VUSMLE Vault
USMLE Vault

Free Step 1 Guides

The exact methods my students use to go from stuck to scoring. Pick one and start.

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Step 2 CK · Dr. Marish
Marish Step 2 CK Notes
My complete, precise, concise Step 2 CK notes — the exact set my students revise from.
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★ Popular
All 49
Med School
Method
NBME
Anki
Study
Plan
Step 2
Start Here
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New · Study
Microbiology by System
Every system's organisms in one place — nine per-system pages plus antimicrobials, and the 6-day Sketchy protocol that runs them.
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New · Plan
You Already Did UWorld — The 12-Week Plan
70% of a qbank spread over six months is a memory of a foundation, not a foundation. The audit, five weeks of consolidation, then the forms.
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New · Anki
The Whole of First Aid, in Six Days
~2,400 page-mapped cards at ~400 a day. The page number on every card is why it works — and there are only two moments to run it.
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New · Study
Biostatistics and Ethics
Five steps in order — and the unpopular one: UWorld biostats is not good enough. What to use instead.
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New · Start Here
Canon Events — and the Fix for Each
The ten things almost every IMG does — NBME 28 first, opening UWorld cold, restarting on Monday — and the specific fix for each.
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New · Start Here
Five Resources. Not Forty.
Everything you need for Step 1 in five — because one of them absorbs the rest. What each does, and when it enters.
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New · The Journey
Step 1 During Internship — 14 Weeks
Phone-first, Sketchy front-loaded, systems in order — with the real NBME scores. Start to finish alongside a full internship.
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New · Med School
First Year to Final Year
All of MBBS mapped against Step 1 — what to study each year, in what order, and the one habit that makes four years compound instead of evaporate.
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New · The Journey
MBBS to Match
Graduated April 2024, Step 2 CK that August, matched March 2025 — from a 50% first UWorld block, three USCEs and zero publications.
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New · The First Aid Guide
Inside a First Aid Guide Page
A real walkthrough, a real "How is this tested?" entry, and the 5-second search — lifted straight from the live pages.
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New · Plan
The Part Nobody Plans For
The plan that checks on you twice a day, the board that resets every Monday, and the three messages that start a real study partnership.
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New · Method
When Is a System Actually Finished?
Five points, not four. "I'm saving some for random mode" is how you end up learning a system three weeks before your exam.
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New · Downloads
The Seven Sheets
Every high-yield PDF and Anki deck in one place — free downloads, plus the rule for when each one is allowed into your prep.
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New · Start Here
4 Resources I'd Never Use Again
Boards & Beyond, Kaplan, USMLE Rx and Pixorize — why none of them move your UWorld score, and what replaces each one.
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1️⃣
New · Med School
USMLE in First Year
Physiology, anatomy and biochem — Guyton and Najeeb on one side, First Aid on the other. Build the foundation once, use it twice.
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2️⃣
New · Med School
USMLE in Second Year
The most important year for Step 1 — Sketchy Micro, then pathology with Pathoma, then pharmacology. In that order.
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3️⃣
New · Med School
Giving Step 1 in Third Year
Two routes: cross-integrate from years 1 and 2, or start cold in third year and run the full 24-week plan. Both mapped out.
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New · Free System
Renal, Start to Finish, in 6 Days
Micro and pharm first, then active reading, active application and active recall of First Aid pp. 596–628 — then UWorld with RPSR. Renal is free.
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New · Method
How to Actually Complete First Aid
Four readings, 4–5 days per system, the whole book in 8 weeks — and you retain it, because each pass does a different job.
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New · App
A Teacher on Every Page of First Aid
The tutor on every screen: knows your page, answers in 3 steps — simple, mechanism, how it’s tested.
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New · Anki
Anki, Rebuilt: NBME 34, Timed Mode, First Aid on Every Card
60 seconds a side, 2 minutes a card at most, and the First Aid page one tap from 6,474 cards.
