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TOOLS
NEEDED
FOR
THE
USMLE
PREPARATION
STRATEGY
In
order
to
best
prepare
yourself,
you
need
the
right
tools
at
your
disposal.
Below
Ive
outlined
a
few
things
you
should
have
before
even
starting
your
preparation,
so
that
as
we
move
through
the
plan,
you
have
everything
right
at
your
disposal.
What
youll
need:
1.
Excellent
review
notes
Excellent
review
notes
come
from
one
of
two
sources.
They
are
either
created
by
you
through
carefully
moving
through
your
basic
science
notes
and
combining
all
of
the
high-yield
information
into
a
neat
document,
or
they
come
from
following
a
review
program
that
tackles
the
high-yield
information
in
great
detail.
Please
realize
that
study
guides
such
as
the
First
Aid
or
even
our
USMLE
Step
1
BIBLE
are
not
comprehensive
review
notes,
they
are
only
review
guides
that
tell
you
what
is
considered
to
be
high-yield.
You
should
be
able
to
look
at
the
First
Aid
and
be
able
to
discuss
the
topic
inside
in
great
detail
simply
memorizing
the
information
in
any
study
guide
will
leave
you
falling
well
short
of
the
knowledge
base
you
need
to
succeed.
2.
USMLE
World
Question
Bank
Through
the
years,
Ive
tried
all
of
the
more
popular
question
banks
out
there,
and
I
can
say
with
complete
confidence
that
USMLE
World
is
the
superior
product
on
the
market.
A
3-month
subscription
to
USMLE
World
is
all
you
will
need.
3.
NBME
Examinations
In
order
to
get
the
most
accurate
feedback
of
your
progress
as
you
move
through
our
success
strategy,
you
are
going
to
need
to
use
NBME
examinations.
Many
students
dont
like
the
fact
that
they
have
to
spend
some
money
for
these
exams,
but
keep
in
mind
that
these
exams
are
made
of
real
USMLE
questions
that
are
being
used
today.
What
this
means
is
that
the
level
of
difficulty
that
this
exam
presents
to
you
will
give
you
both
an
accurate
assessment
of
where
you
stand
and
it
will
give
you
a
great
look
at
the
level
of
difficulty
that
you
can
expect
on
the
real
USMLE
exam.
Each
NBME
is
$45,
which
is
a
very
small
price
to
pay
for
the
valuable
information
and
feedback
that
you
will
take
away
from
each
one
you
take.
Please,
embrace
these
exams
and
be
prepared
to
take
anywhere
from
2-5
of
them
throughout
your
preparation,
as
it
will
help
you
boost
your
score
by
dozens
of
points!
4.
Blank
Notebook(s)
Get
yourself
1-2
blank
spiral-bound
notebooks
with
around
300
pages
in
each.
You
will
need
lots
of
space
to
write
as
you
progress
through
our
preparation
strategy,
so
be
sure
you
have
plenty
of
writing
materials.
As
far
as
tools
go,
thats
what
you
need!
Now,
let
us
get
into
the
details
of
the
strategy.
THE
BASIC
STEPS
INVOLVED
Below
I
am
going
to
outline
the
general
overview
of
the
success
strategy.
After
the
outline,
I
will
go
into
detail
about
how
to
approach
each
step,
and
how
to
maneuver
your
way
through
the
entire
strategy
from
Day
1
of
your
studies,
all
the
way
until
the
moment
you
are
ready
to
write
the
exam!
Lets
go
1st
step
Take
an
NBME
exam
2nd
step
Develop
a
study
schedule
based
on
your
timeframe
(+
schedule
your
USMLE
Step
1
exam)
3rd
step
Begin
studying
+
performing
2
blocks
of
qs
per
day
4th
step
Once
through
1st
round
of
studies,
take
another
NBME
5th
step
Perform
the
2nd
run
through
Qbank
6th
step
Take
NBME
7th
step
Improve
weak
areas
based
on
NBME
feedback
8th
step
Take
NBME
(repeat
step
6,
7,
&
8
until
no
identifiable
weaknesses)
9th
step
Take
your
USMLE
Step
1
confidently
At
first
glance,
it
looks
as
though
a
good
chunk
of
your
time
is
spent
taking
NBME
exams,
but
this
isnt
the
case.
