Do shelf exams prepare you for Step 1?

Yes, shelf exams are excellent preparation for USMLE Step 1, as they use similar question formats (NBME), content focus (clinical application of basic science), and testing software, with many questions even being retired Step questions, though they focus more clinically while Step 1 is heavily basic science, so dedicated Step 1 study is still needed. Mastering shelves builds your knowledge base and identifies weaknesses, directly supporting your Step 1 readiness, especially since Step 1 is now pass/fail and strong shelf performance (particularly Medicine/Surgery) becomes crucial for residency applications.

How hard are shelf exams compared to Step 1?

Shelf exams are generally designed to be of comparable difficulty to those you will see on USMLE® Step 1 and Step 2. In fact, many of the questions are retired from previous Step exams! The NBME® writes both the shelf exams and the Step exams, and similar software is used to administer them.

What is the best way to prepare for USMLE Step 1?

One of the most beneficial ways to prepare for your USMLE is to test yourself with practice exam papers. The National Board of Medical Examiners (NBME) offers a range of USMLE Step 1 practice exams.

Do residencies look at shelf exams?

Even though residency programs don't see your shelf exam scores directly, they still matter because they influence your transcript and dean's letter (MSPE). Additionally, honors designations (if your school has them) in core clerkships can enhance your application, especially in competitive specialties.

Is RX good for Step 1?

Everyone agrees that RX is very good for beginners and people trying to strengthen their basics. It's simple and easy so people who have a difficulty with concepts might be able to get the basics down. BNB and Sketchy worth your time more if you already know the basics.

The Study Schedule That ACTUALLY Works During Clerkships

Is 60% enough to pass Step 1?

Yes, approximately 60% correct is generally considered the threshold to pass USMLE Step 1, as the USMLE program states examinees typically need to answer around 60% of questions correctly for a pass/fail result, though the exact percentage varies slightly by exam form. However, many experts recommend aiming for higher scores (like 70% or more) on practice exams (NBMEs) for a safer margin, as 60% can be cutting it close due to test-day factors, and lower scores can still pass, while some with higher scores might not. 

Is UWorld harder than USMLE 1?

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 are red flags for residency?

Residency red flags are issues in an applicant's record like failed licensing exams (USMLE/COMLEX), low board scores, poor clinical evaluations, significant gaps in education, or professionalism problems (disciplinary actions, criminal history), which can signal potential challenges for residency programs; however, these can often be addressed by providing explanations, demonstrating improvement, and highlighting growth. Other flags include weak letters, generic statements, or a poor match between goals and specialty.
 

Is a 3.7 too low for med school?

No, a 3.7 GPA is not bad for medical school; it's generally considered competitive, often around the average or slightly below for highly selective MD programs, but strong enough for many schools, especially with an upward trend and a good MCAT score. A 3.7 combined with a strong BCPM (Science) GPA (Biology, Chemistry, Physics, Math) and compelling extracurriculars makes you a viable applicant, though lower GPAs might need more exceptional scores or experiences to compensate. 

Which is the hardest shelf exam?

The internal medicine (IM) shelf is often considered the hardest shelf exam out there. It is extremely broad, covering everything from cardiology to infectious disease, and it rewards both depth and clinical reasoning.

What is the 7 year rule for USMLE?

The USMLE 7-year rule, primarily for International Medical Graduates (IMGs) seeking ECFMG Certification, mandates completing all required USMLE Steps (1, 2 CK/CS, and eventually 3) within seven years of passing the first exam; failure to do so invalidates earlier scores, requiring retakes, though waivers or extensions may be granted for documented issues like PhD programs, severe illness, or certain military service. Most U.S. medical licensing boards also enforce this timeframe for state licensure, starting from the first successful Step pass. 

What month do most people take Step 1?

Most medical students take Step 1 at the end of their second year, typically between February and April. The more prepared you are through spaced repetition early, the earlier you may be able to take the exam and then enjoy a well-deserved break before moving into third year clerkships!

What is a 75% on Step 1?

A 75% on a USMLE Step 1 practice exam (like an NBME) generally indicates a very strong chance of passing the actual exam, often correlating to a high percentile (around the 70th-90th percentile range) on the actual score report, while a 75 on the old two-digit Step 1 score meant passing, but now Step 1 is pass/fail, so this percentage refers to your performance relative to peers on practice tests, suggesting excellent preparedness for the pass/fail outcome.
 

