USMLE Official 2020 Step 1 Experiences and Scores Thread

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So, I'm having conflicting thoughts about NBMEs. I was planning on taking 21-24 and then 18 (I already did 16). But based on how much people say they suck and aren't similar to the real thing, plus some browsing of the 2019 step thread where some people only took the free 120, UWSA1/2, and NBME 18 (and still killed it), I'm rethinking whether I want to shell out close to $300 for the new forms or just use the free older ones. Conflicted.
 
So, I'm having conflicting thoughts about NBMEs. I was planning on taking 21-24 and then 18 (I already did 16). But based on how much people say they suck and aren't similar to the real thing, plus some browsing of the 2019 step thread where some people only took the free 120, UWSA1/2, and NBME 18 (and still killed it), I'm rethinking whether I want to shell out close to $300 for the new forms or just use the free older ones. Conflicted.

FWIW the guy who made the AnKing deck took Step on Friday and someone asked him on Reddit whether it was like the NBMEs or UWorld and he said it was a mixture but a little more similar to UWorld. I really don't want to do all the new NBMEs but my friend who is literally one of the smartest people I know said she thought it was more like the new NBMEs and she wished she had done more of them. Since I'm not a genius like her, I think I'll go ahead and do them and then be pleasantly surprised if it's more UWorld-like.
 
FWIW the guy who made the AnKing deck took Step on Friday and someone asked him on Reddit whether it was like the NBMEs or UWorld and he said it was a mixture but a little more similar to UWorld. I really don't want to do all the new NBMEs but my friend who is literally one of the smartest people I know said she thought it was more like the new NBMEs and she wished she had done more of them. Since I'm not a genius like her, I think I'll go ahead and do them and then be pleasantly surprised if it's more UWorld-like.
I feel like I'll probably end up doing the same just because if I don't I'll wonder what if? But a huge part of me wants to just say eff it to the NBME (how hard would it be to make 40 question blocks and make the interface like the actual exam....).
 
I feel like I'll probably end up doing the same just because if I don't I'll wonder what if? But a huge part of me wants to just say eff it to the NBME (how hard would it be to make 40 question blocks and make the interface like the actual exam....).

Yeah definitely not a fan of the NBME interface, I'm so glad the real thing looks like UWorld. In terms of the NBMEs, I'd rather be terrified by them now and be pleasantly surprised by the real deal than the other way around. With everything that's happened recently, they really should just make all their practice exams free for the time being.
 
Reviewed UWSA1 block one and so angry at myself for stupid mistakes. Tracking my incorrects in Excel, so far lots of overthinking/answer changing and some really stupid mistakes like not catching something in a histo image that was a straight give easy question had I paid enough attention. Ugh. Only one that I completely didn't have the knowledge, and one stupid "what is the physician's best response?" one.
 
Guys i give up on Kaplan. It is littered with low yield bullcrap lmao did anyone actually like it? My average is like far below my UW average its insane. I can't believe some of the questions they are asking and the majority of the questions are like "15-20% answered correctly" with like 3 of the other answer choices being around the same % thats a dead giveaway these questions are written horribly. I actually thought COMSAE was better written and thats saying something
 
Guys i give up on Kaplan. It is littered with low yield bullcrap lmao did anyone actually like it? My average is like far below my UW average its insane. I can't believe some of the questions they are asking and the majority of the questions are like "15-20% answered correctly" with like 3 of the other answer choices being around the same % thats a dead giveaway these questions are written horribly. I actually thought COMSAE was better written and thats saying something
I heard the same thing from most people. I'm considering using it for my weak subjects only if I have time but otherwise idk how high yield it is.
 
Guys i give up on Kaplan. It is littered with low yield bullcrap lmao did anyone actually like it? My average is like far below my UW average its insane. I can't believe some of the questions they are asking and the majority of the questions are like "15-20% answered correctly" with like 3 of the other answer choices being around the same % thats a dead giveaway these questions are written horribly. I actually thought COMSAE was better written and thats saying something

Haha I actually enjoyed Kaplan, but maybe it's because it was my 1st qbank and didn't have any expectations for it.
 
