How to study for Step 1 in 2025?

To study for Step 1 in 2025, focus on high-yield question banks (UWorld, Amboss) integrated with active recall (Anki) and review materials like First Aid, starting early to build consistency, using timed blocks for simulation, prioritizing wellness (sleep, breaks), mastering concepts through ~80% mastery in topics, and taking full-length exams (NBME Free 120) for endurance and identifying weaknesses, ensuring a strong foundation for the pass/fail format.

What is the best way to study 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.

What is the passing score for the USMLE 2025?

The Committee decided that a four-point increase in the passing standard – used to determine a Pass or Fail outcome – will apply to Step 2 CK examinees testing on or after July 1, 2025. On the three-digit score scale, the passing standard will change from 214 to 218.

How long should I take to study for Step 1?

Because of the length and complexity, stamina and focus are key skills to develop during preparation. Most medical students study for six to twelve months before taking Step 1, depending on their curriculum and comfort with the material.

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. 

The Ultimate Guide to Crush USMLE Step 1 with First Aid (2025)

Is 60% enough to pass Step 1?

Yes, around 60% correct is generally considered the approximate pass mark for USMLE Step 1, though the exact percentage varies with each exam form, and the score is reported as Pass/Fail, not a number, so consistently scoring higher (like 65-70%) on practice exams (NBMEs) is recommended for a comfortable pass. The official passing score (around 196 before 2022, now just "Pass") isn't a fixed number of questions, as some are experimental, but aiming for about 60% on practice tests is a good benchmark, with 70%+ being a safer target for a strong pass. 

Has anyone gotten a 300 on USMLE?

The highest possible score for the USMLE Step 2 CK is 300, but no one has ever achieved a “perfect” score. A score around 280 would be considered a top Step 2 CK score.

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 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!

Is Step 1 harder than the mcat?

Most sources suggest the USMLE Step 1 is generally considered harder than the MCAT due to its immense content depth in basic sciences and higher stakes (though its scoring changed), while the MCAT is often seen as a broader critical thinking/reading test; however, opinions vary, with some finding the MCAT's abstract, interdisciplinary nature more challenging than Step 1's deep science focus. Step 1 covers a vast amount of medical science (physiology, pharmacology, etc.) after two years of med school, whereas the MCAT tests foundational sciences and reasoning for med school entry, often seen as tricky or abstract, per Reddit users and this YouTube video. 

What's the hardest USMLE Step?

Traditionally, Step 1 has been thought of as both the most difficult and most important USMLE Step exam.

What is a 75% on Step 1?

A 75% on USMLE Step 1 usually refers to a high performance level, often meaning you scored better than 75% of other test-takers (75th percentile) or got around 75% of questions correct on practice exams, indicating a very high chance of passing, as a ~65% correct on NBMEs often predicts passing. While Step 1 is now pass/fail, historically, a score in the 75th percentile (around 240-250+ on the old scale) was considered strong for residency applications, and 70-75% on practice NBMEs suggests near-certain success on the actual exam.
 

What are common Step 1 study mistakes?

Memorizing over understanding:

Unfortunately, many students make the mistake of memorizing the facts without first understanding them. This leads them to have low scores on the exam. USMLE Step1 demands you to combine concepts, apply different fields and manipulate information at a higher level.

Is UWorld enough for USMLE prep?

UWorld alone is not enough. You should use UWorld along with these tips to effectively prepare for Step 1: Combine UWorld with other resources, such as First Aid and NBME self-assessments. Start with a small question pool at the beginning of each topic to determine which concepts you need to focus on the most.

What is the best prep course for USMLE Step 1?

6 Best USMLE Prep Courses & Classes (2025)

1. Kaplan. A veteran in the test prep world, Kaplan is a go-to for many medical students. ...
2. PASS Program. The PASS Program offers a unique, immersive approach to USMLE test prep. ...
3. Achievable USMLE. ...
4. Lecturio. ...
5. BoardVitals. ...
6. SmashUSMLE.

How far in advance should I book Step 1?

You can schedule your Step 1 exam through the Prometric website as far as six months in advance. When applying for the exam, you must select an "eligibility period".

How many times can you fail Step 1?

Within 12 Months: You cannot take the same Step more than three times in a 12-month period. Scoring Limit: Once you pass, you cannot retake Step 1 just to improve your score (since it's now pass/fail).

How much does Step 1 cost?

What is the total cost of Step 1? The total cost of taking USMLE Step 1 ranges from $695–$3,507 for U.S. students and $1,760–$4,577 for IMGs, including Step 1 registration fees, ECFMG certification cost for IMGs, Step 1 question banks and common study resources.

Which NBME to take for Step 1 2025?

Based on prior informal student reporting, NBME 28 and UWSA 2 are the most correlated with Step 1 performance. Given this information, it might be a good idea to take these two exams when you are further along in your dedicated study and closer to your actual test day.

How many questions can you miss on Step 1?

In order to pass the USMLE Step 1, you must answer approximately 60% of questions correctly. In numerical terms, if there are 280 questions in total, you must answer at least 168 questions correctly.

Is the USMLE pass failing now?

On January 26, 2022, the United States Medical Licensing Examination (USMLE) Step 1 exam transitioned to a pass-fail grading system instead of the conventional three-digit score.

What if you fail Step 1 of the USMLE?

Most medical schools provide opportunities for remediation, allowing students to retake the exam after a structured review period. However, failing Step 1 may limit certain residency options, as competitive programs often prioritize strong academic performance.

What is a good UWorld percentage Step 1?

What is a good UWorld Step 1 QBank score or percentage? Historically, a 40% UWorld Step 1 QBank score has been correlated with a passing score on the USMLE Step 1. With the exam's recent transition to pass/fail scoring, we now consider a passing UWorld Step 1 QBank score to be 45% to 50%.

How important is Step 1 for residency?

In the 2021 National Residency Matching Program (NRMP) survey of residency program directors, 86.2% of program directors listed the USMLE Step 1 score as an important factor in deciding which applicants to interview.