USMLE Official 2020 Step 1 Experiences and Scores Thread

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Don't let youself feel too good based on the old test forms. I found them to be an absolute joke, like >90% correct on NBME18. The new forms with numbers 20+ are an entirely different animal.

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@efle @Type2Fiber the 2019 Reddit Score Predictor for Step 1 says a 250 on NBME 18 should yield you a 253 on the actual Step 1 exam; the Reddit Spreadsheet predicted my exact score last year & predicts several peoples' scores within a couple points every year.

A 250 on NBME 18 is DEFINITELY something to feel great about ESPECIALLY as a first practice exam score.

btw the new NBMEs (20+) are garbage (under-predict 10-20 points) & are not an accurate reflection of where you are at score-wise at all.







p.s. sorry for butting into your guys' Step 1 convo; ya'll are keeping a much closer eye on the Prometric situation than the Step 2 CK thread so I've been watching this one instead, lmao.
 
Sorry for being such a debbie downer! I just had a very different experience with the new forms, I actually scored below what they predicted. My experience with the old materials like NBME18 and Free 120 was that hitting >90% wasn't hard to do, while scoring like that on new ones was impossible. I was in the very first batch to have access to the new forms a year ago, so maybe they've tweaked the scaling.

Also, the statistical noise in this test is massive (my 66% interval is anywhere from 240s to 260s) so feel free to discount my n=1
 
Oh heck no this is not ok. I think I'd have a nervous breakdown if that happened.


The CPA board people seem to be better at communicating how this is going to go down. I don't see why they would have to wait till a day before, if they're prematurely canceling 50% of exams they should be good to go. But who knows...I guess they can do whatever the hell they want apparently.

ALSO, sorry if I'm information-overloading anyone out there. This is how I cope with anxiety and I fully acknowledge it as a personality flaw lol.
 


The CPA board people seem to be better at communicating how this is going to go down. I don't see why they would have to wait till a day before, if they're prematurely canceling 50% of exams they should be good to go. But who knows...I guess they can do whatever the hell they want apparently.

ALSO, sorry if I'm information-overloading anyone out there. This is how I cope with anxiety and I fully acknowledge it as a personality flaw lol.


No apologies needed, I really appreciate it as I want to know what is going on as much as possible. So basically tomorrow they'll notify everyone taking an essential exam in May if their date will be rescheduled? Or does that include June people as well?
 
No apologies needed, I really appreciate it as I want to know what is going on as much as possible. So basically tomorrow they'll notify everyone taking an essential exam in May if their date will be rescheduled? Or does that include June people as well?
That's what I gathered, not sure if it also includes June.
 
This is why small private companies shouldn't be in monopolistic situations with national licensure exams. Prometric has been abysmal on all fronts and at the end of the day, will suffer 0 consequences because we are powerless to take our business anywhere else. I hope they lose the USMLE contract just like they lost the MCAT to Pearson
 
This is why small private companies shouldn't be in monopolistic situations with national licensure exams. Prometric has been abysmal on all fronts and at the end of the day, will suffer 0 consequences because we are powerless to take our business anywhere else. I hope they lose the USMLE contract just like they lost the MCAT to Pearson
I just wonder how much the NBME/NBOME are advocating for us...not much if I had to guess from past experience. I'm not sure if Prometric is prioritizing certain exams within the essential classification over others, but it doesn't really make much sense to me to cancel a Step exam so that a CPA can sit for an exam that they can take multiple times and doesn't require nearly the same amount of prep. I mean, most of them sit for the exam multiple times because they have to pass all parts of it or whatever and on average 80% of test takers fail a part on their first attempt. I wouldn't expect Prometric to know the intricacies of how medical boards work, but you'd think our boards would advocate for us a bit more.
 
I just wonder how much the NBME/NBOME are advocating for us...not much if I had to guess from past experience. I'm not sure if Prometric is prioritizing certain exams within the essential classification over others, but it doesn't really make much sense to me to cancel a Step exam so that a CPA can sit for an exam that they can take multiple times and doesn't require nearly the same amount of prep. I mean, most of them sit for the exam multiple times because they have to pass all parts of it or whatever and on average 80% of test takers fail a part on their first attempt. I wouldn't expect Prometric to know the intricacies of how medical boards work, but you'd think our boards would advocate for us a bit more.
Does anyone know if the GRE is being given essential status? I imagine that accounts for an order of magnitude more test seats than USMLE or CPA.
 
