USMLE Step 1 FAQs: Common Step 1 Questions
How long is Step 1?
The USMLE Step 1 exam spans about 8 hours, which includes time for brief breaks. The test is broken down into seven blocks, each lasting 60 minutes and typically containing 40 questions. Additionally, there’s a 45-minute cumulative break time and a 5-minute tutorial to acclimate to the test interface.
How to study for Step 1?
Preparing for Step 1 is a multifaceted approach that involves a mix of study materials and methods. Resources like First Aid for the USMLE Step 1, UWorld question banks, and NBME practice exams are popular choices. Creating a tailored study schedule that aligns with your learning style is also crucial for success.
How many questions on Step 1?
The Step 1 exam features up to 280 multiple-choice questions. These are divided into seven blocks, each usually containing around 40 questions. It’s essential to pace yourself, as you’ll have approximately 60 minutes to complete each block.
What happens if you fail Step 1?
Failing Step 1 is a setback, but it’s not the end of your medical career. You will need to retake the exam, which may postpone your entry into clinical rotations, delay your graduation, and make you less competitive for residency programs.
When do you take Step 1?
Step 1 is usually taken after you’ve completed the pre-clinical coursework in medical school, generally at the end of your second year. Timing can vary, so consult with your academic advisor to determine the best plan for you.
What is a passing Step 1 score?
As of January 26, 2022, Step 1 has shifted to a pass/fail scoring system, removing the numerical score previously associated with the exam. Now, you either pass or fail the exam, with no numerical grades assigned.
What is Step 1?
Step 1 is the initial part of the United States Medical Licensing Examination (USMLE). It assesses your understanding and ability to apply essential medical knowledge, concepts, and foundational principles for effective patient care.
What is the purpose of Step 1?
The goal of Step 1 is to assess whether you can understand and apply medical science essentials for providing quality patient care. The exam serves as a foundational step towards further licensure tests and your future clinical practice.
What is a good Step 1 score?
Although timing can vary, most medical students typically opt to sit for Step 1 after completing their second year of medical school once the basic sciences have been covered in the curriculum.
When do Step 1 scores come out?
Your Step 1 scores are generally released on Wednesdays and usually take 3 to 4 weeks from your exam date to become available. This allows for sufficient time for the validation and tabulation of your score.
How long to get Step 1 score?
Expect to wait 3 to 4 weeks for your Step 1 score after your exam date. This period is necessary for accurate scoring and validation procedures.
When to start studying for Step 1?
Experts recommend starting your Step 1 preparations at least six months in advance, although some students begin up to a year ahead. The key is to establish a solid foundational knowledge early on.
How long to study for Step 1?
Study periods can vary from student to student. Generally, expect to spend between 6 and 12 months preparing for Step 1. Many students dedicate about 10-12 hours daily, especially during the intensive study period leading up to the exam.
How many times can you take Step 1?
You’re allowed to retake Step 1 up to six times. However, multiple attempts can raise red flags when applying for residencies, so it’s best to aim for a pass on your initial attempt.
How is Step 1 scored?
As of January 26, 2022, Step 1 has transitioned to a pass/fail scoring system. This means you’ll receive a “Pass” or “Fail” on the exam without a numeric score. The focus now shifts towards meeting the established competency standard.
How to check Step 1 score?
For U.S. medical students, Step 1 scores are usually accessible through the NBME website. International medical students can typically check their scores via the ECFMG website. Be sure to review the specific instructions provided during your registration.
Which NBME to take for Step 1 2024?
Informal student feedback suggests that NBME 28 and UWSA 2 are the most predictive for Step 1 performance. Taking these practice exams closer to your test date can offer valuable insights into your readiness.
How hard is Step 1?
USMLE Step 1 is considered one of the most challenging exams in the medical education pathway. It requires a solid understanding of basic medical sciences and the ability to apply this knowledge in a clinical context.
How long for Step 1 results?
After taking the Step 1 exam, you should receive your scores within 3 to 4 weeks. These results are generally released on Wednesdays, allowing ample time for thorough validation and processing.
When is Step 1 taken?
Typically, students take Step 1 after completing the pre-clinical phase of their medical education. This often falls at the end of their second year in medical school.