In
fact,
the
NBME
exams
are
only
going
to
take
up
a
couple
hours
of
your
time
here
and
there.
But,
the
layout/schedule
of
your
NBME
exam
attempts
are
very
carefully
placed,
and
should
be
followed
exactly
as
prescribed.
So
now
that
you
get
what
the
overall
picture
looks
like,
let
us
take
a
much
closer,
more
detailed
look
at
exactly
what
to
do
in
order
to
go
from
where
you
are
right
now,
to
a
place
where
you
are
equipped
to
score
in
the
top
1%
of
all
USMLE
test-takers.
Before
we
start
As
I
mentioned
earlier
in
this
guidebook,
your
USMLE
scores
are
yours
and
yours
only!
They
are
not
for
your
school,
they
are
not
for
anyone
else
but
you.
So
dont
think
for
a
minute
that
you
MUST
take
the
test
in
1
month,
or
2
months,
or
even
6
months
if
you
arent
ready.
The
clinical
rotations
will
always
be
there,
you
only
have
one
shot
at
this
exam
so
take
your
time,
but
dont
fall
into
the
trap
of
taking
too
much
time.
For
example,
there
is
absolutely
no
plausible
reason
for
taking
1yr
to
prepare
for
this
exam.
If
you
are
a
student
who
is
fresh
out
of
the
basic
sciences,
we
should
have
you
ready
quickly
(1-3
months).
For
those
of
you
who
are
out
of
school
for
5+
years
and
who
truly
and
honestly
believe
they
are
starting
from
scratch,
you
should
be
working
hard
and
efficiently,
but
may
need
6-9
months
to
prepare.
In
general
though,
you
are
likely
a
relatively
recent
graduate
who
can
manage
to
get
ready
in
90
days
or
less.
1ST
STEP
TAKE
AN
NBME
Ive
dealt
with
students
fresh
out
of
the
basic
sciences
and
Ive
dealt
with
students
20
years
out
of
medical
school,
and
no
matter
what
your
case
may
be,
taking
an
NBME
will
give
you
an
idea
of
where
you
stand.
It
will
let
you
know
how
strong
or
weak
you
are
overall,
and
it
will
pinpoint
your
strengths,
your
weaknesses,
and
your
average
areas.
So
get
an
NBME
and
take
it.
Since
we
are
just
getting
started
with
our
preparation,
ultimately
we
need
to
identify
our
weaknesses,
but
we
are
still
going
to
do
thorough
and
detailed
studying
of
all
the
principles
tested
on
the
USMLE
Step
1
exam.
At
this
point
take
note
of
your
strengths
and
weaknesses
based
on
the
NBME,
but
we
are
still
going
to
attack
all
of
the
material.
2ND
STEP
DEVELOP
A
STUDY
SCHEDULE
BASED
ON
YOUR
TIMEFRAME
GOALS
This
is
trickier
and
different
for
everyone,
but
as
a
general
guideline,
a
student
who
is
above
average
in
their
basic
science
classes
should
aim
to
write
their
exam
within
6-8
weeks
from
now.
My
suggestion
is
to
be
honest
with
yourself
as
far
as
how
much
time
you
need;
did
you
fail
a
few
classes
in
med
school?
If
you
did,
youll
need
more
time.
If
you
did
well,
then
schedule
your
exam
for
a
couple
months
away.
The
most
important
thing
is
that
you
do
in
fact
schedule
your
exam.
Nothing
is
worse
than
starting
your
preparation
without
having
a
defined
date
and
goal
in
place,
because
what
are
you
working
towards
if
you
dont
set
a
date
and
goal?
You
can
always
change
your
test
date.
You
also
need
to
identify
a
target
score.
