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Step 1 dedicated study schedule (6 weeks) with practice exam dates
Last updated September 1, 2026
A schedule is a hypothesis, not a contract. This one assumes six weeks of dedicated
study, roughly ten hours a day, and a primary question bank you have not yet
finished. Adjust the volume; keep the structure.
The shape of it
Six weeks divides naturally into three phases: two weeks of broad coverage, two weeks
of targeted repair, and two weeks of consolidation. Practice exams sit at the
boundaries, because that is where their information is most actionable.
Week 0 — before you start
- Sit a baseline practice exam. Uncomfortable, and the single most
useful thing you can do. You cannot target weak areas you have not identified.
- Book your exam date if you have not. An unfixed date makes every subsequent
decision harder.
- Plan rest days now, not later. One a week. People who schedule none take them
anyway, at worse moments.
Weeks 1 to 2 — broad coverage
- Questions: 80 to 120 a day, mixed and timed.
- Review: at least as long as you spend answering. This is not
optional; it is where the learning happens.
- Focus: everything, in rotation. The goal is to surface weaknesses,
not to fix them yet.
- End of week 2: practice exam. Compare the content breakdown
against your baseline.
Weeks 3 to 4 — targeted repair
- Questions: same volume, but weighted toward your three weakest
content areas.
- Add: biostatistics and ethics if you have been avoiding them.
Both are among the most learnable sections on the exam and among the most commonly
left too late.
- End of week 3: practice exam.
- End of week 4: practice exam. Two exams close together here is
deliberate — this is the point where the trend becomes readable.
Week 5 — consolidation
- Questions: back to mixed, full blocks, timed. Rehearse the
format, not just the content.
- Sit at least one full-length exam in one sitting, at the time of
day your real exam is booked for. Seven hours of sustained attention is a skill
distinct from knowing the material.
- Day 5 or 6: final practice exam. This is your readiness estimate.
Week 6 — taper
- No new material. Nothing learned this week will meaningfully
change your score; the cost to your sleep will.
- Light review of things you already half-know: 40 to 60 questions
a day at most.
- No practice exams in the final 72 hours. A bad result here does
real damage and cannot be acted on.
- Sleep on a fixed schedule from day one of this week, matched to
your exam start time.
Practice exam dates at a glance
- Before week 1 — baseline
- End of week 2 — first checkpoint
- End of week 3 — trend
- End of week 4 — trend
- Week 5, day 5 or 6 — readiness estimate
Five exams across six weeks. If that feels like a lot of testing, drop the week 3
exam first — it is the least informative of the five.
If you are behind
Cut question volume before you cut review, and cut breadth before you cut your weak
areas. Halving your daily questions while still reviewing every one properly is better
than doubling volume and reviewing none. And if the trend across three exams is flat
and well short of where you need to be, the right response is to move the exam date,
not to study harder in the final week.
Common questions
Is six weeks long enough for Step 1 dedicated study?
For many students, yes, provided you enter dedicated with the material broadly covered. Six weeks is for consolidation and exam rehearsal, not for learning content from scratch.
How many questions a day should I do during dedicated?
Around 80 to 120 a day, with at least as much time spent reviewing as answering. Volume without review is the most common way to waste a dedicated period.
When should I take my last practice exam?
Five to seven days before the real exam. Late enough to reflect your current level, early enough that a poor result does not derail your final week.
Should I study the day before Step 1?
Lightly at most. Nothing you learn the day before will meaningfully change your score, and poor sleep will. Fix your sleep schedule to your exam start time during the final week.
Practise under real conditions
Ten full length exams, fourteen blocks each, with a simulated score. Free to start.
Start free
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