Guys i give up on Kaplan. It is littered with low yield bullcrap lmao did anyone actually like it? My average is like far below my UW average its insane. I can't believe some of the questions they are asking and the majority of the questions are like "15-20% answered correctly" with like 3 of the other answer choices being around the same % thats a dead giveaway these questions are written horribly. I actually thought COMSAE was better written and thats saying something

Agreed. Amboss has some ones that make you overthink but they rarely have those low yield BS. I know you said before you aren’t a fan, but I would give the 5 day trial a shot and do a couple hundred and see what you think. There was a few questions on nbme 24 that I got right soley because of Amboss
 
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Agreed. Amboss has some ones that make you overthink but they rarely have those low yield BS. I know you said before you aren’t a fan, but I would give the 5 day trial a shot and do a couple hundred and see what you think. There was a few questions on nbme 24 that I got right soley because of Amboss
I think im gonna try Amboss man haha Im tired of low yield questions that are terribly written. Id rather study questions that make me overthink than low yield BS
 
I think im gonna try Amboss man haha Im tired of low yield questions that are terribly written. Id rather study questions that make me overthink than low yield BS

Said this before on here, AMBOSS >> Kaplan. If you don’t want the 5-step questions on AMBOSS, just uncheck the “5 hammer” difficulty level. But otherwise they’re much better questions.

We had to take an 8-hour Kaplan diagnostic the other day cause our curriculum coordinator has some relationship with Kaplan and it was complete trash.
 
NBME 20-24: 203-207 range
NBME 18: 209
UWSA2: 230
AMboss: 245
Reddit predictor: 230

I have no clue where I stand, can anyone help? 🙁
 
Any suggestions on which NBME to do 5 weeks out? Plan on doing 18, 21, 22, 23, 24. don't know which one to do first.

18 has the most data behind it. I'm doing it tomorrow and then 24 in a week. The others seem to be interchangeable in terms of predictive value so I doubt the order matters beyond that
 
18 has the most data behind it. I'm doing it tomorrow and then 24 in a week. The others seem to be interchangeable in terms of predictive value so I doubt the order matters beyond that

Planning on doing 18 this weekend. We’ll see how it goes. I’m sure you’re gonna crush it though! I’d be happy with anything above a 230
 
18 has the most data behind it. I'm doing it tomorrow and then 24 in a week. The others seem to be interchangeable in terms of predictive value so I doubt the order matters beyond that
Is your exam soon? not sure if you said. If i remember correctly feel like youre already in the 250+ range haha. Out of curiosity around how many questions have you done? All the high scorers I know have done a ridiculous number of questions
 
Thank you for the feedback.
Exam was in mid-May, got cancelled due to Covid-19. New date is in mid-June now. Any suggestions? I'd love to break a 240+
Questions questions and more questions. You will break 240 if you go ham on questions and review them. That is the single best use of your time right now (particularly new questions, not ones you have already done)
 
Is your exam soon? not sure if you said. If i remember correctly feel like youre already in the 250+ range haha. Out of curiosity around how many questions have you done? All the high scorers I know have done a ridiculous number of questions

~1k Rx, almost all of Kaplan, and a bit more than half through Uworld currently. I also did a lot of the BnB questions and like ~400 Amboss. Rx & Bnb were my routine going through the different systems and I thought they were effective
 
~1k Rx, almost all of Kaplan, and a bit more than half through Uworld currently. I also did a lot of the BnB questions and like ~400 Amboss. Rx & Bnb were my routine going through the different systems and I thought they were effective
And you said you liked Amboss right? Almost everyone is saying its better than kaplan as far as content goes. Have been doing Kaplan over the past 2 weeks and Im starting to believe them lol too much low yield in Kaplan and the site is laggy af
 
I feel like we're so similar lol. Both finished zanki, 245 on UWSA1 a few weeks ago, 75% UW average right now, DO students who aren't canceled (yet), goal score >230
When did y'll finish Zanki? Im set to finish it by the end of the month, and then I'll have 4 weeks till comlex, 6 weeks till step. sometimes I wonder If I'm finishing the deck too late in the game, Just not doing as well in Uworld as I was hoping I would.
 