Does anyone know if the GRE is being given essential status? I imagine that accounts for an order of magnitude more test seats than USMLE or CPA.
They have at home testing apparently.

"To meet the needs of students who are unable to take the GRE® General Test at a test center due to public health concerns, ETS is temporarily offering a GRE General Test at home option. The test is identical in content, format and on-screen experience to the GRE General Test taken at a test center. It is taken on your own computer at home and is monitored by a human proctor online through ProctorU®. At home administrations are currently available around the clock every Friday, Saturday, Sunday and Monday through June 30, 2020."

 
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They have at home testing apparently.

Fascinating. I guess for something like the GRE that is heavily fluid intelligence based, there's less risk of home administration. Can't google up an answer in First Aid like you could by having a hidden screen for the USMLE.
 
Fascinating. I guess for something like the GRE that is heavily fluid intelligence based, there's less risk of home administration. Can't google up an answer in First Aid like you could by having a hidden screen for the USMLE.
Yeah. I can see why at home administration of USMLE isn't a thing, but you'd think they'd allow individual med schools to administer the exam. Seems like it would solve most of the problems if the schools could just test their own students, or even if they designated 1 med school per every 3 hour radius or something like that. I suspect the reason they can't allow this is because of contract issues with Prometric?
 
It's def the contract, or else they could just begin offering USMLE at other testing centers like Pearson to help us catch up on backlog. 0% chance that happens.

Yeah. I can see why at home administration of USMLE isn't a thing, but you'd think they'd allow individual med schools to administer the exam. Seems like it would solve most of the problems if the schools could just test their own students, or even if they designated 1 med school per every 3 hour radius or something like that. I suspect the reason they can't allow this is because of contract issues with Prometric?
But what are you finna do when some schools start reporting oddly high performance from their administrations? Void scores for everyone who tested there? Allow the weirdly high scores to get through even though cellphone in the bathroom would have worked on their lax security?
 
It's def the contract, or else they could just begin offering USMLE at other testing centers like Pearson to help us catch up on backlog. 0% chance that happens.


But what are you finna do when some schools start reporting oddly high performance from their administrations? Void scores for everyone who tested there? Allow the weirdly high scores to get through even though cellphone in the bathroom would have worked on their lax security?
I mean, I guess. But how hard can it be to stick a proctor in 1 or 2 bathrooms that students will be given access to during testing? I feel like this argument is just a way for NBME to be lazy and not come up with good procedures. If they put a little thought into it, I'm sure they could come up with a system that works that is better than the alternative of thousands of medical students pushing the most important test of their careers into rotations.
Who is being quoted here?
Reddit!
 
Lol someone has to have lawyer parents that can find grounds for a lawsuit out of all this. How ridiculous.
It also makes no sense to me why this would be the case when they could tell you a month, 2 weeks, whatever in advance. I don't see the rationale for why it would be a few days before.
 
It also makes no sense to me why this would be the case when they could tell you a month, 2 weeks, whatever in advance. I don't see the rationale for why it would be a few days before.

Because **** you, that’s why.

Honestly though, it’s probably just gross incompetence and poor leadership response and coordination creating a **** show.
 
It also makes no sense to me why this would be the case when they could tell you a month, 2 weeks, whatever in advance. I don't see the rationale for why it would be a few days before.

These people deserve the heat when this is all over for how poorly they have handled this. Where is the common sense? Just because it can't go exactly as it normally does they have no other solutions other than to just shut it all down? And most schools don't have curriculums that fit Step 1 in during third year so how is it feasible to the schools that they continue on with third year like normal yet expect students to fit in this enormously important exam whenever they have a bit of free time?
 
Lets not forget the people making these decisions never experienced Step. If they even took it, their score didn't matter. They probably don't fully appreciate how this single exam has come to represent your entire first half of medical school.
 
Lets not forget the people making these decisions never experienced Step. If they even took it, their score didn't matter. They probably don't fully appreciate how this single exam has come to represent your entire first half of medical school.
Fine. Fair point. What is the rationale for waiting till a few days before the cancel someone's exam? They know what exams people are scheduled for, they know what's essential and what's not, and they know they need to slash to 50% capacity. I don't want to say it's 100% true as whoever brought it up could be mis-informed, but still. There's no reason or excuse for that when they could give people 1-2 months warning if they let all May/June people know by mid-May.
 
