Just got step 1 results, 259. Feeling a bit disheartened! - USMLE Forums
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  #1  
Old 07-11-2015
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Default Just got step 1 results, 259. Feeling a bit disheartened!

Hi everyone,

I just received my step 1 score report and it is 259.
I feel a bit disheartened though!
I know it's an OK score (1.45 STD above the current mean which is roughly on the 93 percentile), but I was hoping to be in the 260s and with so many people with great scores and being an older IMG, I'm not sure about the prospect of getting a match with this score.
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  #2  
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yeah, that's true.
you need at least 300 to get a single interview nowadays.
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  #3  
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Default Hi

Wat r u talking abt?????? 259 and not satisfied!!!!! Wow....really??????
Congratulations...by the way.
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  #4  
Old 07-11-2015
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Quote:
Originally Posted by T.Alanazi View Post
yeah, that's true.
you need at least 300 to get a single interview nowadays.
super like

i think even 300 is not sufficient
im sick of such posts

anybody preparing for usmle knws what a good score is... so please dont post such stuff and make others feel worthless
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  #5  
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He.....he....he...lollllllll
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Are you stupid?
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  #7  
Old 07-11-2015
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OK, thanks for the replies.
I understand how you feel, but honestly 230 is the mean and 20 is STD.
A score like 259 is at 93 percentile. That means that 7% of examinees score better.
It's probably enough for less competitive residencies, but absolutely not enough for competitive ones.
Anyway, your feedbacks made me feel better.
Thanks for that.
I'll be happy to share my exam experience or answer questions if you find it useful
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Old 07-11-2015
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WinterIsComing your comment made my day!
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Old 07-11-2015
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Yeah man too bad.Get a gun and shoot yourself in the head.You messed up.
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  #10  
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Quote:
Originally Posted by Lara View Post
Yeah man too bad.Get a gun and shoot yourself in the head.You messed up.
It's all about exceptions Lara!
Sure! one man's misery is another man's dream.
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  #11  
Old 07-11-2015
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What specialty do u want ?
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Quote:
Originally Posted by swwal View Post
What specialty do u want ?
Radiology is the first choice, followed by Ophthalmology, and pathology.
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i generally never lose my cool in this forum but posts like these do.....u have got a really good score...but wateva be ur score uimgs do not get radiology... srry abt that....bt u can get a few competitive residencies is wat i feel provided u get a similar step 2 score nd USCEs.....
nd btw i really thnku must knw who s being sarcastic to u...stop thanking them :P
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  #14  
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and btw the old scoring system, wich wasthe 2 digit number, is not valid nw....the 3 digit s all that matters
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Quote:
Originally Posted by smita View Post
and btw the old scoring system, wich wasthe 2 digit number, is not valid nw....the 3 digit s all that matters
The former 2 digit score was NOT a percentile, it was something made up & as you mentioned not in use any more.
I calculated the percentile myself based on the mean and STD which was in my report and it's pretty accurate.
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  #16  
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Peter Pan, Congratulations!
And yes please share your experience.
Thanks in advance
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Quote:
Originally Posted by smita View Post
i generally never lose my cool in this forum but posts like these do.....u have got a really good score...but wateva be ur score uimgs do not get radiology... srry abt that....bt u can get a few competitive residencies is wat i feel provided u get a similar step 2 score nd USCEs.....
nd btw i really thnku must knw who s being sarcastic to u...stop thanking them :P
From personal experience I know quite a few IMGs that did match in Radiology or other competitive specialties having great scores. So, no radiology is not closed to IMGs. If you have a high enough score and good USCE it's possible.
The reason IMGs don't get into competetive positions is that they don't have the connections and generally score lower than fresh US grads (225 vs 230 mean).
and BTW, I know they are sarcastic, but I thank them anyway because their comment made me feel better. I don't get offended easily. If you are offended by sarcastic comments you shouldn't be on these forums.
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Radiology diagnostic one is not that much competitive now, even I know of people who got into university programs with step 1 in 240s. You can probe into the latest nrmp match data too. Same is with pathology. But if you are talking about onco and neuro radiology then they are pretty competitive. And scores are one part of application. There are several other factors too. Less and less number of amgs are opting for it now. Same goes with anesthesiology. You can look into the statistics
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Fancy jobs are decreasing for some specialities in USA in near future, that's why their competitiveness is decreasing.
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Quote:
Originally Posted by smita View Post
super like

