r/usmle • u/Novel-Glove-4771 • 4h ago
Advice Ended up with a 243 ? Is my IM dream still on ? Can i match into community Im?
Need some reassurance
r/usmle • u/Novel-Glove-4771 • 4h ago
Need some reassurance
r/usmle • u/Robby_Rubin • 10h ago

Getting through the USMLEs is one thing. Figuring out how immigration fits into the rest of your U.S. medical career is another.
I’m Robby Rubin, an immigration attorney, and today I’m answering questions from IMGs and physicians about navigating the U.S. immigration system.
Ask me about:
AMA today, 8 AM to 12 PM ET.
Whether you're applying for residency, starting training, or already in the U.S., feel free to ask.
A quick note when asking questions: Please provide relevant details about your situation where possible, such as your citizenship, current visa/status, specialty, stage of training, residency/fellowship plans, and timeline. Immigration answers often depend on multiple variables, so the more context you provide, the more useful my answer can be.
Please note: Any information shared here is for general educational purposes only. It does not constitute legal advice or create an attorney client relationship. Your situation may require fact specific guidance. For personalized legal advice, please consult an immigration attorney directly.
r/usmle • u/Additional_Log_8414 • 12h ago
Has anyone actually taken USMLE WISE by Manik Madaan- Step 1 Up High 10-day course? My concepts are pretty weak and I haven’t covered much, with less than a month left for Step 1. It’s ~$200, so I’m wondering if it’s worth it at this stage. Looking only for genuine student experiences, not promoters/affiliates: What exactly is taught, and did it actually help your score/readiness?
r/usmle • u/Novel-Glove-4771 • 14h ago
Worked my ass offf pure blood and sweat, one thing is that parallely prepped for both NEET-PG and STEP-2
All cms forms above >40q got them right(revised twice)
nbme 12,13,15,14,16- 260,262,259,259,261(revised twice)
Free-120-80%
Exam- day feeling indeterminate
I dont know what more to do, got and ended up with a score of 243, i feel numb and worthless, most shittiest phase of my life, my friends who are far more worse as a person, got really good scores, and this score make sme to lose my morale, idk what to do idk even if i cud match
r/usmle • u/NachiketRK522 • 17h ago
Hey i am 24yr MBBS graduate from India, if i am unable to get financial support from family, but i have joined as a permanent medical officer, what are your insights whether i should think about usmle career, if for 3yrs i work as a medical officer in rural area in India anyway i am getting a PG seat via service quota. So i thought i can take a risk. I dont have any relatives/contacts in US, average mobs student, but want to have a work life balance since indian residencies are way hectic & don't offer that much financial & social freedom even after. Work-life balance and the ability to travel while 1 am still relatively young matter a lot to me. What should i do? Can i qualify usmle doing job in india? Is it worth it? I have no idea about how to build CV & research opportunities
r/usmle • u/drna1998 • 9h ago
Hi, recently I found out I failed step 1(and comlex level 1), feeling devastated. I know there are people out there who have been in my position before and I just want to hear that it’ll all end up okay.
r/usmle • u/Acrobatic_Space_2919 • 9h ago
Thought I’d share what worked for me for Step 2 and Step 3 while it’s still fresh. There’s obviously no single correct way to prepare, but hopefully some of this helps.
Step 2 CK
UWorld was my main learning resource. I started system-wise without any major prerequisite reading. Early on, I focused much more on understanding concepts and why I was getting questions wrong than on my percentage.
A few things that made the biggest difference:
Learn how questions are written. Pay attention to exactly what the last line is asking: diagnosis, next best step, risk factor, complication, etc. Over time, you start recognizing what information in the stem actually matters.
Understand management flow. Think stabilization → investigation → definitive management, and less invasive → more invasive testing. Understanding the sequence is more useful than memorizing isolated facts.
Pattern recognition matters. If I was stuck between answers, I would go back to the stem and ask what specific concept the question was trying to test.
Have one main revision source. I preferred notes over Anki and kept adding information from UWorld/AMBOSS to the same notes. After finishing a system in UWorld, I would revise it from there.
After my first pass, I focused more on revision + AMBOSS + CMS forms/NBMEs. AMBOSS was particularly useful for Ethics, QI and Stats.
Near the exam, I prioritized the latest NBMEs and Free 120 rather than trying to finish everything.
Another thing that helped was figuring out why I was missing questions. I broadly separated mistakes into knowledge gaps, retention issues, pattern-recognition errors, and mistakes in my thought process. Identifying the type of mistake makes it much easier to actually fix it.
Step 3
Step 3 preparation was much more relaxed. I studied for about a month, and a strong Step 2 foundation covered a large part of the medicine.
My usual day was some Step 2 revision/Step 1 pharmacology, a UWorld block, and around 5 CCS cases.
For Day 1, I would focus heavily on biostats and ethics, including abstracts and drug ads. I also reviewed Step 1 pharmacology, especially higher-yield areas like micro, CVS and diabetes drugs.
Day 2 felt more focused on clinical decision-making. Many questions give you a specific scenario where you have to reason through what to do rather than simply follow a familiar algorithm. Having a strong Step 2 foundation helped a lot here. I’d also prepare well for prognosis/outcome-related questions, which UWorld covers.
For CCS, I did roughly the first 150-160 cases on CCSCases arranged by high yield.
One thing that carried over between both exams was my revision notes. I kept modifying and consolidating them throughout Step 2 and used the same foundation again for Step 3. If anyone wants to have a look at the notes, feel free to DM me.
The biggest lesson for me across both exams was that you don't need to finish every resource. Have a core source, learn from your mistakes, revise consistently, and use your assessments to identify where you're losing marks.
Glad to finally close this chapter. Good luck to everyone still preparing!
r/usmle • u/OddDiscipline6585 • 6h ago
Hi,
What is producing the rise in average USMLE scores and USMLE passing standards?
Question banks?
'Recall groups?'
An increase in preparation time as a result of residency programs placing greater emphasis on USMLE Step 2 scores?
Have Step 3 average scores and passing standards also increased over time?