USMLE USMLE - Official 2016 Step 2 CK Experiences and Scores Thread

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Trogdor_The_Burninator

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Hello everyone!

With 2016 around the corner, I thought it would be a good time to start this thread and continue the 2015 thread into the new year!

Similar threads from the past have been extremely helpful to me (and I'm sure) and many others.

Good luck to everyone taking Step 2 CK in 2016!
 
Thank you!! Should I take NBME 7 or UWSA? I am thinking UWSA since I have heard NBME 7 had a lot of left field questions and can unpredict/miss the mark on the types of questions on the real test? Is this true?

Unfortunately, I am doing them all and not just incorrects. I did half of it during the year and the first part of the summer, I went through all the questions I did + finished-up the Qbank. Now, I am just redoing the Qbank. I think I will have maybe like 5oo questions I won't get through by Wednesday, but I am getting fairly comfortable with these questions which is what I am aiming for/can anticipate why an answer choice is wrong. On Wednesday, I plan to do a 100 questions and take the rest of the afternoon off for myself. Drink some wine, eat a good meal and go to bed by 11 at the latest. 🙂

I decided to just read the FA section for Psychiatry in the CK book/focus on the few pages on FA for psychiatry for drug overdose/withdrawal stuff. Thank you, @Copenhagen for all your input!

I would do both, but if you absolutely have to choose, probably do UWSA as there is consensus that it is a stronger predictor of your final score - if that is what you want. For me, they were both good score predictors, and I am not the only one for whom NBME-7 worked. If you go 1-2 years back, then NBME-7 more consistently underestimated, but it has been re-calibrated since then, and also, most Qs can now be answered based on UWorld. That is how it always works with NBMEs.

The "problem" with UWSA is that it is very heavy on internal medicine, and if you think that step 2 CK will be the same, you will probably be surprised at the amount of behavioral and (difficult) OBGYN stuff encountered. On the other hand NBME-7 may have some very odd questions, but the balance, at least in my opinion, is somewhat closer to what you encounter on the real deal - both subjectwise, but also in terms of "WTF-ness" - and honestly, step 2 CK felt more like NBME-7 than UWSA. The funny thing is, that the curve for UWSA and NBME-7 is about the same. Both give you 265 for 90%, but NBME-7 is still perceived as being harder than UWSA. On the other hand, you need as much as 95% on NBME-6 to get a 271. 5% for 6 points, i.e., an awful curve - but it just has a lot of familiar questions and thus both feels easy and overestimates...
 
I just finished NBME 7 .. Because of all the horror stories i've heard about it , i've decided to take in untimed/ tutor mode for practice purpose rather than an assessment. I worked on it with a friend that is helping me out and he gave me 60 sec to answer and read most question . After answering each question we went through each answer choice and discussed why each one is wrong and what they could've changed to make it right . I honestly didn't think it was as bad as people thought, now i'm sure the fact that i was not under much pressure played a big part into it, but the over all content was not difficult .. I think i missed an avg of 5-6 questions per block . So not sure what this comes up to on the scoring scale .
255-260.
 
Ended-up taking NBME 7. Missed 29, landing me at a 246. 🙁(( This is terrible! That test frustrated me so much. There were so many questions that I missed that I was between two choices for. Ugh. And the test was worded SO POORLY. It's insane.

NBME 4: 240
NBME 6: 252
NBME 7: 246
 
Ended-up taking NBME 7. Missed 29, landing me at a 246. 🙁(( This is terrible! That test frustrated me so much. There were so many questions that I missed that I was between two choices for. Ugh. And the test was worded SO POORLY. It's insane.

NBME 4: 240
NBME 6: 252
NBME 7: 246
Don't sweat it. You are in that sweet spot where you will easily land 250+ if you keep your cool during the exam. Go back and see how many of those 29 you would have gotten correct if you had picked the simple choice that seemed a tad too simple.
 
Don't sweat it. You are in that sweet spot where you will easily land 250+ if you keep your cool during the exam. Go back and see how many of those 29 you would have gotten correct if you had picked the simple choice that seemed a tad too simple.

Thank you! That's the goal. I am taking it pretty easy for the next three days. Hopefully, it will go well. 🙂
 
Thank you! That's the goal. I am taking it pretty easy for the next three days. Hopefully, it will go well. 🙂
Exactly. Don't panic. Don't overdo it. Save your strength. You are right where you want to be. Now, it's just about the performance on that exact day.
 
Hi, I am an IMG, studied uworld for 2 months and took uwsa today and got 246, i am planning to take my exam in a week. please can someone advise me how to improve my score in a week? i had around 8 questions that i got wrong in each block and atleast 2 to 3 questions in each block were because i did not read the question properly and missed essential information, i am scared if i will repeat this error in my real exam. I did nbme 4 offline a week back and scored around 6, 5 , 3, 5 wrong in each of the 4 block
 
There is still NBME-3, although it would probably just annoy you. KapSim is an option. Cannot think of anything else.

oh.. I decided to delay my exam by another 2 weeks since my scores were up and down. Now, I am wondering how am I going to assess where I stand before taking the real thing 😕
 
oh.. I decided to delay my exam by another 2 weeks since my scores were up and down. Now, I am wondering how am I going to assess where I stand before taking the real thing 😕
If you can figure out a pattern determining why you got those Qs wrong, you are in good shape. You don't need another assessment, you just need to power through your weaknesses and Q-reading strategies, and you will be absolutely fine. You are not going to forget anything.
 
