USMLE Official 2020 Step 1 Experiences and Scores Thread

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How are you guys doing on uworld/did on Uworld 3 or so months out? I’m hitting 61% as average. Sometimes I hit 80% and sometimes I tank to 40%. Not sure where I should expect to realistically be 3 months out
 
How are you guys doing on uworld/did on Uworld 3 or so months out? I’m hitting 61% as average. Sometimes I hit 80% and sometimes I tank to 40%. Not sure where I should expect to realistically be 3 months out



This was posted to reddit and I believe many of those on the Step thread last year said it ended up being pretty accurate for them. A friend of mine just took step and she said it was accurate for her as well so it can at least give a general idea of where you want to be hitting given your goal score.

I’m also very up and down with UWorld. I’m only about 12 percent through and am sitting around 67% at 3 months out but one day I got a 95 and then the next a 50. I don’t think there’s any one score we should be hitting at this point but I have found my scores going up the further into Sketchy I get (saved micro and pharm for last since that’s pure memorization). Just have to keep grinding!
 


This was posted to reddit and I believe many of those on the Step thread last year said it ended up being pretty accurate for them. A friend of mine just took step and she said it was accurate for her as well so it can at least give a general idea of where you want to be hitting given your goal score.

I’m also very up and down with UWorld. I’m only about 12 percent through and am sitting around 67% at 3 months out but one day I got a 95 and then the next a 50. I don’t think there’s any one score we should be hitting at this point but I have found my scores going up the further into Sketchy I get (saved micro and pharm for last since that’s pure memorization). Just have to keep grinding!


Yeah, I’m finding that 70% of what I get wrong is due to not having studied it yet or not having seen a sketchy pharm/micro video on it yet, or it’s a super obscure fact/disease. 30% of the time it’s due to reasoning issues, which are the ones that annoy me the most.

One of the guys there asked if anyone had made a similar chart for second pass through? I’m planning to do U world a second time during dedicated.
 
Reporting back from exam day. I only got 3 hours of deep sleep with a lot of tossing and turning in the hours surrounding that, so take everything I say with a grain of salt. The real deal was fairly challenging. It contained a few concepts I had never seen before or were tiny minutiae type stuff. About 50% of the exam was fact recall or slam dunk diagnosis. Another 30% was application of a principle I was never asked to do. For example (not on my exam), up/down arrows for various renal functions in carbon monoxide poisoning. As in, you could do it if you understood the underlying pathophysiology. The last 20% or so were pretty random questions that I felt like I had to pull multiple concepts together into a working frame to answer correctly. What's the underlying pathophysiology of this random disease based on these clinical findings and random comment about the biochemistry of it (or something to that effect)? I would need to go through all the answer choices and talk myself to choice A being the answer that made most sense based on what I know clinically and the biochemistry bit they gave me. My exam also had very challenging neurology (localization) and endocrinology concepts, so I'm not sure how that went. I also had random public health, social science, and ethics questions that were so far left-field. These were questions I had never even seen on step 2 material (I go to a post-clerkship step 1 school).

All in all, I felt like the exam was a mix between UWSAs and the newer NBMEs, a little closer to the latter. There seemed to be more randomness on my exam than the new NBMEs but maybe it's just because my form happened to hit on my weaknesses (?or perceived weaknesses). The distribution of systems seemed fair and similar to NBMEs with select systems having harder questions (see above). Came out of the exam feeling like I did okay compared to my practice tests (i.e. similar feeling after doing a new NBME), but as I think about it more and more, I realize that I missed more questions than I initially thought I did. We'll see what the score report says in 3 weeks.
 
How long does it take you to review questions? I'm basically done with Zanki with 80% matured right now, and it's been taking me an hour to review 40 questions. I've read on here people taking 3 hours to review 40 questions, and I'm not sure if I'm taking too little time to review questions. I'm trying to finish Kaplan, Uworld, and at least a large chunk of Amboss before taking Step, so I feel I shouldn't spend too long on reviews.
Yo i take 4 hours to review 40 questions lol 1 hr is quick i envy your speed
 
Yo i take 4 hours to review 40 questions lol 1 hr is quick i envy your speed

Yea I feel like there should be a balance that I haven't quite found yet. It's helpful that I've already finished most of zanki, so if I do get something wrong it's more of a small gap in knowledge that the question helps fill in, but I don't do a whole thorough review on every single answer choice in every single question.
 
