Why is passing Step 1 so hard?

Asked by: Terrell Kshlerin  |  Last update: November 9, 2023
Score: 4.4/5 (57 votes)

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.

Why is it so hard to pass Step 1?

It's common for students who fail to try to use every single Step 1 resource available. The level of understanding required for the USMLE is challenging to achieve and will require dedication and plenty of hard work. For example, using flashcards is a great study resource, but creating too many makes it useless.

What happens if you barely pass Step 1?

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.

Is it normal to feel like I failed Step 1?

Not surprisingly, many students who fail Step 1 feel overwhelmed and fearful of the future. However, a failed Step 1 doesn't mean you are a failure or that you will fail again. According to the 2021 USMLE pass rates, U.S. MDs who retook Step 1 had a 66% pass rate, while U.S. DOs who retook the exam had a 75% pass rate.

What percent of people don t pass Step 1?

2022 USMLE Step 1 Overview

Allopathic students' passing rate dropped from 95% in 2021 to 91% in 2022. DO students' passing rate dropped from 94% in 2021 to 89% in 2022. IMG students' passing rate dropped from 82% in 2021 to 74% in 2022.

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Can you pass Step 1 without studying?

Getting a passing score on Step 1 is no walk in the park for this reason. Students still need a strong pre-clinical foundation to build on and significant practice doing UWorld questions, reading First Aid, and building on their foundation to achieve even a passing score.

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.

Is Step 1 the hardest exam?

Step 3 had a slightly better pass rate, with 97% of US/Canadian examinees and 87% of non-US/Canadian examinees passing. Step 2 had the highest passing rates for both US/Canadian students (98%) and non-US/Canadian test takers (88%). This data suggests that Step 1 was the hardest exam to pass.

How many can you miss on 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.

Is there a curve on Step 1?

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. This standard is constant for the year. Both US medical students and IMGs are scored using the same standard.

How often DO people 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.

What is considered a low Step 1 score?

194-214: The minimum passing score is 194. Scores in the range of 194 to 215 are considered low and as a result, it may be more difficult to match.

What is the lowest Step 1 score?

What score should you aim for on Step 1? The short answer is: it depends. The current minimum passing score for Step 1 is a 194. The score you might want to get, however, could be somewhere between 238 or as high as 251, depending on the competitiveness of your desired specialty.

How to pass Step 1 easily?

How to Pass USMLE Step 1
  1. Understand the Exam Content. ...
  2. Develop a Process to Answer Questions. ...
  3. Download Study Material. ...
  4. Consider Taking a Practice Session. ...
  5. Take an Online Self-Assessment. ...
  6. Enroll in a Review Course. ...
  7. Utilize the Resources Offered By Your Medical School. ...
  8. Be Familiar With the Format Changes.

Can you pass Step 1 in 8 weeks?

After preclinical years, students take an average of 6-8 weeks of “dedicated” study time to prepare for Step 1. The amount of time you need will depend on your own weak points and your foundation of knowledge.

Is Step 1 harder 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.

What percent correct is a 196 on Step 1?

Assuming Step 1 is scored similarly to CBSSA 25-30, you would need somewhere between 63 to 65% correct to attain the passing score of 196.

Does anyone fail Step 1?

Every year, thousands of people fail the USMLEs. Here is how many people fail Step 1 every year. The passing rate of people who are re-taking Step 1 is lower. However, despite that, the majority of people who take Step 1 again will pass.

Why is Step 2 easier than Step 1?

About the Test

The majority of people do much better on Step 2 than on Step 1 even with less studying. This test focuses more on the next step in a patient presentation. Questions such as which lab or test to order next. There will also be plenty of diagnosis questions as well.

Which is worlds toughest exam?

1. Gaokao. The Gaokao is a college admission exam in China that is famed for being one of the top ten most difficult exams in the world. Due to the difficulty of the exam, some European and American colleges have begun to accept Gaokao marks.

How long do medical students study for Step 1?

Traditionally, students spend roughly three months studying in a dedicated fashion for Step 1. However, life and circumstances don't always give you the luxury of a dedicated 3-month period to study for the USMLE® Step 1 exam. Some medical schools might only allow for a single month of dedicated study time.

Does Step 1 score matter?

While getting a high USMLE Step 1 match score has historically helped students match into their desired residency, this is no longer the case. There are many other factors that will contribute to your success.

What is a good step one score?

The definition of a good Step 1 score varies by medical specialty. In orthopedic surgery, applicants successfully match with an average Step 1 score of 248. In family medicine, a good Step 1 score is around 220 (again, based on the average of successful applicants).