Hi, I am an IMG, studied uworld for 2 months and took uwsa today and got 246, i am planning to take my exam in a week. please can someone advise me how to improve my score in a week? i had around 8 questions that i got wrong in each block and atleast 2 to 3 questions in each block were because i did not read the question properly and missed essential information, i am scared if i will repeat this error in my real exam. I did nbme 4 offline a week back and scored around 6, 5 , 3, 5 wrong in each of the 4 block

First of all, don't compare number of wrong Qs between NBME 4 and UWSA directly. The curves are very different, and 19 mistakes in NBME 4 = approximately 250. You can make more mistakes per block during your real test, but score the same or maybe even higher.
If you can figure out a way to deal with the careless mistakes (you are bound to make some due to nervousness in block 1 and fatigue in blocks 7-8), you are in good shape for a 250+ which I assume is your goal. Do some of the high yield stuff that people always take about (they are not wrong). The fact that you know why you got some Qs wrong means that you will do better when it's time.
 
Hello guy. hope everyone is doing good .
I'm just looking for some advice.
I yesterday did my first assessment , NBME7 and I got 223 which is not my target at all (250+)
I have read MTB2&3 3 times , and did UWORLD twice 1st was 60+% , 2nd round 73%.
and I'm now in a state of confusion as my test is in 6 wks and I dont know what shall I do to increase my score
is there any thing I can do ? and other resources ?
I am thinking of doing uworld allover again , but unsure how it can help!



by the way what's CMS ?

and how about med ed vidoes ? I just knew about them , any recommendations ?

thnx
 
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Hello guy. hope everyone is doing good .
I'm just looking for some advice.
I yesterday did my first assessment , NBME7 and I got 223 which is not my target at all (250+)
I have read MTB2&3 3 times , and did UWORLD twice 1st was 60+% , 2nd round 73%.
and I'm now in a state of confusion as my test is in 6 wks and I dont know what shall I do to increase my score
is there any thing I can do ? and other resources ?
I am thinking of doing uworld allover again , but unsure how it can help!



by the way what's CMS ?

and how about med ed vidoes ? I just knew about them , any recommendations ?

thnx
CMS is the NBMEs' clinical mastery series. I did them all and thought they were worth the $. I took a page out of pholstens book and copy and pasted my incorrects and looked them up in uptodate. I saw an increase in my deficient areas after each set of 4 cms tests. Hope this helps.

http://www.nbme.org/students/sas/masteryseries.html
 
First of all, don't compare number of wrong Qs be.tween NBME 4 and UWSA directly. The curves are very different, and 19 mistakes in NBME 4 = approximately 250. You can make more mistakes per block during your real test, but score the same or maybe even higher.
If you can figure out a way to deal with the careless mistakes (you are bound to make some due to nervousness in block 1 and fatigue in blocks 7-8), you are in good shape for a 250+ which I assume is your goal. Do some of the high yield stuff that people always take about (they are not wrong). The fact that you know why you got some Qs wrong means that you will do better when it's time.
Thanks Copenhagen for your reply. Please can you let me know what is "the high yield stuff that people always talk about", sorry to be disturbing you again. I get scared at the start of each new block, planning to take 5 minutes break between all the blocks during my exams and Pray my Rosary.
 
Thanks Copenhagen for your reply. Please can you let me know what is "the high yield stuff that people always talk about", sorry to be disturbing you again. I get scared at the start of each new block, planning to take 5 minutes break between all the blocks during my exams and Pray my Rosary.
Don't worry about it. I didn't even plan my breaks. Just went with it, but still ended up using all my break time. Ate and drank on the way to the bathroom, did my business, and then walked back.

Some of the things that have often been mentioned as being high-yield are: HIV (everything... just everything), TB, preventive cardiology, cancer screening (this is a big one), pediatric immunodeficiencies, electrolyte/acid-base disturbances, trauma / emergency medicine / poisoning, psych. pharma.
 
Hello guy. hope everyone is doing good .
I'm just looking for some advice.
I yesterday did my first assessment , NBME7 and I got 223 which is not my target at all (250+)
I have read MTB2&3 3 times , and did UWORLD twice 1st was 60+% , 2nd round 73%.
and I'm now in a state of confusion as my test is in 6 wks and I dont know what shall I do to increase my score
is there any thing I can do ? and other resources ?
I am thinking of doing uworld allover again , but unsure how it can help!



by the way what's CMS ?

and how about med ed vidoes ? I just knew about them , any recommendations ?

thnx
I definitely agree with EmergDoc2B that doing the CMS-questions is a good idea. I did almost all of them myself. They give you a good sense of the vagueness of the questions on the real test. Some of them are extremely similar to what you will see.

