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USMLE Step 1
Best courses

Explore and compare top-rated USMLE Step 1 prep providers

The USMLE (United States Medical Licensing Examination) is a comprehensive, multi-step exam required for medical licensure in the U.S. Students in both Doctor of Medicine (MD) and Doctor of Osteopathic Medicine (DO) programs take the USMLE Step 1, an intensive 8-hour assessment that evaluates foundational medical knowledge and clinical application skills, to complete the first step in qualifying for residency placement. After thoroughly evaluating leading USMLE prep options, our top recommendation is the Achievable online USMLE course, which stands out for its highly personalized learning experience and strong pass rates for Step 1.

Administered by the National Board of Medical Examiners (NBME), the USMLE demands the focused and strategic preparation provided by Achievable, especially for medical students balancing heavy academic workloads. The USMLE Step 1 consists of approximately 280 multiple-choice questions, testing students' ability to apply scientific principles to real-world clinical scenarios. Passing Step 1 enables students to progress in their medical education, typically during the second year of medical school, and proceed to USMLE Step 2 CK, a scored exam crucial for residency selection. Achievable's adaptive learning platform streamlines USMLE prep by offering a tailored study plan designed for busy students, utilizing active recall techniques and content retention strategies that support long-term success.

While rigorous medical school training provides a solid foundation for the USMLE Step 1 exam, dedicated preparation is crucial for excelling on this challenging assessment. Many students devote several months to over a year preparing with top-rated USMLE prep courses and resources. To help you select the best program, we've compiled a list of leading USMLE prep providers, including UWorld Step 1, Kaplan, PASS Program, and Med School Bootcamp. Our guide features detailed comparisons of each course, including marketing highlights and student reviews, so you can evaluate them alongside our top pick, Achievable, and find the ideal fit for your study needs.

Some user reviews have been slightly edited for length and clarity.

How we evaluated these resources

Our list of top USMLE Step 1 courses emphasizes variety, ensuring that we include options for every kind of learner. From video-based instruction to interactive online platforms, we highlight the strengths and potential limitations of each provider's approach and study plan. We selected these resources based on:

Cost
Are the materials fairly and competitively priced? What do costlier options offer that inexpensive alternatives do not, and are they worth it?
Variety
What extra features does the program come with: study calendars, performance tracking, flashcards or other aids, etc.?
Coverage
How well does the material cover all topics on the exam, from signs of chronic disease to anatomical terminology? Which courses will fully prepare you for the test, and which are good complements to more thorough courses?
Accessibility
Are complex topics from biology, anatomy, and other subjects presented in a way that's easy to understand? Does this product suit a specific learning style better than others?
Community feedback
What do learners like about this vendor's instructional materials, practice tests, and other resources? Are they highly recommended for preparing for the Step 1 exam?
Score boosters
Is the program rigorous enough to help you pass the Step 1 exam on your first try? Does it come with a pass guarantee?

For each vendor, we outline the key features, advantages, and drawbacks of their study tools, emphasizing both strengths and potential limitations. We also provide information on prices and package tiers to help you easily find a solution that fits your budget. Use this guide to make an informed decision about how to best prepare for your exam and get one step closer to entering the residency program of your dreams.

At the top of the list is Achievable, which stands out for its expertly written USMLE Step 1 content, tech-driven platform, and innovative use of memory science embedded throughout the program. With an exam as intense as the USMLE, you want a strong test prep ally on your side.

Best overall: Achievable USMLE Step 1

  • Achievable USMLE's fully online study program is engineered for the modern medical student. Through its AI-driven platform, performance is continuously monitored to adjust and inform your study plan.
  • Unlike courses with complicated packages and tiers, Achievable comes with everything you need to pass the exam on your own time, including thousands of practice questions and review resources.
Achievable white logo on blue background
Achievable USMLE Step 1 logo
Best overall
A+
Pros
  • Innovative study tools and in-depth progress analytics are built right into the platform
  • Clear, engaging textbook-style lessons enhanced with video walk-throughs
  • Instead of wading through dense, endless content, students are provided targeted study plans in real time
  • Course content crafted by a doctor with years of USMLE tutoring experience
  • Test-taking tips and proven strategies are integrated throughout the course
  • A seamless, intuitive experience across both desktop and mobile
  • Full year of unlimited access
  • Supported by a generous money-back pass guarantee
Cons
  • No live instruction
  • No physical textbook (though printable materials are included)
Key features
  • Thousands of review quizzes
  • Interactive study planner
  • Video library with hundreds of hours of instruction
  • USMLE tutor directory with options for every budget
  • Active online learning community
Pricing
$179 / 1 year
No package tiers or additional fees

