USMLE Step 1 - 254 Experience

USMLE Step 1 – 254 Experience


USMLE Step 1 - 254 Experience

USMLE Step 1 – 254 Experience

Hey guys international medical student from Greece here.

Just received my score-254 .. so I would like to share my experience.



  1. First Aid
  2. Becker video lectures
  3. Pathoma
  4. CMMRS
  5. First Aid
  6. Kaplan qbank
  7. UWorld qbank
  8. ANKI




January 2016-June 2016: First pass through my resources and annotation of First Aid 2015 (along with my Med school courses)


DEDICATED (August 2016-January 2017)

  1. 5 Aug-19 Oct: Studying of (annotated) FA2015 & transferring notes to FA2016
  2. 20 Oct 2016: NBME 12–>230
  3. 22 Oct-31 Nov: UWorld (1 block/day) & taking notes & review theory when needed
  4. 1 Dec-26 Dec: Review (annotated) FA 2016 & UWorld notes
  5. 27 Dec: NBME 17–>255
  6. 29 Dec-10 Jan: UWorld (2 blocks/day) & taking notes & review theory when needed
  7. 14 Jan: 2 assessments back to back & 1h total break —-> NBME 15–>252 & UWSA 1–>266
  8. 15 Jan-24 Jan: Review (annotated) FA 2016 & UWorld notes
  9. 25 Jan: NBME 18–>246 (not a good day)
  10. 26 Jan-5 Feb: Review (annotated) FA 2016 & UWorld notes
  11. (31 Jan–>practice session at prometric center = free 120 q’s–>89%)
  12. 7 Feb 2017: REAL TEST–>254




  1. Anki


I was pretty lucky to have a friend with whom we began our preparation together using the same resources. He spent a lot of time (and I mean A LOT of time) creating his own flashcards , which he shared with me. Every time I received a deck from him was like receiving a blessing from God( ).Sadly by the time I began my dedicated period he hadn’t completed about half of the sections of FA, and I had to use Brocencephalon’s deck for the missing ones (Bro’s deck was far inferior compared to the deck my friend was making, but I guess it was better than nothing). I did flashcards everyday (at least one hour per day from November 2015 to 15 Jan 2017 without skipping a single day) which really improved my long-term retention of knowledge and minimized the time required for reviews.


  1. Hours per day during dedicated

August-September : 6h/day (including Anki)

Oct-Nov: 7-8h/day (including Anki)

Dec:9h/day (including Anki)

Jan:11h/day (not including Anki)


  1. Sites that I found useful

I didn’t use it systematically but if I had to prepare for step 1 again I would definitely incorporate that in my studying

When you end a system or a section in First Aid just check out what other people proposed to change in next first aid version. You will find too many hidden gems here PLUS you will have the new First Aid long before its published

When taking your NBMEs just check out these correlation charts to assess where you stand.


If this experience helped you, we recommend you check out the following experiences:

Detailed USMLE Step 1 Guide by Dan Levi

My USMLE step 1 Experience : 248

Ukranian IMG struggle: Man proposes, God disposes

December 8, 2017
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