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Why are so many people failing 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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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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Why is it so hard to pass Step 1?

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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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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USMLE Step 1 Failure (Why It's A Bigger Deal Than You Think)

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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How many MD students fail Step 1?

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 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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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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Is Step 1 harder after pass fail?

Step 1 becoming pass/fail doesn't change that. In addition, this change may make Step 2 CK even more stressful than Step 1 was. Before, if you didn't do well on Step 1 then you at least had Step 2 CK to help bolster your application.
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What to do if you think you failed Step 1?

If you've failed USMLE Step 1, you should contact your medical school if you haven't already. Each program has different policies and next steps for students who need to retake Step 1. You might need to meet with an administrator at your medical school.
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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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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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Do residencies see if you fail Step 1?

What Do Residency Programs Do When You Fail Step 1. I won't sugar-coat it. There are a fair number of programs that will reject an application that has a USMLE fail. That said, many programs will still consider you if you do better on a subsequent attempt.
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Are Step 1 fail rates increasing?

Most notably, between 2021 (old busted graded version) and 2022 (hot new p/f version), Step 1 pass rates declined. For allopathic students, the Step 1 pass rate dropped from 95% to 91%. For osteopathic students, the passing rate decreased from 94% to 89%.
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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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What is the hardest exam in the world for medicine?

The United States Medical Licensing Examination (USMLE), USA: A three-step examination for medical licensure in the United States, considered one of the most challenging medical exams.
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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?

A three-month USMLE Step 1 Study Plan gives the student a more balanced and comprehensive approach to preparing for the exam. At the very least, three months gives you enough time to cover all topics needed to ace the exam without feeling burned out. Below is an example of approaching your study plan for three months.
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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 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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How many questions can I get wrong on Step 1?

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 common is failing medical school?

The graduation rate after four years ranges from 81.7% to 84.1%, which leads some sources to suggest that the med school dropout rate is between 18.3% and 15.9%. However, these numbers fail to take into account the notable number of medical students who take more than four years to graduate.
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What happens if you fail Step 1 4 times?

You can retake USMLE Step 1 up to six times if you've failed. You can take Step 1 a maximum of three times within a span of 12 months. Your fourth attempt and any beyond that must be at least 12 months after your first attempt. Also, they must be at least six months after your third attempt.
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