2: 250
NBME 6: 258

shelfs 80s-low 90s
step 1: 249
Dedicated time: 2 weeks (low quality studying as well haha)

Going into either IM or Peds

Real deal : 260!! :)
 
  • Like
Reactions: 3 users
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?
 
They were more similar to the shelves on that you would advise doing the protective nbmes for each rotation instead?

The practice NBMEs released for shelves don't reflect shelves well that were given. NBME8 and UW assessments are most reflective of difficulty and style
 
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!
 
  • Like
Reactions: 1 users
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!!!
 
  • Like
Reactions: 1 user
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?
 
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?
 
  • Like
Reactions: 1 user
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.
 
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).
 
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
 
  • Like
Reactions: 1 user
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.
 
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.
 
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!
 
  • Like
Reactions: 8 users
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!!
 
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!
 
  • Like
Reactions: 1 user
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:
 
I took step 2 CK on 6/11, taking Level 2 on 6/17. I wanted to post on my experience for the peeps out there that are not 260+ or 90% on-my-first-pass

Step 1: 218
Level 1: 616

Interest: EM residency

Did decent on comsaes (shelf exams) throughout the year, avg 110 ish
Started prep in beginning of April with a dedicated 3.5 weeks off, plus 2 weeks of studying and working during my third year EM elective rotation

Baseline NBME 6: 203
UWSA 1 (10 days later): 241
NBME 8 (7 days later): 224
NBME 7 (15 days later): 245
UWSA 2 (4 days later): 243
Practice Session @ Testing Center, 2 days before actual exam: 83%

The test day itself was as I expected, great energy in the morning and got through 2 blocks without a break, then slowly started to run out of energy. During the second half I took breaks between each block, mostly to grab a snack, stretch, and stop staring at the screen for a bit. I came out just like most of us do, remembering stupid questions that I should have gotten right. I feel I took a hit with how many step 1 questions I had on my test, because I am just not a rote memorizer. Also felt like I took a hit on statistics, forgot certain formulas, etc and it's just not my strength overall. I am hopeful that I at least got in the 230's but also reminding myself that this is a test score and that people have matched with non-250 scores in the past.

I will post my 2CK when it comes out. Just wanted to provide something relatable for all of you reading "only got a 250, disappointment" posts like myself and cringing, haha. No offense to you high scoring folks out there, I commend you, but I have trouble relating.
 
  • Like
Reactions: 7 users

any idea if these qbank scores and actual scores correlate?
 
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!!
Fellowships depend on your base splty , for example radiation onco and radiology fellowships are easier to get and dont require us residency for intake
 
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
Yeah I know that, but it is what it is now. I just wanted to know if it will be a red flag the drop from step 1: 254 to ck:245. Anyone experienced anything similar?
 
Took it yesterday, definitely a tough exam! Overall I'd say the exam stems felt most similar to Uworld and the answers were worded like NBMEs, but without clear answers even if you knew what was going on. Some of the choices were very similar and it made it difficult to choose. I probably felt confident on about 50% of the questions, educated guess between 2 on about 20%, and then pretty much a total guess between 2 on about 20% of the exam where I really couldn't justify one answer over the other. The last 10% was either I knew what was going on but was guessing on answers that I couldn't really narrow down or had no clue what the stem was talking about. My 3rd and 8th blocks were by far the hardest (flagging about 20), others were tough but not nearly as bad. After the exam I realized I missed a few gimmies but that's going to happen over such a long and tiring exam, many questions I was iffy on but not really sure how to look up. We'll see how it turns out in a few weeks!
Feel free to ask questions!
 
  • Like
Reactions: 1 user
Yeah I know that, but it is what it is now. I just wanted to know if it will be a red flag the drop from step 1: 254 to ck:245. Anyone experienced anything similar?

It is a minor red flag for some elite programs. They want to see a STEP2CK score at least at the level of a STEP1 score because percentile wise, that is still giving leeway to drop.

For example, I scored a 247 on STEP1 and that is 82nd percentile. My 261 on STEP2CK is 85th percentile (just how the distribution skew is, insofar as it isn't entirely normal). That's barely a difference. So a drop of 9 points between STEP1 and STEP2CK means you dropped quite a few percentiles. Now, if you honored your rotations, they will assume you did well on shelves and that you just had a bad day, especially coupled with your strong STEP1. But it is still a minor red flag. Hope that helps.
 
Top