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185 (Pre-Dedicated) - 250 - My Declassified STEP Survival Guide
185 (Pre-Dedicated) - 250 - My Declassified STEP Survival Guide
279
185 (pre-dedicated) --> 250 - my declassified STEP
survival guide
TL;DR UW Qs over everything (Anki). You don't need to know everything to get
that Q right. Your practice scores are overhyped. Goal: get the Q right on test
day. Maximizing ROI on study time is key. Confront your emotions at least
once before test day. Hope for the best, plan for the worst - there is a life
after STEP 1.
Better late than never, took my exam summer 2019. Even though everyone
says not to read reddit because the gunners, I did anyway. And yes it was
alarming at times, but the encouraging posts of people in a similar boat as
me really kept me going.
During dedicated and looking back, I was ready at 6 weeks. But i don't think
the extra week negatively affected my score. I do think it added to my anxiety
though.
2 NBME 22 219
3 NBME 21 219
4 NBME 23 225
5 UWSA1 251
6 NBME 24 240
6 NBME 18 236
7 UWSA 2 249
Background stats:
Been getting this Q a lot. When I booked my test date (5 months out or
so?) I originally had ~ 6 weeks.
1. UWorld
a. Every morning started with timed mixed question blocks. IMO,
doing Qs by subject don't use the question efficiently. You gotta
have it like how you'll see it on test day: timed mixed. Worked my
way from 80/day to 120/day. Reviewing took me HOURS in the
early weeks, but you will be able to go through faster as you learn
more.
b. UW explanations is THE best text. Use the search function to find
topics and figures. Treat UW explanations like a textbook. If i
needed a more detailed review I'd look it up in UW search bar. If I
wanted a quick review, looked it up in FA
2. Pathoma
a. you've heard it before so i'm not gonna repeat. One of the best
resources out there and extremely high yield.
b. **Pathoma Chapters 1-3** EXTREMELY HIGH YIELD. ~15-20% of
my actual exam
3. Sketchy
a. Pharm & Micro are gold. I didn't like sketchy initially but I grew to
like it. To really memorize the images, I found Zanki Pharm and
Pepper Micro decks to be very helpful. Knowing these sketches
will get you so many of the recall questions on STEP. I do think if
you wanna score 240+ you gotta get ALL of those recall questions
right. Should be reflexive.
4. Boards & Beyond
a. For things you need to be taught in more detail/ things not in
Pathoma.
b. I did not watch all of them. High yield ones i recommend: Neuro
(lesions), Immunology, any Physiology, Biochem (sometimes too
detailed, but his summary slides were good)
5. Anki: In hindsight, I spent too much time of my day doing anki cards. I
inefficiently was doing wayyy too many new cards/day and for too much
stuff. You cannot do all of Zanki for the first time during dedicated nor
should you. If you're an M1, start Zanki now alongside your school
curriculum. EDIT: Also basic Anki tips: if you are starting brand new
fresh, suspend all every single card. Then use Browse to search for
cards on topics you are struggling with and selectively unsuspend those
cards. This will help you not get overwhelmed with the cards. You don't
need to do all these full ass Anki decks to get the question right on test
day. Sure it might help, but there are more efficient ways IMO.
a. Zanki Step 1 deck
i. Zanki Sketchy Pharm
ii. Pathoma Chapters 1-3
iii. Vitamins and other random straight memorization BS
b. Pepper Micro (some Pharm) deck
c. Dorian 100 Anatomy concepts deck
i. This is the only resource you need for anatomy. No joke, 99%
of my anatomy questions were covered here. The pdf is
somewhere out there.
6. FA
a. You do NOT have to read this book cover to cover to do well.
