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This includes packing an adequate amount of healthy snacks, water, and a substantial lunch to get you through that long day. It is important to be able to mentally push through 280 questions on test day and combat any test-day fatigue. If you don’t appropriately time and train yourself to be able to get through 7 blocks, your score can suffer on test day. NBME exams are only 4 blocks long while the actual exam consists of 7 blocks. Maybe you end up taking a longer break than time would normally permit on test day. Perhaps you start your practice test at 10:00 AM when your actual exam is scheduled for 8:00 AM. When you take an NBME practice test at home, you may not be strict with your timing. Others get overwhelmed and may underperform.Īdditionally, timing may be slightly different for a given individual on test day. Some people function better under this kind of stress. All of these factors influence each person differently. Nowadays you even have the added inconvenience of having to wear a mask during your exam. The Prometric staff that day may be nice or they may be rude. Furthermore, you have the added stress of needing to transport yourself to a testing center. And, if you’re anything like me, you might even have stress-induced GERD leading up to test day. You are so nervous that you can barely eat breakfast. You barely get any sleep the night before. Adrenaline is running through your veins like crazy. Test day is different from all your other study days. First off, stress levels are very high on test day. There are several possible explanations for the differences in NBME/USMLE score predictions. There have even been dedicated research studies examining this correlation more closely. We’ve gotten this question from hundreds of students over the years. Some students outperform their NBME scores, others underperform. In my personal experience as a tutor, I have found that the predictive quality of NBMEs is very student-dependent. Over the past several months we’ve had more and more students note a disconnect between their scores on the NBME practice tests and their final USMLE Step 1 score, and they are voicing their unhappiness on forums like Reddit and Student Doctor Network.Īs of March 2021, there are six NBME CBSSA forms currently available for purchase on the NBME exam portal: Forms 25, 26, 27, 28, 29 and 30.Ī quick web search will lead you to numerous posts of individual students correlating their NBME and UWorld Self-Assessment Exam scores with their final Step 1 score.īottom line, though: Looking at medical students as a group, do the NBMEs under-predict, over-predict, or accurately predict scores on the USMLE?
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