Fine. Fair point. What is the rationale for waiting till a few days before the cancel someone's exam? They know what exams people are scheduled for, they know what's essential and what's not, and they know they need to slash to 50% capacity. I don't want to say it's 100% true as whoever brought it up could be mis-informed, but still. There's no reason or excuse for that when they could give people 1-2 months warning if they let all May/June people know by mid-May.
I agree. I think this is a small team at Prometric HQ that is making it up as they go along as best they can, which is poorly. USMLE is essentially just relaying into to us from them, no real decisions on their part so far. Spending months of full-time studying to have your exam cancelled 48-72 hours before is a travesty. Hopefully they only have to resort to this for the immediate test dates in early May, and can then calculate ahead to let the later May and June folks know sooner.
 
@efle @Type2Fiber the 2019 Reddit Score Predictor for Step 1 says a 250 on NBME 18 should yield you a 253 on the actual Step 1 exam; the Reddit Spreadsheet predicted my exact score last year & predicts several peoples' scores within a couple points every year.

A 250 on NBME 18 is DEFINITELY something to feel great about ESPECIALLY as a first practice exam score.

btw the new NBMEs (20+) are garbage (under-predict 10-20 points) & are not an accurate reflection of where you are at score-wise at all.







p.s. sorry for butting into your guys' Step 1 convo; ya'll are keeping a much closer eye on the Prometric situation than the Step 2 CK thread so I've been watching this one instead, lmao.
So that explains why when i first started doing UW 3-4 weeks ago my baseline NBME 21 was a 217 and my UW avg has been 75% lol made no sense to me
 
Occasional lurker of the thread here (man you guys/girls like to post a lot, hard to keep up).
Matured 45% Zanki, seen 84% Zanki.
When I started doing questions heavily in January, I gave up on keeping up with reviews because I felt like questions are more important and I can't handle the reviews everyday. I do some of them. Just trying to make sure I see at least all of Zanki. I know it's not a great strategy. Much shame.
2/29 AMBOSS was 220
4/4 NBME 20 was 212
4/16 UWSA1 was 247
USMLERx done (56%) and I'm 85% done with UWorld (65%). Tests in late June. I'd like >240 but would be pretty dang happy with a 235. 2019 predictor calculator has me at a solid spot but you never know for sure. I just don't want to trash either exam.
 
Occasional lurker of the thread here (man you guys/girls like to post a lot, hard to keep up).
Matured 45% Zanki, seen 84% Zanki.
When I started doing questions heavily in January, I gave up on keeping up with reviews because I felt like questions are more important and I can't handle the reviews everyday. I do some of them. Just trying to make sure I see at least all of Zanki. I know it's not a great strategy. Much shame.
2/29 AMBOSS was 220
4/4 NBME 20 was 212
4/16 UWSA1 was 247
USMLERx done (56%) and I'm 85% done with UWorld (65%). Tests in late June. I'd like >240 but would be pretty dang happy with a 235. 2019 predictor calculator has me at a solid spot but you never know for sure. I just don't want to trash either exam.
Lookin good bro! I think you are on good track for a 240+ in June. Keep rippin question banks
 
What they should have said is “beginning May 1, we’ll open in areas where local orders allow (i.e. we won’t open in areas with stay-home-orders) and when we do open in those areas, these “essential” exams will take precedence”.

Honestly, that’s how I took it, but I know the use of “essential” got some people thinking Prometric is an “essential business” and can skirt local guidelines.
 


And here we go.


Lol I was going to post this in the morning but glad it's already here. This would be such a short-sighted and dumb decision and I still don't think it happens as the logistics would be too much to work out in such a short time period. The deans are one voice but they're not the only voice the NBME answers to. The NBME needs to focus on making sure everyone can sit for their exams this year and worry about all the P/F nonsense later.
 
Lol I was going to post this in the morning but glad it's already here. This would be such a short-sighted and dumb decision and I still don't think it happens as the logistics would be too much to work out in such a short time period. The deans are one voice but they're not the only voice the NBME answers to. The NBME needs to focus on making sure everyone can sit for their exams this year and worry about all the P/F nonsense later.

I don’t see how it would help either. I’m gonna be real angry if they pass that.
 
I don’t see how it would help either. I’m gonna be real angry if they pass that.