Someone on here once said if you memorize the entire book you
are guaranteed 250+ and that's fucking malpractice lol. Not true. I
did read most of FA, but not all of it.
b. Good for quick review of high yield topics. Does not TEACH you.
c. Rapid Review is the most high yield part of FA. Review with friends
close to test day
7. EDIT: Supplements for weakest areas
a. BRS Physiology - personally really like the way this book reads.
logical flow. helps me understand physiology which is commonly
tested. You can't just memorize the basic hormones and functions.
You gotta understand what happens if they tilt the system one
way or the other.
b. BRS Biochem, Molecular bio, Genetics - good review for biochem
fed vs fasting. Detailed explanations of all those metabolic
pathways - don't need to memorize. BUT by reading these details,
it will help you understand and recall the big picture faster and
better.
So summary:
Qbank: UWorld
Quick Review: UW (search), Pathoma, FA
Detailed Review: Pathoma, UW
Comprehensive Learning: B&B, UW, BRS
Memory Aid: Sketchy, Anki
Golden Rules: ( I know I literally said there are no golden rules lol but here
they are)
Words of Wisdom:
breakdown (ok idk if these numbers add up i got confused halfway but
w/e lol)
10% Gimmes that I knew I got correct
40-50% Pretty sure I got correct (eliminated every other answer)
20-30% between 2 answers
10% educated guess, eliminated some answers
<5% completely guessed (short on time, didn't know, etc.)
The questions are not trying to trick you. The questions are mostly
straightforward, and if >51% of the vignette matches your
answer/diagnosis but 49% you're like wtf? Odds are, you probably
already have the right answer
The questions I got wrong, I probably got them wrong because I
just didn't know the info. Not because the question/answers were
tricky.
EDIT: Weirdly enough, I ended up finish my sections with significantly
more time than during dedicated. Even after going through my flagged.
Kinda freaked me out at first, but when reviewing the Qs i saw that i
really did eliminated all other answer choices and was very sure of my
answer. Maybe I was just reading faster that day idk? I don't think
everyone had the same experience, but if it happens to you, going
faster or slower than usual, don't freak out. Just keep moving along like
normal.
Edit: I thought the actual was easier than UW. Way easier than NBMEs. I
know you're like "easy for u to say you got a 250" and yes I agree BUT my
point is these resources are inherently over-preparing you and that's a
good thing. This just reiterates the Pareto principle. You want to feel like
its easy.
I feel like everyone just assumes everyone knows how to take tests so no one
talks about it. But in the beginning i did NOT know and was too scared to ask.
So i'm just gonna break down some of my strategies, sorry if it seems basic.
My Biggest Regrets:
Not having all of sketchy watched at least once before dedicated. (isn't
that big of a deal but would have saved me a lot of time)
Not starting zanki during preclerkships
Spending TOO much time on biochem
i had like 3-4 questions total on biochem. The vignettes were long
and gave you characteristic presentation of the one diagnosis. You
don't need to memorize every substrate product etc. Don't need to
recall but you do need to recognize biochem concepts and
diagnosis. UW is the best resource and example of how they will
ask biochem question. Yes memorize the specific enzyme or
substrate that is deficient. Know generally what biochem
pathways are activated and when (fasting or full etc)
Spent too much time on Anki during dedicated. I'd say 60% of my anki
time could have been cut out. Yes I knew a lot more facts than people
who didnt do anki. But i don't think that necessarily got me any points
that i wasn't already going to get. Try not to spend more than 1-2 hours
on anki/day.
Not taking the free 120 at the test center (who shall remain nameless).
I laughed at the thought of practicing at the test center and
thought it was lame af. I regret it so much.
The environment was so unfamiliar and anxiety inducing when i
got there on test day. The headphones were uncomfortable and i
spent a good 30 sec during my exam trying to decide whether to
use them or not.
Not reading the USMLE test taking tutorial/instructions that everyone
tells you to read before test day
so i actually did do this but i wanted to stress it to everyone. DO
THIS. Holy shit like as i was doing the tutorial i realized they
changed how to ELIMINATE ANSWER CHOICES. If I realized this on
test day, idk what would have happened.