73% during 2nd pass is relatively low and makes me curious. I am sure you know all the basic stuff; I would not bother with that anymore, but am mostly wondering how you have approached your wrong/marked/difficult questions. Do you read the explanations thoroughly for both the correct and wrong answer choices? Have you identified any subjects that you are particularly weak in, or is it scattered all over the place?
 
I honestly cannot remember precisely, but it FELT like there was more on the real deal.

Thanks , i was gonna tackle UWSA tomorrow , but think i'm gonna postpone few days in order to review Biostat .. I've been dreading this moment for a while .lol
 
CMS is the NBMEs' clinical mastery series. I did them all and thought they were worth the $. I took a page out of pholstens book and copy and pasted my incorrects and looked them up in uptodate. I saw an increase in my deficient areas after each set of 4 cms tests. Hope this helps.

http://www.nbme.org/students/sas/masteryseries.html

aha thnx , I guess I'll do as much as possible of them,
but should I do UWORLD 3rd time? or just stick to my notes and MTB2&3 ?
and which CMS forms are the highest yield to do ?
and what do you think about Meded courses ? are they worthy ?



I definitely agree with EmergDoc2B that doing the CMS-questions is a good idea. I did almost all of them myself. They give you a good sense of the vagueness of the questions on the real test. Some of them are extremely similar to what you will see.

73% during 2nd pass is relatively low and makes me curious. I am sure you know all the basic stuff; I would not bother with that anymore, but am mostly wondering how you have approached your wrong/marked/difficult questions. Do you read the explanations thoroughly for both the correct and wrong answer choices? Have you identified any subjects that you are particularly weak in, or is it scattered all over the place?

I read every single explanation and wrote down notes for every question, whether correct or wrong
I really couldn't identify any subjects I'm weak in in particular .. yeah you can say it's somewhat scattered
but maybe OBGYN and Pedia were the weakest

I think I can do most of CMS-questions before giving my test , do you think if I consider doing them and read my notes along with MTB2&3 would significantly help ? do I need to do UWORLD allover again ?
what about adding Meded courses ?

I am sorry for bothering you with lots of question but I'd appreciate any reply
 
Don't worry about it. I didn't even plan my breaks. Just went with it, but still ended up using all my break time. Ate and drank on the way to the bathroom, did my business, and then walked back.

Some of the things that have often been mentioned as being high-yield are: HIV (everything... just everything), TB, preventive cardiology, cancer screening (this is a big one), pediatric immunodeficiencies, electrolyte/acid-base disturbances, trauma / emergency medicine / poisoning, psych. pharma.
Thanks Copenhagen 🙂
 
Thanks , i was gonna tackle UWSA tomorrow , but think i'm gonna postpone few days in order to review Biostat .. I've been dreading this moment for a while .lol
I know the feeling. UWSA is like a rehearsal. Just get it over with 🙂 It doesn't lie, and there's still time to tweak your performance. Biostat IMO is pretty doable. If you panic when you see a drug ad or an abstract, just skip it and return to it by the end of the block. That way, you won't waste valuable time overthinking and it's not like you will get more points for doing biostat Qs vs. something else. I'm pretty sure I got all stat Qs correct, but I had an abstract with 3 Qs in block 6 or 7. I was pretty tired by then and didn't feel like I could handle the calculations required in the last one of these Qs because my mind was mixing up everything, so I just guessed based on experience with similar numbers, marked, and moved on. Returned to it after having completed the rest of the block and had 5-10 min to actually use the calculator. Took a deep breath and checked the result - this time without being afraid of having to "steal" time from other questions.
 
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I read every single explanation and wrote down notes for every question, whether correct or wrong
I really couldn't identify any subjects I'm weak in in particular .. yeah you can say it's somewhat scattered
but maybe OBGYN and Pedia were the weakest

I think I can do most of CMS-questions before giving my test , do you think if I consider doing them and read my notes along with MTB2&3 would significantly help ? do I need to do UWORLD allover again ?
what about adding Meded courses ?

I am sorry for bothering you with lots of question but I'd appreciate any reply
I love your username, it reminds me of "Mr. Terrific" from the DC Universe.

I have not used online MedEd, so I cannot really comment on that. My feeling is that you know what you need to know but you are having trouble applying your knowledge to USMLE style questions. Personally, I would not read MTB again, but your own notes might be helpful.

I would do a subject mode 3rd pass in UWorld, beginning with the weakest subject and so forth, i.e. OBGYN -> Pediatrics -> and so on. I would blend in the related CMS forms. I would do all 24 forms if I were you. You could do 1 per day to not get overheated. Look up the information for the difficult / wrong questions in your notes (because familiarity always helps memory), Uptodate.com, or any other source you feel comfortable with.

However, that being said, I would not blindly do a complete UWorld pass. I would only do the marked/incorrect questions. You definitely know most of the material, and you should not waste time on the information that you have already consolidated.