Yea I feel like there should be a balance that I haven't quite found yet. It's helpful that I've already finished most of zanki, so if I do get something wrong it's more of a small gap in knowledge that the question helps fill in, but I don't do a whole thorough review on every single answer choice in every single question.

A lot of my friends go over every single question, including ones they got right. Ends up taking them a lot of time. I guess I just don’t see the point in looking at all the possible answer choice and going over the questions I got right if I get the main concept. I think that saves a lot of time.

That being said, I have been making Anki cards of my incorrect questions that were because of a knowledge gap. That does add some time.
 
Yea I feel like there should be a balance that I haven't quite found yet. It's helpful that I've already finished most of zanki, so if I do get something wrong it's more of a small gap in knowledge that the question helps fill in, but I don't do a whole thorough review on every single answer choice in every single question.
Yeah youre fine man if you know the stuff dont spend time on stuff you know lol
 
Is there anywhere to find data on correlation of preclinical subject NBME exam scores and step score? We've got one coming up next week, wondering if there is data out there on this
 
Hey guys anyone doing. neuro review at ATM? to commensurate with me lol. WHY THE DUCK its talking so long? learning is painful and long and takes patience. One step at a time.
 
Will I pass?

I've been taking an NBME each week and haven't improved much.
20: 189 (2 months out)
UWSA 1: 217
21: 211
22: 207
23: 210
24: 206
18: 198 (latest)

Going to do UWSA2 next week and Free120.

I'm hoping for at least a 220, but with this most recent NBME 18's score, I'm worried if I'll even pass. Reddit's score predictor is predicting a 224ish, but I'm worried that it's not accurate since I haven't scored anywhere near that on the NBMEs.
 
Will I pass?

I've been taking an NBME each week and haven't improved much.
20: 189 (2 months out)
UWSA 1: 217
21: 211
22: 207
23: 210
24: 206
18: 198 (latest)

Going to do UWSA2 next week and Free120.

I'm hoping for at least a 220, but with this most recent NBME 18's score, I'm worried if I'll even pass. Reddit's score predictor is predicting a 224ish, but I'm worried that it's not accurate since I haven't scored anywhere near that on the NBMEs.

I think you'll probably pass, given that you haven't failed on any of the tests since 20. That being said, I can see why you're still not super comfortable.

I'd give you 90% odds of passing and maybe 50/50 shot at 220+?
 
No chance prometrics close down right..? Im still 3 months out but still that'd be nuts

I was just talking about this today and I sure hope not. I’m also 3 months out and I’m not sure I’m emotionally stable enough to have this exam pushed back! But I have heard some have closed down for right now in the “hot” areas so to speak.
 
1 week left till doomsday. Anybody want to share their gameplan for the few days leading up to the big boi? Hah.
I personally did about a half day of studying two days before and took the day before completely off. Glad I did bc there were very few concepts on my test that I studied in the week preceding it.
 
Can anybody with any experience with USMLERx comment on how a 73-75% average correct on the Rx Qbank pre-dedicated should be looked at? Have zero idea if that means im in a decent spot heading into dedicated or what
 
Can anybody with any experience with USMLERx comment on how a 73-75% average correct on the Rx Qbank pre-dedicated should be looked at? Have zero idea if that means im in a decent spot heading into dedicated or what
Sounds pretty good to me from all the posts I read from the 2019 Step thread. Rx is really nitpicky and most people seem to do better on UWorld, so you should be in a pretty good spot.
 
I took NBME 20 today to get a baseline and got a 219. I was just hoping that my score started with a 2 at this point so I'm pretty psyched about it. I'm exactly 3 months out from test day and my goal is 230.
 
extending my from march 31 to april 14th. Making stupid mistakes on Uworld. I just cant get psyched about doing practice q's and practice exam. Adrenaline on the real test is different than these practice Q's and exam.
 
Sounds pretty good to me from all the posts I read from the 2019 Step thread. Rx is really nitpicky and most people seem to do better on UWorld, so you should be in a pretty good spot.

ive been doing them by organ system so im sure the number is a little elevated. Thanks though! Best of luck!
 
Can anybody with any experience with USMLERx comment on how a 73-75% average correct on the Rx Qbank pre-dedicated should be looked at? Have zero idea if that means im in a decent spot heading into dedicated or what
Just finished Rx with exactly a 73% as well. From what I have been told 70%+ is not bad at all and is a good foundation. However, the correlation between Rx and actual Step 1 is pretty atrocious if you check the stats lol. Either way I think above 70 is good. I am taking my exam June 15th so I have a lot of work cut out for me yet-starting UWorld this week.
 