Take your time and read this shit please. You're not a nerd. And
you will regret if you dont.
Edit: https://www.usmle.org/practice-materials/index.html
Not going to my friends engagement. still regret it today. I don't
remember what i studied that day but i would have remembered the
engagement.
Only focusing on the process of taking the exam and not focusing on
how I would feel during the exam.
the difference (for me) between taking a practice exam at home in
my pajamas and taking the real thing at the test center was
inexplainable.
As soon as i started the exam my heart was racing uncontrollably
and I thought I was going to pass out. But that's a story for
another post....
My point is, take care of your mental health during dedicated and
do not just suppress it. I suppressed the stress so much. I honestly
never envisioned life after the exam. It didn't exist to me. I
believed that as long as I studied, and knew all the material, I
would do well on the exam. But i learned the hard way, its not just
learning about the material, you gotta learn how to cope with your
stress and emotions because the ARE in fact very real. And like the
exam, if you don't practice with these, you won't know what to do
with them on test day.
Sharing my practice exam scores with friends/classmates
I loved taking practice exams with friends at the same time and
then reviewing with them after. Great way to get explanations
because everyone knows different things and tricks.
however, sharing scores was more damaging than reassuring.
Comparing yourself to other people (that you know or even
random people) can be very damaging if you don't know how to
deal with that.
Schedules:
I'm posting just some examples of my schedule. If you want the whole thing
let me know.
Weekly Schedule:
Anyway, the OS List is helpful if and ONLY IF you review it every single night.
Otherwise, you are literally just wasting time typing/writing up notes that you
never look at again and it doesn't stick. If you wanna see my OS list example
PM me or lemme know.
Final thoughts:
Its been 2 hours and I officially have procrastinated long enough lol
Take every piece of Step 1 advice as a suggestion not a requirement
cliche If you do your best, there is literally nothing else you can do.
There is a life after STEP 1
PM me with any questions :)
When did you realize you were dumb? we're all dumb
241 Haha
177 Table Summary - Ring Enhancing Brain Lesions for the USMLE
Not straight forward at all. Expect longer stems; uworld has shorter stems!
Not like nbmes not like uwsa.
Ethics 2-3q /block; 2 of which are things we are familiar with the third is
subjective af. Uworld, dirty usmle, Amboss article on ethics are enough. If you
have time do the 100 cases by cornard fischer; just the cases, skip the text.
PS: In case anyone is doing Amboss too, I currently doing 1-4 hammers.
https://i.redd.it/bhbt7uby9nx51.png
(disclaimer: not trying to discredit the good work done by the good people in
this sub, but things are getting a bit toxic)
Okay, I get that some reassurance that you will score somewhere between
your practice scores is nice, but this subreddit has taken it too far.
It's too arbitrary to be predictable. We all know people that got way above or
way below their predicted scores.
Practice exams are not just for practice, most if not all have new material and
Update: I’m alive. A bit nauseous, but I’m feeling better! I won’t comment what
was light/heavy on the exam as most of those posts are getting deleted
recently (pls don’t PM me too). My advice is UWORLD UWORLD UWORLD. I got
scared based on the recent posts here and kind of focused on NBMEs and
didn’t really review basic stuff, I wish I had redone my uworld flashcards. I feel
I underperformed a little bit, but hoping the curve isn’t bad and I fall on the
good side of my score prediction range. I will definitely do a write up when I
get my score, as I’m feeling pretty imposter at the moment with finishing the
exam. Much appreciated for the good vibes, I felt them!
50 Step1-243
So i got my score on 4 November. Was one of dose unlucky ones who decided
to give ppr on 19th oct, to avoid the changes. I have gone through so many
posts in this subreddit. Always comparing, checking how my scores would tally
to look for something similar. Always searching. So if you are someone like me
hoping to find a relatable story here s an effing one:
I started with bnb and uw . Highly recommend bnb for everything and kaplan
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