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The United States Medical Licensing (USMLE) Step 1 exam is the first medical licensing exam you need to pass to become a MD. Achievable is the only USMLE exam prep course that uses memory science technology to ensure you pass.
Achievable exam prep includes our complete online textbook and 1,500+ topic review questions.
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Good UI and sensible layout. Material is presented in a logical and easy to follow manner. recommend using the suggested study method highlighted in the intro.
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Very simple to grasp concepts with well laid out formatting. Definitely makes getting through topics easy and efficient.
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Advanced personalization
Achievable USMLE Step 1 exam prep uses adaptive learning techniques to create and update a personalized model of your memory, individually tracking your retention and mastery of each USMLE Step 1 exam learning objective. Our learning engine monitors your study progress and continually adjusts your quiz questions to ensure you're focusing on the topics that matter most for you, improving study effectiveness while reducing overall study time.
Review quizzes
Continually reviewing the material you've learned while studying is essential. Our USMLE Step 1 exam study materials include a quiz bank of 1,400+ review questions so you can quickly drill the key facts for any particular chapter.
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Easy-to-read online textbook
You'll see within minutes why our concise online textbook is a cut above other USMLE Step 1 exam prep - it's easy to understand and written in plain English, filled with straightforward explanations cutting right to the chase. Achievable USMLE Step 1 study materials are easy to read, mobile friendly, and include detailed walkthroughs of sample questions. Each of the USMLE Step 1 sections are covered in detail in our USMLE Step 1 online course.
Modern platform
Whether you're studying on the web or a smartphone, the Achievable USMLE Step 1 exam prep platform UX is clean and responsive. Progress charts highlight your journey through the USMLE Step 1 course content and your current strength in each section.
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Adaptive study planner
Use our study planner tool to create a personalized day-by-day study plan and ensure you get through all your USMLE Step 1 content by exam day. All you need to do is focus on studying and our system will help you stay on track.
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USMLE Step 1 - Key Stats

Recommended Preparation Time: 4 - 6 months

Subjects tested: Anatomy, Physiology, Pathology, Pharmacology, Biostatistics, Epidemiology, Behavioral Sciences, Microbiology, Genetics

Questions: About 280 questions (7x 35-40 question sections)

Cost for US/CA-based students via NBME: $645

Cost for international students via ECFMG: $985 + $180 International Test Delivery surcharge + $160 ECFMG registration fee

What is the process to fully pass the USMLE?

The USMLE is a difficult and rigorous process, even for top students, but you’re not alone - approximately 40,000 US and international students take the USMLE Step 1 each year.

Most US medical students take the USMLE Step 1 in their second or third year of medical school (MS2 or MS3), and then Step 2 is taken in MS4 or before graduation. International students typically test all steps after graduation or post graduation - passing the USMLE Step 1, Step 2, and Step 2 CS is required to be eligible for ECFMG (Educational Commission for Foreign Medical Graduates) certification.

The following is a rough breakdown of how long to expect each step to take, assuming you pass each exam on the first try and are doing the entire USMLE in one go. At a minimum, you should expect it to take at least one year to complete:

  • Step 1: 4 - 6 months
  • Step 2 CK: 4 months
  • Step 2 CS: 1 month
  • ERAs: 1 month

In terms of importance, the USMLE Step 1 is the most looked at score. According to NRMP MATCH 2018 program director survey, 94% of program directors state USMLE Step 1 score as the most important factor they consider for selecting applicants to interview.

What does the USMLE Step 1 score report tell you?

The USMLE Step 1 is now a pass fail exam. To pass the exam, typically 60-70% of the questions must be answered correctly. This varies by exam due to content weighting and scaled scoring.

In place of scored sections, the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners® (NBME®), which make the USMLE Step 1 exam, still wanted to give you feedback on your performance by topic. This is especially helpful for students that do not pass because it identifies which topics they are underperforming on.

If you Pass, your USMLE Step 1 score report will give you a breakdown of the content weighting of the exam by discipline and system.

If you Fail, your USMLE Step 1 score report will have three sections:

National performance distribution

This is your overall performance versus the national average. It includes your score, the national passing score, and a histogram chart of scores for the entire test taking audience.

Your relative strengths and weaknesses

This is the section that will help you most with your next attempt. It shows your score performance across three different breakdowns: Performance by Physician Task relative to a Low Pass, Performance by System relative to a Low Pass, and Performance by Discipline relative to a Low Pass.

It only shows whether you had a Higher, Same, or Lower score than the “Low Pass” national average for each category, but this is still helpful information to guide your studies. If you scored lower than a Low Pass on a topic, then you know that you need to work on that area. Similarly, scoring the same as a Low Pass on a topic means that you barely passed that section, and could improve.

Supplemental information: Understanding of content areas

This section of the score report will tell you the breakdown of different content on the USMLE Step 1 exam you took. This should guide your studies as well, as you should be focusing the most time on the content that is most frequently tested on the exam.

By combining what you've learned from the strengths and weaknesses and content areas sections, you can identify the largest opportunities to improve your score.

Learn from the best
Our content was written exclusively for Achievable by GraceUSMLE's founder Sujata Arecanteparamb, M.D. A 250+ USMLE scorer with more than 10 years experience as a clinician and medical tutor, Sujata has taught hundreds of students as a part of GraceUSMLE and has now expanded her program through Achievable.
Sujata Arecanteparamb - Achievable USMLE expert
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Achievable is the best online 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. Questions? Call/text us at 415-831-7733.
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