Achievable USMLE Step 1 prep stands out among USMLE prep courses by delivering an engaging, efficient program specifically designed to help you excel on Step 1. As a leader in USMLE prep, Achievable uses proven memory-based learning techniques and an adaptive study system that makes mastering even the most complex medical concepts enjoyable and effective. By continuously analyzing your results on practice quizzes and assessments, Achievable's intelligent platform creates a personalized study plan that targets your weak areas and maximizes memory retention, ensuring every minute of your USMLE prep is well spent. The course breaks down medical terminology into easy-to-understand language, and key topics are reinforced through real-world clinical scenarios. All content is developed by an experienced MD and USMLE tutor, making challenging subjects like the lymphoreticular system functions or biochemistry basics, such as glycolysis, accessible and memorable when studying with Achievable.

The primary advantage of Achievable's USMLE Step 1 prep program over traditional study options lies in its adaptive learning engine and time-saving strategies. Just like having a dedicated tutor, Achievable's smart performance tracking actively guides your study sessions, reassesses your progress, and narrows your review path for optimal results. With this advanced customization, USMLE prep becomes more efficient, allowing you to learn faster and retain more with less stress. Additionally, Achievable's comprehensive USMLE Step 1 package provides everything you need for effective preparation: access to a readable and engaging online textbook, over 1,400 review questions, a built-in study planner, an AI-powered tutor, and interactive video lessons focused on high-yield topics. The package includes unlimited access for a full year at under $180, plus a money-back guarantee if you don't pass, offering outstanding value compared to other USMLE prep providers.

We love Achievable's commitment to efficiency and smart tech. It just feels like they are trying to change a prep space filled with old school learning tactics and heavy-handed lessons by leveraging the power of the learning science and algorithms to optimize your study plan.

Professional and easy to use, with lots of good information not seen in many other similar products.

Bottom line: For students seeking the most effective and adaptive USMLE prep, Achievable is unmatched in helping you master the Step 1 exam. Skip dense textbooks and generic crash courses; with Achievable's proven program, you'll study smarter, retain more, and achieve higher scores in less time.

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Achievable USMLE Step 1 - $179
Reach your USMLE Step 1 target score on the first try with Achievable's interactive online exam preparation course. Includes an easy-to-understand online textbook and 1,400+ review quizzes.
Concise online textbook
1.4k+ chapter quizzes
A textbook page from Achievable's FINRA exam prep course

Most popular question bank: UWorld USMLE Step 1

  • UWorld is a go-to source for assessment-based USMLE prep, offering a modern online-first platform that emphasizes studying on the go.
  • Their QBank, comprising over 3,600 questions, is cited as an indispensable part of a rigorous USMLE study plan.
UWorld USMLE Step 1 logo
Most popular question bank
A
Pros
  • Questions are tested in an exam-like software interface
  • Organized to track performance by subject and system
  • Extra biostatistics review available for just $25
Cons
  • Expensive for a product with fewer features
  • Students found it difficult to complete all the suggested questions and have time for meaningful review
Key features
  • 2,000+ ReadyDeck flashcards
  • Self-assessment add-ons available
Pricing
$319 - $559 / 30-day, 90-day, 180-day, or 360-day access

UWorld Step 1 centers on a robust and respected USMLE question bank (QBank) that thousands of medical students rely on as a primary study tool for USMLE Step 1. The UWorld Step 1 QBank offers thousands of meticulously crafted, exam-style multiple-choice questions spanning the entire USMLE Step 1 curriculum, including anatomy, physiology, biochemistry, pathology, pharmacology, microbiology, immunology, and more. These questions are presented within realistic clinical vignettes to enhance clinical reasoning skills rather than relying on rote memorization. Each QBank question provides comprehensive explanations, making UWorld Step 1 an active learning platform when used consistently and critically. Reviewing both correct and incorrect answers helps to reinforce fundamental concepts, build long-term retention, and improve USMLE test-taking strategies.

Beyond its high-yield question-and-answer practice, UWorld for Step 1 features adaptive performance tracking tools that allow students to monitor strengths and weaknesses throughout their USMLE study plan, customize practice exams, and create digital flashcards for targeted content review. Given the recent shift to pass/fail scoring for Step 1 of the USMLE, many test-takers find UWorld Step 1 especially valuable because it focuses on mastering core medical knowledge and clinical application skills, both of which are vital for future clinical proficiency. However, some users have reported that the dense volume of UWorld's content can be overwhelming, cautioning that it's more effective to review explanations thoroughly rather than focusing solely on completing daily question quotas. While UWorld offers a flexible and highly regarded preparation resource for the USMLE, it is notably more expensive compared to other USMLE Step 1 prep vendors.