How many people fail Step 1?
The frequency of Step 1 failures saw a noticeable uptick in 2022, with about 9,700 unsuccessful attempts compared to roughly 5,700 the previous year. Regarding pass rates, MD students experienced a dip from 95% in 2021 to 91% in 2022. The passing rate declined from 88% in 2021 to 82% in 2022. These statistics highlight year-over-year volatility in Step 1 performance.
What percent correct to pass Step 1?
With the shift to a pass/fail scoring system, there is no specific percentage requirement to pass Step 1. Instead, your performance is evaluated based on whether you meet or exceed the established competency standard.
What is Step 1 medical school?
Step 1 is an integral examination within the United States Medical Licensing Examination (USMLE) series. It assesses your grasp of fundamental medical knowledge and your ability to apply it to clinical scenarios.
How many blocks is Step 1?
The Step 1 exam consists of seven blocks, each lasting 60 minutes. Each block features approximately 40 multiple-choice questions, adding up to a potential total of 280 questions for the entire exam.
What is the passing score for Step 1?
With the switch to a pass/fail system, there is no specific passing score for Step 1 as of January 26, 2022. The outcome is binary, indicating whether you have passed or failed the exam.
When did Step 1 become pass/fail?
Step 1 transitioned to the pass/fail grading system on January 26, 2022. This change aims to shift the focus away from numeric scores and toward assessing your competency for clinical practice.
How to prepare for USMLE Step 1?
Preparing for Step 1 requires a comprehensive approach. Utilize resources like First Aid, Gold USMLE Review High-Yield Notes, UWorld question banks, and NBME practice exams. Construct a study schedule that aligns with your learning style and allows ample practice and review time.
How much time per question on Step 1?
With approximately 40 questions per block and 60 minutes per block, you’ll have around 1.5 minutes to answer each question on average. This emphasizes the need for time management during the exam.
How hard is it to pass Step 1?
Passing Step 1 requires dedicated preparation and a firm grasp of foundational medical knowledge. While it’s challenging, most students who adequately prepare pass the exam.
How to extend the eligibility period for USMLE Step 1?
If you need more time to take the Step 1 exam, you can extend your eligibility period for a fee. U.S. students pay $70, while international students pay $100. You can request an extension through the registration entity you used (NBME or ECFMG).
How much does Step 1 cost?
As of 2023, the cost of Step 1 is $660 for U.S. and Canadian medical students. For international students, the fee is $985. Additionally, international students must pay an extra $160 for ECFMG certification.
What happens if you don't pass Step 1?
You must complete Step 1 to retake the exam. Failing could delay your progress in medical school, impact your timeline for clinical rotations, and affect your competitiveness for residency programs.
How many times can you reschedule Step 1?
The ability to reschedule Step 1 depends on the policies of the Prometric test center you’re registered with. Remember that excessive rescheduling may result in additional fees and scheduling challenges.
What score do you need to pass Step 1?
The change to a pass/fail system in January 2022 eliminated the need for a specific score to pass Step 1. Instead, you are evaluated based on your performance against the established standard.
What percentage to pass Step 1?
As Step 1 transitioned to a pass/fail system, there’s no longer a specific percentage required to pass. Instead, you need to meet or exceed the established competency standard.
How is Step 1 graded?
Starting from January 2022, Step 1 is no longer numerically graded. Instead, it’s graded as either “Pass” or “Fail,” focusing on your ability to meet the competency requirements.
How many sections is Step 1?
Step 1 consists of seven sections, also known as blocks. Each block lasts 60 minutes and contains around 40 multiple-choice questions, up to 280.
What do you need to pass Step 1?
To pass Step 1, you need a solid understanding of the foundational medical sciences, including anatomy, biochemistry, physiology, and pathology. Practical application of this knowledge is essential.
How much is USMLE Step 1?
The cost of Step 1 is $660 for U.S. and Canadian medical students in 2023. International students are required to pay $985. Additionally, international students must pay an extra $160 for ECFMG certification.
What are Step 1 dates?
The USMLE Step 1 exam has yet to have specific dates. Instead, you choose an eligibility period during which you can schedule the exam. This period cannot fall on major holidays or the first week of January.
