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USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


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  #1  
Old 04-10-2013
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Unhappy I failed step 1 twice

Hello,

I am new to this forum. I finished my two years of basic sciences in the caribbean in January 2012. My first attempt at step 1 was last June and I failed: 167. I could honestly say I wasn't prepared enough. I had preclinical rotations at that time. Then I took a prep class, and did all of Uworld qs 3x, took one of the nbmes and Uworld self assessment test before I attempted second time. I got 70% on my uworld qbank. However, my score just came in and I failed by 2 points.
Do you guys think it is worth to continue my medical education or should I choose something else? I don't have the courage to tell my parents the truth yet. Please any advice is appreciated!
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  #2  
Old 04-10-2013
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Look, you spent 2 years of your life and money on your education in the Caribbean. You shouldn't quit now! There are people I know, who have failed the step 1 twice, and still ended up getting matched. I do realize that residency is getting tougher for IMG's, but I honestly believe that if you can get a 230+ on your third attempt, and do really well on your step 2 ck/cs on your first attempt, you'll be able to match God willing. Aside from doing well on your steps, you have to try your hardest to be the best in your clinicals, form relationships, etc. You can even add research, as well as take step 3(I think), to help increase your chances. I really believe if you play your cards right, you'd be able to match into family med, or even internal medicine.

At the same time, you want to be safe and have a backup plan in case you won't match into a residency(which I know you will!). I don't know if you attended the caribbean medschool after highschool, or college, but after your step 1, you can perhaps take some online courses and finish your bachelors, or masters degree(in the health field). Perhaps like 1 class per semester, while you're doing rotations. That way if you don't end up getting matched, you're protected, and if you do end up getting matched, then well more power to you!

Hope this helps friend
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  #3  
Old 04-10-2013
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Also, please don't rely on only 1 nbme before your exam. You want to take a minimum of 3. In addition, the general consensus here is that UWSA usually overshoots your score, so be careful about that.
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  #4  
Old 04-10-2013
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What were your NBME scores before both times you attempted to take the step?
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Old 04-10-2013
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I took NBME 12 and it was 216.
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Hi,

Thanks for the encouragement. I got my Bachelors in Chemistry, and worked as a medical assistant for a year before I started med school. I was never a good standardized test taker, so I prepared this time with UWorld, Usmlerx and the self assessment tests. I am wondering what I should do differently for the next time?

Quote:
Originally Posted by ballers View Post
Look, you spent 2 years of your life and money on your education in the Caribbean. You shouldn't quit now! There are people I know, who have failed the step 1 twice, and still ended up getting matched. I do realize that residency is getting tougher for IMG's, but I honestly believe that if you can get a 230+ on your third attempt, and do really well on your step 2 ck/cs on your first attempt, you'll be able to match God willing. Aside from doing well on your steps, you have to try your hardest to be the best in your clinicals, form relationships, etc. You can even add research, as well as take step 3(I think), to help increase your chances. I really believe if you play your cards right, you'd be able to match into family med, or even internal medicine.

At the same time, you want to be safe and have a backup plan in case you won't match into a residency(which I know you will!). I don't know if you attended the caribbean medschool after highschool, or college, but after your step 1, you can perhaps take some online courses and finish your bachelors, or masters degree(in the health field). Perhaps like 1 class per semester, while you're doing rotations. That way if you don't end up getting matched, you're protected, and if you do end up getting matched, then well more power to you!

Hope this helps friend
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Old 04-10-2013
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Was that your composite score or the actual USMLE predicted score?

Also did you take any the first time you attempted the step?

What were your UWSA scores?
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Old 04-10-2013
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Quote:
Originally Posted by nxa57 View Post
I took NBME 12 and it was 216.
Wow thats odd...216 is a safe score to go sit for the step....i think your exam might have been a difficult one, or had the topics that you were weak in (according to your nbme)
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  #9  
Old 04-10-2013
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U cant only rely on qbanks. Did u read books like first aid and kaplans?
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  #10  
Old 04-10-2013
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I read FA like 3x.

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Originally Posted by bigBOSSguy View Post
U cant only rely on qbanks. Did u read books like first aid and kaplans?
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Old 04-10-2013
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Quote:
Originally Posted by nxa57 View Post
I read FA like 3x.
Apart from that? Fa only is nt enough. :-)
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Old 04-10-2013
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FA with Goljan RR. I don't know what went wrong this time

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Apart from that? Fa only is nt enough. :-)
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Like others said, don't give up - you are halfway there... especially you have time to shine better in your 3rd/4th years... it's going to be harder for residency but you have two more years to make improvements in other areas... people do match with multiple fails on the steps... meaning it does happen more than you think from the forums..

It's probably better to hear how s/he used those resources (rx/uw/fa) - did they take notes? read through all the right/wrong? memorizing (instead of understanding some parts of) fa?

Also, what review course was this?

I'm not sure if another course is going to help but a 60 point jump (if you are saying to 230 from 170) is going to take some addition of some resources, maybe another question bank with uw again... and goljan rapid review and maybe pathoma. You sat for the exam both times knowing some things so this is a start.

Did your performance from both step attempts showw similar show strengths/weaknesses from both times taken?

I;m interested to hear what the others will say on how to make that type of score jump - it's possible but no idea on time and methods.
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Old 04-10-2013
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Quote:
Originally Posted by nxa57 View Post
Hello,

I am new to this forum. I finished my two years of basic sciences in the caribbean in January 2012. My first attempt at step 1 was last June and I failed: 167. I could honestly say I wasn't prepared enough. I had preclinical rotations at that time. Then I took a prep class, and did all of Uworld qs 3x, took one of the nbmes and Uworld self assessment test before I attempted second time. I got 70% on my uworld qbank. However, my score just came in and I failed by 2 points.
Do you guys think it is worth to continue my medical education or should I choose something else? I don't have the courage to tell my parents the truth yet. Please any advice is appreciated!

Look the chance of you getting matched with 2 failures is very very very low now. Specially when all other IMG's are scoring over 240 on first attempt. You can explain 1 attempt with an eye opening score the 2nd time but to fail 2 times.

Dude do not throw away your parents money.

Now there is one hope. if you are a US citizen,

PASS USMLE step 1 with a 230+, get 250+ on CK and apply to Psych, FM or IM.
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