When did y'll finish Zanki? Im set to finish it by the end of the month, and then I'll have 4 weeks till comlex, 6 weeks till step. sometimes I wonder If I'm finishing the deck too late in the game, Just not doing as well in Uworld as I was hoping I would.

I finished right when my semester ended. I started zanki when med school started and just cruised along at 45 new a day knowing I would finish it before dedicated started. As long as you're able to finish it that's great! Definitely not too late in the game. UW is my 2nd qbank, so it's higher than it would've been if it were my first, but I definitely still have a long way to go as well. Try your best not to get too attached to UW percentages (I need to tell this to myself too lol), and remember its primary purpose is as a learning tool.
 


I hate to keep bringing up the Prometric BS but read what happened to this person who was supposed to test tomorrow. Survived the purge, got a confirmation email after the purge, got another confirmation email a few days ago, got a confirmation call from the testing center directors last night and...cancellation email about 12 hours prior to their exam. Oh and the NBME did nothing and practically blamed this person when they called to report this. Literally no one is safe until we are sitting in front of our computer screen and answering question 1. This continues to be completely ridiculous.
 


I hate to keep bringing up the Prometric BS but read what happened to this person who was supposed to test tomorrow. Survived the purge, got a confirmation email after the purge, got another confirmation email a few days ago, got a confirmation call from the testing center directors last night and...cancellation email about 12 hours prior to their exam. Oh and the NBME did nothing and practically blamed this person when they called to report this. Literally no one is safe until we are sitting in front of our computer screen and answering question 1. This continues to be completely ridiculous.


Absolutely ridiculous. The only real "hope" is that this Prometric site specifically is particularly incompetent and maybe others that are less incompetent won't do this. Butttt who really knows anymore.
 
252 on NBME 18 today. All I want to see on gameday is 250+ so I'm stoked by it

And you said you liked Amboss right? Almost everyone is saying its better than kaplan as far as content goes. Have been doing Kaplan over the past 2 weeks and Im starting to believe them lol too much low yield in Kaplan and the site is laggy af

I liked Amboss. I liked Kaplan more though but I really doubt it matters, whichever one is less likely to cause you burnout is the best one to do
 
Since it's such a rarity these days, some good news on behalf of USMLE:

"As noted in the initial announcement explaining the decision to move to Pass/Fail reporting for Step 1, the change will be made no earlier than January 2022. There are several reasons this change will take time, including the need for programming changes and user acceptance testing to modify score reports and reporting systems, transcripts, score rosters, ERAS, and other cross-organizational systems.

The USMLE program announced the upcoming change to reporting Step 1 as Pass/Fail shortly after the decision was made, in an effort to provide information to our stakeholders well in advance of the changes. The decision was announced just prior to the escalation of the COVID-19 pandemic, and our focus has now shifted to discussions about alternate delivery models for exams. Changing Step 1 to Pass/Fail reporting is a complex and multifaceted process, and rushing to implement this change may introduce more confusion than clarity."
 
Since it's such a rarity these days, some good news on behalf of USMLE:

"As noted in the initial announcement explaining the decision to move to Pass/Fail reporting for Step 1, the change will be made no earlier than January 2022. There are several reasons this change will take time, including the need for programming changes and user acceptance testing to modify score reports and reporting systems, transcripts, score rosters, ERAS, and other cross-organizational systems.

The USMLE program announced the upcoming change to reporting Step 1 as Pass/Fail shortly after the decision was made, in an effort to provide information to our stakeholders well in advance of the changes. The decision was announced just prior to the escalation of the COVID-19 pandemic, and our focus has now shifted to discussions about alternate delivery models for exams. Changing Step 1 to Pass/Fail reporting is a complex and multifaceted process, and rushing to implement this change may introduce more confusion than clarity."
@efle
 
This is the same thing they'd already put up on their FAQ, where I was mocking them for their corporate-speak hand waving about "stakeholders" and "complexities." There is zilch as far as tangible reasons why they couldn't accelerate by a year.