How many practice tests before Step 1?
The number of practice tests you should take depends on your preparation level. However, many students aim to complete at least 2 NBME practice exams and the UWorld Self-Assessment exams.
How many NBME for Step 1?
There are currently six NBME practice exams for Step 1. These are Comprehensive Basic Science Self-Assessments (CBSSAs), and the available forms for purchase are Form 25 to Form 30.
How to apply for USMLE Step 1?
Depending on your medical school’s location, you can apply for USMLE Step 1 through the NBME or ECFMG website. After eligibility verification, you’ll be given an eligibility period to schedule the exam.
How will Step 1 pass/fail affect residency?
The pass/fail change for Step 1 shifts the focus towards Step 2 CK scores, letters of recommendation, and other aspects of your CV regarding residency applications.
How to pass Step 1 in 4 weeks?
Passing Step 1 in 4 weeks requires focused and intense preparation. You’ll need to prioritize high-yield resources like UWorld and First Aid and aim to complete multiple question blocks each day.
How many hours is Step 1?
The Step 1 exam takes approximately 8 hours, including the time allocated for breaks. The duration includes the seven blocks and the designated breaks.
How many times can you take USMLE Step 1?
You can take Step 1 up to six times. However, multiple retakes might raise concerns about your residency application, so careful preparation is crucial.
What to bring to Step 1?
When heading to the test center for Step 1, bring your scheduling permit and a valid form of identification. Remember that personal items, including mobile phones, are prohibited in the testing area.
What time does Step 1 start?
Start times for Step 1 can vary depending on the test center you’ve chosen. Most centers offer start times from around 7:30 am to 9:00 am. Confirming the exact time with your specific center is a good idea.
How to register for Step 1?
Registering for Step 1 involves submitting your application through the NBME or ECFMG website. After verifying your eligibility, you can choose an eligibility period for scheduling.
How many Anki cards a day for Step 1?
The number of Anki cards you review daily depends on your study plan. Many students aim to review between 100 and 300 cards daily during dedicated study periods.
How much anatomy is on Step 1?
Anatomy is approximately 15-20% of the Step 1 exam, but this can vary. It is included under the broader category of “Gross Anatomy and Embryology.”
What is Step 1 out of?
As of January 2022, Step 1 has yet to be scored numerically. Instead, the grading is binary, indicating whether you have achieved a “Pass” or “Fail” outcome.
When should I start studying for Step 1?
Many students begin focused Step 1 preparation six months before their exam date. However, building a solid foundation in basic sciences throughout medical school is invaluable.
How is Step 1 structured?
Step 1 is structured into seven blocks, each lasting 60 minutes. Within each block, you’ll encounter around 40 multiple-choice questions, adding up to a potential total of 280 questions.
Which NBME is most predictive for Step 1?
Based on informal student feedback, NBME 28 and UWSA 2 are considered the most predictive for Step 1 performance. Taking these practice exams closer to your actual exam date is advisable.
Is the exam computer-based?
The USMLE Step 1 is a computer-based exam administered at Prometric testing centers. This format allows for efficient and accurate assessment.
How do I deal with test anxiety?
Use relaxation techniques such as deep breathing and progressive muscle relaxation to manage anxiety. Some people find it helpful to visit the test center beforehand to become familiar with the environment.
What is the best Step 1 Prep Course?
According to many students and professionals, Gold USMLE Review is considered one of the best Step 1 prep courses. It offers a comprehensive approach, including live lectures, practice exams, and one-on-one tutoring options, making it a favored choice for those aiming for high performance on the USMLE Step 1.
How many cards are in Anking Step 1
AnKing’s Step 1 deck is a comprehensive Anki flashcard deck designed to help students prepare for Step 1. The number of cards in the deck can vary by edition, but it often includes over 30,000 cards covering various subjects you’ll encounter on the Step 1 exam.
How to study for Step 1 pass fail
Step 1 has shifted to a pass/fail system, but preparation remains crucial. Start with a balanced study plan, focusing on weak areas. Utilize reputable resources like First Aid, UWorld, and Pathoma, and remember to track your progress with NBME practice exams.
