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Virtually everyone who’s taken Step 1, Step 2 CK, or Step 3 has used UWorld (sometimes called “UW”). Formerly known as “USMLE World”, it is held in near-religious reverence. Its questions match the USMLE Step exams’ two-step reasoning process.
Its explanations bring medical students to tears of joy. It’s even rumored to have cured several forms of cancer.I jest. But when I was a Stanford preclinical student stressing over USMLE Step 1, I bought everything I was told. “Everyone” knew that all you had to do to destroy Step 1 was to read five times, and do UWorld at least twice.
(And review your wrong answers another couple times for good measure). Then and only then were you ready to brave the rite-of-passage exam.So why did I ignore this advice? Does the Dogma Make Any Sense?Here I deconstruct several of the most common beliefs surrounding the UWorld Question Bank. Do they withstand rational scrutiny?The “common knowledge” surrounding UWorld is an opinion. This is also my opinion from preparing for Step 1/Step 2 CK. It also comes from well as having tutored students for the USMLE Step and Shelf exams.NOTE: I considered sifting through any of the number of anonymous USMLE forums to find examples of. However, med student forums still give me pangs of anxiety, with all of their distress and breathless dogma.
If you can brave forums without getting palpitations, share it in the comments and I will update this article. (But I might not visit it myself =).
Claim #1: Repeat UWorld At Least Twice. (Even At the Expense of Another QBank).This is perhaps the most common advice I heard as a medical student. I ignored it.Why does everyone tell you to repeat UWorld? It’s simple: UWorld is a fantastic resource (it really is). Therefore, doing it more than once will somehow boost your score even further.If a little of something is good, then more must be better, right?This is one of the most common misconceptions I see among students preparing for Step 1.
If something has helped in the past, then repeating it ad infinitum will increase your score indefinitely. A little bit of water is good for you. But excessive water isn’t necessarily better. A Little is Good.
More Isn’t Necessarily BetterThis sounds reasonable until you consider that it ignores the opportunity cost of spending weeks repeating UWorld over and over. In other words, every repeated UWorld question prevents you from studying a question from a different question bank. Other questions can help you grow your knowledge in other ways that UWorld will not.UWorld is fantastic, but is by no means infallible. There are definite strengths and weaknesses to UWorld. To ignore other valuable resources is to set yourself up for potential disappointment. For example, it is excellent at making difficult two-step reasoning questions. However, it tends to be weaker on more recall-type questions that can also be on the USMLEs.Verdict: Fiction.
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Although to get the most out of any question bank, make sure to to make sure you never make the same mistake again. Do UWorld Only OnceUWorld questions are as close to the real thing as possible. Because they’re so close to the real thing, I did NOT do UWorld twice.A huge challenge for USMLE Step 1 is questions that you have never seen before. Some you may have never even thought about.This is my real secret to scoring 270 on Step 1. Learn how to reason through questions that you’ve never seen before.
Getting never-seen-before questions right differentiates people who are scoring. Repeating UWorld questions makes it harder to answer items you’ve never seen before. Claim #5: Use UWorld in Your USMLE PreparationsThis is a no-brainer.
I completely agree.Verdict: Definite fact. Claim #6: Do UWorld Just Before Taking Step 1/Step 2 CK/Step 3Should you save UWorld for last? Again, like much of the dogma, the answer will depend on what you believe the test to be.To you, are the USMLEs a test of knowledge? If so, then doing UWorld right before your exam may or may not be as important.What if you think the USMLEs test your ability to apply knowledge to questions you’ve never seen before? You will likely want to use UWorld as the final question bank before you take your test. (See above; UWorld is the best QBank I’ve found that mimics the real test conditions).If it isn’t already abundantly clear, I fall in the latter camp.
QBanks are a learning tool, not a repository of facts. Use them to learn critical information as well as how to apply it to novel situations.Verdict: Fact (depending on what you believe). Concluding ThoughtsWhile I am sure there is going to be disagreement, my goal with this blog post was to challenge the UWorld dogma. It is no doubt an extremely useful question bank. However, it is by no means the holy grail of USMLE Step 1 preparation as it is so often held to be.Ultimately, your preparations and how you use these resources will depend on your fundamental beliefs about the USMLEs. As a medical student and USMLE tutor, I worked under the assumption that Step 1 wouldn’t be a receptacle for me to regurgitate UWorld/ knowledge.
Rather I saw the exams as a series of carefully constructed questions that would test my ability to integrate and apply pathophysiologic principles.You are free to disagree. (I welcome your thoughts in the comments)! Remember that there isn’t only one way to approach using UWorld. That there are plenty of viable, rational alternatives!Want to Save Time and Boost Your Score?Do you lie awake at night, sweating the thought, “I should be studying right now?” Are you constantly running from activity to activity, feeling like your life is no longer your own? Do you watch lectures and wonder, “why can’t someone just TEACH me something?”, including high-yield facts along with a growing list of explanations for some of the most difficult-to-understand Step 1 concepts.What do you think? Are you still planning to repeat UWorld twice? Other thoughts?
Let us know in the comments!Photos.
Introduction:. Over 32400 exceptionally well-written multiple choicequestions. Questions are conceptual focus on high yield topics andrequire multi step critical thinking. Detailed explanations with vivid illustrations andcharts that are east to understand and remember.
Content was created by the most knowledgeable anddedicated practising physician. Board simulated software interfere for the feel of anactual exam. Compare performances scores with other UWORLD users andidentify areas for improvement. Use the way you want- desktop/tablet/mobile all aresynced to a central database.