What if I failed Step 1?

The Most Important Thing You Can Do After Failing Step 1:
The most important thing for you to do after failing Step 1 or Level 1 is to talk to your academic advisor and get a solid plan of attack together. To state the obvious, you want to put Step 1 behind you once and for all, and we assure you that it can be done.
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What happens if you fail your Step 1 exam?

You can retake USMLE Step 1 up to six times if you've failed. You can take Step 1 a maximum of three times within a span of 12 months. Your fourth attempt and any beyond that must be at least 12 months after your first attempt. Also, they must be at least six months after your third attempt.
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Can you get a residency if you fail Step 1?

One USMLE failure isn't going to preclude you from obtaining a residency position. Two will make it very difficult. There is some encouraging trends on that front; data from the NBME indicates that repeat test-takers passed the exam about two-thirds of the time in 2019 and 2020, the most recent year data was available.
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Can you retake Step 1 if you fail?

Retake Procedures

The NBME permits students to retake the USMLE Step 1 a maximum of six times. After your first failed attempt, you may retake the exam twice within one year. If you don't pass on your third attempt, you will have to wait six months to retake the exam.
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Can you take Step 1 twice?

Yes. You can retake the USMLE Step 1 exam up to six times. You can only take the exam a maximum of three times within a 12-month period. Your fourth and subsequent attempts at the exam must be at least 12 months after your first attempt, and at least six months after your most recent attempt.
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USMLE FAIL: FAILED STEP 1 - CAN I STILL GET INTO RESIDENCY?



Do Step 1 scores matter?

If you're currently in medical school and will be taking Step 1 prior to January 2022, you will still need to pass your Step 1 with a score of 194 or higher. It's impossible to know for sure how a pass/fail USMLE Step 1 will affect the residency admissions process.
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How hard is it to just pass Step 1?

It's strenuous and mentally draining. And it's usually solitary, focused work. Step 1 studying can typically only be practiced for a few hours a day, for only 60-90 minutes at a time. But if you're doing it correctly, that should be all the time you can handle.
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How many times can you fail USMLE?

1. What is the USMLE policy on attempt limits? The total number of attempts allowed per Step is four (4). Examinees who have attempted any USMLE Step (including Step 2 CS) four or more times and have not passed are ineligible to apply for USMLE Steps.
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Can you still be a doctor if you fail your boards?

An easy analogy is to say that the board exam is for a doctor what the bar exam is for a lawyer. The difference is that a doctor can still practice if s/he does not pass–they might be excluded from certain jobs or hospital staffs; but certification, while important, is a bit of gilding the lily.
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How important is Step 1 score for residency?

Until the USMLE® Step 1 changes to pass/fail (earliest in January 2022) is officially in effect, your Step 1 score will carry its previous weight as a deciding factor on your residency application. Step 1 scores are currently used as an objective metric for cutoff into (or out of) certain specialties or programs.
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What is a low Step 1 score?

USMLE Step 1 Scores

Passing-215: Scores in this range are considered low. It is very important to remember that students who score in this range still have 2 other critical Class A criteria where they can show improvement.
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How many questions can you miss to pass Step 1?

Remember, there are 200 scored items on Step 1. But you have to answer 60% of them correctly to pass. That's 120/200. That leaves only 80 questions left to assign scores across the rest of the passing range.
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Will Step 1 scores be masked?

A Step 1 exam taken on or after January 26, 2022 will appear on transcripts as a pass/fail outcome only, without a numeric score.
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Is it easy to fail USMLE?

The USMLE Step 1 exam is the most challenging, most important test you will take during your medical career. This test is over all of the information you absorbed in the first two years of medical school, and it takes seven hours to complete.
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How long should I study for USMLE Step 1?

On average, USMLE Step 1 study schedule consists of at least 500-600 hours of study, which works out to 10 hours daily over 6-8 weeks. Individual students may need more, or less. 5. Define Your Study Timeline – A timeline gives you a clear idea of how and when to study, as well as how hard you need to work.
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How can I raise my Step 1 score in 2 weeks?

Improving Your Score During the Final 2 Weeks of Your USMLE...
  1. If you've created one, make sure to review your UWorld journal.
  2. Review high yield memorization content. ...
  3. Complete your question bank. ...
  4. Fine tune your test taking strategy. ...
  5. Review any organ system that you're nervous about.
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Can I retake USMLE after 7 years?

USMLE policy generally does not allow applicants to retake a Step if they have already passed that Step. However, there are exceptions for the purpose of complying with a time limit imposed by a U.S. physician licensing authority or another authority recognized by the USMLE program.
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Is USMLE Step 1 easier than UWorld?

First thing I really have to say is that World questions overall are much harder than step 1. I was on my first block yesterday and was almost giddy at how much easier the Qs were. Don't get me wrong though, there are some scorchers on the test but they are used sparingly. First Aid is worth its weight in gold!
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Is UWorld enough for Step 1?

UWorld is unquestionably the best resource for the USMLE. Students have been known to score 270+ on USMLE Step 1 just by using UWorld and First Aid. There are also students, however, who have gone through the question bank 3 or more times, and can't seem to get a passing score on the exam.
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Is Step 1 The hardest exam?

At a cursory review, it is like any other standardized examination, but mention that to a medical student and they will shudder. Unofficially, people have claimed USMLE Step 1 is the most difficult and important of the 3-part USMLE series.
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Is Step 2 or Step 1 harder?

The majority of people do much better on Step 2 than on Step 1 even with less studying. This test focuses more on the next step in a patient presentation.
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Do they curve USMLE Step 1?

Note that the USMLE examination is not scored “on a curve”. Students are not scored against each other, but relative to a per-set annual standard. This standard is constant for the year.
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