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USMLE STEP 1 262


HARSH
BJMC, AHMEDABAD.
STATUTORY WARNING
Brace yourselves. Its going to be a long lecture. LOL.
INTRODUCTION
Well I am an Indian IMG. In third final year of MBBS. Started preparing out of bloom when one of
my friend asked me to think about it and yes I went online to search about it and boom next day i
started reading for it.
GOAL
263 Wrote it on first page on my FA. But i was okay with anything above 250.
KLN
Started in June end of 2016. Started with kaplan lecture notes with videos. Did all the subjects
except pathology of course, for which I did Pathoma and Goljan.! I finished kaplan lecture notes in
2.5 months. Used to read 50 pages a day for about 4-5 days a week. Remaining 2-3 days I was
busy attending lectures and wards in college. I could bunk wards the rest of the days which was
awesome.
PATHOLOGY + 1/2 FA
After finishing KLN I started reading pathology from Goljan as well as Pathoma as well as videos of
Pathoma. Took me over a month to finish both of these resources and along with it I was reading
first aid. So by the end of september I was done with all KLN, Goljan and Pathoma and almost half
of first aid.! Also i tried to listen to golden audio but not my cup of tea and also Rapid review was a
waste of time too coz i was not able to revise it later and so all got vaporised by the time i sat for
my exam.
INTERRUPTION + 1/2 FA
Then had to read for my college exams for 25 days and then after read FA for 15 days and i
finished first aid for first time by mid November after which i started reading for my university
exams which took about 1.5 months.
QBANK-USMLERX + FA
No after reading in pieces and after getting done with my university exam i started reading First aid
again along with UsmleRX qBank. Skipped wards fully. USMLERx helped a lot to consolidate first
aid. I was done with the Qbank and so called second read of first which felt like first read because
of gaps i had in my preparation. So done with it at around 15th feb. During this reading i used to
google anything from FA that i did not understand, literally anything including meanings of word
that were not in my vocabulary. LOL. I would read a topic from FA around 15-20 pages in the
morning and then do questions from that topic or system in noon and evening. I used to do around
80-100 questions that way. Also i did Highyield Neuroanat and BRS physio and 100 cases ethics
by conrad in this period too. Found them useful and they took no longer than 2-3 days each.
UWORLD + FA +PATHOMA
I bought 2 months subscription for UWorld on 17th feb and started doing it in random timed mode.
But time was never an issue for me. So no biggie there but doing questions randomly i felt as if i
was wasting questions of topics that i was weak in. So contrary to the popular belief i did what i did
with rx. Read from FA and then do questions of that topic. It worked for me and i used to make
notes from UWorld since i was pretty sure that i was not going to get time to do it again.! I used to
do 60-120 questions each day. 60 when i would read first aid in the morning and 120 when i won’t.
Also did Pathoma daily every night for 1-2 hours and finished it in 10-15 days. I finished third
reading of first aid and UWorld Bank way behind the schedule on around 5th of april. 15 days prior
to my step 1 exam. Also I did Uworld Biostatistics subject review in this period and that helped me
improve my grip on Biostat.
FA + SELF MADE UWORLD NOTES
Then after I started reading from first aid and my notes of UWorld. It was going way slowly then i
expected and that bugged me a lot. Hardly 35 pages of FA every day. Was left with entire micro the
day before my exam but well i went through few pages of micro and thats it.
DAY BEFORE
Went through tutorial on usmle.org. Planned to sleep for around 8 hours but slept for only 6. Was
groggy in the morning when i got up but 6 hrs to was fantastic for me since i sleep far less in my
university exams. I was much relaxed when i went to sleep and i thought that i had played my role.
I have done enough. I hoped for the best.
EXAM DAY
On the day of exam, I got up at 6 to reach prometric centre at around 7. Exam time was 8 am but
they started it early.
Had 272 questions in total. First block was terrible. I freaked out and thought that it was a very bad
day for me and i was screwed. Finished it with around 3 seconds left.. Took break after that to
compose myself and had some protein bar and juice that i brought with me. Second was relatively
easy, but still was tough. Next four were easy ones. Was getting them done with around 15
minutes left in every block. Took 2-10 minutes break after every block and last block had only 32
questions. Way weird. Mostly one liners which weren’t direct and neither they involved reasoning.
But still did it. When i was checking out the staff at promteric centre was shocked. Lol. They said
that you did way earlier then rest of the guys. Had more than 1hr 15mins of break time left. That
obviously freaked me out. Checked 4-5 question just after coming out of exam and all came out to
be wrong so i just stopped doing that. And hoped that all will be good.!
WORDS ON UFAP
UFAP is uworld+firstaid+pathoma
All in all UFAP is more than enough. Goljan was way too much. Its an excellent resource but way
too lengthy and use it only if you were to revise it again. And revise the limited resources that you
use. Focus on 90% that will be there from UFAP instead of trying to get 10% correct thats going to
be out of UFAP. There will be such questions and well lets face it no matter what you do you might
get them wrong.
WHAT I DID
KLN with videos -1time
Goljan-1 time
Pathoma-2 times(Videos once)
First aid- 4 times
BRS physio-1 time
HY Neuroanat-1 time
USMLERX q bank-1 time
UWorld qbank-1 time
UWorld biostat subject review-1time
MOTIVATION
Struggled some days for it and some days i was all good.Q Banks were tiring and reading
explanations was boring on some days. But thanks to friends and family who constantly stood by
me and had faith in me more than i had in myself and kept me motivated.
WAITING FOR RESULTS
Anxiously waited for my results. They were delayed because of pending verification of my student
status from my med school.(link for more info on student status verification- http://www.usmleforums.
com/usmle-step-1-forum/225866-step-1-student-status-verification.html) But finally the
results are out.
And viola its 262.
PRACTICE TESTS AND QBANK SCORES
Scores in practice tests i gave:
6/02 -USMLERX half sim 1-248(76%correct)
26/02 -RX half sim 2-263(82% correct)
6/03 -UWSA1-256(79%correct)
31/03 -UWSA2-262(88%correct)
2/04 -NBME18-255(183/200)
12/04 -NBME19-253(187/200)
Gave NBME 13,14,15,16,17 offline and got above 180 correct in all of them.
UsmleRX q bank at 79%
Uworld q bank at 83%
20/04 Real deal:262
I am more than happy with my score and thanks everyone for standing by me and helping me
succeed..!

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