USMLE Vault · Step 1

Every Resource You Will Ever Need

One resource per job, and the rule for when each one enters. Not a list of forty things. Kaplan, Boards & Beyond and Bootcamp are not on it, and that is deliberate.

First AidThe FA GuideSketchy Micro PharmacologyPathologyUWorld MehlmanNeil RandyDirty Medicine AnkiNBMEsFinal 14 days

For years the advice has been to add: Kaplan, Boards & Beyond, Bootcamp, another qbank, another video library. That advice is out of date, and it is expensive in the only currency that matters.

The filter I use now is one line: if it does not move your UWorld score, it is not a Step 1 resource. Everything below survives that test. Everything that failed it is in a separate list.

👉 Every free PDF below lives in the University section on usmlevault.com/university

📕 Content — First Aid

What it is: the spine. Every other resource on this page either explains it, tests it or repairs it.

When: from day one to the morning of the exam. How: page by page, system by system, with every extra point you learn written into the page — never into a second set of notes. One book at the end, revised once.

The four-reading method · all 367 changes in the 2026 edition

🔓 Understanding it — the First Aid Guide

What it is: First Aid was written to remind, not to teach. The Guide decodes all 646 pages — what is actually tested from each page, a plain-English explanation, the best video on the internet for that exact topic already attached, and 2,534 MCQs mapped page by page.

When: every single day of the systems phase. It is your first pass. How: read the page → understand it → do that page's questions → move on. About twenty minutes.

What is on every page · see a real page, in full · Renal is free on usmlevault.com

🦠 Microbiology — Sketchy

What it is: ~85 organisms as visual mnemonics. The one resource I still used in residency.

When: your foundation week, before a single organ system. How: six days, roughly 20 organisms a day, video then PDF — and that day's MCQs the same night. Watch then test. Read TB, COVID, HIV, Bunyaviruses and malaria from First Aid instead.

The 6-day order · free Sketchy Micro PDF · same-night micro MCQs

💊 Pharmacology — the HY Pharm PDF

What it is: pharm is not hard, it is disorganised. This PDF stratifies every high-yield drug by system and names the single resource that teaches each one best — so you stop sampling three videos to find the good one.

When: foundation week, then again at every new system. How: find the resource → watch it twice → read and highlight what did not survive → test. 48 to 72 hours for the whole subject.

The FWRT method · free HY Pharmacology PDF

🔬 Pathology — Pathoma

What it is: the cleanest pathology teaching available, system by system.

When: during each system, before the questions. How: watch to understand, not to memorise, and annotate into First Aid as you go. Robbins comes after, not before — by then you know which parts of the chapter matter.

The full pathology loop

🎯 Questions — UWorld

What it is: a learning and assessment tool, not a first-pass resource. Open it cold and you get 40%, then conclude you are the problem. You are not; the order is.

When: after 3–4 days of prep on that system. How: Read First Aid page by page → Pre-solve with page MCQs → Solve by system in tutor mode, 20 questions → Review every miss back into the First Aid page. That review is your second and third pass of the book.

Leave a system when your last two blocks hold above 65% — a score, not a date.

The RPSR method · when a system is actually finished

📺 The rescue — Mehlman Medical

What it is: short, dense, free videos that teach how the examiner thinks rather than the answer. Plus the HY Arrows — one dense multi-system document.

When: the videos are conditional — the moment a system's UWorld drops under 65%, sort the playlist by date and watch the last three years. Above 65%, skip him. The Arrows are different: keep them open throughout, and run them hard when an NBME stops moving.

How to use him properly · free HY Arrows PDF

📊 Biostats and more — the Neil Randy PDF

What it is: everyone thinks he is only for biostats, and almost nobody works through his full channel — which is the edge. This PDF breaks his entire library down system by system.

When: before an NBME, and again in the run-up to your exam. It is revision, not learning. Worth 5–10% on its own.

free Neil Randy PDF · where he sits among the free resources

🩻 When it will not click — Dirty Medicine

What it is: the channel for a concept that refuses to land — psychiatry, ethics, biochemistry, anything.

When: early, while building. Mehlman and Neil Randy are revision resources; Dirty Medicine is a foundation one. Also: the antimicrobials video — all of antimicrobials in 90 minutes, twice (once during pharm, once in your final week).

How to use YouTube without rabbit-holing

🗂️ Retention — Foundation Anki and NBME Booster

Two decks, two different jobs. Neither is a 30,000-card monster.

Foundation Anki — ~2,400 cards, First Aid page by page with the page number on every card. At ~400 a day that is a full First Aid pass in 5–6 days. Run it after each system, then cumulatively before every NBME.

NBME Booster — 4,174 cards from the retired forms, system by system, never form by form. For the final stretch, when you need points rather than content.

Which deck, when · Pick & Mix for the cards you keep failing · get both

📝 Measurement — NBMEs, Free 120, assessments

What it is: the only honest read on whether you are ready. You get eight forms — never burn one on a cold baseline.

How: always offline. 10 blocks of 20 questions, 30 minutes each, first pass finished by 23 minutes. Pair a form with a Free 120 and you have 14 blocks — a real exam day.

Ready means above 67–68% on NBME 31, 32 and 33, consecutively and progressively.

The exact order, 26 through 33 · the review protocol · the free full-length assessment

🔁 The last fortnight

No new content. Notes, the one-liner revision book, your screenshots, the Anki you already built, and the antimicrobials video for its second watch. That is the entire list.

The Final 14 Days

Count them. Twelve jobs, one resource each. Every one is free or already in your subscription, and the whole stack fits on a phone. The reason prep balloons to forty resources is not that Step 1 needs forty — it is that nobody tells you which one does which job, or when it enters.
Do this today: open your current plan and delete anything that is not on this page. Then open usmlevault.com → First Aid Guide → the Renal system is free → run three pages. That is the loop this entire stack exists to serve.
Where each one sits in the calendar.
Twelve resources. Not forty.
All the free PDFs sit in University. The First Aid Guide decodes the rest.
Open University →
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