If
your
goal
is
to
become
a
Family
Physician,
which
is
known
to
be
a
favorite
amongst
IMGs,
dont
for
a
second
think
that
just
passing
the
exam
will
get
you
in
these
days,
because
it
absolutely
will
not!
When
I
hear
a
student
tell
me
their
goal
is
to
just
pass,
I
will
immediately
warn
them
about
thinking
too
small.
Even
if
you
want
to
get
into
one
of
the
easier
specialties,
you
should
still
be
shooting
for
a
top
score.
Never
limit
yourself
based
on
your
own
falsely
set
limitations
Just
because
you
are
an
IMG
doesnt
mean
you
cant
get
into
Dermatology,
or
Plastic
Surgery.
Sure,
it
is
highly
unlikely
and
extremely
challenging,
but
never
limit
yourself
based
on
what
you
hear
from
others.
And
so
with
that
said,
what
is
your
goal?
Do
you
want
to
try
for
a
challenging
specialty?
If
you
do,
then
you
want
to
score
at
least
a
235,
especially
these
days
with
the
high
number
of
competitors.
If
you
want
an
easier
to
get
into
residency
such
as
Pediatrics,
you
still
want
to
aim
for
a
score
that
is
above
the
national
average,
which
is
around
222-225
(this
is
always
changing
on
a
yearly
basis,
but
usually
hovers
around
this
marker).
So,
define
your
ultimate
career
goals.
Define
your
goal
score.
Set
a
date
for
your
exam.
How
do
you
plan
a
study
schedule?
This
is
done
based
on
a
few
factors,
namely
whether
or
not
you
are
dedicating
100%
of
your
day
to
your
Step
1
preparation.
And
if
I
may
say,
this
is
one
exam
you
will
want
to
focus
100%
of
your
time
and
effort
towards.
A
rock-solid
approach
is
to
dedicate
6-8
hours
of
each
day
to
Step
1
preparation.
In
The
Academys
Step
1
Preparation
Program,
we
ask
students
about
the
amount
of
time
they
can
dedicate
to
their
studies,
and
based
on
this
recommend
4,
8,
or
12
weeks
of
preparation
time.
For
a
student
who
has
only
the
Step
1
to
focus
on,
4
very
intense
weeks
should
be
enough
time
to
get
through
the
basic
sciences,
while
also
implementing
daily
questions
into
their
strategy
and
also
keeping
an
hour
or
so
for
review.
For
those
with
part-time
jobs,
children,
or
other
responsibilities
that
use
up
part
of
their
day,
aiming
to
dedicate
2-4
hours
of
highly
focused,
interruption-free
studying/preparation
is
ideal.
Now,
based
on
the
amount
of
time
you
can
dedicate,
create
a
plan
that
maps
out
how
you
will
divide
your
time.
Did
your
NBME
tell
you
that
you
are
weak
in
a
few
areas?
If
it
did,
give
yourself
some
extra
time
to
go
over
those
topics.
Now
keep
in
mind,
the
major
topics
you
must
master
for
the
USMLE
Step
1
exam
include:
- Genetics
- Cell
&
Membrane
Behavior
- Behavioral
medicine
- Biochemistry
- Neurology
- GI
Systems
(GI,
Renal,
etc)
- Dermatology
- Pathology/Pathophysiology
- Pharmacology
- Physiology
To
name
the
big
ones.
Now,
where
and/or
how
you
get
the
information
for
this
material
is
up
to
you.
Ideally
you
took
excellent
notes
during
your
basic
sciences
and
have
that
took
take
from,
or
you
could
join
our
preparation
program
to
get
everything
you
need.
But,
one
thing
I
absolutely,
positively
must
warn
you
about,
again,
is
that
using
a
review
book
such
as
the
First
Aid,
Step-Up
series,
USMLE
BIBLE,
are
not
sufficient
for
in-depth
review
and
analysis
of
the
important
information.
They
are
guides,
not
comprehensive
sources.
