Why is USMLE Step 1 so hard?

Emphasis on Recalling Details and Minutiae Step 1 heavily focuses on students' ability to recall and interpret detailed facts and trivial points, versus just major concepts. The level of specific minutiae students must memorise is daunting.
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Is USMLE Step 1 the hardest exam?

This data suggests that Step 1 was the hardest exam to pass. No matter which step you are preparing for, the USMLE exams are challenging.
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Why is it so hard to pass Step 1?

Having seen UWorld or other QBank questions – and even taken an NBME or two – prior students were much more prepared for the USMLE format and expectations. Now, it's much less common to see students prepare much, if at all, before their dedicated study. And as a result, passing Step 1 becomes that much harder.
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Is it common to fail Step 1?

So, what happens if you fail USMLE Step 1? In 2022, 91% of students passed Step 1, leaving nearly 10%, 1489 students, to retake the test.
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Is 60% enough to pass Step 1?

USMLE Step 1 Passing Score

Unlike the other USMLE exams, Step 1 is reported as pass/fail only, so you will not receive a numerical score. According to the USMLE program, examinees must correctly answer approximately 60 percent of items to pass each USMLE Step.
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Why Passing the USMLE is SO HARD

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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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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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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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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Can you fail Step 1 and still match?

US medical students who fail USMLE step 1 might match in Family Medicine, possibly Pediatrics, but never in one of the medical or surgical specialities. An non-US IMG who fails step 1 is unlikely to match into a U.S. medical residency training program in any medical specialty.
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How many med 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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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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Is Step 1 really that hard?

The USMLE Step 1 exam is the most challenging, most important test you will take during your medical career. This test is over all of the information you absorbed in the first two years of medical school, and it takes seven hours to complete.
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What's the hardest exam in the world?

China's Gaokao exam, often hailed as the world's most challenging examination, is a true testament to the dedication and resilience of its students.
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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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What is the failure rate for the USMLE?

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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Do residencies rank everyone they interview?

Similarly, Residency programs rank Badass and all their other interviewees from 1 – whatever (depending on how many students the program interviewed that year). The NRMP algorithm then sifts through the ROLs of all applicants and programs of that specialty, trying to place applicants into their highest choice.
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What happens if an IMG failed Step 1?

If you are a US International Medical Graduate (IMG) and you fail Step 1 of the United States Medical Licensing Examination (USMLE), it can significantly impact your chances of matching into a residency program. Many residency programs use Step 1 scores as a screening tool for selecting candidates for interviews.
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Does Step 1 score matter now?

2022 Changes to USMLE

2022 brought one of the biggest changes yet: Step 1 is now pass/fail. The decision to make Step 1 pass/fail was made in part to lessen the emphasis on USMLE® scores in residency selection, so that students will be considered holistically for placements.
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What month do most medical students take Step 1?

Step 1 is administered by appointment on a year-round basis. While most students take Step 1 of the Boards at the end of their second year, consider not taking the exam until you're very confident you'll pass. Ideally, take Step 1 by April.
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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 the highest score on USMLE 1?

Reported scores for Step 1, Step 2 CK, and Step 3 range from 1 to 300. Small differences in difficulty across forms and years are adjusted for using statistical procedures; thus, scores for a given Step are comparable across years and across forms.
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Is Step 1 harder than UWorld?

Many students feel the USMLE/NBME questions are more “vague” (more on this below). However, UWorld does seem to be harder than Step 1 in one respect. One thing to note is that UWorld Step 1 seems to have more “noise” than is found in most Step 1 questions.
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How much does UWorld cost for Step 1?

UWorld's USMLE Step 1 Question Bank has over 3,700 questions and costs $319 for 30 days, $439 for 90 days and up to $719 for 2 years, which includes two self-assessment exams.
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Is there a curve on Step 1?

Remember that all steps of the USMLE are graded on a curve. Although nobody gets the exact same set of questions, your grade will be based on the sum of the averages for each question.
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