![]() Initially, information about all the test-preparation materials and courses (methods) was examined descriptively. A total of 1,650 responded, but because MCAT scores and GPAs were not available for all examinees only 1,217 were included in the analysis reported here. The survey questionnaires was mailed to a random sample of 3,958 first-time takers of Step 1. Survey responses from each participant were matched to his or her USMLE Step 1 scores, Medical College Admission Test (MCAT) scores, and undergraduate science grade-point average (GPA). In a survey following the June 1998 paper-and-pencil administration of Step 1, participants were asked about their study habits in relation to: the number of hours spent studying for Step 1 each week the types of materials they had used when studying the number of weeks of full-time study and if applicable, a series of questions about coaching course(s). Participants in this study were chosen by taking a random sample of first-time Step 1 takers from U.S. ![]() 1,2,3,4 In this article, we report the results of a recent survey of the strategies used by medical students to prepare for Step 1, and present our preliminary analyses of the relationships between preparation strategies and test scores. ![]() The effectiveness of alternate approaches to preparing for Step 1 is unknown, though research on other high-stakes exams suggests that exam performance may be improved by coaching courses. In addition, there is anecdotal evidence indicating that medical students increasingly purchase “board prep” publications and sign up for commercial coaching courses that may last several weeks and cost thousands of dollars. They also may participate in test-preparation activities offered by their schools. Prior to taking the United States Medical Licensing Examination (USMLE) Step 1, medical students commonly spend large amounts of time studying on their own or in groups.
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