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Damn just paid $50 buck yesterday and extending my exam till April 14. Now prometric centers in America are closing for 30 days starting March 18th. Well thank god my window closes on April 31 and just have to deal with prometric center. Good luck studying guys.
 
School has gone to fully online till end of April. Since we still have labs and in-person competencies we need to make up, I have no idea what impact this will have on our dedicated. Starting to freak out.

Not to rehash the P/F Step 1 reporting debacle on this thread, but I had the soul crushing thought the other day that if our graduation gets delayed, we could become part of the P/F reported Step group. I would lose it.
 
School has gone to fully online till end of April. Since we still have labs and in-person competencies we need to make up, I have no idea what impact this will have on our dedicated. Starting to freak out.

Not to rehash the P/F Step 1 reporting debacle on this thread, but I had the soul crushing thought the other day that if our graduation gets delayed, we could become part of the P/F reported Step group. I would lose it.
They extended your class into dedicated? I would throw a ****fit omg. Im sorry! Im waiting to hear from my school. I personally dont think were gonna be grouped in step P/F its too far out
 
They extended your class into dedicated? I would throw a ****fit omg. Im sorry! Im waiting to hear from my school. I personally dont think were gonna be grouped in step P/F its too far out

I sure ****ing hope not. I’m studying my ass off to open doors,I will be ****ing livid if they take that opportunity away from me after already putting in months of work.
 
School has gone to fully online till end of April. Since we still have labs and in-person competencies we need to make up, I have no idea what impact this will have on our dedicated. Starting to freak out.

Not to rehash the P/F Step 1 reporting debacle on this thread, but I had the soul crushing thought the other day that if our graduation gets delayed, we could become part of the P/F reported Step group. I would lose it.

I don't think its possible to delay graduation by an entire year. The schools cant accommodate an extra class and residencies have to have an intern class

Still waiting on the decision from my school but I imagine the most likely situation is that they will waive/modify whatever school requirements that get interfered with due to all this. I'm just treating it as extra dedicated time
 
I'm not super worried about us becoming part of the Step 1 P/F crowd. The 2022 start date always seemed more like the hope rather than something concrete and I doubt anyone in charge of that is worrying about it right now. And with everything being so crazy right now, they'll likely want to keep things as normal as possible since the normal timelines are already being screwed up. I also agree that graduation won't be delayed for us or anyone else since the hospitals cannot go an entire year without interns. They'll find a way to make sure we all finish in time.

I'm much more worried about my school interfering with my dedicated time in order to finish their s*** curriculum. We are doing lectures and exams online from home but they want to make up "hands on labs" like OMM and such at some point "before year 3" and I sincerely hope that doesn't include taking time away from dedicated. I wish schools would realize that just leaving us alone as much as possible and letting us study is the best thing they can do for us but they just can't help themselves from interfering. I'm also concerned about the prometric closures because while my tests aren't until mid-June, it's not out of the realm of possibility that we're still in the thick of all this then and they'll remain closed. I don't think I can handle my exam being pushed back as I just want to get it over with ASAP.
 
They extended your class into dedicated? I would throw a ****fit omg. Im sorry! Im waiting to hear from my school. I personally dont think were gonna be grouped in step P/F its too far out
It's not official yet. But I don't see how it won't cut in considering how much we now have to make up.
 
I'm much more worried about my school interfering with my dedicated time in order to finish their s*** curriculum. We are doing lectures and exams online from home but they want to make up "hands on labs" like OMM and such at some point "before year 3" and I sincerely hope that doesn't include taking time away from dedicated. I wish schools would realize that just leaving us alone as much as possible and letting us study is the best thing they can do for us but they just can't help themselves from interfering. I'm also concerned about the prometric closures because while my tests aren't until mid-June, it's not out of the realm of possibility that we're still in the thick of all this then and they'll remain closed. I don't think I can handle my exam being pushed back as I just want to get it over with ASAP.
This is what I'm concerned about. My school has converted some labs to online modules but we still have in-person competencies and stuff. I can't see them letting it all slide.
 
Anyway not to spend so much time reviewing a block of UWORLD?? I wanna do 80 question a day but reviewing a block takes 4+ hours and I end up not having time to review the incorrects or learn new material,
 
Really hope this doesn’t stretch prometric testing out for months. No way can I keep up the level of studying I’m doing for more than 3-4 months
Hope not!I need to sit by April 31, just don't wont to study more. However, uworld extending the membership till April 30. So will just go through that, FA, Pathoma.
 