So
once
youve
got
your
plan
in
order,
it
is
time
to
really
dig
into
the
hardcore
studying.
3RD
STEP
BEGIN
STUDYING
+
PERFORM
2
BLOCKS
OF
QUESTIONS
PER
DAY
How
you
study
is
ultimately
up
to
you,
but
a
couple
things
I
can
recommend
that
will
go
a
long
way
in
helping
you
master
a
lot
of
complex
material
is
to:
1.
Draw
when
possible
and
2.
Create
lists
About
Drawing:
Drawing
is
one
of
the
best
ways
of
taking
complex
material
and
turning
it
into
easy-to-understand
and
remember
material.
Take
the
Brachial
Plexus
for
example;
how
on
earth
could
you
possibly
master
that
anatomical
structure
without
drawing
it
out
over
and
over
again?
Sure,
you
may
remember
the
names
of
the
nerves,
which
muscles
that
supply,
and
what
kinds
of
pathologies
occur
when
they
are
damaged,
but
it
sure
makes
it
easier
when
you
can
visualize
that
image
of
the
plexus
and
its
major
nerves
travelling
throughout
the
arm.
This
is
effective
for
anatomy,
and
equally
effective
for
Physiology,
as
we
can
really
simplify
complex
physiological
processes
by
turning
them
into
illustrations.
Take
the
tubules
of
the
kidneys
as
an
example;
we
know
that
we
can
turn
a
lot
of
complex
physiology
into
very
easy-to-
understand
processes
with
a
single
picture,
as
I
have
drawn
in
below.
Look
at
what
this
simple
illustration
can
explain
to
us
not
only
how
the
PCT
physiology
works,
but
how
Pharmacology
effects
its
ability
to
function.
A
picture,
as
they
say,
is
worth
a
thousand
words.
And
turning
your
medical
information
into
illustrations
will
allow
you
to
learn
an
astoundingly
greater
amount
of
information
than
simply
trying
to
memorize
a
bunch
of
books.
For
this
reason,
we
use
hundreds
of
illustrations
for
our
students
throughout
our
own
Step
1
program,
not
because
we
like
to
draw,
but
because
it
works!
This
is
an
effective
strategy
throughout
every
topic
you
will
study,
so
making
use
of
drawings,
both
anatomical
and
physiological,
will
help
you
boost
your
score.
And
of
course
can
help
you
with
your
Pharmacology
as
well.
Take
the
following
image
as
an
example:
This
is
a
drawing
of
the
pro-insulin
and
insulin
molecules,
which
I
can
guarantee
you
will
be
on
your
exam!
Sure,
this
isnt
a
complicated
example,
but
just
looking
at
this
simple
drawing,
which
took
me
20s
to
make,
can
tell
us
a
world
of
information
relating
to
not
only
the
structures
of
the
molecules,
but
it
directly
links
to
several
pathologies
(Insulinoma
vs.
insulin
administrated
hypoglycemia
for
example).
By
just
looking
at
this
image,
I
can
talk
to
you
about
Physiology,
Pharmacology,
Pathology,
Pathophysiology,
Histology,
and
Anatomy.
I
can
even
link
it
to
Neurological
information.
The
point
is,
start
drawing!
It
will
truly
make
a
difference
in
your
overall
education
and
this
type
of
stuff
will
stick
with
you
for
the
rest
of
your
career,
while
others
are
constantly
reading
to
remember,
you
will
never
forget!
About
making
Lists:
Lists
are
an
effective
way
to
organize
information.
Pharmacology
and
Microbiology
are
two
areas
that
can
best
be
supplemented
with
well-
organized
lists.
Take
it
a
step
further,
and
do
yourself
a
HUGE
favor
by
implementing
mnemonics
anywhere
and
everywhere
that
you
can.
The
best
way
to
make
use
of
mnemonics???
Make
up
your
own!
I
remember
back
in
my
Pharm
class
during
basic
sciences,
I
decided
that
for
the
anti-hypertensives
lecture,
I
would
create
all
of
my
own
mnemonics,
and
forego
anything
that
I
was
to
read
or
be
told
about.
