USMLE Official 2020 Step 1 Experiences and Scores Thread

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Yeah, I debated just doing original Zanki step 2 because it's only like 5500 cards. Imagine how beautiful lol. But I think I'll stick with Dorian it seems like the best one.

Yep, Dorian seems to be the best step 2 deck. AnKing just dropped step 2 V2. It's got 16K cards, including Dorian.
 
Can people who have taken the exam comment on how much math was on it? I blew off most of the equations and I'm wondering if I should flip through first aid and memorize them
 
quick moment of silence for @iforget2 who is probably killing it rn

Man y'all are too supportive T_T

Me today

1591655232625.png


I thought it was pretty hard, and I felt very heavy new NBME vibes on all 7 blocks. UWSA2, Free 120, and UW I felt are much more straightforward, while my exam and the new NBMEs had many questions where you just have to reason it out. The reason I hate these is you could convince yourself that your reasoning is correct and you got the question right, but in reality it's not what they're looking for at all. I'm fairly liberal when it comes to flagging questions, and it's always been a decent predictor when it comes to UW blocks at least. For example, if I flag 8, I'll assume I missed 8 on that block and maybe i'll get 5 flagged questions right, then 3 dumb mistakes/misunderstandings and end up with an 80. I ended up flagging ~9 per block today, which is higher than I would have liked to (was flagging around 6-7 on Free 120 and UWSA2). But again, easily 6 more per block that I didn't flag could have just been me incorrectly thinking through a lot of the problems which really worries me.

A few things I would have done differently:
- Go over ALL the lists/triads/pentads again from zanki, i.e HAMARTOMAS, MDD, Renal Cell Carcinoma, TTP, MEN, etc etc. Zanki has a bunch of them. I know them more or less just from doing Zanki throughout the years, but could have saved a lot of time if I sat down and really reviewed them and knew them cold.
- Review embryology and know it well. I hate embryology, and just put it off. Regrets rn lol.
- Review anatomy. The new NBMEs actually were fairly representative of the anatomy I had on my exam
- I know I wouldn't have listened to myself before taking it, but honestly I kinda wish I just watched Pathoma videos the night before. Even as my wife was driving me to the Prometric center I was going over a few things and some of those actually came up on my exam. Who knows what I would have gotten right if I watched a lot of Pathoma videos the night before. You'd be surprised at how many you can get through in ~4 hours. Many of the systems are 60-90 minutes long, so if you watch it on 1.5x you could finish watching 5 systems in Pathoma.
- The 2020 FA deck as well as the HY anatomy deck were pretty low yield and I don't remember any of it showing up on my exam. There's anatomy for sure, but I feel like the HY anatomy deck missed the mark when it came to what is on the actual exam. Wasted a ton of time on these decks.


Things that I did that ended up being really helpful
- I did 2 passes of Pathoma chapters 1-3 the last 4 weeks, doing 1 pass per 2 weeks. Holy crap this was HY on my exam.
- Making a separate deck for UW incorrects. At the beginning of dedicated I dreaded the thought of adding more cards but this turned out to be helpful. If I didn't feel like a factoid warranted a card, I made a google doc for UW incorrects as well and reviewed that sporadically. You don't know how beneficial this is until you finish all of UW and go back and work on your incorrects.
- This might be silly but... I got back into running. Maybe a month before dedicated I practiced a couple times wearing a mask doing practice problems and thought I was suffocating. Decided to run 4x/week and got my endurance up to where having a mask on didn't impact my breathing. But that might just be me being out of shape lolz
- I did NBME 16, 21, 22, and 24, and I wanna say I saw at least 3 questions repeated. Too bad I had no idea what I put last time or what the right answer was though.
- Praise be to Zanki

Anyways, I really don't know what to expect when it comes to my score. Left Prometric feeling very meh. Had low new NBMEs (21-220, 22-229, 24-227) and decent UWSAs (245 and 256) and Free 120 (85%). Reddit has me between 241 and 256, but I can only wish to hit 240+ right now. Hoping I did well enough to crack 230 but even that I'm not very optimistic. I gave it my all though, and truthfully despite wanting to have done a few things differently I have zero regrets.
 
