u/Expensive-Ant-1535

Hi all. Failed Step 1 on my first attempt in March 2026 - borderline fail per the score report (FAIL bar sits just below the minimum passing line on the distribution, not deep red). IMG, took it after \~1 year of prep. Planning to retake in early August 2026

**Score report breakdown:**

Physician Task vs. Low-Pass:

•	MK (Applying Foundational Science Concepts, 60–70%): Same    
•	PC (Diagnosis, 20–25%): Same    
•	Communication &amp; Interpersonal Skills (6–9%): Lower

**System vs Low-Pass:**

•	Lower: Multisystem Processes &amp; Disorders, MSK/Skin    
•	Same: Repro/Endo, Resp/Renal, Behavioral/Nervous, Blood/Immune    
•	Higher: Cardiovascular, GI

**Discipline vs Low-Pass:**

•	Lower: Physiology, Behavioral Sciences, Biochemistry &amp; Nutrition, Genetics    
•	Same: Pathology, Anatomy/Embryo, Micro, Pharm, Histo, Immuno    
•	Higher: (none)

**Last attempt context:**

•	UWorld \\\~70% complete at 69% correct — the unfinished 30% was Behavioral Sciences, Biochem, Genetics, ethics (basically the things now flagged Lower, yes I know)    
•	Only took 2 NBMEs before sitting; NBME 30 = 67%, Free 120 = 69% (taken 2 days before exam)    
•	Tendency to rabbit-hole on questions and study for “understanding” rather than for the exam    
•	Burnt out by exam day, brain fog through the last few blocks

**Resources available for this attempt:**

•	Medicospira (not UWorld — UWorld subscription lapsed and renewing in India is financially tough; also found the stems unnecessarily long last time)    
•	20 NBME PDFs (older forms as daily practice via a custom timed-block tool with AI explanations; newest 7 + Free 120 locked for weekly assessment)    
•	Pathoma, Sketchy (Micro + Pharm), Mehlman PDFs, Anki (only for self-built mistakes deck)    
•	First Aid

Hi all. Failed Step 1 on my first attempt in March 2026 - borderline fail per the score report (FAIL bar sits just below the minimum passing line on the distribution, not deep red). IMG, took it after ~1 year of prep. Planning to retake in early august 2026.

Score report breakdown is available as image.

Last attempt context:

- UWorld ~70% complete at 69% correct - the unfinished 30% was Behavioral Sciences, Biochem, Genetics, ethics (basically the things now flagged Lower, yes I know)
- Only took 2 NBMEs before sitting; NBME 30 = 67%, Free 120 = 69% (taken 2 days before exam)
- Tendency to rabbit-hole on questions and study for “understanding” rather than for the exam
- Burnt out by exam day, brain fog through the last few blocks

Resources available for this attempt:

-Medicospira (not UWorld - UWorld subscription lapsed and renewing in India is financially tough; also found the stems unnecessarily long last time)
- 20 NBME PDFs (older forms as daily practice via a custom timed-block tool with AI explanations; newest 7 + Free 120 locked for weekly assessment)
- Pathoma, Sketchy (Micro + Pharm), Mehlman PDFs, Anki (only for self-built mistakes deck)
- First Aid

Failed Step 1 (borderline) - second attempt plan using Medicospira instead of UWorld, input needed for prep plan - from India - non US-IMG perspective needed

Failed Step 1 (borderline) - second attempt plan using Medicospira instead of UWorld, input needed for prep plan - from India