Anyway not to spend so much time reviewing a block of UWORLD?? I wanna do 80 question a day but reviewing a block takes 4+ hours and I end up not having time to review the incorrects or learn new material,
I really takes long i realized that, and this corona virus closure blessing in disguise and i can go through Uworld again.
 
I think im going to limit myself to just 90 min to review blocks, so i can get through 2 blocks a day. I have an obsessive personality and think UWORLD is the perfect trap for me to get bog down in details while missing the big picture. So I rather do 2 full passes and keep up with zanki than overanalyze it once and forget the stuff I should already know.
 
I think im going to limit myself to just 90 min to review blocks, so i can get through 2 blocks a day. I have an obsessive personality and think UWORLD is the perfect trap for me to get bog down in details while missing the big picture. So I rather do 2 full passes and keep up with zanki than overanalyze it once and forget the stuff I should already know.

Ive been hitting in the 70s pretty frequently on Uworld recently (all systems, all questions, timed) and I generally take 30 minutes a day to review the previous days wrong questions or questions I know I guessed right. I make cards for the stuff I mostly missed during those 30 minutes and make sure I do my UWorld Anki deck every day to hammer home those hard concepts.

That being said, I still haven’t reviewed a lot of cardio, plum, and renal so I’m hoping I get less wrong once I’ve finished those decks.
 
I have came to a conclusion that to be really thorough
How long was it taking you? And how were your percentages like?
I make stupid mistakes and average is 67%. 5 Q's decides my faith. However, My last week avg was 80%. I can't replicate the same feeling of test. It takes me anywhere from 120-130 mins to review block
 
i will get will 4-5 67-78% range and then boom all of a sudden a block of 55%. But again i learn from my mistakes and not repeat them, still ****ing silly mistakes i make drops me from getting 33-34q/block right to 26-29!
 
Anyway not to spend so much time reviewing a block of UWORLD?? I wanna do 80 question a day but reviewing a block takes 4+ hours and I end up not having time to review the incorrects or learn new material,
The way I go about it is to not worry about stuff I already know. Don't read over stuff you know already like worrying about minutiae that you may have missed on a concept you mostly know since on test day you are more than likely to get it right. That is time you could be spending on something you don't know at all and on test day you know 100% you'd get it wrong because you know nothing about it. If you understand the big picture about a concept then I'd move on. I spend about 3 to 4 times as long reviewing a question than I took to answer it so like 1.5 mins answering a question on avg and then 5 mins reviewing that question. If you know why an answer is correct and why the wrong answers are wrong then you have won that question. 80 questions using this time frame should take you all together about 8-9 hours roughly which is not bad considering its UW and as HY as you can get. Time well spent good luck!
 
The way I go about it is to not worry about stuff I already know. Don't read over stuff you know already like worrying about minutiae that you may have missed on a concept you mostly know since on test day you are more than likely to get it right. That is time you could be spending on something you don't know at all and on test day you know 100% you'd get it wrong because you know nothing about it. If you understand the big picture about a concept then I'd move on. I spend about 3 to 4 times as long reviewing a question than I took to answer it so like 1.5 mins answering a question on avg and then 5 mins reviewing that question. If you know why an answer is correct and why the wrong answers are wrong then you have won that question. 80 questions using this time frame should take you all together about 8-9 hours roughly which is not bad considering its UW and as HY as you can get. Time well spent good luck!
Can I ask what your review process is like? I haven't started UWorld but I don't spend nearly that much time reviewing questions. I do a block of 40 Rx questions in ~70 minutes on tutor mode. I mostly read the explanations and I have a Word document with bullet points that I just completely didn't know. If it's a reasoning problem, I realize what I messed up and moved on. I'm just worried that I'm not reviewing properly if you guys are spending a days worth of studying just reviewing...
 