I think the consensus among the people who have taken Step 1 is that UWorld is the closest simulation to the real deal.

I would always fret over how slowly I was doing UWorld compared to my peers. I couldn't ever complete reviewing 40 questions in a day. Barely got through 60% of UWorld. But I reviewed each and every question (incorrect and correct) very thoroughly.

Bottom line: UWorld Step 1 offers an organized and comprehensive USMLE study course that remains a top choice among today's medical students for realistic preparation. Despite its user-friendly online format and stellar reputation in USMLE preparation, some students find the sheer volume of practice material to be overwhelming to complete in its entirety.

Most recognizable brand: Kaplan USMLE Step 1

  • Kaplan is a favorite choice among students who want to go beyond question bank drilling and need the structure of a live course.
  • Their live and recorded lectures can be accessed anywhere, making it an ideal high-support study solution for students balancing studying for the USMLE with their academic commitments.
Kaplan USMLE Step 1 logo
Most recognizable brand
A-
Pros
  • Wide range of options for a variety of student needs
  • Full-length practice exams are included in every package
  • Kaplan Medical mobile app makes studying on-demand easy
  • Kaplan's AI tutor allows you to instantly clarify definitions, analogies, and examples
Cons
  • Expensive, especially for private tutoring
  • Practice assessments may be more difficult than the actual exam
  • eBook not included in all packages
Key features
  • Detailed progress reports
  • 1,100 videos with 230+ hours of lectures (On Demand)
  • 2,600 topical quiz questions (On Demand)
  • Step 1 Lecture Notes (On Demand)
  • 9 discipline assessments (On Demand)
  • 4 weeks of high-yield USMLE Step 1 review on difficult topics (Live Online)
  • 2 weeks of question-based review to solidify content mastery (Live Online)
  • Includes 3 hours of advising (Live Online)
Pricing
$159 - $6,499 / Varies by package
Tiers
  • QBank
  • On Demand
  • Live Online
  • Private Tutoring + Live Online

Kaplan's USMLE Step 1 course is carefully designed to deliver a comprehensive, structured, and flexible review of the fundamental basic sciences covered on the Step 1. Whether you select the self-paced QBank, on-demand, live online, or, in select locations, in-person format, Kaplan USMLE Step 1 prep provides access to hundreds of hours of expert-led video lectures, in-depth "Lecture Notes," and a vast, exam-style bank containing thousands of practice questions tailored for Step 1. The Kaplan USMLE Step 1 program thoroughly covers all preclinical foundational subjects critical for exam success. Its robust QBank, combined with realistic simulated exams, provides students with the opportunity to reinforce their knowledge and hone their test-taking skills under conditions that mirror the actual exam day.

Kaplan goes beyond traditional content delivery by guiding students through every stage of their USMLE Step 1 preparation. The Kaplan USMLE Step 1 course includes detailed diagnostic assessments, adaptive progress tracking, and customizable study plans, all designed to help students identify and address weaknesses efficiently while staying organized. Kaplan's USMLE Step 1 offerings are considered a premium choice in the market, reflected in their pricing, particularly if you're seeking live instruction. However, it's worth noting that the lower-cost, self-study Kaplan Step 1 option includes fewer features compared to other leading courses. Another common critique is that Kaplan's USMLE Step 1 practice questions tend to be significantly more challenging than the actual Step 1 exam, which can cause students added stress during their preparation.

Amazing USMLE Step course! The question bank and practice tests are extremely similar to the real test. I highly recommend Kaplan. I had a fantastic experience.

The material is very dense, the professors rush through everything, and expect you to catch up on all the material that was covered. They are more focused on covering all the material rather than actually teaching the material.

Bottom line: While the Kaplan USMLE Step 1 course may be less adaptive than some competitors, it remains a top pick for students who value a thoroughly guided, systematically organized experience for their Step 1 prep. Students who sign up for the live course should be prepared for a rigorous program, which some learners describe as "rushed."