Man y'all are too supportive T_T

Me today

View attachment 309388

I thought it was pretty hard, and I felt very heavy new NBME vibes on all 7 blocks. UWSA2, Free 120, and UW I felt are much more straightforward, while my exam and the new NBMEs had many questions where you just have to reason it out. The reason I hate these is you could convince yourself that your reasoning is correct and you got the question right, but in reality it's not what they're looking for at all. I'm fairly liberal when it comes to flagging questions, and it's always been a decent predictor when it comes to UW blocks at least. For example, if I flag 8, I'll assume I missed 8 on that block and maybe i'll get 5 flagged questions right, then 3 dumb mistakes/misunderstandings and end up with an 80. I ended up flagging ~9 per block today, which is higher than I would have liked to (was flagging around 6-7 on Free 120 and UWSA2). But again, easily 6 more per block that I didn't flag could have just been me incorrectly thinking through a lot of the problems which really worries me.

A few things I would have done differently:
- Go over ALL the lists/triads/pentads again from zanki, i.e HAMARTOMAS, MDD, Renal Cell Carcinoma, TTP, MEN, etc etc. Zanki has a bunch of them. I know them more or less just from doing Zanki throughout the years, but could have saved a lot of time if I sat down and really reviewed them and knew them cold.
- Review embryology and know it well. I hate embryology, and just put it off. Regrets rn lol.
- Review anatomy. The new NBMEs actually were fairly representative of the anatomy I had on my exam
- I know I wouldn't have listened to myself before taking it, but honestly I kinda wish I just watched Pathoma videos the night before. Even as my wife was driving me to the Prometric center I was going over a few things and some of those actually came up on my exam. Who knows what I would have gotten right if I watched a lot of Pathoma videos the night before. You'd be surprised at how many you can get through in ~4 hours. Many of the systems are 60-90 minutes long, so if you watch it on 1.5x you could finish watching 5 systems in Pathoma.
- The 2020 FA deck as well as the HY anatomy deck were pretty low yield and I don't remember any of it showing up on my exam. There's anatomy for sure, but I feel like the HY anatomy deck missed the mark when it came to what is on the actual exam. Wasted a ton of time on these decks.


Things that I did that ended up being really helpful
- I did 2 passes of Pathoma chapters 1-3 the last 4 weeks, doing 1 pass per 2 weeks. Holy crap this was HY on my exam.
- Making a separate deck for UW incorrects. At the beginning of dedicated I dreaded the thought of adding more cards but this turned out to be helpful. If I didn't feel like a factoid warranted a card, I made a google doc for UW incorrects as well and reviewed that sporadically. You don't know how beneficial this is until you finish all of UW and go back and work on your incorrects.
- This might be silly but... I got back into running. Maybe a month before dedicated I practiced a couple times wearing a mask doing practice problems and thought I was suffocating. Decided to run 4x/week and got my endurance up to where having a mask on didn't impact my breathing. But that might just be me being out of shape lolz
- I did NBME 16, 21, 22, and 24, and I wanna say I saw at least 3 questions repeated. Too bad I had no idea what I put last time or what the right answer was though.
- Praise be to Zanki

Anyways, I really don't know what to expect when it comes to my score. Left Prometric feeling very meh. Had low new NBMEs (21-220, 22-229, 24-227) and decent UWSAs (245 and 256) and Free 120 (85%). Reddit has me between 241 and 256, but I can only wish to hit 240+ right now. Hoping I did well enough to crack 230 but even that I'm not very optimistic. I gave it my all though, and truthfully despite wanting to have done a few things differently I have zero regrets.

Remember what we learned a few days ago, 80 of the questions on the exam don't even count! I bet you did just fine! Did you get a lot of micro/pharm?
 
Man y'all are too supportive T_T

Me today

View attachment 309388

I thought it was pretty hard, and I felt very heavy new NBME vibes on all 7 blocks. UWSA2, Free 120, and UW I felt are much more straightforward, while my exam and the new NBMEs had many questions where you just have to reason it out. The reason I hate these is you could convince yourself that your reasoning is correct and you got the question right, but in reality it's not what they're looking for at all. I'm fairly liberal when it comes to flagging questions, and it's always been a decent predictor when it comes to UW blocks at least. For example, if I flag 8, I'll assume I missed 8 on that block and maybe i'll get 5 flagged questions right, then 3 dumb mistakes/misunderstandings and end up with an 80. I ended up flagging ~9 per block today, which is higher than I would have liked to (was flagging around 6-7 on Free 120 and UWSA2). But again, easily 6 more per block that I didn't flag could have just been me incorrectly thinking through a lot of the problems which really worries me.