I still don't see how they could. I mean there's a reason they delayed the process until at least 2022 in the initial announcement and that was before all this craziness. There needs to be an adjustment period and there is no way that is going to happen under the current circumstances. Not to mention a lot of people have already sat for the exam this year so do they retroactively convert their scores to P/F or do they put us at a disadvantage with a P/F score while others have a numerical score? Doing either one wouldn't be fair so the only solution is to just keep the numerical score for everyone. Someone said well PD's would just ignore the numerical score and I'm like I don't believe for a second that they would ignore it. They're going to fall back on what's familiar especially without a proper adjustment period to decide where to turn their focus. I'm really not sure why so many people are so obsessed with this P/F thing.
 
I still don't see how they could. I mean there's a reason they delayed the process until at least 2022 in the initial announcement and that was before all this craziness. There needs to be an adjustment period and there is no way that is going to happen under the current circumstances. Not to mention a lot of people have already sat for the exam this year so do they retroactively convert their scores to P/F or do they put us at a disadvantage with a P/F score while others have a numerical score? Doing either one wouldn't be fair so the only solution is to just keep the numerical score for everyone. Someone said well PD's would just ignore the numerical score and I'm like I don't believe for a second that they would ignore it. They're going to fall back on what's familiar especially without a proper adjustment period to decide where to turn their focus. I'm really not sure why so many people are so obsessed with this P/F thing.

As an IMG I don't fully understand how things work in the US, but I hope you're right. The USMLE become P/F immediately would be devastating and unfair to a lot of people who've worked very hard. I've been pretty distracted since I ran across that post on reddit 🙁.
 
Does anyone know/received information about whether or not prometric has sent out all the emails regarding random cancellations for May yet? I have a May step 1 test date and am trying to figure out when I will know if my date is safe....
 
I believe the NBME made a statement in response to many worrying students a few weeks ago saying they wouldn't make Step I P/F this year or next year, mentioning that there are way too many moving parts involved in such a decision to implement it so rapidly. Let's hope they stand by that statement.
 
I believe the NBME made a statement in response to many worrying students a few weeks ago saying they wouldn't make Step I P/F this year or next year, mentioning that there are way too many moving parts involved in such a decision to implement it so rapidly. Let's hope they stand by that statement.
Yes they did make that statement. The thought is that the whoever these deans are, they're likely aware of that statement and think they may have some pull for some reason. I hope not.
 
I think the possibility of this actually happening is low, but the longer this goes on the more people will advocate for allowing individual schools to administer Step, and then the P/F argument may become stronger to protect the integrity of the exam since apparently it's just too complicated to figure out how to allow schools to properly administer Step, but the employees making minimum wage at Prometric can do it.

I'm not bitter. Not at all.
 
I think the possibility of this actually happening is low, but the longer this goes on the more people will advocate for allowing individual schools to administer Step, and then the P/F argument may become stronger to protect the integrity of the exam since apparently it's just too complicated to figure out how to allow schools to properly administer Step, but the employees making minimum wage at Prometric can do it.

I'm not bitter. Not at all.

It just doesn’t make sense to me. I’m going to be immensely upset if this exam somehow gets pushed through to P/F by some deans who don’t have to worry about their students because their school name carries its own weight. I go to a DO school, I need all the opportunities I can get.
 
It just doesn’t make sense to me. I’m going to be immensely upset if this exam somehow gets pushed through to P/F by some deans who don’t have to worry about their students because their school name carries its own weight. I go to a DO school, I need all the opportunities I can get.
Same. I'm not doing 1000+ cards a day for a P/F exam.
 
It just doesn’t make sense to me. I’m going to be immensely upset if this exam somehow gets pushed through to P/F by some deans who don’t have to worry about their students because their school name carries its own weight. I go to a DO school, I need all the opportunities I can get.
I'm hoping not since they've already made a statement saying that it won't happen. But honestly at this point I feel like anything can happen. I know there are bigger problems in the world but f*** it, we're allowed to be upset over our own experiences: I'm livid. I knew these few months would be stressful but this is another level. I feel like this is the worst thing that could've happened to our medical education. I took my last exam of M2 yesterday and I couldn't even feel happy about it because I'm so stressed about this. I wish there was a way to make our voices heard because we all know whoever these deans are, they couldn't care less about us.
 
I just don't see how the logistics would work out. I mean surely there could be grounds for legal action if people who already took Step this year and got a numerical get a retroactive P or if they're allowed to keep their numerical score but the rest of us are at a disadvantage with a P. I just think there are too many variables working against implementing it now outside of deans who know their students can lean on their school name. But these deans most definitely do not speak for a majority of us and I really don't think it will happen no matter how much they push for it.
 
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