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How common is it to fail Step 1?

In 2022, 91% of students passed Step 1, leaving nearly 10%, 1489 students, to retake the test. While failing Step 1 certainly isn't ideal, it could happen, but it doesn't have to kill your hopes of becoming a doctor or matching into your ideal residency program.
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Is passing Step 1 difficult?

In essence, it foreshadows the daily challenges that physicians face as they aim to keep themselves focused on providing quality care for their patients during long work hours. Passing the USMLE Step 1 is not an easy task, and your life will change significantly within the time period you devote toward preparation.
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Is Step 1 the hardest exam ever?

Traditionally, Step 1 has been thought of as both the most difficult and most important USMLE Step exam. There are several reasons for this. Firstly, this exam is the first in the series, and students taking it will have had less experience with the types of questions that the USMLE asks.
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Do most med students pass Step 1?

According to the AMA, 98% of DO and MD students passed the exam on their first try in 2020. In 2022, the USMLE Step 1 pass rate for first-time takers was 93% in the United States. Elite Medical Prep sat down with Dr.
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Is 60% passing on Step 1?

Notice of such review and any adjustments will be posted on the USMLE website. The percentages of correctly answered items required to pass varies by Step and from form to form within each Step. However, examinees typically must answer approximately 60% of items correctly to achieve a passing score.
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USMLE Step 1 is PASS/FAIL! What No One Else is Saying 🤫

Is Step 1 harder than MCAT?

In terms of exam difficulty, the MCAT is considered easier compared to the USMLE Step 1. It is because the MCAT only tests the basic science principles and skills of the individual if one fits the requirement to proceed or enter med school.
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Why do some people fail Step 1?

Commonly, students who fail Step 1 have tried to use all the Step 1 resources available, but haven't used the 2 primary resources thoroughly (namely, First Aid and UWorld). An additional primary resource should also be flash cards to help with that spaced repetition learning.
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Is the real Step 1 easier than UWorld?

The frequently updated content ensures you learn and master the most relevant material that helps confront your individual USMLE Step 1 strengths and weaknesses. UWorld may be harder than Step 1, with some questions above the actual test's difficulty level.
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How many hours to study for Step 1 pass fail?

With a dedicated four-to-six week schedule, you can study up to 12 hours a day. If you're not able to have a dedicated schedule, then cut down your daily study time and extend it over a longer period of time.
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What is a bad Step 1 score?

215-229: This range is below average. Students with scores at the lower end may face more challenges to match, particularly in competitive specialties. 230-244: This range is considered above average. Students with scores in this range will be able to match in most specialties.
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What is a 196 on Step 1?

On the three-digit score scale, the passing standard is 196. Future reviews of the Step 1 passing standard will not be reported in terms of a three-digit score.
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What is a 90% chance of passing Step 1?

A 90% probability of passing Step 1 still means there is a 10% likelihood of failing. A 90% probability of passing Step 1 does NOT mean you have mastered 90% of the content (the TEPCS represents what percentage of the content you have mastered)
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Why is Step 1 so hard?

The Most Common Reasons for Low USMLE Step 1 Scores

The difficulty of this medical licensing exam comes down to the sheer breadth and volume of information. And the prospect of regurgitating everything during a single, 8-hour day is daunting. Especially because you only get about one minute per question.
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Why is Step 1 so difficult?

It's hard because there are so many flashcards and the decks are hard to get through. Some people said they used the big pre-made Anki First Aid deck and picked out cards on the topics they didn't know as they went through UWorld questions/videos.
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How many students don t pass Step 1?

Examining the Decline in 2022 Passing Percentage

The total number of failed Step 1 exams in 2022 was roughly 9,700, as opposed to around 5,700 in 2021. Additionally, the: Step 1 pass rate amongst MD students dropped from 95% in 2021 to 91% in 2022. The overall passing rate fell from 88% in 2021 to 82% in 2022.
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Is Step 1 exam curved?

Note that the USMLE examination is not scored “on a curve”. Students are not scored against each other, but relative to a per-set annual standard.
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Can you pass Step 1 by just doing UWorld?

Although UWorld is valuable for learning and reviewing, it's not sufficient as the sole study tool for Step 1. We recommend utilizing UWorld in conjunction with First Aid and flashcards to get the most out of your dedicated.
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Is UWorld actually harder than NCLEX?

To answer this question, we surveyed thousands of UWorld users just like you who recently utilized our NCLEX review course to prepare for their licensing exam. The result? 90% of users report that UWorld's questions are the same level of difficulty or more difficult than the questions they encountered on the NCLEX.
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Can I match if I failed Step 1?

Yes. I failed Step 1 twice and matched. I know multiple people who had failed a Step and still made it. That being said, a lot of factors determine if you will match successfully.
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What happens if you fail Step 1 twice?

The NBME permits students to retake the USMLE Step 1 a maximum of six times. After your first failed attempt, you may retake the exam twice within one year. If you don't pass on your third attempt, you will have to wait six months to retake the exam.
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How many questions can you get wrong on Step 1 and still pass?

In order to pass the USMLE Step 1, you must answer approximately 60% of questions correctly. In numerical terms, if there are 280 questions in total, you must answer at least 168 questions correctly.
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How much math is on Step 1?

The USMLE Step 1 exam has very basic mathematics. There are a small percentage of questions on the exam that will require calculations (eg: biostatistics). However, the math is not more advanced than the level of simple arithmetic and is easily done using a four-function calculator.
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How long should you study for Step 1?

Four months is enough for the USMLE Step 1 exam, depending on your foundational understanding of the subjects required to excel. With this said, spending more time preparing will give you more flexibility in your study schedule and help you build the confidence you need to ace it.
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What happens if you fail Step 1 medical school?

If you fail Step 1, all hope is not lost—you can retake the test. Technically, you are able to take Step 1 a total of four times, but only three times within a 12-month period.
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