Can I ask what your review process is like? I haven't started UWorld but I don't spend nearly that much time reviewing questions. I do a block of 40 Rx questions in ~70 minutes on tutor mode. I mostly read the explanations and I have a Word document with bullet points that I just completely didn't know. If it's a reasoning problem, I realize what I messed up and moved on. I'm just worried that I'm not reviewing properly if you guys are spending a days worth of studying just reviewing...
I don't think any way is the "correct" way. I think doing what your doing is a good thing you are spending time on questions which is great. The only thing I can say is questions are king so as long as you are learning from the questions you are doing and it seems like you are doing a good amount per day then that should be good. You seem to be writing down what you don't know and focusing on that rather what you do know which is really important IMO. I spend a lot of time on questions because I simply don't use Anki which gives me more time. I used Rx as my Anki and made it through the Qmax bank spending more time on that and you seem to be spending more time on Anki from your posts so that is pretty much a similar thing. I start UW in a few days and will be spending like 90% of my day on that so I will probably spend 9-10 hours doing 80 questions in the AM reviewing in the afternoon and working my way up to 120 in the AM and then reviewing in the afternoon/night then ending with Sketchy Micro for an hr or so per night. As far as reviewing break up how I review my questions into buckets-why did I get it wrong? is it a concept i didn't know, a fact based issue/fact I didn't know, or is it a test taking skill issue? If its a concept I dont understand I spend 3-5 mins youtubing/looking in pathoma/wiki and try to udnerstand that concept since its a concept once you understand it you got it down and don't really need to look at it again since its not memorization (ie pathophys). If its a fact based issue (enzyme I didn't know) I add it to my question journal on a word document and simply put the fact there for later. At night during my review I spend about an hr looking at my questions journal and after I see it 3 times over a few days I delete it which is sort of like spaced repetition. This is what I do but isn't the golden rule obviously. It works for me. My main thing for board prep is tons of questions just finished Rx and plan on doing UW 2x and half of Kaplan before my exam June 15th. I want to simulate that exam everyday leading up to the real deal and see as many questions as possible that I have never seen before instead of spending time doing UW 100x which I personally think is useless (2x absolute max IMO).
 
I don't think any way is the "correct" way. I think doing what your doing is a good thing you are spending time on questions which is great. The only thing I can say is questions are king so as long as you are learning from the questions you are doing and it seems like you are doing a good amount per day then that should be good. You seem to be writing down what you don't know and focusing on that rather what you do know which is really important IMO. I spend a lot of time on questions because I simply don't use Anki which gives me more time. I used Rx as my Anki and made it through the Qmax bank spending more time on that and you seem to be spending more time on Anki from your posts so that is pretty much a similar thing. I start UW in a few days and will be spending like 90% of my day on that so I will probably spend 9-10 hours doing 80 questions in the AM reviewing in the afternoon and working my way up to 120 in the AM and then reviewing in the afternoon/night then ending with Sketchy Micro for an hr or so per night. As far as reviewing break up how I review my questions into buckets-why did I get it wrong? is it a concept i didn't know, a fact based issue/fact I didn't know, or is it a test taking skill issue? If its a concept I dont understand I spend 3-5 mins youtubing/looking in pathoma/wiki and try to udnerstand that concept since its a concept once you understand it you got it down and don't really need to look at it again since its not memorization (ie pathophys). If its a fact based issue (enzyme I didn't know) I add it to my question journal on a word document and simply put the fact there for later. At night during my review I spend about an hr looking at my questions journal and after I see it 3 times over a few days I delete it which is sort of like spaced repetition. This is what I do but isn't the golden rule obviously. It works for me. My main thing for board prep is tons of questions just finished Rx and plan on doing UW 2x and half of Kaplan before my exam June 15th. I want to simulate that exam everyday leading up to the real deal and see as many questions as possible that I have never seen before instead of spending time doing UW 100x which I personally think is useless (2x absolute max IMO).
Thank you for being so detailed! I didn't realize you didn't use Anki, your scores are really awesome in that case. I like that bucket idea, I've been doing that in a more passive way but I may transition to identifying the "why did I get this wrong" immediately before I further review the question. I also like the idea of watching a video or something..I haven't been doing anything like that, just kind of jotting down what I didn't know and moving on. I agree with you about UW, planning on only going through it once. You're going to crush it!
 
Thank you for being so detailed! I didn't realize you didn't use Anki, your scores are really awesome in that case. I like that bucket idea, I've been doing that in a more passive way but I may transition to identifying the "why did I get this wrong" immediately before I further review the question. I also like the idea of watching a video or something..I haven't been doing anything like that, just kind of jotting down what I didn't know and moving on. I agree with you about UW, planning on only going through it once. You're going to crush it!
Thanks! You too! Looks like you have a good system down. Keep plugging the pain will be over before we know it and we still have plenty of time to fill in our gaps. Good luck!
 
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