You might be wondering why I am suggesting subject mode this late in the process. Well, first of all, I never did a formal random mode pass myself, and given your situation, it might help you really understand each and every subject better with their little tips and tricks. The overlap between questions will also help you build confidence which is your best friend right now, because you will start to get that "oh yeah, I know this because so and so" feeling more often. Mixing it up with CMS for each subject will give you a strong pre-test foundation and will make more sense then throwing these forms in randomly. You want that "I can handle this subject, let's move on" feeling. Work hard on separating the useful information in the stems from the useless, even if it means that you need to do untimed mode every now and then.
 
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Hello guy. hope everyone is doing good .
I'm just looking for some advice.
I yesterday did my first assessment , NBME7 and I got 223 which is not my target at all (250+)
I have read MTB2&3 3 times , and did UWORLD twice 1st was 60+% , 2nd round 73%.
and I'm now in a state of confusion as my test is in 6 wks and I dont know what shall I do to increase my score
is there any thing I can do ? and other resources ?
I am thinking of doing uworld allover again , but unsure how it can help!



by the way what's CMS ?

and how about med ed vidoes ? I just knew about them , any recommendations ?

thnx

If you have 6 weeks , then Hell Yeah onlineMed is worth it .. UWorld a 3rd time, i think is waste assuming you took good notes the 1st few runs . I would do CMS questions instead , and the onlinemed questions along with his vid and notes . I would also lock up your MTB books in your basement , you've already used them for what they are intended for and that is an INTRO to CK topics , it's time that you solidify your knowledge and work of problem solving.
 
If you have 6 weeks , then Hell Yeah onlineMed is worth it .. UWorld a 3rd time, i think is waste assuming you took good notes the 1st few runs . I would do CMS questions instead , and the onlinemed questions along with his vid and notes . I would also lock up your MTB books in your basement , you've already used them for what they are intended for and that is an INTRO to CK topics , it's time that you solidify your knowledge and work of problem solving.
Oh nice, I had no idea that onlinemed had Qs. +1 from me then. I thought it was more didactic - thanks, 1badvette!
As I said, it is quite difficult to see where problem is specifically, but you might benefit from:
- Really taking a good look at the question stems and comparing the subtle differences that may or may not change the scope of the question, something I have mentioned before.
- Overlapping with the above, you may need to work on extracting the important parts of a stem and filtering out the useless parts.
- You could try not to look at the answer choices at first, but come up with an answer yourself. Maybe all the choices are simply confusing you as many of the distractors are correct TO SOME EXTENT.
- If you do choose to look at the choices, you might want to assign each option an approximated percentage before answering. It sounds trivial, but some people benefit from this strategy.
 
aha thnx , I guess I'll do as much as possible of them,
but should I do UWORLD 3rd time? or just stick to my notes and MTB2&3 ?
and which CMS forms are the highest yield to do ?
and what do you think about Meded courses ? are they worthy ?





I read every single explanation and wrote down notes for every question, whether correct or wrong
I really couldn't identify any subjects I'm weak in in particular .. yeah you can say it's somewhat scattered
but maybe OBGYN and Pedia were the weakest

I think I can do most of CMS-questions before giving my test , do you think if I consider doing them and read my notes along with MTB2&3 would significantly help ? do I need to do UWORLD allover again ?
what about adding Meded courses ?

I am sorry for bothering you with lots of question but I'd appreciate any reply
I just dont see the efficacy in doing the same questions a 3rd time. If you wrote down your incorrects study those only and move on to the CMS tests using the nmbe's and UWAS to guide your deficiencies. Or better yet if you have the $ just do them all and research your incorrects. Also, I read each subject in MTB and FA before starting the CMS just to layer my studying. I didnt smash my test like Copenhagen but hit the 90 percentile. Im not a stellar student but Im not bottom quartile either. My point is be dogged in your study habits do not get frustrated. You are doing questions to learn not rock the practice tests. The scores will come as long as you do the work. You got this! Genius is 1% inspiration and 99% perspiration.
 
I just dont see the efficacy in doing the same questions a 3rd time. If you wrote down your incorrects study those only and move on to the CMS tests using the nmbe's and UWAS to guide your deficiencies. Or better yet if you have the $ just do them all and research your incorrects. Also, I read each subject in MTB and FA before starting the CMS just to layer my studying. I didnt smash my test like Copenhagen but hit the 90 percentile. Im not a stellar student but Im not bottom quartile either. My point is be dogged in your study habits do not get frustrated. You are doing questions to learn not rock the practice tests. The scores will come as long as you do the work. You got this! Genius is 1% inspiration and 99% perspiration.

True. The main reason why I suggested our friend, Mr. Wonderful, that he might look at his incorrects/marked questions in UWorld was not to blindly answer them again, but mainly try to figure out why he is getting them wrong - perhaps a pattern could be found. He has read the basics + answer explanations several times, so I am pretty sure, the background knowledge is all there, but it is mostly an application/interpretation issue - which is why he could easily power through the less than 30% of UWorld if it made him gain confidence. However, new questions are obviously better than familiar questions, and CMS should definitely be the first priority. Also, when I wrote that first answer, I did not really know what OnlineMedEd was about.