A few things I would have done differently:
- Go over ALL the lists/triads/pentads again from zanki, i.e HAMARTOMAS, MDD, Renal Cell Carcinoma, TTP, MEN, etc etc. Zanki has a bunch of them. I know them more or less just from doing Zanki throughout the years, but could have saved a lot of time if I sat down and really reviewed them and knew them cold.
- Review embryology and know it well. I hate embryology, and just put it off. Regrets rn lol.
- Review anatomy. The new NBMEs actually were fairly representative of the anatomy I had on my exam
- I know I wouldn't have listened to myself before taking it, but honestly I kinda wish I just watched Pathoma videos the night before. Even as my wife was driving me to the Prometric center I was going over a few things and some of those actually came up on my exam. Who knows what I would have gotten right if I watched a lot of Pathoma videos the night before. You'd be surprised at how many you can get through in ~4 hours. Many of the systems are 60-90 minutes long, so if you watch it on 1.5x you could finish watching 5 systems in Pathoma.
- The 2020 FA deck as well as the HY anatomy deck were pretty low yield and I don't remember any of it showing up on my exam. There's anatomy for sure, but I feel like the HY anatomy deck missed the mark when it came to what is on the actual exam. Wasted a ton of time on these decks.


Things that I did that ended up being really helpful
- I did 2 passes of Pathoma chapters 1-3 the last 4 weeks, doing 1 pass per 2 weeks. Holy crap this was HY on my exam.
- Making a separate deck for UW incorrects. At the beginning of dedicated I dreaded the thought of adding more cards but this turned out to be helpful. If I didn't feel like a factoid warranted a card, I made a google doc for UW incorrects as well and reviewed that sporadically. You don't know how beneficial this is until you finish all of UW and go back and work on your incorrects.
- This might be silly but... I got back into running. Maybe a month before dedicated I practiced a couple times wearing a mask doing practice problems and thought I was suffocating. Decided to run 4x/week and got my endurance up to where having a mask on didn't impact my breathing. But that might just be me being out of shape lolz
- I did NBME 16, 21, 22, and 24, and I wanna say I saw at least 3 questions repeated. Too bad I had no idea what I put last time or what the right answer was though.
- Praise be to Zanki

Anyways, I really don't know what to expect when it comes to my score. Left Prometric feeling very meh. Had low new NBMEs (21-220, 22-229, 24-227) and decent UWSAs (245 and 256) and Free 120 (85%). Reddit has me between 241 and 256, but I can only wish to hit 240+ right now. Hoping I did well enough to crack 230 but even that I'm not very optimistic. I gave it my all though, and truthfully despite wanting to have done a few things differently I have zero regrets.

Congrats on being done!! I can't wait to join you on the other side in about 92 hours. We have nearly identical practice exam scores and I am sure you did great. I guess I'll be reviewing all of the new NBMEs I took again real quick this week.
 
I thought it was pretty hard, and I felt very heavy new NBME vibes
Remember that if you thought this, everyone else did as well. I've seen mixed reports post-exam of "it was like the NBMEs" vs "it was UWSA2/Free 120". Seems like the curve adjusts for the discrepancy either way. Trust your scores and the predictor! Enjoy your freedom.
 
My COMLEX got bumped to July. My USMLE is in 2 days. I don't know how I'm going to keep on studying once I take step; is there even a point?

Grats to everyone whose finished with this slog by the way.
 
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My COMLEX got bumped to July. My USMLE is in 2 days. I don't know how I'm going to keep on studying once I take step; is there even a point?

Grats to everyone whose finished with this slog by the way.
Comlex sucks and doesnt matter lol Just rest until like a week or two before. You arent going to forget enough to fail in a a few weeks. Spend the last few days going OMM ham
 
My COMLEX got bumped to July. My USMLE is in 2 days. I don't know how I'm going to keep on studying once I take step; is there even a point?

