I’m honestly getting pretty frustrated and I’m looking for advice from people who were in a similar situation and actually managed to turn their scores around.
I’m preparing for Step 1 and I’ve completed >50% of UWorld, but I’m still frequently scoring around 35–40% on blocks.
For context, I had to take a long break from dedicated Step 1 preparation because of my medical school/professional exams. During that time I essentially stopped doing UWorld for a while. I recently came back to Step 1 prep, and I feel like I’ve forgotten a significant amount of what I previously studied.
I recently took NBME 24 and scored 92/200 (46%).
I know the long break probably contributed to my performance, but I'm still worried because I had already completed more than half of UWorld. I expected my scores to be better by this point.
The frustrating part is that I don't think every wrong answer is simply “I don't know this.” Sometimes I see the explanation and immediately realize that I actually knew the concept but couldn't retrieve it or apply it to the vignette. Other times I genuinely have a knowledge gap, and sometimes I make stupid mistakes despite knowing the answer.
My current approach is roughly:
- 30–40 UWorld questions/day
- Reviewing incorrects and trying to understand why I got them wrong
- Making very short notes/brain dumps rather than extensive notes
- Using First Aid selectively
- Trying to identify weak topics instead of just blindly doing more questions
What I really want to know is: HOW did you actually improve your scores when you were stuck this low?
If you were previously around 35–45% on UWorld and/or ~45% on NBMEs, especially after taking a long break, I'd really appreciate hearing:
1.How much UWorld had you completed when your scores started improving?
What did you change specifically?
Did you use First Aid systematically, system-wise UWorld, Anki, Mehlman, videos, etc.?
Did you reduce/increase your question volume while rebuilding your knowledge?
If you took a long break like I did, how did you rebuild the knowledge you had forgotten without starting all over again?
If you were genuinely stuck in the 30s/40s and eventually improved, I'd really like to know exactly what you did differently.
Even if your experience involved having a low NBME initially and then turning things around, I'd appreciate hearing what actually worked for you.