Mr. Wonderful: Just remember that everyone learns differently, and as long as you are seeing an increment in your performance, you should trust your own prep more than anything else. You want to be on top of your game on test day, not 1.5 months ahead. 6 weeks is more than adequate to get ready. Stay confident. Do another NBME in 2 weeks. Re-evaluate the chosen strategy (as you can see, there are plenty of ways to do it) if you do not perform better. There will still be plenty of time to take care of all weaknesses. Lastly, if you already know exactly why you got those questions wrong, then please forget my first post regarding UWorld - in that case, I definitely agree with what 1badvette and EmergDoc2B wrote.
 
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and which CMS forms are the highest yield to do ?
This is my prioritized list (I did not do the ones for internal medicine).
Remember that I can only speak for myself and for the exact test that I was subjected to. You may be stronger or weaker in certain areas, and you will get different questions than I did:
1. Psychiatry. Exactly like the real deal. Master these and you will master psychiatry on step 2 CK. This is a must from me.
2. Neurology. Yes, I am ready to take the beatings. Neurology is not exactly a high-yield subject on step 2 CK, but like psychiatry, CMS equals the real deal. Easy points. As I wrote previously, keep in mind that this is based on the fact that I have not taken step 1. However, 3-4 subjects are definitely favored in neurology. If you do the CMS, you will see this pattern very quickly and you can potentially get most of those questions correct. If you feel strong in neurology, skip to no. 3 on the list.
3. Pediatrics. Pediatrics went all the way from "WTF" to "why am I getting 4 questions full of buzzwords on this super easy-to-spot condition?". I definitely had a significant number of questions that resembled the ones on CMS A LOT, and I am glad that I did these forms. Just remember that pediatrics is a HUGE subject, and it is impossible to be 100% prepared. Still, even the difficult questions had stems that looked like the ones on the CMS forms and thus the latter will help you get in shape.
4. Obstetrics and gynecology. Like pediatrics, the OBGYN on my real deal was all over the place and turned out to my worst subject by far. This was a bit surprising for me as I was hitting a solid 90th+ percentile on UWorld and had CMS scores of 25+. Like Phloston wrote, the questions on the real deal were very similar to the ones on CMS, and I agree for the most part. However, there were a few difficult plot twists and more vagueness which required you to know parts of guidelines you (or at least I) had not really considered. The subjectiveness ("gut feeling") really came into play on this one.
5. Surgery. It is not that the questions do not resemble the real deal, they do. However, if you have done Pestana and UWorld and know your trauma and pre-post-op algorithms, the benefit/disadvantage ratio in terms of time is much lower than for the other subjects.
 
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Long time lurker, thought I would post my experiences from my exam and how I studied. Will update once I have my scores.

Study time: 6 weeks total

UWorld:
I did all of Uworld during my rotations during third year, my average was 69%. I made a document of 300 pages-ish with notes from each question.
Reset the bank during my specific study time, ended up with a 78% this time around; last 10 blocks 80s mostly, some 90s and 70s scattered in there. I didn't care too much about %, as I thought I would much rather get something wrong and learn from it then obsess over my score! During this time, I would do two blocks a day (sometimes 3 if I was feeling ambitious, sometimes 1 if I was burned out) and every day I would read 10 pages of my document with my notes, and every time I would get to a concept I wasn't 100% sure on or didn't remember all of the details to I would search it in Step up to medicine (or uptodate), just read over the section quickly, jot down anything I felt like was very helpful or important by the question and then keep going. Rinse and repeat every single day. What a grind. As I was doing my blocks of uworld, I would also go back to my document and search the question and jot down any notes I thought I needed added from the answer I got from world. Ended up making it through my document 2 times (maybe 3, I wasn't keeping track) and that final time through I started writing down the "things I still can't seem to remember". I reviewed this set of notes the two days leading to my exam. Tedious tedious tedious, but I am not one of those people that reads things and just gets it! Also read through some of MTB2/3 but honesty I think I just made it through the IM section, maybe the surgery section and peds but didn't have time to finish the whole thing. Meh, there's only so much you can do.

NBME:
School administered nbme 6 week from my test/ start of prep: 216
NBME 4 (3 weeks out): 248
NBME6 (2 weeks out): 260
Free "150" (120...) two days out: 88%

