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Ashna's exact schedule: NBMEs stuck at 67% to a Step 1 pass in 8 weeks

She joined on 12 August, about 8 weeks before her exam. Her NBMEs were stuck at 67–68%, she was almost burnt out, and she had no idea what to do next. On 8 October she took Step 1, and she passed. This is the schedule you commented for, day by day, with the receipts.

The whole run in 5 numbers.
67–68%
NBMEs before she joined
71.5%
NBME 32 · Sep 11
74%
NBME 33 · Sep 19
76.5%
NBME 34 · Oct 2
PASS
Took Step 1 Oct 8 · result Oct 21
Joined Aug 12. Took Step 1 Oct 8. That is 8 weeks.

Where she started

In her own words: “I was stuck with my NBME score, almost burnt out without an idea what to do next.” She had watched our student videos, and the one thing every student said was that they knew exactly what they had to do every day. That is what she wanted: a timetable for every single day, and someone checking whether she finished it.

So she got both. A daily timetable from me, and an accountability partner who checked in with her twice a day, morning and night.

Ashna on accountability

The 8 weeks, step by step

Aug 12 – Aug 19
Micro first Sketchy + Mehlman PDF

Viruses, parasites, gram positive, gram negative, fungi, then the Mehlman micro PDF and a few questions. Micro was done by Aug 19. (How to run micro fast: Sketchy Micro.)

Aug 20 – Sep 1
Every system First Aid + the FA Guide + Mehlman videos

1 system at a time, usually 2 days each: HemeOnc, immunology, GI, MSK, psych, neuro, renal, respiratory, endocrine, reproductive, cardio, then biochem. Each system was the First Aid Guide with First Aid next to it, plus the Mehlman Medical videos. (The method: how to actually complete First Aid.)

Ashna on the FA Guide
Sep 2
First NBME then the switch

She took her first NBME and reviewed it. She had already been through First Aid with the Guide, so she didn't need another read. From here, I moved her off reading and onto Anki. (Which form to take, and when: the exact NBME order.)

Sep 3
FA Foundation Anki finished

She finished the FA Foundation Anki (the General Series deck): every First Aid page as 2–3 question-style cards.

Dr. A: 50s → 60s → 70s
Sep 4 – Sep 12
NBME Booster Anki NBME 20 → 31, ~400 cards a day

System by system, every day, with the NBME Booster Anki: the high-yield topics from every NBME form, split by system. Alongside it, 1–2 blocks of the Vault Assessment every day, just to shock herself with how long the questions are.

Ashna on the Booster
Sep 11
71.5% NBME 32

Same week, a practice Free 120 at 78%.

Sep 19
74% NBME 33

The new Free 120 the same day: 63%. Then 2 days of Mehlman PDFs, a 2nd pass of the Mehlman arrows, and the weak topics from NBME 33.

Sep 25
69% Vault Assessment 1 · 8 hours

The full-length Vault Assessment, built to be tougher than the real exam. Anything over 65% on it is a pass on the real thing. The next day she reviewed it and read First Aid for the weakest systems it flagged.

Ashna on the Assessment
Sep 27 – Oct 1
NBME revision forms 24 → 33

She went back through NBME 24 to 33, and found the Randy Neil PDF. Her words: “Brooo this randy neil pdf is so good. Wish I'd have done it sooner.”

Oct 2
76.5% NBME 34

Up from 67–68% when she joined.

Oct 3 – Oct 7
Last week weak systems only

First Aid and the Mehlman PDFs for weak systems, Mehlman videos at night, the arrows, a quick revision of NBME 30–34 and both Free 120s, and Randy Neil for biostats. (The last stretch: the last 2 weeks.)

Oct 8 → Oct 21
PASS

She took Step 1 on Oct 8. Right after, she told me the paper was not vague at all, it was very direct, and she had about 1.5 hours of break time left. The result came on Oct 21.

USMLE Step 1 score report, test date October 8, 2026, Your Test Result: PASS. The USMLE ID is hidden.
Her score report. USMLE ID hidden.
Everything she used is inside the Vault.
$97
The FA Guide, the FA Foundation Anki, the NBME Booster Anki and the full-length Vault Assessment.
Get the Vault at usmlevault.com →
Sign up in the next 90 minutes to lock in $97. The timer is on the site.

The schedule, in 1 table

If you only save 1 thing from this page, save this order.

WhenWhat she didResult
Aug 12–19Sketchy micro + the Mehlman micro PDF—
Aug 20 – Sep 1Every system: First Aid + the FA Guide + Mehlman videos, ~2 days each—
Sep 2First NBME + review—
Sep 3FA Foundation Anki finished—
Sep 4–12NBME Booster Anki, NBME 20–31, system by system, ~400 cards a day + 1–2 Vault Assessment blocks a day—
Sep 11NBME 3271.5%
Sep 19NBME 33 · new Free 12074% · 63%
Sep 25Vault Assessment 1, 8 hours69%
Sep 27 – Oct 1NBME 24–33 revision + Randy Neil—
Oct 2NBME 3476.5%
Oct 3–7Weak systems, arrows, NBME 30–34 + Free 120 revision—
Oct 8Took Step 1—
Oct 21ResultPASS

The NBME Booster Anki

This is what she ran every day from Sep 4: the high-yield topics from NBME 20 to 33, split by system, each card built around the keywords and the common trap. In her words: “Honestly I am not an Anki person, but this was a boon for me.” She wanted to cover NBME 20–25 quickly but didn't have time to go through every question, so she did a few cards here and there, all the time.

How the NBME Booster Anki works → · Get it in the Vault →

What other students said about the FA Foundation Anki

Ashna finished it on Sep 3, right before the Booster. She isn't the only one it worked for.

“The major shift in my score happened because of Anki. For the general series, when I completed, I started scoring above 60, and when I completed the NBME decks, I was above 70.”
Dr. A, passed Step 1

Dr. E ran the same deck, about 2,400 cards in 8–9 days, and went from a 59.5% baseline to 74.5%. Read Dr. E's schedule →

How to run the FA Foundation Anki →

Ashna on the Vault Assessment

She took Vault Assessment 1 about a week before her test. Her words:

“I honestly expected it to be another UWSA. But I was wrong, the questions were a good amount of conceptual, some were easy, some were extremely difficult, just like the real deal. All the questions were so long that I was fighting for time in almost every block, but I was still able to complete the exam, which left me having no fear for long stems on Step 1.”
Ashna, passed Step 1

What's in the Vault Assessment →

Get her exact toolkit today.
$97
The FA Guide, both Anki decks and the full-length Vault Assessment, in 1 place.
Get the Vault at usmlevault.com →
Sign up in the next 90 minutes to lock in $97. The timer is on the site.

The part that made her finish

The timetable told her what to do. The check-ins made sure she did it. Twice a day, morning and night. When she told her friends about the program, the number 1 thing she said was accountability and the timetable.

Want what Ashna had, 1-on-1?
A timetable for every single day, built around your scores, and Dr. Marish Asudani with you to exam day.
Book your call at drmarishasudani.com/book →
Or DM me STEP 1 on Instagram.
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