When will I get my Step 1 score?
USMLE Step 1 scores were traditionally released within 3 to 4 weeks post-exam. However, turnaround times for score reporting might differ with the exam transitioning to pass/fail. Always check the official USMLE website for the most current information.
What is a Step 1 score?
Previously, the Step 1 score was a three-digit number, ranging from 194 to 300, with a mean score of about 230. The score was used for residency placement. Step 1 is pass/fail, so you’ll receive either a “Pass” or “Fail” rather than a numeric score.
What is Step 1 in medical school?
Step 1 is the first of three United States Medical Licensing Examination (USMLE) sequence examinations. It evaluates your understanding and ability to apply foundational science concepts to medicine. Students usually take Step 1 after their pre-clinical years in medical school.
How many NBME Step 1 practice exams
The number of available NBME (National Board of Medical Examiners) Step 1 practice exams can vary. As of my last update, there were several forms available for purchase. These self-assessments are highly recommended for gauging your preparedness for the actual exam.
How long to get USMLE Step 1 results
The time frame for receiving USMLE Step 1 results has traditionally been around 3 to 4 weeks. However, the time may vary with the transition to a pass/fail format. Check the official USMLE website for the most current information on result timelines.
How is USMLE Step 1 graded?
USMLE Step 1 was previously graded with a three-digit and two-digit score. Now, the examination has shifted to a pass/fail grading system. The grading assesses whether you have the foundational knowledge required to practice medicine safely.
How many questions to pass Step 1
The USMLE keeps the exact number of questions needed to pass Step 1 private. The test is equated to account for minor variations in difficulty, and the passing standard is reviewed periodically.
How many questions correct to pass Step 1
Just like the previous question, the exact number of correct answers needed to pass Step 1 needs to be revealed by the USMLE. The exam’s pass/fail outcome depends on various factors, including question difficulty and statistical equating.
How to improve Step 1 score in 2 weeks
Two weeks only provides a little time, but a targeted review can help. Focus on your weakest subjects and go through high-yield resources. Utilize UWorld questions, Anki decks like AnKing, and NBME practice exams to assess your readiness. Quality beats quantity here.
How much of Step 1 is on Step 2
Step 2 CK (Clinical Knowledge) differs from Step 1, focusing more on clinical situations. However, foundational knowledge from Step 1 can still be helpful. Around 10-20 % of the concepts overlap, especially regarding diagnosis and pathophysiology.
What is the passing score for USMLE Step 1
The USMLE Step 1 transitioned to a pass/fail scoring system, eliminating the numeric score. Previously, a score of 194 was needed to pass. Examinees will receive either a “Pass” or “Fail” without a numerical representation.
How many practice exams before Step 1
The number of practice exams varies by individual needs, but a common approach is to take at least 3-4 NBME practice exams, along with the UWorld Self-Assessment. These exams can guide your study and help identify areas for improvement.
What percent is passing on Step 1
The USMLE doesn’t disclose the exact percentage needed to pass Step 1. With the transition to pass/fail, percentages become less relevant. What matters most is meeting the competency levels the exam assesses.
How is Step 1 score calculated?
Previously, the Step 1 score was a three-digit number calculated through statistical equating to adjust for any variations in exam difficulty. Now that the test is pass/fail, a numerical score is no longer given. The evaluation aims to gauge your foundational medical knowledge.
When do people take Step 1?
Most medical students take Step 1 following their second year of medical school, usually after completing the fundamental science portion of their curriculum. However, some schools are moving Step 1 after the third year, allowing clinical experience to inform exam preparation.
How many answer choices on Step 1
USMLE Step 1 questions usually come with five answer choices. The multiple-choice questions are designed to assess your ability to apply foundational sciences in the context of medical practice.
When do you take Step 1 in med school?
In most U.S. medical schools, students typically take Step 1 after completing basic science courses after their second year. However, the timing may vary, especially with changing curricular models that may place Step 1 after the third year.
Step 1 how many blocks
The USMLE Step 1 exam consists of seven 60-minute blocks. Each block contains a maximum of 40 multiple-choice questions, making up to 280 questions for the entire exam.