Test day:
I know this is what everyone says, but man... I do not feel good about this test at all. The night after my exam I could barely sleep, I kept remembering questions I got wrong (10-12, just completely wrong answers... and they were not hard questions... these were the gimmes, so imagine how that hard ones actually went... who knows). I just felt steam-rolled. On all the Uworld and NBME practice I took I would always have 10-15 min left over to review marked questions. Here, I was barely finishing in time-- at most I would have 3-4 minutes to go back to some of the marked questions, but not all and even then I would read the question again and still think "wtf, no I have no idea, just leave what you have"😡. Also, if I have to scroll to read the question... I think it's a tad long. A lot of questions had multiple sets of labs, I remember getting to one and mentally being like "oh dear god, what is this":bear:. I tried to stay calm, keep trucking. I took a break between every single section, ate some chocolate and took a few sips of my coffee. I left the center, got into my car and cried all the way home. Perhaps from the exhaustion, but mostly from the awful nauseating feeling I had after this test. I had hoped for a huge surge of relief after so many weeks of studying. Anyways, I went into this exam thinking I think I can dominate, I think I can get a 240, Ive worked so hard, maybe maybe I can pull this off. Left the exam hoping to be above a 220 honestly. :vomit: The wait is brutal, and honestly I don't know what more I could've done. I think I could've studied for another month and still walked out of that exam feeling about the same. Hope you guys had better experiences. Fingers crossed, lots of prayers, and will update when I get my score. 🤔
 
I took it today and that was a tough test.

Time:
I felt like this was an issue. I did not believe the people that finished their NBMEs 30 minutes ahead of time per block and was scrunched on time on the real deal. But now I do. I didn't get a chance to review my questions, but if I had, I think I would have scored a few extra points. Pace yourself. Seriously.

Abstracts:
I had three questions on one topic and it was nearly impossible to figure it out. I just guessed on these questions and hope I get at least of them right.

Unfamiliar questions:
There were multiple questions that no resources covered and I felt like I was taking my best shot at them. Here's a hint: pick the simplest answer. There were two questions that I wish I had gone with my gut instinct.

Statistics:
Not bad

Psych:
Hard!! Know your psych.

I think NBME 7 is pretty accurate as to how frustrating the test is. I hope I land where I was with that test. We shall see.
 
I took it today and that was a tough test.

Time:
I felt like this was an issue. I did not believe the people that finished their NBMEs 30 minutes ahead of time per block and was scrunched on time on the real deal. But now I do. I didn't get a chance to review my questions, but if I had, I think I would have scored a few extra points. Pace yourself. Seriously.

Abstracts:
I had three questions on one topic and it was nearly impossible to figure it out. I just guessed on these questions and hope I get at least of them right.

Unfamiliar questions:
There were multiple questions that no resources covered and I felt like I was taking my best shot at them. Here's a hint: pick the simplest answer. There were two questions that I wish I had gone with my gut instinct.

Statistics:
Not bad

Psych:
Hard!! Know your psych.

I think NBME 7 is pretty accurate as to how frustrating the test is. I hope I land where I was with that test. We shall see.
Love this. Sounds like an echo 😉 250+. Now go do something stupid for the next few days.
 
Long time lurker, thought I would post my experiences from my exam and how I studied. Will update once I have my scores.

Study time: 6 weeks total

UWorld:
I did all of Uworld during my rotations during third year, my average was 69%. I made a document of 300 pages-ish with notes from each question.
Reset the bank during my specific study time, ended up with a 78% this time around; last 10 blocks 80s mostly, some 90s and 70s scattered in there. I didn't care too much about %, as I thought I would much rather get something wrong and learn from it then obsess over my score! During this time, I would do two blocks a day (sometimes 3 if I was feeling ambitious, sometimes 1 if I was burned out) and every day I would read 10 pages of my document with my notes, and every time I would get to a concept I wasn't 100% sure on or didn't remember all of the details to I would search it in Step up to medicine (or uptodate), just read over the section quickly, jot down anything I felt like was very helpful or important by the question and then keep going. Rinse and repeat every single day. What a grind. As I was doing my blocks of uworld, I would also go back to my document and search the question and jot down any notes I thought I needed added from the answer I got from world. Ended up making it through my document 2 times (maybe 3, I wasn't keeping track) and that final time through I started writing down the "things I still can't seem to remember". I reviewed this set of notes the two days leading to my exam. Tedious tedious tedious, but I am not one of those people that reads things and just gets it! Also read through some of MTB2/3 but honesty I think I just made it through the IM section, maybe the surgery section and peds but didn't have time to finish the whole thing. Meh, there's only so much you can do.

NBME:
School administered nbme 6 week from my test/ start of prep: 216
NBME 4 (3 weeks out): 248
NBME6 (2 weeks out): 260
Free "150" (120...) two days out: 88%