But, after hearing more from our Deans who are in these national conversations, I think they are currently planning to do either online or school-proctored versions of the test.

Judging by SDN and reddit, there would be a huge outcry over a sooner P/F change. There will be nothing, not even a whimper, if they simply give up on the integrity/security of the test. Easy choice for them to make.
 
This is the same thing they'd already put up on their FAQ, where I was mocking them for their corporate-speak hand waving about "stakeholders" and "complexities." There is zilch as far as tangible reasons why they couldn't accelerate by a year.

But, after hearing more from our Deans who are in these national conversations, I think they are currently planning to do either online or school-proctored versions of the test.

Judging by SDN and reddit, there would be a huge outcry over a sooner P/F change. There will be nothing, not even a whimper, if they simply give up on the integrity/security of the test. Easy choice for them to make.
They updated it in response to your demands. Most of us are fine with school protected exams, as long as they had the proper security standards. Definitely was to ensure that. Send a NBME or prometric staff member to schools. Honestly a happy thing for us to hear
 
They updated it in response to your demands. Most of us are fine with school protected exams, as long as they had the proper security standards
Give me a tangible, concrete bullet point from what they added.

I'm in complete agreement, but I find that to be a big if. My issue is that I don't trust those standards will be met. Our NBME shelves are supposed to be proctored under this level of security, and like I mentioned, I could have left a smartphone in the bathroom trashcan for any of my shelves so far.
 
Give me a tangible, concrete bullet point from what they added.

I'm in complete agreement, but I find that to be a big if. My issue is that I don't trust those standards will be met. Our NBME shelves are supposed to be proctored under this level of security, and like I mentioned, I could have left a smartphone in the bathroom trashcan for any of my shelves so far.

I wasn't commenting so much on the reasoning, but rather that they affirmed that decision. It will be interesting to see if they step it up. I don't know how many schools would take the chance of potentiality losing LCME accreditation by not enforcing the rules as they should.
 
I wasn't commenting so much on the reasoning, but rather that they affirmed that decision. It will be interesting to see if they step it up. I don't know how many schools would take the chance of potentiality losing LCME accreditation by not enforcing the rules as they should.
Yeah, and that's the other issue, school by school variation. For every school that does care, there are probably twice as many who would just proctor it under the same conditions as their usual preclinical and shelf exams. I'm sure there will be a lot of lip service and superficial efforts, but would it be enough? We're talking about a test where access to entire fields is riding on whether you nail a couple dozen especially challenging questions.

Just sounds like a perfect storm for exam integrity problems to me.
 
Yeah, and that's the other issue, school by school variation. For every school that does care, there are probably twice as many who would just proctor it under the same conditions as their usual preclinical and shelf exams. I'm sure there will be a lot of lip service and superficial efforts, but would it be enough? We're talking about a test where access to entire fields is riding on whether you nail a couple dozen especially challenging questions.

Just sounds like a perfect storm for exam integrity problems to me.

What we've been hearing is that they would have to come out and visit our school to see if it can be upgraded to standard security that they would use at Prometric. In this case why would there be any loss of integrity? They could have their own people proctor the exam too.
 
Yeah, and that's the other issue, school by school variation. For every school that does care, there are probably twice as many who would just proctor it under the same conditions as their usual preclinical and shelf exams. I'm sure there will be a lot of lip service and superficial efforts, but would it be enough? We're talking about a test where access to entire fields is riding on whether you nail a couple dozen especially challenging questions.

Just sounds like a perfect storm for exam integrity problems to me.
Not all of the prometrics are perfect. I know for the one I took my MCAT, you could have cheated quite easily, just like you said you could at your schools. Prometric isn't a temple
 
What we've been hearing is that they would have to come out and visit our school to see if it can be upgraded to standard security that they would use at Prometric. In this case why would there be any loss of integrity? They could have their own people proctor the exam too.
If schools are legit getting outfitted with Prometric level security (detector wands, fingerprints, regularly and thoroughly searched premises, cameras watching you test in your seat throughout, no visibility of other screens, etc) then I have no complaints. But the security for NBMEs at my school has been nothing even approaching that level.
 