And
to
this
very
day,
I
can
rattle
off
every
single
anti-hypertensive
drug,
even
though
I
go
months
without
thinking
about
it.
The
point
is,
there
is
massive
power
in
creating
your
own
memory
aides,
so
dont
be
afraid
to
make
up
something
unique
to
you,
something
that
only
you
will
remember,
as
there
is
a
great
deal
of
benefit
to
be
had
from
doing
it.
Another
great
addition
to
lists
is
the
addition
of
COLOR.
Using
colors
to
separate
classes
of
drugs
can
be
exceptionally
helpful.
Using
a
color
system
to
separate
gram
negative
lactose
fermenters
from
the
non-
lactose
fermenters
can
impact
your
score
in
the
long
run,
simply
because
we
tend
to
remember
colors
very
well,
and
if
we
combine
colors
with
categories
and
sub-categories
of
information,
we
can
help
out
our
own
cause.
Perform
2
Blocks
Of
USMLE
World
Questions
Per
Day:
In
addition
to
daily
studying,
you
should
perform
2
blocks
of
46-48
questions
per
day.
The
reason
why
I
say
2
blocks
is
because
it
is
just
enough
to
help
you
get
through
the
entire
question
bank
in
just
21
days,
and
it
is
not
so
much
that
you
cant
absorb
everything
on
a
daily
basis.
You
should
follow
your
question
bank
subject
area
with
that
which
you
are
studying
(ie.
If
studying
anatomy,
do
anatomy
questions)
Below
I
have
outlined
the
necessary
steps
that
you
should
follow
while
doing
QBank
questions:
First...
keep
in
mind
that
you
don't
want
to
use
your
UW
%
as
the
predictor
of
your
knowledge,
you
want
to
use
it
to
build
your
knowledge.
Use
the
NBME's
for
assessment
purposes...
that
is
important
to
remember!
So
here's
my
suggestion:
1.
Go
through
questions
in
a
TIMED
format,
doing
a
full
block
of
questions
at
a
time
(46-48q)
(Reason:
you
need
to
train
for
the
USMLE
exam
like
you
would
train
for
a
physical
event
like
a
marathon,
and
the
best
way
to
build
your
stamina
is
to
perform
a
full
block
of
questions
in
the
same
timeframe
that
you
will
do
so
on
the
real
exam.
If
you
do
this
from
the
start,
you
will
build
excellent
stamina,
you
will
learn
to
work
faster
yet
still
efficiently,
and
it
will
go
a
long
way
on
the
real
exam).
2.
Once
finishing
each
block
of
questions,
now
is
the
time
to
go
back
over
all
of
the
answers.
Get
yourself
an
empty
notebook
and
start
taking
notes.
Keep
track
of
your
strengths
and
your
weaknesses
as
you
move
through
these
question/answers.
This
takes
time,
but
the
more
detailed
you
can
be
with
your
explanations
about
each
question,
the
more
you
will
learn
and
the
better
you
will
be
in
the
long-run.
Continue
this
until
you
finish
the
entire
question
bank.
With
each
passing
day,
look
over
the
notes
you've
made
in
your
notebook,
talk
aloud
in
explaining
certain
concepts
or
pieces
of
information
you
are
struggling
with,
and
be
sure
to
consistently
review
review
review.
You
should
continue
to
study
your
notes
and/or
follow
your
prep
program
and
doing
questions
in
the
format
explained
above
until
you
are
through
everything.
For
the
qbank,
it
should
take
around
21
days.
Ideally,
you
want
to
get
through
your
notes
around
the
same
time.
You
will
be
going
back
to
both
your
notes
and
your
qbank
notes
in
the
coming
weeks.
4TH
STEP
TAKE
ANOTHER
NBME
At
this
point,
you
have
finished
going
through
your
notes,
you
have
finished
taking
notes,
and
you
have
finished
your
first
run
through
the
USMLE
World
question
bank.