What is a 90% chance of passing Step 1?

A 90% chance of passing USMLE Step 1, often from an NBME practice test, means that for every 100 people with that score, 90 pass, but 10 still fail, so it's a strong indicator but not a guarantee, highlighting the need to focus on weak areas identified in the report, especially for Step 1's new pass/fail format where recent pass rates hover around 90-92%.
 

What is the top 3 toughest exam in the world?

The top 3 toughest exams globally consistently include China's Gaokao (college entrance), India's IIT-JEE Advanced (engineering), and India's UPSC Civil Services Exam (government jobs), due to their extreme competition, vast syllabi, and life-altering consequences, though other candidates like the All Souls Prize or Master Sommelier Diploma are also noted for extreme difficulty. These exams demand immense knowledge, analytical skills, and endurance, with failure often meaning significant setbacks, making them notoriously difficult.
 

How common is failing Step 1?

While most people pass USMLE Step 1, failure rates have increased, especially since the scoring change to pass/fail in 2022, with overall pass rates for first-time test-takers dropping, and international medical graduates (IMGs) and repeat test-takers facing significantly lower odds, though the exact number varies yearly, with thousands failing in recent years (e.g., over 11,000 in 2023). For MD students, first-time pass rates were around 90-93% in 2022-2023, compared to 82-83% for DO students and ~72% for IMGs in 2023, with repeaters seeing even lower success.
 

What is the lowest GPA accepted at Harvard Medical School?

Harvard Medical School's overall median GPA is 3.97. HMS does not have a minimum GPA requirement. Harvard Medical School's median GPA is 3.97, but its mean GPA is 3.94. In 2025-2026, all medical school applicants and matriculants had an average overall GPA of 3.64.

Can I get into NYU med school with a 3.7 GPA?

Entrance Metrics

NYU's competitive candidates for allopathic (MD) medical schools traditionally earn a 3.6–3.7 GPA overall and in the sciences and score above the 88th percentile on the MCAT entrance exam.

What is your 3 weaknesses' best answer?

To answer about your weaknesses, choose 3 manageable flaws (like over-focusing on details, difficulty delegating, or public speaking anxiety), briefly explain how you're actively improving them (e.g., time blocking, learning to trust team members, joining Toastmasters), and show the positive impact of your growth to demonstrate self-awareness and proactivity, using a structure like Acknowledge-Improve-Explain (ACE) for each. 

What are the 5 D red flags?

💡 The 5D's: Dizziness, Diplopia (double vision), Dysarthria (speech difficulties), Dysphagia (swallowing difficulties), and Drop attacks (sudden falls).

What are 5 common interview mistakes?

Five common interview mistakes include being unprepared (not researching the company), poor non-verbal communication (bad body language, phone use), talking too much or too little, speaking negatively about past employers, and failing to prepare thoughtful questions to ask the interviewer. Avoiding these common pitfalls, alongside arriving on time and dressing appropriately, significantly improves your chances of making a good impression.
 

Is 70% on UWorld bad?

No, 70% on UWorld is generally considered good to excellent, especially on a first pass, indicating you're well-prepared for exams like the NCLEX or Step exams, though it's crucial to learn from incorrect answers to improve. Most students start lower (50s-60s), so consistently in the 70s means you're in great shape, with scores in the 80s suggesting you'll do very well. Focus on mastering weak areas identified by UWorld rather than just chasing scores. 

Which NBME is hardest?

Students often find older forms like NBME 25 or 28, and newer ones like NBME 30 and 32, to be among the hardest, with 30 frequently cited as difficult but predictive, while 32 is noted for longer questions and heavier anatomy/genetics. Difficulty is subjective and varies, but newer exams (25-32) are generally harder and more representative than older ones (20-24), with 30 considered a strong predictor and 32 noted for length and focus. 

Can I do 100 UWorld questions a day?

If you're making/doing excellent Anki cards, you might top out at doing 80-120 questions/day. However, while you will find people who (productively) do more than 120 UWorld questions in a day, they are often not doing Anki.