Hello there!
First off congrats for the great score.
I am an IMG and I've been trying to rise my NBMEs grades up for months. and no matter what I do I am still around the 220s.
so I want to ask what did you guys use?
yes I hear all the time that pathoma, First Aid, goljan audios and thats it.
but people here that scored 250 had to review something else right? could you please tell me more the resources I should cover in order to rise my score. thanks!
First Aid, Pathoma, UWORLD worked for me, along with a few other things (see below).
The main thing is to do a ton of questions. I used Kaplan Qbank before UWORLD, and all together ended up doing ~4,500 questions and 4 practice NBME's before taking STEP. Doing questions gives you context to all the facts found in FA, and also helps you find out your weaknesses.
Take UWORLD for example:
The proper way to do questions is to select all subjects, and set 46 (44 now!?!?!) questions, and do them all untimed and random. However, keep track of how much time you are spending on a section! If you are spending ~2 hours on a set, you may have to work on pacing. I always tried to finish a section in under 1 hour (the usual Step 1 time allotment).
When you finish a set of questions, REVIEW THEM ASAP. It would take me an additional 4-5 hours to review all the questions in one section. If you have to delay your question review, I would make it my goal to review them all in less than 24 hours.
If I got a question right, I would read the explanation and summary, and only put it into first aid if there was no mention of the topic. If I got a question wrong, I would highlight or add the topic to First Aid, add a sticky red flag strip to the page in FA, and at the end of the week review all the red-flagged pages of my FA book. This way I would review my missed topics twice, once immediately and again at the end of the week.
If I was weak in a subject (very weak, usually only getting 30-40% of questions right in the topic), I looked to other teaching materials to review IN ADDITION to FA, Pathoma, UWORLD. My 3 major weaknesses were Biochem, Micro, and Pharm, so I bought Lippincott Microcards, Lange Pharmcards, and reviewed the Kaplan High-Yield lectures in Biochem. Doing this brought my percentages up in UWORLD and also brought my NBME scores up.
In summary, the trick do doing well on Step 1 is doing lots of questions, and honing in on your weaknesses. FA is a REVIEW resource, not a teaching resource. If you are weak in a subject, you have to teach yourself everything about it before you can review the content in FA.
Best of luck!
***EDIT: Do not outline/add anything into FA except for UWORLD. Do not put content from Kaplan or other sources into it, or else your FA book will become an endless tome of despair.