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New · FA Guide
ELI5, Test Yourself, and the Rule-Out Button
2,849 ELI5s in reading order, 398 new MCQs, and elimination — practised on every page.
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New · Plan
Week 1 to Exam Day: The Whole Road
Every block to exam day, built on day 1 — and what happens if NBME 1 is below 65%.
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New · NBME
The Exact NBME Order
26 through 33 — which form, when, in blocks or full, and the exact scores that mean you're ready.
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New · NBME
The Exam Is Already Published. Fourteen Times.
Every NBME topic from forms 20–33 as a tutored one-liner. 4,174 cards. 49% → 75% in 15–20 days.
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New · Step 1 + 2 + 3
The Resource Stack
Every resource I actually used across all three Steps — five per exam, in order, with the rule that makes each one work.
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New · Free · Full-Length
The Step 1 Assessments — One Is Free
Two 14-block, 280-question full simulations, deliberately harder than NBME — with a full strength report and an honest verdict on how likely you are to pass.
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New · Start Here · Study
What Is the First Aid Guide
All 646 pages decoded — high-yield flags, ELI5 explanations with analogies, MCQs on every page, concept walkthroughs, and the FA 2026 changelog.
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New · Plan · Step 1 + 2 + 3
All Three Steps in Under 12 Months
Step 1 in 16 weeks with the first NBME on day 84, Step 2 CK in 6 months, Step 3 in 45 days. The full arithmetic — and the three people who've already done it.
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New · First Aid 2026
First Aid 2025 vs 2026
All 367 changes between the editions — additions, rewrites, deletions and the 5 factual corrections, mapped page by page.
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New · Plan · Indian Edition
Step 1 in Final Year MBBS
11 systems, one repeatable loop, alongside your college syllabus — Sketchy, First Aid, Marrow, Mehlman, Anki, UWorld.
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New · Method
Pharmacology in 48 Hours
The FWRT method — which drug from which resource, system by system, plus the HY Pharmacology PDF.
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Start Here
What Is USMLE Vault
The whole system in 2 minutes — Schedule, University, Vault, Anki.
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Start Here
4 Resources, Not 40
The only stack you need — First Aid, UWorld, Sketchy, Mehlman + the Vault unlock.
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Method
The RPSR UWorld Method
Read → Pre-solve → Solve → Review. How students go 45% → 75%.
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Step 2
Step 2 CK — Everything I Used
The six resources behind a 254 in under 20 weeks, plus the free PDFs and the full written guide.
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Plan · NBME
The Final 14 Days
The five resources to run in the last fortnight — consolidation and active recall, no new content.
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🗂️
Anki
Which Anki Deck, When
General vs NBME Booster — the two decks worth using, and the exact moment for each.
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Plan
The 16-Week Timeline
Day-by-day at 8–10h/day. Four phases from foundation to NBME-ready.
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NBME
Stuck at 62–65% on NBMEs
Why the plateau happens and the reset that breaks it.
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NBME
The NBME Review Protocol
The review IS the exam — same-day, blind check, error log by system.
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NBME
Your First NBME
When to take it, how to sit it, and how to read the score.
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NBME
The NBME MCQ Protocol
Read faster, think sharper — the exact 4-phase read-and-answer sequence for every question.
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🧬
Study
Biochem in 3 Blocks
Stop studying biochem all at once. Split it before the systems that need it.
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Study
Sketchy Micro in 6 Days
20 organisms a day, video then PDF, same-day MCQs. The version that sticks.
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Study
How to Use Mehlman
Videos, not PDFs. System playlists. And the 65% rule for when to actually use him.
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🥗
Study
Nutrition Review
The high-yield nutrition points that show up on Step 1.
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Plan
The Accountability System
Hard goal, hard date, daily tasks, community — how to actually stay on track.
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▶️
Start Here
YouTube for Step 1
How to actually use YouTube for prep without falling down the rabbit hole.
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