# How to Pass USMLE Step 1 in 2027 (Day 1 to Exam Day) — Video Guide

> The companion guide to the USMLE Vault YouTube video: every chapter with its timestamp, what is said there, and the free guide for each step, from the first day of Step 1 prep to the morning of the exam.

URL: https://vault-guides.vercel.app/step-1-2027-video-guide.html
Canonical: https://vault-guides.vercel.app/step-1-2027-video-guide.html

## Summary

A chapter-by-chapter companion to the 15-minute video "How to Pass USMLE Step 1 in 2027 (Day 1 to Exam Day)" by Dr. Marish Asudani. The plan: cut resources to 5 (First Aid, UWorld, YouTube with Mehlman, Randy Neil and Dirty Medicine, Sketchy, USMLE Vault); spend the first 10 days on microbiology and pharmacology; study each system by understanding First Aid on the First Aid Guide, then Mehlman, then Foundation Anki; do UWorld by system in tutor mode with First Aid-based review; take the first NBME only after every system is done; and follow a fixed plan for the day before and exam day.

## Chapters

- 0:00 Why your first NBME shouldn't be in week 3 — the first NBME is the finish line of the content plan, not a week-3 check-in
- 1:07 Part 1 · The only 5 resources — if a resource doesn't move your UWorld or NBME score, it is not a Step 1 resource; Boards & Beyond, Kaplan, USMLE Rx and Pixorize are off the list because none is anchored to First Aid; every extra point goes onto a First Aid page
- 2:29 Part 2 · First 10 days: micro + pharm — together roughly 20–30% of Step 1 questions; micro in about 7 days, the 90-minute antimicrobials video, then pharm in 2–3 days
- 4:34 Part 3 · How to study each system — the system's micro and pharm pills in ½ a day, active reading on the First Aid Guide (15–20 minutes a page including MCQs), Mehlman for active application, Foundation Anki for active recall; a system is done when every UWorld question is done, every bookmark is traced to First Aid, the last 2 blocks are above 70% and the last block felt boring
- 7:51 Part 4 · How to do UWorld — not a first-pass resource; unused, system only, tutor, untimed, 20 questions; mini-review on every question; about 10 bookmarks per 20; 70–80% of UWorld is direct First Aid lines; 1 line per topic of annotation at most; under 65–70% halfway through a system, go back to Mehlman and Foundation Anki; about 6–7 days a system, 10 systems, 2–3 months
- 11:00 Part 5 · The NBMEs — 8–9 forms, never 1 on a baseline; first NBME only after every system; a dedicated 7-day week at 10 hours a day (Sketchy micro, Foundation Anki, 2 timed 20-question blocks of NBME 26), then NBME 27 offline on day 8; first pass in about 23 minutes per block, never over 1 min 20 s a question, 6–7 minutes on flags; same-day review; then 28, 29, the NBME Booster, 31, 32, 33 and the Free 120
- Part 6 · The last month and readiness — mentioned in the intro, not in this cut
- 12:37 Part 7 · The day before + exam day — be a little tired on the day before, books closed at 5–6 p.m., lights out at 9 p.m. for 8 hours of sleep; on exam day, 3 deep breaths after 20 questions and a 5–7 minute glucose break after every 40

## Related

- https://vault-guides.vercel.app/resources.html
- https://vault-guides.vercel.app/sketchy-micro.html
- https://vault-guides.vercel.app/pharmacology-48-hours.html
- https://vault-guides.vercel.app/system-guides.html
- https://vault-guides.vercel.app/fa-guide.html
- https://vault-guides.vercel.app/finish-a-system.html
- https://vault-guides.vercel.app/uworld-rpsr.html
- https://vault-guides.vercel.app/nbme-order.html
- https://vault-guides.vercel.app/nbme-first-time.html
- https://vault-guides.vercel.app/nbme-review-protocol.html
- https://vault-guides.vercel.app/exam-day.html

## Source

USMLE Vault — https://usmlevault.com
Author: Dr. Marish Asudani