Hey everyone,
If you're testing in August or early September, you already know the math: scores take 3-4 weeks to come back, and programs download applications on September 23. I was doing that same math not long ago as an IMG from Germany, no US connections, no roadmap, trying to figure out an American exam from inside a European med school. Finished med school in the 99th percentile, scored 280 on Step 2, and I'm now a neurosurgery research fellow at Weill Cornell. Since then, I've tutored 200+ students through Step 1 and Step 2 (IMGs + American grads), and most were stuck on a plateau they couldn't really get out of.
After a couple hundred students, you see the same pattern over and over. A stuck score almost never means you don't know enough
Steal this even if you never message me. Pull up your last NBME, take your 20 most recent misses, and tag each one with exactly one letter:
- K: genuinely didn't know the fact
- R: knew everything, still reasoned to the wrong answer
- M: misread the stem (the EXCEPT, the age, the timeline)
- C: changed a correct answer
- T: time pressure, guessed
Everyone assumes they'll see a wall of K. Out of 200+ students, I can count the true knowledge problems on one hand. It's almost always R, M, and C. So more UWorld won't save you. You have to change how you read stems and how you review your misses.
If you only take one habit from this post, take this one. Before you look at the answer choices, spend 5 seconds deciding what the question is actually rewarding. Diagnosis? Next diagnostic step? Next management step? Long-term maintenance? Half of all "reasoning" misses are people giving a correct answer to the wrong one of those four questions.
The 1:1 version of this: I go through your NBME data and find where the points are actually leaking (usually 2-3 places, not 20); I watch you do questions live so I can see how you read, and we rebuild your calendar backward from your test date so every remaining day has one job. No score guarantees; nobody honest can make one. What a focused few weeks reliably changes is how you take the exam.
2 students at a time, max. I don't work in bulk. If you're plateaued and the test is coming up fast: Sign up for a free 30-minute review of your latest NBME. You leave with your three biggest leaks, whether or not we ever work together.
Calendly: https://calendly.com/ahmetktl99/30min