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  • For future physicians, the USMLE Step 1 board exam is arguably the most important

  • exam you will ever take.

  • I'll share with you the strategies that will maximize your score.

  • What's going on guys!

  • Dr. Jubbal, MedSchoolInsiders.com.

  • The USMLE Step 1 consists of seven blocks each lasting 60 minutes and consisting of

  • up to 40 questions each.

  • This 8 hour marathon is high-stakes, but fear not.

  • With the right plan and approach, you will be prepared to crush it.

  • This video primarily focuses on the dedicated study period which generally varies between

  • four and eight weeks.

  • The take-home message of this video is that you need to create a schedule and do your

  • best to stick with it.

  • Assuming you have a sound study plan, the deciding factor on whether or not you'll walk

  • away with a score you're happy with is having the discipline to stick with it.

  • A quick word on scheduling your tests; I had a six week dedicated period and I took my

  • tests four and a half weeks in.

  • I used the remaining 10 days to go on a cruise, and yes it was awesome!

  • When scheduling your test, it's important to keep three things in consideration, first;

  • more time is not always better.

  • With time, your knowledge and test score will start plateauing and at a certain point actually

  • start dropping as you burn out.

  • Secondly, you want to have a break before starting the grueling journey that is your

  • third year clerkships.

  • And lastly, do not push your tests back for the reason of not feeling prepared.

  • You will never feel fully prepared and pushing your tests back for this reason will likely

  • do more harm than good.

  • Now first, let's decide your resources, the UFAP protocol should be your core.

  • This consists of UWorld, first-aid and Pathoma.

  • I also use Goljan audio lectures for pathology and Sketchy micro which I personally found

  • tremendously helpful for Microbiology.

  • If you are a visual learner like me, I highly recommend it.

  • Now, pick your resources carefully, you do not want to have too many resources during

  • your dedicated study period.

  • You will quickly get overwhelmed and not be able to get through all of them.

  • NBME practice exams come into use as well but they are not primary study resources.

  • On to the schedule: creating a plan of attack for yourself is key.

  • I made my schedule in Excel and this is what it looks like.

  • Don't worry, I'll explain exactly how I got to this point.

  • You can download the excel document down in the description below.

  • This is what works for me and it's fine for you to use this as a base template but it

  • is important that you personalize this for your own strengths and weaknesses.

  • For example, if your cardiology is weak, make sure you spend more time on cards.

  • If you struggle with finishing tests on time, then make sure you do plenty of timed practice

  • blocks to improve your pacing and so on.

  • My days and weeks were highly structured and this may not work for everyone.

  • I personally preferred this because it removed thinking from the equation.

  • Everything was laid out and I just had to follow it to achieve a killer Step 1 score.

  • The first step in creating the study plan was laying out my daily schedule.

  • Each day, studying was divided into three four-hour blocks of morning, afternoon and

  • evening.

  • I took five to 10-minute breaks once per hour during each of these sessions.

  • I woke up everyday at 6 a.m.

  • As this was the time I would wake up on test day.

  • At 7 a.m., I walked to school and listen to the Goljan audio lectures at usually 1.5 to

  • 1.7 X speed.

  • The morning study block started at 7:30 which was always UWorld block of 46 questions.

  • I would then review the block thoroughly until 11:30.

  • Lunch was 11:30 until 12:00 and 12 p.m. Marked the beginning of the afternoon study block.

  • This block ended at 4 p.m.

  • And I got a quick 30 to 45 minute workout up until 5 p.m. I did evening blocks starting

  • at 5 p.m.

  • From home but they were broken up with dinner as my mental endurance was waning later on

  • in the day.

  • The first half of the evening block was 5:00 to 7:00 p.m., dinner was 7:00 to 7:30 p.m.

  • And the second half was 7:30 to 9:30 p.m. I was in bed and asleep by 10:00.

  • I followed this daily structure from Sunday through Friday.

  • Every Friday evening block was for fun and relaxation, meaning Fridays after 5:00 p.m.

  • I did not work.

  • Every Saturday morning until lunch time was reserved for groceries and laundry and whatever

  • other errands, but I got back to studying immediately after lunch.