Test day:
I know this is what everyone says, but man... I do not feel good about this test at all. The night after my exam I could barely sleep, I kept remembering questions I got wrong (10-12, just completely wrong answers... and they were not hard questions... these were the gimmes, so imagine how that hard ones actually went... who knows). I just felt steam-rolled. On all the Uworld and NBME practice I took I would always have 10-15 min left over to review marked questions. Here, I was barely finishing in time-- at most I would have 3-4 minutes to go back to some of the marked questions, but not all and even then I would read the question again and still think "wtf, no I have no idea, just leave what you have"😡. Also, if I have to scroll to read the question... I think it's a tad long. A lot of questions had multiple sets of labs, I remember getting to one and mentally being like "oh dear god, what is this":bear:. I tried to stay calm, keep trucking. I took a break between every single section, ate some chocolate and took a few sips of my coffee. I left the center, got into my car and cried all the way home. Perhaps from the exhaustion, but mostly from the awful nauseating feeling I had after this test. I had hoped for a huge surge of relief after so many weeks of studying. Anyways, I went into this exam thinking I think I can dominate, I think I can get a 240, Ive worked so hard, maybe maybe I can pull this off. Left the exam hoping to be above a 220 honestly. :vomit: The wait is brutal, and honestly I don't know what more I could've done. I think I could've studied for another month and still walked out of that exam feeling about the same. Hope you guys had better experiences. Fingers crossed, lots of prayers, and will update when I get my score. 🤔
Let me tell you something. I once had an ex who cheated on me with a senior resident and became pregnant from that ONS. I felt worse after step 2 CK.
This test is meant to destroy you mentally and physically, and you will be shaken for a long time. Even after you get your scores, there is going to be some residual fatigue. I wish I could say "just focus on something else and wait for your scores", but that seems to be an impossible task. However, bombing the test with practice scores like yours is something that we have only very rarely seen on this board - and by bombing, I mean getting a 10-20+ lower score than your practice tests. Trust your prep. Trust your caffeine. And chocolate is just awesome. I counted > 80 Qs that confused me and by looking them up I knew that I had at least 25 of them completely wrong. A similar no. of very simple gimmes to what you are stating. This happens to all of us. But odds are, it won't affect your score compared to your practice tests.
 
Feeling pretty bad right now. I'm scheduled to take Step 2 in a little over a week, I just took NBME 6 today ad NBME 4 a week ago, and got 200-210 on both of them. It looks like I'll be postponing, though I'm not even sure that would help.
I've been doing Uworld all topics timed, 3-4 blocks a day. Does anyone recommend going through by sub-categories? I'm thinking that might help me organize the information better in my head.
 
Feeling pretty bad right now. I'm scheduled to take Step 2 in a little over a week, I just took NBME 6 today ad NBME 4 a week ago, and got 200-210 on both of them. It looks like I'll be postponing, though I'm not even sure that would help.
I've been doing Uworld all topics timed, 3-4 blocks a day. Does anyone recommend going through by sub-categories? I'm thinking that might help me organize the information better in my head.

If your able to go through 3-4 blocks of Uworld a day .. Your not using Uworld correctly or what it's intended for.
 
3-4 blocks a day on a first pass during rotations is careless. 3-4 blocks a day on a second pass during dedicated is manageable. 3-4 blocks a day while scoring 200-210 on NBMEs means the poster is just breezing through it without gaining much.
I super appreciate everyone's thoughts, I'm clearly doing something wrong! I'm reading the explanation to each question (except the gimmes) and taking notes on my incorrects, but I haven't been rereading those notes much, and I've noticed there are a few things I've written down several times. I guess I'd better focus more on reviewing at the end of the day, instead of just trying to charge through the maximum number of blocks.

I don't know how much of a score bump I could possibly hope for in two weeks time, although I am getting more efficient.
 
Let me tell you something. I once had an ex who cheated on me with a senior resident and became pregnant from that ONS. I felt worse after step 2 CK.
This test is meant to destroy you mentally and physically, and you will be shaken for a long time. Even after you get your scores, there is going to be some residual fatigue. I wish I could say "just focus on something else and wait for your scores", but that seems to be an impossible task. However, bombing the test with practice scores like yours is something that we have only very rarely seen on this board - and by bombing, I mean getting a 10-20+ lower score than your practice tests. Trust your prep. Trust your caffeine. And chocolate is just awesome. I counted > 80 Qs that confused me and by looking them up I knew that I had at least 25 of them completely wrong. A similar no. of very simple gimmes to what you are stating. This happens to all of us. But odds are, it won't affect your score compared to your practice tests.

This post made me feel so much better. Thank you. I was kicking myself because I definitely missed at least 15 questions because of tiredness/just couldn't think. Looking back, I don't think I would have missed if the test hadn't been so long/if I just a little bit more time. Throughout the whole thing, I knew I was getting frustrated but I tried not to let it affect me...it was especially crushing after I couldn't answer any of the three abstract questions...I just simply didn't have enough time/terminology that was used/stats that were used were WAY over my head. Give my lowest test score was a 240 and my highest a 252, I am hoping I did somewhere in between. I don't feel good about that test. At all.
 
No, your point was clear. Dumb, but clear.

Relax boss, The guy is struggling and i just gave my personal opinion .. I'm under the assumption that it's his 1st pass , and even if it's not , at the rate of 3-4 blocks per day his mostly likely hitting the superficial layer of Uworld .
 
Feeling pretty bad right now. I'm scheduled to take Step 2 in a little over a week, I just took NBME 6 today ad NBME 4 a week ago, and got 200-210 on both of them. It looks like I'll be postponing, though I'm not even sure that would help.
I've been doing Uworld all topics timed, 3-4 blocks a day. Does anyone recommend going through by sub-categories? I'm thinking that might help me organize the information better in my head.
Here are my thoughts. Feel free to agree or disagree, we all have our own way of doing things.

