IMG Old grad, need help for step 1

💡 Need Advice

Hi everyone,

I’m a 2021 graduate and planning to start preparing for USMLE Step 1 soon. My goal is to take the exam in about 5–6 months. Since it’s been a few years since graduation, I’m trying to build a structured plan before starting.

This is the study plan I’ve drafted:

•MONTH 1 – CONCEPT REVIEW

-First Aid

-Boards & Beyond

(I’m planning to use this month mainly to rebuild my basics before starting the question bank.)

•MONTHS 2–4 – QUESTION BANK PHASE

-UWorld + First Aid

-Sketchy (micro/pharm)

-Pathoma

-Randy Neil (biostatistics)

Plan is roughly:

65–70% system-wise blocks (tutor/timed)

30–35% random timed blocks

•MONTHS 5–6 – DEDICATED

-Review UWorld incorrects/flagged questions

-NBMEs

-UWSA1 & UWSA2

-Free 120

-Mehlman high-yield PDFs

For those who prepared after 4-6 yr gap from medical school:

-Does this timeline seem realistic for 5–6 months?

-Would you recommend starting UWorld earlier?

-Is a full second pass of UWorld necessary, or are incorrects enough?

-which NBMEs are must do, and should i start them early on?

-Any resources I might be missing?

-Also if someone can share latest BnB lectures

I’d really appreciate advice from people who were in a similar situation. Thanks in advance

Posted Apr 4, 2026, 1:26 PM UTC

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