You
have
come
a
very
long
way
since
beginning
your
preparation,
and
now
you
should
take
another
NBME
exam
in
order
to
determine
where
you
are
weak,
average,
or
strong.
The
image
below
is
the
image
attained
at
the
end
of
an
NBME
exam,
and
as
you
notice
there
is
a
borderline
marker
near
the
middle
of
the
chart.
Everything
to
the
left
of
this
marker
is
indicative
of
a
weakness,
everything
to
the
right
is
indicative
of
a
relative
strength.
It
is
important
to
realize
that
any
subject
that
crosses
over
the
borderline
marker
at
any
point
should
be
assumed
weak.
The
ultimate
goal
is
to
get
all
subjects
in
the
Strong
side
of
the
chart.
Based
on
this
NBME,
this
student
should
spend
time
working
on
Mental
Disorders,
Gynecologic
Disorders,
and
Psychiatry
above
all
else.
Those
topics
deserve
1
full
week
of
intense
study
each,
totaling
3
weeks.
The
subjects
that
hover
over
the
Borderline
area
should
also
be
studied
further,
although
a
couple
days
for
each
of
these
average
areas
may
be
sufficient
to
bring
them
over
into
the
Strong
area.
While
spending
more
time
specifically
on
your
weaker
and
average
areas,
you
will
also
do
a
2nd
run
through
of
your
USMLE
World
question
bank,
however,
you
are
going
to
do
it
in
a
completely
unique
way
that
will
help
propel
your
knowledge
above
and
beyond
its
current
level.
5TH
STEP
PERFORM
A
2ND
RUN
THROUGH
YOUR
QBANK
Before
doing
this
step,
spend
extra
time
on
each
one
of
your
weaknesses
in
order
to
bring
them
up
to
par
with
the
rest
of
your
knowledge.
The
2nd
run
through
of
your
QBank
is
performed
as
follows:
Now,
the
mistake
I
see
a
lot
of
students
making
at
this
point
is
to
simply
re-do
the
entire
question
bank.
When
you
simply
re-do
the
qbank,
you
may
see
an
improvement
in
your
%,
but
you
have
to
realize
that
this
is
most
likely
due
to
memorization
of
some
answers.
Instead,
as
you
move
through
each
day,
you
should
be
truly
MASTERING
the
information
within
your
notes.
So
by
the
time
you
are
done
with
the
1st
round
of
the
qbank,
your
depth
and
breadth
of
knowledge
should
be
much
greater.
Once
you
have
thoroughly
studied
your
notes
(in
addition
to
your
straightforward
studying
from
your
basic
science
notes
or
review
course
if
you
choose
to
do
one),
then
it
is
time
to
go
through
your
UW
Qbank
a
2nd
time,
but
the
key
to
truly
using
it
to
maximize
your
knowledge
isn't
to
simply
go
through
the
questions
again
in
a
Multiple
choice
format
-
NO!
Instead,
what
you
should
do
is
the
following:
Note:
this
time
you
don't
have
to
perform
the
questions
in
a
timed
mode
and
you
should
perform
them
in
random
mode.
1st
-
Read
the
question
as
you
normally
would
(note:
be
sure
to
always
read
the
last
line
of
the
question
first,
as
sometimes
reading
the
entire
stem
isn't
even
necessary
to
answer
the
question
-
and
if
you
have
2-3
of
these
per
block,
you
can
save
yourself
a
few
minutes
of
precious
time).
Back
to
the
main
point...
read
the
question
as
you
normally
would,
but
instead
of
simply
choosing
the
correct
answer
(which
should
be
easy
based
on
your
having
properly
gone
through
the
1st
time),
you
want
to
identify
the
proper
answer
from
the
answer
choices,
but
instead
of
just
answering
it
and
moving
to
the
next
question,
explain
to
yourself,
aloud,
why
the
question
you
believe
to
be
correct
is
in
fact
correct.
If
you
can
explain
why
an
answer
is
right,
then
you
have
a
much
better
overall
comprehension
of
the
material.
