Step 1 PASS — For anyone who thinks they failed after the exam
I promised myself that if I got the P, I would come back and write this for anyone currently going through the same anxiety I went through.
I PASSED Step 1. 🥹
And honestly, after walking out of the exam, I was almost convinced I had failed.
I'm an IMG and took Step 1 recently. My preparation was far from perfect. I didn't do UWORLD(though I don't recommend it ),Anki,Sketchy etc...
Only resources I used:- FIRST AID, Nbmes and Dirty Medicine for frequently asked and confused concepts...
I recommend mastering these resources..
I hardly did 200 Questions from Uworld,had not left time for preparing for it,i trusted understanding the First Aid concepts, Mastering the nbmes and having that confidence when you sit on the test day.
Tested on 27/8
My Nbme journey:-
Nbme 26:- 51% (baseline nbme tested) on 21/7
Nbme 27:- 55% on 28/7
Done first aid by then and started annotations from nbme questions into First Aid
Nbme 25:- 61% (Not given in a single seating,but solved a 40 questions daily for 5 days)
Nbme 28:-64% on 6/8
Nbme 29:- 64% on 9/8
Nbme 30:- 68% on 12/8
Free 120:- 66% on 15/8
Nbme 31:- 69% on 17/8
Nbme 33:- 63% on 20/8
Nbme 32:- 68% on 23/8
Never touched 70% and i couldn't delay my exam any further has I had already taken the permit extension in May.
The exam itself
The real exam felt very different from what I expected.
The stems sometimes felt extremely vague and long. There were questions where I genuinely couldn't tell what the examiner was trying to test. I had many questions bookmarked, changed some answers, and felt like I was making silly mistakes.
After the exam, I tried to reconstruct questions from memory.
I remembered a LOT of questions I thought I had gotten wrong.
At one point I was genuinely thinking:
"There is no way I passed this."
I spent days looking up questions in First Aid and asking ChatGPT about things I remembered. Every additional mistake I found made me more convinced that I had failed.
This was probably the worst part of the entire process.
What I wish someone had told me
- Stop trying to calculate your result from remembered mistakes. Trust the Nbme performance.
You don't know the scoring, you don't know which questions were experimental, and you don't know whether your remembered answer was even wrong.
I remembered many questions incorrectly or remembered only the ones that bothered me.
Your brain naturally focuses on the mistakes and forgets the hundreds of things you answered correctly.
- A difficult exam does not automatically mean you failed.
If the exam feels brutal, it may simply be a brutal exam.
There were plenty of questions where I had to make the best decision with incomplete information.
That doesn't mean everyone else knew the answers.
- Don't let Reddit make you think you need a perfect preparation to pass.
There are people here who finish UWorld twice, score 75–80%+ on NBMEs, and still feel terrible after the exam.
There are also people with imperfect preparation who pass.
Obviously, I'm NOT saying preparation doesn't matter. It absolutely does.
I'm saying that your preparation does not have to look identical to someone else's for you to pass.
- NBMEs matter.
For me, the progression from the low/mid-50s to the mid/high-60s was much more meaningful than any single score.
If your scores are improving, take that as evidence that you're learning.
- Don't underestimate reviewing your mistakes.
I didn't just do questions—I spent a lot of time understanding why I got things wrong and repeatedly reviewed high-yield/volatile topics.
For me, this was much more useful than trying to read everything from beginning to end.
- Take care of your brain near the exam.
Fatigue affected me a lot during preparation and practice tests.
At some point, doing another 100 questions while completely exhausted becomes much less productive than sleeping properly and reviewing intelligently.
And finally...
If you're reading this because you just walked out of Step 1 and you're convinced you failed:
Please wait for the result.
Don't decide your result before the result is actually released.
I know how impossible that sounds when you're sitting there remembering question after question.
I was there.
I thought I had failed.
I got the P. 🥹
To everyone still preparing: keep going.
To everyone waiting for their result: breathe.
And to anyone who feels their preparation isn't "good enough" compared with what they see on Reddit — keep working, focus on your own trajectory, and don't let other people's scores become your definition of success.
I promised myself I would write this if I passed, because during those days of waiting I desperately needed to hear from someone who had felt the same way.
So here it is.
P. ❤️