before you start studying, set your goal. A passing score on Step 1 is 188.

The
national average is 221.
The most competitive specialties have average scores of around 240.
Probably the best resource for what you need to do to match into particular
specialties can be found here, the NRMPs report on Charting Outcomes in the
Match.
It goes into volunteer, research, and other activities as well as Step 1 scores for
matched applicants in different specialties.
If you know what specialty you want, youll have a good target for your score.

If youre not sure what you want to do, youll want to score as high as possible.
I wasnt too sure going into the test, so I set a goal of 245. That way I wouldnt
be kept out of any specialty based on my score.
I needed to spend plenty of time studying, especially since my first practice test
was a 208.

Start studying early

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Looking back, I wish I would have been using the resources I used for my USMLE prep
throughout first and second year. That way I would have been more familiar with the
resources when it was time to really study. That said, it worked out ok without
doing that, so dont get too stressed out if youre looking at your prep materials
for the first time now.

Our school gave us about two months to really study for Step 1 (meaning we didnt
have any classes scheduled during that time). I would recommend starting relatively
serious study starting in January of your second year and really serious study for
2-3 months before you take the test. That should give you enough time to get your
best score.

Choose the right resources

Choosing the right resources will depend partly on your learning style, but there
are a few that are must-haves.

1. A question bank
Theres always the debate about whether Kaplan or USMLE World is the better
question bank. I used USMLE World and loved it.

The thing that impressed me most about USMLE World was how similar the questions on
the QBank were to those on the actual exam. When I came to the test, I felt as
though I was just taking another set of questions from USMLE World.

Also, the explanations of questions are great. They give detailed explanations of
why the right answer is right and why the wrong answers are wrong. I learned five
or six important concepts tested on Step 1 from one question and its explanation.
This made the QBank a very efficient study tool.

I purchased a 6 month subscription to the USMLE World QBank. In retrospect, I would

have purchased a shorter subscription. I thought that I would have time to start
doing questions before classes ended, but I didnt. So, I would recommend buying
the QBank for the amount of time you have committed solely to your USMLE review
(probably 2-3 months). I also purchased two practice tests, but only ended up doing
one of them. Our school also gave us a practice test.

I spent a lot of time answering questions and reviewing them closer to my test, but
only got through about half of the QBank. In my opinion, if you really study the
answer explanations provided by USMLE world, youll be able to master the concepts
covered by the USMLE exam without having to do all of the questions. That was my
experience, anyway. Obviously, however, the more you do, the better prepared you
will be for the exam.

As far as how your QBank score correlates with your final score, UWorld questions
tend to be a little harder than the actual test. I was scoring in the high 70s on
my question blocks before I went into the test and ended up with at 257. My overall
was about 60%, but my percentages were getting much higher on each question block
the more questions I did.

2. First Aid for the USMLE Step 1

I dont say this for very many things, but First Aid for the USMLE Step 1 is a
must-have.

First Aid is essentially a very condensed version of most of the things youll
learn in your first and second year of medical school (at least the material that
will be covered on the USMLE exam). The more familiar you are with First Aid, the
better off you will be when you start using it for your formal USMLE prep. If you
use this book during your curriculum, youll be able to have a summary of the
things youve learned, as well as seeing what might not have been covered by your
school that is covered on Step 1.

One tip I have is to not spend a ton of time on the biochemistry section of First
Aid. Understand the key steps that have to do with certain diseases (e.g. what does
lead poisoning or B12 deficiency affect), but dont try to memorize full pathways
that dont have specific clinical relevance. I spent a lot of time on this and saw
very few questions on the test. My classmates had the same experience.

3. Rapid Review Pathology by Goljan

This book is similar to First Aid in that the material is condensed into bullet
points. However, it has more information about the why of diseases than First
Aid. It gives great explanations about pathophysiology and this material is
stressed heavily on Step 1.

These are the only resources that I used for my Step 1 prep. As you can probably
tell, I study more on my own. Also, I learn best from practice questions. If this
is not your style, then this strategy is probably not a good fit for you. If you
work better in groups, do that.

My study strategy and schedule

Month 1-2. Monday to Friday I would read a new section in First Aid USMLE and the
corresponding section in Goljans book. I would read new material in the morning
(around 6-8am), new material in the afternoon (1-3pm) and review the material from
the day at night (7-9pm). Those hours might go a little longer on some days. The
night review would sometimes include QBank questions on the related topics. On
Saturday, I would review the things that I had studied in the previous days. This
would include questions about the topics. Sunday was a day off!

In the middle of this, I also took the USMLE World practice test and got a 220.
This was encouraging since it was better than before but lower than my goal of 245.
So, I had to keep working.

I would also take breaks at times during my studies to go play basketball, run, or
watch TV. I study a lot better when I take breaks between. You might be different.

My main goal in these months was to finish going through First Aid and Goljan twice
by two weeks before my test date.

Month 3. This is where I started doing more questions. I had finished most of First
Aid and Goljan. Usually, I did two sets of questions per day with the same schedule
as above.

Test day. I scheduled my test day for the middle of June, a couple of weeks before
rotations started on July 1st. Looking back, I wish I would have done it a week
earlier. That last week probably had little effect on my score but took a week away
from vacation that I would have loved to have before starting my third year of
medical school. So, my advice to you would be to take it at the beginning of June.

On test day, make sure you bring snacks and food. Its a very, very long test. I
would also recommend taking all of your breaks. I would run around the building, do
push-ups or jump up and down to keep my body and mind refreshed. Im sure I looked
like an idiot, but it worked for me!

So, with all of this, I was able to surpass my target score of 245, with a 257
which made me very happy. Again, this is what worked for me and may not work as
well for you. But, USMLE World, First Aid and Goljan Pathology are top notch
resources no matter your study preferences. Good luck!