I do agree with the above posters that you are going through UWorld too fast - i.e., too fast for you.
I actually hardly did more than 1.5 blocks per day. The first day of every new subject, I only finished 1 block. I am doing a Ph.D. as my full-time job so I could not do more than 4-8 hours per day, but even if I could spare a full day, e.g. during the weekends, it was usually just one block. I really just embedded myself into that block. I cross-referenced with my own notes, Uptodate, etc. I did subject mode for the exact reason, you are stating. I wanted to organize the information and really understand it brick by brick, being able to recall information, algorithms, etc. whenever I saw a similar or related Q, before I dove into another specialty. I would pause, close my eyes, say the essentials out loud. Tell myself what made this Q different and why I answered something else on the previous Q related to that same condition.

I think that first - sometimes even second for the larger blocks - very thorough day on each subject was very helpful. It meant that I could very quickly power through the next blocks because a lot of things would be familiar, especially when it came to the explanations - I could skip a lot of them on the next block, because there would be repeats - and I would recognize them.

Seeing that you have taken notes more than once on some specific diseases means that you are not consolidating the information before moving on. Some people may be able to retain everything from 3-4 blocks per day, but I am not one of those people and it does not seem as if you are either. Postpone 3-4 weeks and try a different strategy. You don't want to go to enter that exam room praying for a pass - but you will coming out, because we all do that. I am not saying that my way is the best way, but it might be worth a shot if you think it looks reasonable. Remember that you don't need to see things again and again if you are thorough the first time.

I did not do a formal second pass, I just did the incorrects and marked for a few subjects I had trouble with (mostly non-IM stuff). My mistakes on step 2 CK were not related to lack of prep. They were mostly due to sleep deprivation and overanalyzing. I simply fell for some of their tricks. There is always going to be a handful of questions that make no sense - or leave you clueless. To mess with your mind. They won't affect your score if you stay calm.

Good luck and feel free to ask if you have any other concerns. Your situation is really not that bad. In fact, look at it this way: it takes 60-70% correct answers to get a 209 and pass step 2. You're already hitting that score on your practice tests. Use the material well and you can easily improve your score very significantly.
 
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Here are my thoughts. Feel free to agree or disagree, we all have our own way of doing things.

I do agree with the above posters that you are going through UWorld too fast - i.e., too fast for you.
I actually hardly did more than 1.5 blocks per day. The first day of every new subject, I only finished 1 block. I am doing a Ph.D. as my full-time job so I could not do more than 4-8 hours per day, but even if I could spare a full day, e.g. during the weekends, it was usually just one block. I really just embedded myself into that block. I cross-referenced with my own notes, Uptodate, etc. I did subject mode for the exact reason, you are stating. I wanted to organize the information and really understand it brick by brick, being able to recall information, algorithms, etc. whenever I saw a similar or related Q, before I dove into another specialty. I would pause, close my eyes, say the essentials out loud. Tell myself what made this Q different and why I answered something else on the previous Q related to that same condition.

I think that first - sometimes even second for the larger blocks - very thorough day on each subject was very helpful. It meant that I could very quickly power through the next blocks because a lot of things would be familiar, especially when it came to the explanations - I could skip a lot of them on the next block, because there would be repeats - and I would recognize them.

Seeing that you have taken notes more than once on some specific diseases means that you are not consolidating the information before moving on. Some people may be able to retain everything from 3-4 blocks per day, but I am not one of those people and it does not seem as if you are either. Postpone 3-4 weeks and try a different strategy. You don't want to go to enter that exam room praying for a pass - but you will coming out, because we all do that. I am not saying that my way is the best way, but it might be worth a shot if you think it looks reasonable. Remember that you don't need to see things again and again if you are thorough the first time.

I did not do a formal second pass, I just did the incorrects and marked for a few subjects I had trouble with (mostly non-IM stuff). My mistakes on step 2 CK were not related to lack of prep. They were mostly due to sleep deprivation and overanalyzing. I simply fell for some of their tricks. There is always going to be a handful of questions that make no sense - or leave you clueless. To mess with your mind. They won't affect your score if you stay calm.

Good luck and feel free to ask if you have any other concerns. Your situation is really not that bad. In fact, look at it this way: it takes 60-70% correct answers to get a 209 and pass step 2. You're already hitting that score on your practice tests. Use the material well and you can easily improve your score very significantly.

This is probably the most thoughtful, thorough, and helpful advice I've ever received on SDN, and I really, really appreciate it 🙂. I'll definitely be pushing the test date back, I just have to decide on either an extra 2 or extra 4 weeks, during an outpatient rotation.

Any advice/opinions on scheduling, in terms of when residencies would see my score? I'm guessing if I take it by early September, they would probably get it with my MSPE, and by late September they'd only see it if they're already inviting me to interview. My step 1 was ~215, so maybe it's best to take Step 2 earlier to prove I can pass it, or alternatively take it a bit later and show I can actually do well on it (healthy optimism lol).
 
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