But if UWorld is so much like the USMLE, why are so many students blind-sided? Because they go in thinking the content of the test will be identical to UWorld. How many students claim their test was nothing like First Aid/UWorld? Lots. However, that does NOT mean that your USMLE will be exactly like every UWorld question. So why do so few people do it? UWorld is similar to USMLEs. How can you get questions right you’ve never seen before? By practicing questions that you haven’t seen before. How to Prepare for Questions You’ve Never Seen Before Getting never-seen-before questions right differentiates people who are scoring <240 vs. This is my real secret to scoring 270 on Step 1. Learn how to reason through questions that you’ve never seen before. Some you may have never even thought about. Because they’re so close to the real thing, I did NOT do UWorld twice.Ī huge challenge for USMLE Step 1 is questions that you have never seen before. UWorld questions are as close to the real thing as possible. If something has helped in the past, then repeating it ad infinitum will increase your score indefinitely. This is one of the most common misconceptions I see among students preparing for Step 1. If a little of something is good, then more must be better, right? Therefore, doing it more than once will somehow boost your score even further. Why does everyone tell you to repeat UWorld? It’s simple: UWorld is a fantastic resource (it really is). This is perhaps the most common advice I heard as a medical student. If you can brave forums without getting palpitations, share it in the comments and I will update this article. However, med student forums still give me pangs of anxiety, with all of their distress and breathless dogma. NOTE: I considered sifting through any of the number of anonymous USMLE forums to find examples of this advice. It also comes from well as having tutored students for the USMLE Step and Shelf exams. The “common knowledge” surrounding UWorld is an opinion. This is also my opinion from preparing for Step 1/Step 2 CK.

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