  • So now that my daily schedule was determined, I went back and prioritized my study materials

  • to organize my weekly studying.

  • I recommend going through first aid twice and Uworld at least once, preferably also

  • going through all of your in corrects a second time around.

  • I determined how many pages each first-aid section was to help me estimate how many blocks

  • to allocate to each system.

  • Next, fill in with supplemental study materials as needed.

  • I had already gone through Pathoma twice before my dedicated study period, so I only occasionally

  • referenced it.

  • I watched sketchy micro videos either during my study blocks when I had assigned myself

  • micro or during lunch breaks since I did find the videos entertaining to watch.

  • I did have an Anki deck but I rarely used it during the dedicated study period as this

  • was more useful earlier in second year when I was still seeing material for the first

  • time.

  • I felt the application of that knowledge with the UWorld questions and high-yield review

  • with first aid was a better use of my limited time.

  • The reason I started my morning blocks with the UWorld is because I needed to get used

  • to test taking first thing in the morning, and I also felt like my mind was freshest

  • at this point.

  • I tracked how many questions I completed each day, the percentage correct and the number

  • of questions remaining.

  • This was important for me because it was really encouraging to see my percentage answered

  • correctly slowly rise over time as well as the number of questions left unanswered slowly

  • decline over time.

  • At the beginning, I focus my blocks on the systems I was studying.

  • If I was studying microbiology in first-aid, then I would do a block of maybe 20 questions

  • on UWorld of just pure micro and then another block of mixed questions.

  • A couple weeks into my dedicated period however, I exclusively did mixed blocks and UWorld

  • with all topics as this was more representative of the actual tests.

  • Regarding practice tests, I recommend you take one towards the beginning of your dedicated

  • study period mostly for self-assessment purposes and then the rest of them towards the end.

  • These practices are really important, they help you get used to the USMLE question style,

  • they hone your endurance and they help master your pacing.

  • Make sure you take the practice tests mimicking the real environment - which means wearing

  • earplugs, timing yourself closely and sticking to the time limits on breaks.

  • More on breaks in a little bit.

  • I took my first practice test which was an NBME test within the first two weeks.

  • I then took four additional practice tests in the two and a half weeks before my test.

  • I do not recommend taking a practice test within the preceding 48 to 72 hours of your

  • actual test as you do want to be fresh for the real deal.

  • And yes, you should absolutely review your practice test and see what questions you got

  • wrong.

  • Come test day, relax because you have got this.

  • Be sure to check out the test day strategies video well in advance of your test date and

  • begin practicing those principles now.

  • I would also add that you should go in with a plan of how you will allocate your break

  • time.

  • If you've skipped the 15-minute tutorial at the beginning, you will get a total of sixty

  • minutes of break time.

  • Some students like to skip their first break and do two blocks back-to-back.

  • I do not recommend this.

  • Your attention span is not limitless.

  • I instead recommend taking a break between every single block even if that break is short.

  • My break time was organized as five minutes, five minutes, ten minutes, twenty minutes,

  • ten minutes and ten minutes.

  • Shorter breaks at the beginning since my mind was less fatigued, one longer twenty minute

  • break for lunch and ten minute breaks at the end since my mind was more fatigued.

  • I go over how to spend your break time and other test day considerations in my test day

  • strategies video.

  • Link in the description below.

  • Now, I cannot guarantee a certain score or outcome but if you deliberately create a thoughtful

  • schedule and stick to it, you will maximize your score come test day.

  • A word of caution though, you will fall behind, trust me.

  • I had a beautifully laid out highly ambitious study plan and within the first two weeks,

  • I was already falling behind.

  • But that's okay, readjust your schedule and keep at it.

  • There is nothing wrong with shifting things around.

  • Be realistic with what you can accomplish during each study block but also don't beat

  • yourself up if you fail to achieve it.

  • Readjust and keep moving forward.

  • Thank you for watching and best of luck with your Step 1 exam.

  • For more Step 1 resources and study strategies, check out the links in the description below.

  • If you guys liked the video, make sure you press that like button.

  • Hit subscribe if you have not already and I will see you guys in that next one.

For future physicians, the USMLE Step 1 board exam is arguably the most important

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