Not all of the prometrics are perfect. I know for the one I took my MCAT, you could have cheated quite easily, just like you said you could at your schools. Prometric isn't a temple
And if that Prometric was reported by an examinee I'm sure there's a process. Probably have to look at everyone's footage carefully that day, and if there's any funny business, void them. Plus patch up the security hole to the national standard before resuming tests. And, if this is a widespread issue, they can lose the contract to a competitor like the MCAT contract was lost to Pearson.

But what are we gonna do when some med student blows the whistle on a couple of their classmates at a school proctored exam? What if they just finished testing for 150+ students, are they all treated as invalid now? What if the school followed all the national directions and the students just found a way around their measures - does that mean many of the 100+ other medical schools are also insecure?

You get the gist.
 
And if that Prometric was reported by an examinee I'm sure there's a process. Probably have to look at everyone's footage carefully that day, and if there's any funny business, void them. Plus patch up the security hole to the national standard before resuming tests. And, if this is a widespread issue, they can lose the contract to a competitor like the MCAT contract was lost to Pearson.

But what are we gonna do when some med student blows the whistle on a couple of their classmates at a school proctored exam? What if they just finished testing for 150+ students, are they all treated as invalid now? What if the school followed all the national directions and the students just found a way around their measures - does that mean many of the 100+ other medical schools are also insecure?

You get the gist.

You have a lot of confidence in Prometric's ability to secure an exam given their performance over the last few weeks
 
If schools are legit getting outfitted with Prometric level security (detector wands, fingerprints, regularly and thoroughly searched premises, cameras watching you test in your seat throughout, no visibility of other screens, etc) then I have no complaints. But the security for NBMEs at my school has been nothing even approaching that level.

Yeah idk why there isn't more standardization for other NBME exams. But our dean sent an e-mail saying that they'll make a decision on this by the middle of the month. If approved by NBME, additional time will be needed after that to further prepare schools for proctoring Step 1.
 
You have a lot of confidence in Prometric's ability to secure an exam given their performance over the last few weeks
Let's not pretend school admins aren't also having some similar issues to Prometric. We just had a town hall where the admin refused to give a concrete answer on whether we're resuming in less than 3 weeks or not. Considering we're supposed to spend 2 weeks quarantined before entering the hospital, that means I'm waiting with bated breath to find out whether I'm flying across the country in the next 72 hours. Not all that dissimilar from the poor folks waiting to hear whether their exam is moved or not.

I'll put it this way: I don't trust schools, prometric, pearson, the NBME, or anyone else to be able to hastily erect secure enough testing conditions in medschool computer labs all over the country.

And this is all assuming they use med schools. I've seen some mention of remote proctoring, which would make an awful lot of sense when medical students are currently scattered all over the country instead of located at their med schools. Lets you dodge any issues with social distancing too. It's such an attractive solution that I'm terrified they might actually consider it.
 
And if that Prometric was reported by an examinee I'm sure there's a process. Probably have to look at everyone's footage carefully that day, and if there's any funny business, void them. Plus patch up the security hole to the national standard before resuming tests. And, if this is a widespread issue, they can lose the contract to a competitor like the MCAT contract was lost to Pearson.

But what are we gonna do when some med student blows the whistle on a couple of their classmates at a school proctored exam? What if they just finished testing for 150+ students, are they all treated as invalid now? What if the school followed all the national directions and the students just found a way around their measures - does that mean many of the 100+ other medical schools are also insecure?

You get the gist.
Again you would have to make sure that school was up-to-par to begin with in regards to security standards. They don't necessarily have to offer this at every school. Even if they did it a 15% of the schools, that would help take down the burden of scheduling
 
now im concerned because the place im scheduled to take it isn't on that list
The step1 subreddit was fully of shady business this morning. Stuff like people getting confirmation of their exam a day or two beforehand, showing up, and being told they weren't able to test despite multiple empty seats in the room.

I wouldn't trust anything besides a live human at your center who checks the roster and confirms you're on it.
 
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