i think even 300 is not sufficient
im sick of such posts

anybody preparing for usmle knws what a good score is... so please dont post such stuff and make others feel worthless
That was rude. Why are you such a hater? if you cannot understand his condition or say anything positive then at least dont spread hate! no body hates on your daily journals so if one of us isnt sure or is doubtful about their score the last thing u should do is insult and make fun.
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  #21  
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Congratulations on your score PeterPan!
That score is what some of us can only dream of.

About your competitive residencies you're concerned about. Just relish the fact you scored high on your step 1 then concentrate on your step 2 to score high. Get US hospital rotations which will therefore increase your connections and chances of matching into the residency you want.

I would strongly guess that you will match regardless of how old a grad you are. You just have to believe in yourself and never doubt.

I know approximately 3 people that were old IMGs and matched into Radiology, Plastic Surgery and Pathology. Their scores ranged from 220-240 on step 1 and same with step 2. They had US hospital rotations and made the right connections with some luck of course.
Can't give you any feedback on opthalmology as I do not know anyone a US grad or IMG that is in that field. I wish you the best of luck in your aspirations.
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  #22  
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Well, sorry for breaking into a conversation, but I am really interested, How competitive is Pathology residency? As I know the mean score for this speciality is similar to IM.

And about the score, splendid !!!
congradulations !..
Kindly share your experience
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Quote:
Originally Posted by PeterPan View Post
Radiology is the first choice, followed by Ophthalmology, and pathology.
So ur score is excellent for that i know img who matched to radiology with 230s on both steps but had great research experience in US which help him a lot so work on this and u good to go ...
btw how did u manage between study and work bcz I'm struggling on this ?
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What's wrong with people these days???

259 is not enuf???

My senior had 252 and 255, she managed to match into radiology.

As far as I know any score above 250 is equal and when many people have more than 250, they look into other stuff like USCE, research, YOG.
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Quote:
Originally Posted by PeterPan View Post
OK, thanks for the replies.
I understand how you feel, but honestly 230 is the mean and 20 is STD.
A score like 259 is at 93 percentile. That means that 7% of examinees score better.
It's probably enough for less competitive residencies, but absolutely not enough for competitive ones.
Anyway, your feedbacks made me feel better.
Thanks for that.
I'll be happy to share my exam experience or answer questions if you find it useful
Thanks for your post! i know some ppl might find this a complete 'show off post' but honestly its really helpful for people who want similar resid. positions

Please do share your experience
Goodluck
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  #26  
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Omg are you serious? If you don't match with that score, then there's no hope for the rest of us. Can you please give us your study strategy?
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Default my experience

Exam date: 17 June 2015
Score: 259
Mean (SD) of US med students at the time of my exam: 230 (20)
Background: IMG (over 10 years since graduation), did a Masterís and PhD in basic science and currently a full-time postdoctoral research fellow in Canada
Total prep time: just over 800 hours scattered over 7-8 Month
Details of prep time line: I took the Kaplan diagnostic test at the end of Sept í14 but did not get into studying till the end of Nov or early Decí14. I am doing my postdoctoral fellowship, so have to work full time. I logged my study time and did an average of ~ 5 hrs a day summing to a total of 825 hrs over this period.



