Skip to main content

USMLE Step 1 Preparation Scheme


By Dr. Waqas Nawaz (Score: 242)
Founder K.E. USMLE Forum

I am going to explain how one can start for step 1 de novo. I will try to make it as simple as possible:

USMLE step 1 needs 4 reads in total.

Materials required
Kaplan series
First Aid
100 cases by Conrad fischer ( blue book )
Online NBME 



 3 months (1st read)+2 months and 10 days (2nd read) +2 months and 10days (3rd read) +6 days whole 1st AID and NBME, then 10 days ( 4th read) =Total 8 months

Sequence of subjects in each Read: 
Physiology, then pharmacology; biochemistry; microbiology; immunology; pathology; anatomy; behavioral sciences

First Read:

 3 months

biochem/genetics- 8 days
immunology-4 days
microbiology-8 days
pathology-3 weeks
anatomy -10 days
behavioral sciences 4 days

In this plan , when you finish one subject , don't rush to next; rather re-read same in 1-2 days . For example, you are supposed to finish physio in 8 days and then revise in next 2 days whole physio .Same plan for other subjects


 2 MONTHS and 10days :
In 2nd read , there will be add on of 1st aid. You should read Kaplan but then same subject from 1st AID BEFORE moving to next subject)

Physio- 8 days ( 6days of physio from Kaplan and 2 days of physio from 1st AID)
PHARMA-8 days ( same 6+2)
biochem/genetics: 8 days (6+2)
immunology 3 days (2 +1)
microbiology 8 days ( 6+2)
pathology 26 days ( 2 weeks of Kaplan 1 week of golgon 5 days of 1st AID)
anatomy 7 days (6+1)
behavioral sciences 3 days (2+1 )

Second read =Total 70 days


This time there will be add on of U world including revision of Kaplan and 1st Aid

physio- 8 days (5 Kaplan + 1 1st aid +2 u world)
pharma-8 days (5+1+2)
biochem/ genetics- 7 days (4+1+2)
immunology -3 days (1+1+1)
microbiology -8 days ( 5 +1+2)
pathology-26 days (10days +4 days of golgon +12 days of u world))
anatomy- 7 days (4 + 1+2)
behavioral sciences 3 days (1+1+1) also read 100 cases by Conrad fischer in this read

3rd read =total 2 months 10days

After 3 reads , you should read 1 st aid in continuity for 4 days and take NBME on 5th and 6th days. If YOU get >250in NBME , schedule a date in next 15 days .

4th read: 

10 days-just give1 day to one subject from Kaplan
pharma-1 day
biochem/genetics- 1 day
immunology/microbiology-2 days
pathology-3 days
anatomy-1 day
BS -1 day

after this 3-4 days of 1ST aid and then take exam .

It is an estimate.; may vary depending on how much stamina and memory one has but this is how it works for most of students


  1. If one is to start preparing during graduation, say in 3rd year, How can that be facilitated alongwith college studies?


Post a Comment

Your feedback is appreciated!

Here's more you should read...

USMLE Step 1 Experience by Ayaz Mehmood (Score : 99/266)

USMLE Step 1 Experience by Ayaz Mehmood (Score : 99/266)
Salam everyone, let me start in the name of Allah who’s the greatest benefactor of all mankind. I am going to write a detailed composition regarding preparation for USMLE Step 1. I am a final year student at King Edward Medical University and I took my exam on June 10th. Final year is the year before internship/ house job in Pakistan. I just got my scores: 99/266

Let me introduce some myths surrounding USMLE Step 1 which are especially prevalent within Pakistan; I am not too sure about India because I heard their students typically appear in their final years.