For a community-oriented experience: PASS Program USMLE Step 1

  • PASS Program is another well-recognized course for live instruction, offering a unique blend of on-demand, live virtual, and on-site classes.
  • The primary instructor, Dr. Francis Ihejirika, is an MD who blends years of expertise with a supportive and engaging teaching style.
PASS Program USMLE Step 1 logo
For a community-oriented experience
B+
Pros
  • 5-week course emphasizes community and collaborative learning
  • Networking opportunities and career advancement
  • Full overviews of high-yield topics
Cons
  • Limited access to recorded courses (3 months)
  • No practice exams for online or self-study classes
  • Only one main instructor, whose teaching style may not work for everyone
Key features
  • PASS Program course book (PDF)
  • Quizlet access
  • Sample exam questions and quizzes
  • Optional evening drill sessions
  • Course completion certification exam granted
  • Two NBME Practice Exams (In Person only)
Pricing
$149 - $3,499 / Varies by package
Tiers
  • USMLE On-Demand
  • Flexible Online Courses
  • In-Person Learning

PASS Program markets itself as a comprehensive, flexible, and intensive bootcamp for USMLE Step 1 preparation, offering multiple course formats, including live in-person, live online, and on-demand/self-study video options to accommodate diverse learning preferences. The in-person and live online experiences are frequently described as "boot-camp-style," featuring a 5-week, full-immersion format where students participate nearly every day in lectures, practice questions, and test-taking strategy sessions. This highly structured approach is ideal for those seeking dedicated, guided USMLE prep. For students requiring more flexibility, the PASS Program USMLE on-demand package provides access to video lectures, a detailed coursebook, and extensive question/practice-quiz materials available over several months.

What truly distinguishes the PASS Program USMLE from other options is its unique teaching philosophy. The program emphasizes deep understanding over rote memorization, with instruction designed to build strong conceptual frameworks and encourage pattern recognition. The founder's teaching style connects physiology, pathology, biochemistry, and other key disciplines, helping students see how concepts interrelate rather than simply memorizing facts. PASS Program also incorporates practice exams and NBME-style simulations, along with one-on-one tutoring or mentoring for students who need additional support or who have struggled with other USMLE prep programs. While many students praise the quality of the live courses and teaching methods, some reviews mention that time was occasionally lost to guest speakers or non-essential events. Additionally, a few students felt that instructors favored in-person participants, leaving those in virtual classes feeling less supported compared to their on-site peers.

I did the online program. There's a slight preference for the on-site students, but it's a great option. You just have to make sure you pay attention to the Zoom and don't get distracted.

The biggest issue is that he is not efficient with time...He will also bring in random people for testimony and let them talk for 10-20 minutes...a lot of wasted time for people who are on a crunch.

Bottom line: PASS Program USMLE is developed by physicians for physicians, offering an expert-led learning experience that thoroughly covers all Step 1 topics. The courses are effective and content-rich, though some students noted areas for improvement in the virtual classroom experience.

Best course supplement: Med School Bootcamp USMLE Step 1

  • Bootcamp.com delivers a USMLE practice program built on more than just mock questions, including lots of short videos and bite-sized reviews.
  • Many students agree that Med School Bootcamp is a great addition to, but not a replacement for, intensive study plans.
Med School Bootcamp USMLE Step 1 logo
Best course supplement
B+
Pros
  • Thousands of practice questions, quizzes, and more
  • Board-style breakdown videos
  • Comes with Anatomy Bootcamp valued at $199
  • More affordable than other question banks
Cons
  • No physical textbook or printable materials
  • No option for live instruction
  • May be too intensive for quick reviews
  • Only the annual plan comes with a pass guarantee
Key features
  • Accurate Step 1 pass prediction calculator
  • Study schedule creator
  • Bootcamp AI Assistant
  • Option to create unlimited tests
  • Mobile app access
Pricing
$79/month or $349/year / Monthly or annual subscription

Med School Bootcamp is a comprehensive online USMLE Step 1 prep platform, making it easy for medical students to study on demand with high-quality video lectures, quizzes, and realistic, board-style practice questions, all integrated in one streamlined dashboard. This resource provides concise video lessons (typically 8-20 minutes in length) that focus specifically on high-yield, exam-relevant material, rather than lengthy, exhaustive lecture reviews. After each lesson, you'll encounter a "bites" review quiz to immediately reinforce key medical concepts, followed by a sequence of authentic board-style questions intended to simulate actual USMLE Step 1 testing conditions.