Study material:
  • Kaplan lecture notes (1x after watching the videos and annotating FA to some degree)
  • Kaplan classroom anywhere lectures of 2014 or 2010 (watched once at 1.5x or 2x speed while annotating the notes).
  • For physiology I did BRS + Kaplan videos by Dr Wilson
  • For Neuroanatomy I did High Yield + Kaplan videos by Dr White
  • For pathology I did Pathoma + videos (1x)
  • First Aid (2x overall)
Note about Kaplan videos: I mixed and matched the lecturers as some of them where better in 2010 version and some better in 2014 lectures. For example: Biochemistry: Sam Turco 2010, Behavioral Science: Steven Daugherty 2010, Pharmacology & Physiology: same lecturer and both good, etc.

Question bank:
  • Only Uworld
Note: Did it once in timed random new mode, barely finished it and did not get a chance to review my mistakes or go over marked questions. I started in January and continued till my exam day. My score started in the 50% and rose to over 80% over time (average 75%).

Study order:
  • Kaplan books + videos
  • Pathoma
  • FA x2


Mock Exams:
  • Kaplan Diagnostic Test (- 9 Month before starting prep): 54%
  • NBME form 7 offline (- 3 month): 84%
  • NBME form 15 (- 7 weeks): 260
  • UWSA form 1 (-5 weeks): 265
  • NBME form 16 (-4 weeks): 247 (really pissed and postponed exam from June 1 to 17)
  • NBME form 17 (-2 weeks): 260
  • UWSA form 2 (-2 days): 265
Note: I did not have time to review any of these exams. I just went over my mistakes and found the right answers. Also did not have time to do the free sample questions on USMLE webstie.


Good things:
  • Uworld is very helpful. Make sure to read ALL the explanations.
  • BRS physiology is a brilliant book.
  • Pathoma is an excellent book.
  • First Aid has most of the things you need for the exam (>85%), but you need to understand all the concepts and not memorize it. I have seen people claiming to read it 5 times or more for the exam. Personally I think quality is much more important. I just did two reads which I think was sufficient.
  • NBME forms are HIGHLY predictive of your performance.
Mistakes:
  • I donít think you need to get into the details of Kaplan notes or annotate FA with Kaplan. I tried it initially but gave it up since it was just too time consuming.
  • NEVER postpone the exams! I did it and regret it. At the end my score did not change.
  • I think I should have reviewed marked questions in Uworld.
  • I sort of slacked off in the last 3-4 weeks before the exam because I was just too tired. Maybe if I had pushed it further I could have scored in the 260s. Such a shame to miss 260 by 1 point.
  • I think doing more question banks is superior to reading more.
Final thoughts:
Step 1 is a challenging and weird exam, the stems are much longer than Uworld and there will be questions that you have no clue about. I donít know how to face these. Just donít panic. Itís also a test of your exam stamina. You must plow through the questions and try to keep focused. Red bull is very helpful. Keep it in your locker and take a sip on your breaks. You need enough caffeine in your system to keep you alert but not too much to get you agitated.
Thatís all! Hope my experience help the others on this forum and hopefully you can score better than I did. Itís an exam of being smart and focused, itís not about being a book worm.
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  #28  
Old 07-11-2015
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Thanks Dr Jay for the encouraging words. I hope so!

Quote:
Originally Posted by Dr.JayMD View Post
Congratulations on your score PeterPan!
That score is what some of us can only dream of.

About your competitive residencies you're concerned about. Just relish the fact you scored high on your step 1 then concentrate on your step 2 to score high. Get US hospital rotations which will therefore increase your connections and chances of matching into the residency you want.

I would strongly guess that you will match regardless of how old a grad you are. You just have to believe in yourself and never doubt.

I know approximately 3 people that were old IMGs and matched into Radiology, Plastic Surgery and Pathology. Their scores ranged from 220-240 on step 1 and same with step 2. They had US hospital rotations and made the right connections with some luck of course.
Can't give you any feedback on opthalmology as I do not know anyone a US grad or IMG that is in that field. I wish you the best of luck in your aspirations.
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Thank you for sharing with us. I think you will be able to get a match in one of your chosen specialties. It may not be at a top tier program, but you will definitely get in.
Just focus on the rest of the steps and getting some USCE!!
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  #30  
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thankyou for your detailed experience
seems like you started off in 260s
your first nbme to start with already has a great score which is amazing!