Grats to everyone whose finished with this slog by the way.

7A78B06C-6CB4-4B24-9B11-3E557FDA184A.jpeg


Have you considered looking again to see if there’s dates nearby? Just saying, three of my four closest testing centers look like this right now. My state completely re-opened and I guess the Prometric locations here did, too.

I know when my COMLEX first got bumped I would have flown anywhere to get it done before I started rotations because I just wasn’t going to play that game. I want to honor all of my rotations and get great letters, and so I was initially looking all over the country for test dates (yes, seriously, I’m a nutcase). Fortunately, I was able to reschedule this month locally so it didn’t come to having to fly somewhere to find a test date. If anyone’s feeling like that right now, though, you can message me. This center in the pic is less than 3.6 miles away from a good-sized airport and I’d be happy to give you the details.


@Deecee2DO - I really hope that’s as far off as crap, honestly. It just predicted me at a 232 which is 1 point above my last NBME, but 22 points below my UWSA1 and even a full 12 points below the score predictor. It’s literally the low limit of my 95% confidence interval, and that’s scary.
 
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Remember that if you thought this, everyone else did as well. I've seen mixed reports post-exam of "it was like the NBMEs" vs "it was UWSA2/Free 120". Seems like the curve adjusts for the discrepancy either way. Trust your scores and the predictor! Enjoy your freedom.

I personally thought mine was identical to Uworld with a bunch of curveball bs questions mixed in.

There were a lot of easy, low-hanging fruit (e.g. obvious organism picture, pick the obvious treatment) and then a picking of impossibly difficult questions that I literally learned on the test.
 
After finally getting my schedule for the first couple of months of third year, I am so ready to be done with this exam already and just move on with my life.
I like to yo-yo throughout the day, getting excited that I'm 5 weeks away from being done, to "Oh god oh god step is only 5 weeks away"
 
Does anyone know if the "lab values" tab at the real thing has a search bar, or if it's just a plain Table like the NBMEs?
 
Does anyone know if the "lab values" tab at the real thing has a search bar, or if it's just a plain Table like the NBMEs?
was actually wondering this too but kept forgetting to ask


There is a search bar on the real exam and it will highlight the values just like it does on practice tests.
 
How hard is it to initiate a break on the exam? Do you need to memeorize your CIN to get back in?

Its easy. You just click to take a break after the block is over. You will write your CIN on a piece of paper at the beginning, no need to stress about any of it, everything is straightforward
 
Anything we have to bring with us other than an ID and the printed permit?
One person on Reddit recommended 2 forms of ID if you wanna be super safe because apparently the Prometric person gave them a hard time since their signature on their ID didn't exactly match the signature they used to sign in since it was like their original signature from when they were 15 lol. So, if ya wanna be extra cautious and have a passport or something lying around.
 
Is UWorld being weird for anyone else? I just tried to submit a block and it gave me an error message, and now when I try to log in I just get a blank screen?

Guess I just wasted an hour, that's fun.

Edit: Ok I found the test and it seems like it submitted but I can't review it or see my overall percent correct or anything. Guess there's some glitch on their end.
 
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Thoughts?

Page is undated but per page edits it looks like maybe it is from Feb of 2020. They don't list what their "extensive research" consisted of or what years their data is from. But it matches up reasonably well with the reddit score predictor.

I don't know how to interpret "NBME Q". Did the old NBMEs give you a score report out of 800? I forget.
 
Thoughts?

Seems overpredictive to me but im not sure lol it could be accurate but who knows. My roommate just took Step and said it felt fair. He said almost no Genetics/biochem and it was mostly systems. Flagged a little more than his usual amount that he does on UW blocks which seems normal if you are including experimentals. He was predicted at high 240s and felt like it was like doing 7 UW blocks except there were more questions that were gimmies than in UW. Overall said it was hard but fair
 
Thoughts?


I'll gladly take a 257 with my 75% in UWorld but I'm definitely not banking on that happening.
 
Thoughts?

I've seen this be considered both ways. Either its way to old to useful, or it predicted people accurately.

It has me at 10 points above the average for the Reddit predictor
 
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