In
addition,
take
a
look
at
the
answers
you
find
to
be
incorrect,
and
discuss
with
yourself
why
each
incorrect
answer
is
in
fact
'incorrect'.
You
see,
if
you
only
master
the
information
for
each
correct
answer,
you
overlook
the
learning
opportunity
for
all
4-
5
of
the
other
answer
options,
because
even
though
they're
incorrect
for
this
particular
answer,
they
are
still
pieces
of
information
that
you
should
know/learn/understand.
Simply
move
through
the
qbank
this
way
until
you
get
through
the
entire
thing.
So
this
means
your
2nd
time
through
is
more
about
being
able
to
explain
information,
instead
of
simply
being
able
to
remember
correct
and/or
incorrect
answers.
This
is
just
like
teaching
someone
the
information
When
you
can
discuss
something
out
loud,
then
you
can
be
certain
that
you
truly
know
the
information.
This
takes
time,
I
won't
lie
to
you,
it
takes
lots
of
time
and
patience...
BUT,
you
will
learn
so
much
medical
information
that
when
it
comes
time
for
you
to
sit
for
the
real
exam,
all
of
the
hard
work
that
you
put
in
will
make
things much
easier
for
you.
6TH
STEP
TAKE
ANOTHER
NBME
By
now,
you
have
properly
studied
your
basic
science
material,
and
you
have
performed
the
QBank
two
times.
You
should
be
extremely
close
to
ready,
if
you
are
not
already
ready
to
write
your
exam.
But
before
you
do
so,
we
need
to
be
sure
that
you
will
pass
with
100%
certainty.
There
are
a
couple
of
important
criteria
you
absolutely
MUST
meet
if
you
want
to
ensure
you
are
completely
prepared
to
write
your
exam;
which
includes
a
WELL-DISTRIBUTED
exam
result
and
a
minimum
score
of
500.
Let
me
explain
first
what
I
mean
by
well-distributed
It
means
that
when
you
see
your
results,
you
want
all
of
the
subjects
to
be
fairly
equally
distributed
across
the
entire
spectrum.
Take
the
two
NBME
results
below,
where
each
yields
a
score
of
500,
but
the
one
on
the
left
is
not
well-distributed
(ie.
All
of
the
bars
are
not
approximately
in
the
same
area
on
the
chart).
The
one
of
the
right,
while
all
topics
are
not
on
the
far
right
(higher
performance)
side
of
the
chart,
is
well-distributed
and
means
that
you
have
a
very
well
overall
knowledge
of
the
information.
The
reason
why
a
poorly
distributed
result
is
risky
is
because
lets
say
the
real
USMLE
exam
is
heavier
in
those
topics
you
are
a
bit
weaker
in
If
you
dont
take
the
time
to
bring
up
those
weaknesses
yet
have
a
false
sense
of
security
because
of
a
decent
NBME
score,
you
risk
failing.
On
the
other
hand,
if
all
of
your
subjects
are
at
least
on
the
right
side
of
the
borderline
performance,
at
least
no
matter
which
topics
may
be
heavier
on
the
real
exam,
you
at
least
know
that
your
knowledge
is
well-distributed
and
that
you
know
enough
to
safely
pass
your
exam
with
a
good
score.
Poorly
Distributed
Well
Distributed
And
finally,
you
want
to
achieve
a
score
of
at
least
500
because
this
correlates
with
the
approximate
USMLE
Score
of
220,
which
is
at
the
marker
for
the
National
Average
for
all
test-takers.
7TH
STEP
IMPROVE
WEAK
AREAS
BASED
ON
NBME
FEEDBACK
If
youve
taken
an
NBME
and
achieved
a
score
of
at
least
500
and
the
results
were
well-distributed,
you
are
ready
to
take
the
exam.
If,
on
the
other
hand,
there
are
still
weaknesses
(ie.
Bars
to
the
left
of
the
borderline
marker),
then
you
should
dedicate
1
week
to
each
of
your
weaknesses,
and
then
repeat
an
NBME
(note:
Dont
do
the
same
NBME
twice).