Beyond content delivery and active practice, Med School Bootcamp features built-in study schedules with structured, preplanned tracks, such as a detailed 9-week daily plan, to help students stay organized and make steady progress toward the Step 1 exam. Many aspiring doctors find this Med School Bootcamp both affordable (notably priced lower than most traditional prep companies) and impressive, with its high-quality videos and explanations. In terms of overall user experience, students have expressed a wish for better integration of images within the platform. Others report that working through all Med School Bootcamp resources requires a significant time investment, which may make this resource challenging for on-the-spot reviews.

I have been using the app since my first year, and it has helped me excel not only in USMLE study but also in my in-class exams.

It's taking a long time for me...For example, the pharmacology section is 6 hours long, and I only got through 1.5 hours of it yesterday. It's very demotivating, but everyone's telling me to just be consistent.

Bottom line: Med School Bootcamp functions as an excellent supplement for a USMLE Step 1 study plan, offering more reliability than flashcard apps like Anki or Quizlet due to its structured format and reputable content. However, students should plan to dedicate ample study hours to get the maximum benefit from its extensive suite of video lessons, making it more suitable for connecting key concepts rather than for quick reviews.

Why Achievable is the top choice for USMLE Step 1 preparation

Achievable's USMLE Step 1 program transforms exam preparation by making studying more engaging and less stressful than competing options. Achievable combines a comprehensive, expertly designed USMLE Step 1 course with trusted study tools, all at a competitive price. The interactive platform acts as both a knowledgeable instructor and a supportive tutor, guiding you step-by-step through complex USMLE Step 1 topics while identifying areas for targeted improvement.

Here's what makes Achievable the best choice for USMLE Step 1 prep:

  • Achievable: Adaptive and responsive study plans tailored to your unique progress
    • Others: Static, preset programs that lack the personalization that Achievable delivers
  • Achievable: Memory-science driven approach ensures optimal retention of key concepts
    • Others: Overwhelming, content-heavy courses that can hinder true understanding
  • Achievable: Modern, mobile-friendly, and tech-forward for studying anytime, anywhere
    • Others: Traditional, textbook-style formats not designed for on-the-go learning

With high-quality USMLE Step 1 materials, data-driven progress tracking, and personalized online support, Achievable provides an ideal formula to help you pass the USMLE Step 1 exam on your first attempt. Choosing Achievable means leveraging proven methods and innovative technology to maximize your success.

Why choosing the right test prep course matters

The USMLE Step 1 is a rigorous examination that demands countless hours of focused USMLE prep, drilling essential medical facts until recall becomes automatic. Given the sheer volume of information required for success, it's crucial to choose a USMLE prep course that streamlines your study process, helping you master only the content necessary to pass, without overwhelming you with irrelevant material.

Today, a wide range of USMLE exam prep providers claim to offer the tools and strategies needed for a passing score. Understanding what distinguishes top-rated USMLE prep options can empower you to select resources that best guide or enhance your study plan.

Achieving a passing score on Step 1:

  • Enables you to progress in your medical school education
  • Serves as the foundational milestone for residency eligibility
  • Equips you for future advanced licensing exams as a medical professional

Because the USMLE exam is such a pivotal step in your medical career, selecting a USMLE prep course with high-quality, exam-focused content, realistic practice questions, and responsive candidate support is vital for your advancement. Comprehensive USMLE study materials and resources can add structure and depth to your preparation, helping you reach your target score within your desired timeline.

Wrapping up

When comparing leading Step 1 courses, it's essential to evaluate critical factors that directly influence your Step 1 exam success. Look closely at each Step 1 study guide's core features, the relevance and quality of study materials, as well as the accuracy and effectiveness of practice assessments. Be sure to assess the alignment of each Step 1 prep course with the official USMLE Step 1 exam blueprint, as well as consider course pricing and real-life student success rates. By reviewing these aspects, you can create a comprehensive Step 1 study plan tailored to your personal and professional goals, whether by selecting a single prep course or by combining features from multiple Step 1 vendors.

After careful analysis of all leading Step 1 prep options, we've found that Achievable delivers the best overall Step 1 study guide and exam preparation experience. Achievable's personalized approach offers convenient, effective tools that simplify Step 1 preparation while maximizing your learning potential. The course provides all required Step 1 study materials in one streamlined platform, so you won't need to worry about complicated package tiers or costly add-ons. With Achievable, you gain access to expertly crafted content designed to boost your score quickly and efficiently, improve your chances of passing the Step 1 exam on your first attempt, and ultimately support your progress toward a successful medical career.

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Pass the USMLE/1. Guaranteed.
Achievable is the best online USMLE Step 1 exam prep course: effective, personalized, and convenient. With Achievable, you'll spend less time studying and pass your exam the first time, or your money back.