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Discussion Starter · #1 ·
Hello guys

I am an IMG going for Step 1 at the end of this month.

I finished FA for about 4 times and did BRS Physiology and Pathology
Did UWorld first time got 82% correct
Did USMLE-Rx got average score of 256

I did the UWSA and got me 221
Did NBME 12 and got me 216!!!

I am really freaking out ! I was doing well through studying and solving questions but Self-Assessments shocked me!

Any advice guys on improving??
Please help

Thanks in advance
 

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Try to understand why you are missing those questions. NBMEs are very predictive. Focus on understanding Path, Pharm, and Physio very well. Lemme know if you have anymore questions
 

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Hey sdwiekat,

first of all a few questions to get more information and clues why you didn't do so well on the NBMEs compared to your performance in UWorld:

1. How did you go through UWorld? Timed-random, 1 block every time? Your cumulative looks incredibly high for the first-pass, I would have expected your NBME scores to be above 250 with that %.

2. Have you considered to postpone your exam date? I agree with pseudomyxoma and if the NBME scores aren't as high as you expect, then I'd postpone it. Don't take the chances, step 1 is one of the most important aspect to match!

USMLE-Rx is awful to predict your scores, they often overestimate them.
You already did FA 4 times, so don't waste time there. Use your time wisely and focus on your weak points: if it's pathology/pathophysiology, reading/watching pathoma would be beneficial, if it's microbiology, maybe do sketchymicro, etc.

Always reflect on why you got the questions wrong in the NBME. Were you too nervous? Rushed over the question stem? Didn't feel like you knew what they are hinting at? Etc.

Edit: BTW, "Please help" isn't a very descriptive title for a new post.
 

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Discussion Starter · #4 ·
Try to understand why you are missing those questions. NBMEs are very predictive. Focus on understanding Path, Pharm, and Physio very well. Lemme know if you have anymore questions
Thanks buddy... That's what I've been doing
Looks like I have a problem in remembering the Microbiology and General Behavioral Sciences and a little bit of Biochem

Also, when I revised the NBME that I took, many questions were wrong due to "Not-focusing on the keyword" to solve the question

Thanks buddy again
 

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Discussion Starter · #5 ·
Hey sdwiekat,

first of all a few questions to get more information and clues why you didn't do so well on the NBMEs compared to your performance in UWorld:

1. How did you go through UWorld? Timed-random, 1 block every time? Your cumulative looks incredibly high for the first-pass, I would have expected your NBME scores to be above 250 with that %.

2. Have you considered to postpone your exam date? I agree with pseudomyxoma and if the NBME scores aren't as high as you expect, then I'd postpone it. Don't take the chances, step 1 is one of the most important aspect to match!

USMLE-Rx is awful to predict your scores, they often overestimate them.
You already did FA 4 times, so don't waste time there. Use your time wisely and focus on your weak points: if it's pathology/pathophysiology, reading/watching pathoma would be beneficial, if it's microbiology, maybe do sketchymicro, etc.

Always reflect on why you got the questions wrong in the NBME. Were you too nervous? Rushed over the question stem? Didn't feel like you knew what they are hinting at? Etc.

Edit: BTW, "Please help" isn't a very descriptive title for a new post.
Hey pal
I did UWorld in many aspects, most of them Timed-mood 44 question a block except maybe for the last 300 questions which I did randomly, like Tutor Mode and not necessarily 44 questions a block.

Going through NBME I found that I wasn't focusing that much on the questions and was under a little bit of stress since I was anxious about not doing well. The second thing is that I have a problem in Microbiology, Behavioral Sciences & Biochem a little bit, so I've been doing a lot of practice questions on them for the last week in order to gain strength again.

I usually solve the question either by remembering the answer directly or by critical thinking and ruling out questions. I hope my mind won't betray me on the day of the exam. I will do another NBME this weekend to see if I am improving or not
 

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It sounds like your content knowledge is good if you've been doing well prior to the practice exams. I'd try to focus on your test taking environment and mental strategy. The stress and anxiety of trying to finish the questions on time and get them all right can contribute to getting lower scores. Best advice is to go with your gut instinct, as you would do when doing UWorld questions or other casual practice--harder said than done, but it really is true!
 

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Discussion Starter · #7 ·
It sounds like your content knowledge is good if you've been doing well prior to the practice exams. I'd try to focus on your test taking environment and mental strategy. The stress and anxiety of trying to finish the questions on time and get them all right can contribute to getting lower scores. Best advice is to go with your gut instinct, as you would do when doing UWorld questions or other casual practice--harder said than done, but it really is true!
Thank you sir ! :) I am currently solving as much QBanks as I can!
Currently working on Kaplan and I find it challenging sometimes :)
I guess the defect is in finding the Keyword . Also, I have some memory loss in Micro and Biochem :p And of course the equations shall be re-memorized again before the exam
 
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