How to start studying for Step 1
To start studying for Step 1:
Establish a study plan that spans several months before the exam date.
Integrate resources like First Aid, UWorld, and Pathoma into your routine.
Dedicate time for content review and practice questions and adjust your plan based on performance in NBME practice exams.
Establish a study plan that spans several months before the exam date.
Integrate resources like First Aid, UWorld, and Pathoma into your routine.
Dedicate time for content review and practice questions and adjust your plan based on performance in NBME practice exams.
How long is dedicated for Step 1
The dedicated study period for Step 1 varies among students and can range from 4 to 8 weeks, sometimes longer. This period is expressly set aside for intense, focused studying for the exam, apart from regular medical school coursework.
How to sign up for Step 1
Registration for Step 1 is usually done through the NBME’s Interactive Web Applications (IWA) system. You must obtain a USMLE identification number, complete the online application, and pay the examination fee. Once approved, you’ll receive an eligibility period to schedule your exam.
How is Step 2 different from Step 1
Step 2 CK focuses on clinical knowledge and the ability to provide patient care, whereas Step 1 assesses your foundational medical and scientific knowledge. Step 2 is generally more practical and is taken after you’ve had some clinical experience, often during the third or fourth year of medical school.
How long are NBME Step 1 practice exams
NBME practice exams for Step 1 usually consist of four blocks of about 40 questions each. Generally, these practice exams will take approximately 4 hours to complete, not including break time.
Why is Step 1 Pass Fail
The decision to transition Step 1 to a pass/fail system came amid concerns about the exam’s undue influence on residency selection and the well-being of medical students. This move aims to reduce test-related stress and shift the focus toward a more holistic evaluation of medical students.
How long does Step 1 score take
Traditionally, the Step 1 score was reported within 3 to 4 weeks after the test date. However, the time frame for score reporting may differ with the transition to a pass/fail grading system. Always consult the USMLE website for the most up-to-date information.
What is the average Step 1 score?
Before the transition to pass/fail, the average USMLE Step 1 score was around 230. Now, with the test being pass/fail, the “average score” concept is no longer applicable. Students will receive a “Pass” or “Fail” result.
How many people pass Step 1
The pass rate for USMLE Step 1 has generally been high for U.S. medical graduates, often exceeding 90%. For international medical graduates, the pass rate can vary significantly. However, now that the exam is pass/fail, specific pass rates may change over time.
What score to pass Step 1
With the transition to a pass/fail system, Step 1 no longer has a numerical passing score. Previously, a score of 194 was needed to pass. Now, candidates will receive either a “Pass” or “Fail” without a numeric representation.
How much break time for Step 1
For Step 1, you’re allocated 45 minutes of break time during the exam day. This time can be divided however you choose across the seven 60-minute exam blocks.
How much does it cost to reschedule Step 1?
Rescheduling fees for Step 1 can vary based on how far in advance you change your date and the testing region. It’s crucial to consult the USMLE or Prometric websites for the most current fee structures.
How long does it take to get step 1 scores back?
As mentioned, Step 1 scores have traditionally been released within 3 to 4 weeks post-exam. With the shift to pass/fail, timelines for result reporting may differ. Always check the official USMLE website for current information.
How many weeks to study for Step 1
The number of weeks needed to prepare for Step 1 varies among students but generally ranges from 6 to 12 weeks. Your preparation period will depend on your baseline knowledge, targeted areas for improvement, and overall study plan.
Which NBME to take for Step 1 2024
Since NBME practice exams are periodically updated, consulting online forums, peers, or faculty advisors for current recommendations is best. Typically, newer forms are preferred as they reflect the existing exam content more.
How to score high on USMLE Step 1
To score high, or in this case, pass Step 1, a balanced and well-structured study plan is essential. Utilize high-yield resources like First Aid, UWorld, and Pathoma. Consistently track your progress using NBME practice exams, and fine-tune your strategy based on your performance.
How many uworld Step 1 questions
UWorld offers over 3,200 questions designed explicitly for the USMLE Step 1 exam. The large volume of questions can be overwhelming, but the key to managing it is to create and stick to a study schedule. This allows for comprehensive material coverage and effectively helps you gauge your strengths and weaknesses.