8TH
STEP
TAKE
AN
NBME
From
here,
you
will
repeat
steps
6,
7,
and
8
until
you
reach
a
point
where
you
have
achieved
a
MINIMUM
score
of
500
and
all
subject
bars
are
to
the
right
of
the
Borderline
marker,
as
you
see
below:
If
youve
achieved
this
important
point,
I
highly
suggest
taking
another
two
NBME
exams,
as
a
way
of
solidifying
your
confidence
in
your
ability
to
pass.
I
have
a
very
important
motto
that
I
use
with
my
students
inside
The
Academy:
Once
is
a
Fluke,
Twice
is
a
Coincidence,
Three
times
is
a
pattern
What
this
means,
simply,
is
that
it
is
possible
that
you
got
lucky
and
scored
well
on
the
exam,
so
by
taking
another
exam
and
scoring
in
the
same
ballpark,
it
demonstrates
that
you
may
be
onto
something,
but
twice
is
still
a
possible
coincidence.
But,
once
youve
achieved
the
same
result
three
times
in
a
row,
it
demonstrates
that
you
are
in
a
pattern
of
success,
and
you
are
absolutely,
100%
ready
and
prepared
to
do
well
on
your
USMLE
Step
1
exam.
And
now,
you
should
be
confident
in
your
ability
to
pass!
9TH
STEP
TAKE
YOUR
USMLE
STEP
1
EXAM
WITH
CONFIDENCE
I
think
this
one
speaks
for
itself.
At
this
point,
youve
put
in
the
blood,
sweat,
and
tears,
and
you
have
come
a
long
way
in
your
entire
preparatory
process.
By
following
the
steps
that
have
been
outlined
for
you
here
today,
you
can
be
confident
that
you
will
pass
your
exam.
You
see,
inside
The
Academy,
students
often
ask
us
why
we
offer
them
a
passing
score
money-back
guarantee.
And
the
reason
why
we
do
this
is
to
demonstrate
that
we
have
the
utmost
confidence
in
our
program
and
in
our
entire
preparation
strategy,
which
gives
our
students
the
confidence
to
push
hard
and
follow
the
plan
exactly
as
it
is
laid
out.
The
thing
that
most
students
dont
realize
is
that
with
the
awesome
high-
yield
lecture
series
weve
created,
in
combination
with
the
steps
that
they
must
take
in
order
to
prepare
for
the
exam,
we
can
be
100%
certain
that
each
student
will
pass.
When
a
student
demonstrates
that
they
have
scored
over
500
on
three
consecutive
NBME
exams,
along
with
a
well-distributed
knowledge
base
that
is
based
on
the
hard
facts
of
the
NBME
results,
it
is
simply
impossible
for
you
to
fail.
The
hard
data
tells
us
whether
or
not
our
students
have
taken
the
appropriate
steps
and
mastered
the
information;
there
is
no
risk
involved
with
our
preparation
program,
which
is
why
our
students
consistently
score
above
the
national
average.
When
we
took
the
last
three
years
to
create
this
perfect
preparation
strategy,
and
started
to
implement
it
within
our
Academy,
the
results
were
the
same
every
time
a
passing
score.
Thanks
for
taking
the
time
to
read
and
absorb
The
Academys
Success
Strategy
Manual.
If
you
made
it
this
far,
you
are
serious
about
scoring
exceptionally
well
on
your
Step
1
exam.
Because
of
this,
we
want
to
offer
you
a
massive
discount
on
our
USMLE
Step
1
program,
which
when
combined
with
the
information
in
this
booklet
will
propel
your
score
even
higher!
Go
to
our
Session
Dates
page
on
our
website
(www.usmlesuccess.net)
and
use
the
discount
code:
12for4,
and
well
give
you
a
full
12
weeks
of
access
for
the
price
of
4.
To
your
USMLE
Success!
Dr.
Paul
&
Dr.
Stavros