 Myth number 1:Do not appear for USMLE Step 1 within your graduation

 Verdict: Baseless, illogical reasoning

Explanation: This is so prevalent in Pakistan it’s almost pathetic. One of the biggest concerns surrounding our students is that Step 1 is a huge risk to be taken before graduation. Let me put it in another way: Step1 would always remain a risk whenever it is taken, …

Australian Medical Council AMC Part 1 Guide - Experience and Tips

AMC Part 1 by Dr. Asad Khizar Malik (Rank : 77/620) Australian Medical Council  Guide - Experience and Tips
Salam people, let me start in the name of Allah who’s the greatest benefactor of all mankind. Hope everyone is doing great. I'll try to write as much as I can for the people who are due to various reasons more interested in joining Australian Hospitals for post-grad training as compared to the USMLE pathway.

I am a graduate of King Edward Medical University, class of 2004-2010. I did my 6 months house job after graduation in Mayo Hospital, and after that, i gave my AMC Part 1 in November, 2010 from Brisbane. With the grace of Allah, I passed that in first attempt.


First thing in mind that comes with post grad training in Pakistani doctors minds is: Which way to go after graduation? That is a very tough decision that is …

FSc Premedical Guide - How to fly high..

FSc Premedical Guide - How to fly high.. Unsa Athar Your 40% needs to be excellent to get into KEMU or  some other good place.
(Dedicated to my teachers who not only taught me the fsc books but also many priceless lessons of life)
(Unsa Athar)
The tree that never had to fight For sun and sky and air and light, But stood out in the open rain And always got its share and rain, Never became a forest king, But lived and died a scrubby thing… Good timber does not grow with ease, The stronger wind, the stronger trees.
Getting yourself educated in the desi manner i.e. through the Board of Intermediate and Secondary Education is one of the top most challenges of today’s society. Matriculation seems difficult at that time, but when you enter FSc, you realize that matric was the easiest job in the world.  Those obese books of intermediate part I and part II are the worst enemies one can ever have.  People say Medical is tougher, but I find one basic difference in both. When you enter a medical college, y…


Anatomy/Histology Gallery
Read the instructions here 1st Year

Histology Slides for Professional Exams
Folder 1- Labelled Folder 2 - Labelled Folder 3 - Labelled
Histology Revision Slides Updated (2011)
by Laiba Khalid
Lower Limb Anatomy Spotting Labelled

Embryology Models Some models are labelled and others mentioned in comments

Anatomy Museum Models (unlabelled) This album covers Upper limb, Lower limb and Thorax regions of anatomy

2nd Year
HISTOLOGY Diagrams Hand-drawn CARDS 2ND YEAR MBBSThese are hand-drawn histology diagrams by Demonstrator Dr. Shaista (Dept of Anatomy, KEMU) and submitted by Anosha.NEUROLOGY/ Neuroantomy SPOTTING  (LABELLED SPECIMEN) 2ND YEAR  Each structure is labelled and a great job done by Anosha. Neuroanatomy / Brain 2nd Year Important topics by LaibaNeuroanatomy Models Labelled  Gross models labelled by Maryam Shahid Abdomen & Pelvis Anatomy Spots Labelled Excellent job by Maryam Shahid
Anatomy Learni…

USMLE Step 2 CK experience by Rizwan Khan (254)


     I recently got done with Step 2 CK exam & I want to elaborate my experience and the mistakes that I made during my prep so that any of my colleagues who are preparing for this exam might benefit from them. I wont go much in detail about how to prepare and where to prepare from since it is already highly debated on the forum and in the previous posts but would focus more on my personal experience and the bad choices which I made during the preparation phase.
SELF-ASSESSMENTS AND QBANKS Uworld 74% Kaplan Qbank 69%
Kaplan diagnostics  = 80% (70 days before exam) Kaplan Simulation Exam 1 = 71% (50 days before exam) Kaplan Simulation Exam 2 = 76%  (40 days before exam) Fred simulation for CK = 84% (39 days before exam) NBME 2 (offline) 21 mistakes (30 days before exam)
NBME 4  =    263 (13 days before exam) UWSA =  259 (2 days before exam)
Real exam = 254