My initial goal was 265+, but I’m happy with my score, especially since my nervous system performance was higher than my overall average, which is great since I’m aiming for neurology so…
My journey took 1 year and 3 months, including all the pauses and interruptions.
I started UWorld a week after getting my Step 1 results, doing 40 questions/day untimed, system wise. I kept ethics, QI, patient safety, and biostats for last and did them together in mixed blocks later. It took me 4 months to finish. My scores were mostly 70s with occasional 60s and 80s
After that I took all available CMS forms (40+), timed and alternating between subjects. I used targeted Amboss blocks on a few weak areas with CMS forms and finished HY plans, which are GOLD btw.
I then took NBME 9 as a baseline and scored 238.
Then I had to pause due to logistical issues that prevented me from setting a test date (first of many pauses that I’m too lazy to list) and after a while I decided to do UW again rather than wasting more time waiting around or waste my NBMEs. I was initially against a second pass**,** but** **it turned out to be one of the best decisions I made.
It made me realize I missed important concepts, improved my approach to questions, and consolidated my knowledge. Surprisingly, I remembered only ~15% of the questions from my first pass (thanks to pauses), so the second pass was actually very useful especially that I did it all random (but not all timed).
By the time I finished, new CMS forms were released so I took them and had a second go at the HY plans because I forgot them lol.
After I got my shit figured out I decided it’s time to face the NBMEs but because I’m a coward I started with NBME 12 and took it untimed, using at as a supp. QBank since everyone said it’s dog shit and I should skip it. I scored 248 but I paid it no mind. My remaining NBMEs were:
NBMe 10: 264
NBME 11: 252
NBME 13: 257
NBME 14: 257
NBME 15: 266
NBME 16: 259
I reviewed every form thoroughly, taking notes on incorrect, missed, and guessed questions even when I knew the concept but misread the question or for example when I missed something on an image I would write “inspect images carefully”
I also did some random timed blocks from Mehlman’s Qbank and shelf questions, P. S. I hate the dude. They didn’t add much new knowledge, but they helped TREMENDOUSLY with time management. His questions are LONG, sometimes even longer than the real deal.
I also read the Amboss articles on ethics, QI, patient safety, and biostatistics (I answered lots of questions confidently on test day thanks to that)
2 weeks before my exam, I started a new job working 4 days a week. I had already finished all the NBMEs and had only Free 120 left.
Not sure if starting a job so close to the exam was a good idea, but it kept me busy from overthinking and anxiety. Every day before work, I did 2 timed Mehlman blocks just to keep my brain engaged, without bothering to review them afterward. (I specifically did his stuff to stay NBME focused and tbh UW and Amboss make me overthink a lot)
On a day off from work I took free 120 and scored 81**%.**
I had 2 days off work before the exam, which I spent sleeping and resting properly and didn’t study at all.
On test day I woke up after a comfortable 10 hours sleep and was surprisingly calm.
I did 3 blocks back to back, then started taking breaks every 2 blocks. The questions were long, but I noticed that longer questions were often easier and I had about 5 minutes at the end of almost every block.
The system kept lagging and pausing between questions, but the timer paused too, so I used those moments to recollect myself.
The exam felt very similar to NBME 15, NBME 16, and Free 120. I didn’t experience any fatigue, headaches, sleepiness, or loss of concentration.
After the exam, I remained surprisingly calm. My new job kept me distracted from result anxiety, and I got my score unexpectedly just 10 days later so I skipped the results day nervous breakdown lol
Happy to answer any questions 💕