GL
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Default Thanks!!!!!

Thank you for sharing your experience with us....CONGRATULATIONS once again.Wish you all the best in future
Patience and staying calm ,humble are very good qualities gifted by god...I see that in you...good job!!!!! Appreciate that
Good luck.
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  #32  
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Default peter pan

sorry for having judged u....but u hav got a very good score....go out and party man!!! u deserve it.....get a 260+ in step2 and with good a cv im sure u can get any competitive residencies out thr.....all the very best
nd i apologise if i have hurt anybody's feelings
gudluck to all u guys!!! and pray we all get such a fantastic score like peter pan (wich was my my favourite cartoon wen i was little lol )......take care
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  #33  
Old 07-12-2015
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When and where did you graduate from? And what have you been doing in the meantime?
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I watched Kaplan physio 2010 video
do u recommend dr wilson video especially 1st chapters i didn't understand them well?
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Quote:
Originally Posted by swwal View Post
I watched Kaplan physio 2010 video
do u recommend dr wilson video especially 1st chapters i didn't understand them well?
I read BRS physiology first and then watched the videos. I agree though that Dr Wilson could be confusing sometimes. Personally I think BRS is enough and a very good book. If you are weak in the subject watch the lectures, otherwise I don't think they're essential.
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  #36  
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I watched excitable tissues and skeletal muscle section from dr Fischer videos but didn't understand them well, does dr wilson explaining them well also i noticed he added things not in 2010 ??
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Quote:
Originally Posted by swwal View Post
I watched excitable tissues and skeletal muscle section from dr Fischer videos but didn't understand them well, does dr wilson explaining them well also i noticed he added things not in 2010 ??
Not sure about Fischer's videos, never seen them.
I found Wilson pretty consistent between 2010 and 2014.
Don't obsess over details in physiology it's all about the concepts. Honestly, I think understanding either Kaplan notes or BRS you'll be better than fine.
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  #38  
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Default thank you

I'm sorry for my first sarcastic reply,
did you find Pathoma really enough for step 1?
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Quote:
Originally Posted by T.Alanazi View Post
I'm sorry for my first sarcastic reply,
did you find Pathoma really enough for step 1?
No problem!
Yes, I think Pathoma was quite enough content wise. Just pay attention to slide photos in Uworld. You can also go over pictures of Rapid Review if you have time (but I did not).
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Default Microbiology resource

Quote:
Originally Posted by smita
hw did u do micro? i never did that subj propely in my med school...can i just do the videos and fa? also immunology!!!
thank u in advance
First Aid is enough for both topics, but I found reading First Aid very dry and hard to remember, I recommend using Kaplan videos by Dr Moscatello. She's really funny and say things that help you remember the stuff.
American students swear by CMMRS (clinical microbiology made rediculousely simple) but I never read it.

Last edited by PeterPan; 07-12-2015 at 11:34 AM. Reason: clarification
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  #41  
Old 07-12-2015
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Congratulations!!
Do you think you can tell us a little bit about the questions?? if you remember any? and the area what they tested you more? please
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Old 07-12-2015
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Quote:
Originally Posted by chiqui View Post
Congratulations!!
Do you think you can tell us a little bit about the questions?? if you remember any? and the area what they tested you more? please
I can not discuss the questions, as it's against the regulations.
What I remember there were lots of pathophysiology and physiology questions, where they give a scenario and aks about changes in cardiac or pulmonary curves.
Also quite a few questions that were novel molecular biology like about growth factors etc.
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Old 07-12-2015
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again thank you,
one last query, was pathology really the bulk of your exam?
how many percentage of the question stem was pathology?
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  #44  
Old 07-12-2015
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Default question percentages in step 1

Quote:
Originally Posted by T.Alanazi View Post
again thank you,
one last query, was pathology really the bulk of your exam?
how many percentage of the question stem was pathology?
The distribution of questions were fair, very similar to NBME forms I did. There were some pathology but the bulk was pathophysiology (what happens in the disease mechanistically) or what mechanism the treatment modulates... things like that... quite a few Beh Sci questions and a fair share of other topics as well.

