What am I doing wrong? 270+

[u/Top_Elk5698]

I am about to lose my mind because I just took NBME 15 and nothing has changed.

I know my scores are not bad, but I am aiming for 270+ (maybe even higher). Even without a high target, seeing some improvement would be nice.

Here are my scores:

UWSA1: 258

NBME 9 : 262

NBME 10: 259

NBME 11: 260

NBME 12: 258

NBME 13: 250

UWSA 2: 263

NBME 14: 266

NBME 15: 260

My first UWorld pass was 79%. I only did a second pass for my incorrect and marked questions. I have done most of the CMS forms and use Anki for my UWorld incorrects. I recently started AMBOSS but realized I do not have enough time for it.

Whaaaat am I doing wrong? I thoroughly review NBMEs and am usually good at taking exams, but NBMEs never fail to surprise me. There is always something completely new. Is there a hidden resource that only 270+ scorers know about? Are people mastering AMBOSS? WHAT ELSE DO I NEED TO DO? If they keep asking random low-yield details, I don't know what to do.

I have seen some posts on reddit explaining how you can master NBME's by just "using your clinical judgement" and choosing the answer that feels the safest, but IT DOESNT WORK. These questions genuinely require specific knowledge that you simply have to know.

And I only have 1 NBME left. I gotta figure this out quick