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Story time. I have step 1 scheduled in a month, and I feel very unprepared. I was a fairly sub-par student in the first two years of medical school. I passed everything but floated on by. (School was pass/fail). As a chronic procrastinator with then undiagnosed anxiety issues, first and second year were pretty bad. The week before each exam would turn into hyper cram mode where I'd be stress-vomitting and feeling awful. I'd know enough to pass the tests, but everything was crammed in short term memory. I feel like a complete idiot for my lack of foresight about studying for the short-term.
After second year ended and we started studying for step 1 I finally sought help and started meds. I decided to take medical leave between second and third year, and have been studying on-and-off for step 1 since. It's been a couple months of undisciplined studying. I now realize I don't remember anything from when I started studying since it was way back in April. I have a research opportunity set up for October through April/ May. Step 1 is scheduled for the end of September. I got Kaplan videos, which is amazing for people with awful backgrounds (like me), but it takes forever to go through.
My relationship with my girlfriend has suffered because of the studying/ not paying her enough attention/ freaking out about step 1. My parents, who are helping pay for med school, can't believe I needed the extra time/ am having such difficulties since I did really well at a top notch college. I failed the last NMBE I took by 2 points, and am wondering what to do. The current thought is to do tons of Kaplan Qbank questions (making sure I understand the answers), which I had been neglecting since they're so depressing. I'll take an NBME the week before, then see what's up. Any advice? My goal at this point is 225. It was 245 before I realized my horrible study mistakes.
Strengths: Cardio, GI, Resp, Immuno, renal
Weakness: Neuro, psych, repro, endocrine
Just awful: Biochem, pharm, micro
Edit: The latest possible time to do step 1 wold be the beginning of March. But- I'd have to redo all the forms with my school, talk to my parents about how I couldn't do it despite months of studying, and make things worse with my girlfriend (knowing I'll be done in Sept keeps her sane).
Has anyone had successful experience studying while doing research, taking a month off, then taking the exam?
I am sure someone has, but you seem to be looking for a way to halfass this exam and still do well. I'm sorry, but it's not going to happen. I was in a similar boat and had a girlfriend and other responsibilities and the only reason I didn't fail it is because I literally left town for the last two weeks after half-assing the first 6 and locked myself in a room.
Forget the research
Forget your family
Forget your girlfriend
The only way you will do well on this exam is if you give it 100% of your attention. If your goal is to simply pass and you are content with a 195, then you may be able to get away with less. But you need to have realistic expectations. I have gone through similar stuff like you and I am trying to warn you. Stop trying to find people to tell you what you want to hear and instead start studying as hard as you possibly can and put everything else in your life on the back burner until it's done. If you screw up your research opportunity, your relationship, whatever, deal with the aftermath and put the pieces back together when this test is behind you.
In case anyone is wondering, I got my act together and scored in the 230's on the reaholy l thing. Breaking up with that gf was one of the best decisions of my life. I went through Kaplan QBank and UWorld on random/ tutor mode/ untimed. I read every explanation and wrote down QBank info into first AID. Every single time I had a pharm question I reviewed the entire class of drugs, including mechanism of action/ side effects/ how each drug in the class differs. I made sure to fully understand each question before moving on to the next, including questions answered correctly. This process took 12 hours a day for months, was incredibly demoralizing for a while, but I forced myself to just do it.
I had a 162 on my first NBME at the end of second year, so the 230 range was a dream come true.
My anxiety has gotten under control to where I felt fine the entire week before step 1, and I slept well the night before. Therapy was so helpful.
I ended up doing Kaplan videos for biochem and pharm. Those (plus heme/onc) ended up being the categories off the chart on the happy end of my score report.
The current plan is to do third year with study guns blazing.