Someone did analyze the share of questions some years ago which may be interesting to you:

USMLE Step 1 Questions Distribution
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  #45  
Old 07-17-2015
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Default tips?

oh my, amazing score. hoard work do pay off. can I get your contact? my email is john.okafor59@gmail.com
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  #46  
Old 07-17-2015
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Congrats doc! you will definitely get your dream residency spot!
do you have any idea that how many mistakes did you have on your exam in average?!? how about your NBMEs?! I know that all estimations are individual and not accurate, but I like to have a general idea about it, specially for this score range! tnx!
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  #47  
Old 07-17-2015
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Quote:
Originally Posted by sdorodgar View Post
Congrats doc! you will definitely get your dream residency spot!
do you have any idea that how many mistakes did you have on your exam in average?!? how about your NBMEs?! I know that all estimations are individual and not accurate, but I like to have a general idea about it, specially for this score range! tnx!
I don't know about the exam, as they were a lot of obscure questions.
In the NBME forms which I scored 260, I had 13 to 15 mistakes out of 200 q.
But keep in mind that this is all relative and it depends on the difficulty level. i.e. how many people replied correctly to each question and the relative weight of questions.
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  #48  
Old 07-17-2015
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How about Biostats ? what is best for it ?

Quote:
Originally Posted by PeterPan View Post
I don't know about the exam, as they were a lot of obscure questions.
In the NBME forms which I scored 260, I had 13 to 15 mistakes out of 200 q.
But keep in mind that this is all relative and it depends on the difficulty level. i.e. how many people replied correctly to each question and the relative weight of questions.
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Old 07-18-2015
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Default Biostatistics review

Quote:
Originally Posted by ezguy View Post
How about Biostats ? what is best for it ?

Steven Daugherty
of Kaplan has very good lectures on Biostat. Those lectures + FA were enough for me.
If you are particularly weak on the topic you can try UWorld's BIOSTATISTICS REVIEW which I hear is good.
Try to do as many questions on the topic as you can.
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  #50  
Old 01-29-2016
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Quote:
Originally Posted by PeterPan View Post
Hi everyone,

I just received my step 1 score report and it is 259.
I feel a bit disheartened though!
I know it's an OK score (1.45 STD above the current mean which is roughly on the 93 percentile), but I was hoping to be in the 260s and with so many people with great scores and being an older IMG, I'm not sure about the prospect of getting a match with this score.
Hi.I'm planning to take step 1 in August.can you please write me what resources do I need ,reading Kaplan so far. I am an older IMG like you.?my email id is bhawanik88@ gmail.com .thanks
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  #51  
Old 02-02-2016
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Default Good day

I am also an older IMG.
I am trying to get started with the preparations for the Step 1. Please can someone tell me what materials i need.
I have already registered with the UWorld.
Thanks in advance.
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  #52  
Old 02-03-2016
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Default 14 hours ago and it's still 9:00 am wednesday

how did you get your score 14 hours ago and it's 9:00 am eastern time now
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Old 02-06-2016
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Unhappy if you can read this..

hi, im very scared about the exam, i've been studying about 8 months and don't know what da hell its wrong with me but im not doing well...i feel like i know good enough FA, i was thinking in make a last revision this days (my exam its in 10 days). yesterday did NBME self assesment and got bad score (420/211) expected something better...i feel that I don't know how to manage with the time, I feel so slow resolving the questions....maybe thats my problem but i don't know what to think, i saw that score and now just want to reschedule... i think I need more practice on that but i don't know if i cant do it to the day of appointment.
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