The 12 Best USMLE Step 1 Study Resources for 2026

The USMLE Step 1 is a pivotal milestone in every medical student's journey, demanding a strategic blend of knowledge, endurance, and the right tools. With the exam now pass/fail, the goal has shifted from chasing a high score to ensuring a deep, foundational understanding that will carry you through clerkships and beyond. But with an overwhelming sea of question banks, video lectures, and tutoring services, how do you build a personalized study plan that actually works? This guide cuts through the noise.

We have curated the definitive list of the top 12 USMLE Step 1 study resources, breaking down their specific strengths, weaknesses, and ideal use cases. This comprehensive breakdown is designed to help you assemble the perfect combination of materials tailored to your unique learning style and needs. Forget generic advice; we provide practical insights to help you decide which tools are essential, which are complementary, and which you can safely skip.

Inside, you will find a detailed analysis of each resource, including Qbanks, video platforms, and official practice materials. Each entry includes screenshots, direct links, and an honest assessment of its value proposition. Whether you are a visual learner who thrives on mnemonics or someone who needs the structured accountability of one-on-one guidance, this list will help you choose your arsenal wisely. Our goal is to empower you to conquer Step 1 with confidence and efficiency, setting a strong foundation for your future medical career.

1. Ace Med Boards

For students seeking a truly personalized and high-impact study plan, Ace Med Boards offers a premier one-on-one online tutoring service. It moves beyond generic resources by pairing you with an experienced specialist to dissect your specific academic weaknesses, refine your test-taking strategy, and build a customized curriculum. This approach is ideal for students who feel overwhelmed by the sheer volume of USMLE Step 1 study resources and need structured, expert guidance to focus their efforts effectively.

The core of their methodology is targeted intervention. Tutors focus on high-yield topics, case-based learning, and mastering question analysis, skills that directly translate into better performance on exam day. Instead of just reviewing content, sessions are designed to teach you how to think like the test makers, a critical advantage for a complex exam like Step 1.

Why It Stands Out

Ace Med Boards distinguishes itself through its documented, rapid score improvements. Student testimonials frequently report significant gains, such as a 25-point increase in just a month or jumping from the 200s to over 240 on practice exams. This makes it a compelling option for those needing to make substantial progress in a limited timeframe. The service also provides support beyond Step 1, covering all USMLE/COMLEX steps, Shelf exams, and even residency match consulting. Learn more about their specialized USMLE Step 1 tutoring approach.

Key Features:

• Personalized Tutoring: Each study plan is built from the ground up based on your diagnostic performance, learning style, and specific goals.
• Strategic Focus: Sessions emphasize high-yield content and question-dissection strategies to maximize scoring potential.
• Flexible Scheduling: Fully online sessions accommodate the demanding schedules of medical students.
• Proven Results: Social proof and testimonials highlight significant, measurable score increases.

Best for: Students needing a structured, personalized plan to overcome specific weaknesses or achieve a significant score jump. It's an excellent choice for those who have struggled with self-study or want to ensure they are using their time as efficiently as possible.

Website: https://acemedboards.com

2. UWorld (USMLE Step 1 QBank + self-assessments)

UWorld is widely considered the gold standard among USMLE Step 1 study resources, specifically for its question bank (QBank). Its reputation is built on providing an exam simulation experience that is second to none. The platform’s interface meticulously mirrors the actual USMLE Step 1 test, helping students acclimate to the format, timing, and question style long before exam day.

The core strength of UWorld lies in its extensive bank of over 2,900 questions, each paired with exceptionally detailed explanations. These explanations not only clarify the correct answer but also break down why the other options are incorrect, effectively serving as a primary learning tool. This depth is what sets it apart from many competitors. To see how it compares against others, you can learn more about the best USMLE Step 1 question banks.

Key Features & Pricing

• Question Bank: Features over 2,900 challenging Step 1-style questions.
• Self-Assessments (UWSAs): Includes two forms that provide a predicted score, a crucial tool for gauging readiness.
• Performance Tracking: Offers detailed analytics to identify weak areas and track progress over time.
• Pricing: Access is subscription-based, with packages starting around $319 for 30 days and extending up to $719 for two years, often including the self-assessment forms.

How to Use UWorld Effectively

For optimal results, students typically complete UWorld at least once during their dedicated study period. A common strategy involves using it in "tutor mode" initially to learn from the explanations, then switching to "timed mode" to simulate exam conditions. Analyzing performance metrics regularly is key to focusing study efforts on specific subjects or systems where you are underperforming.

3. NBME (official self-assessments for Step 1)

The National Board of Medical Examiners (NBME) offers the Comprehensive Basic Science Self-Assessments (CBSSAs), which are the official practice exams for the USMLE Step 1. These are considered an essential part of any study plan because they are created by the same organization that writes the actual exam. This makes them the most accurate predictors of your potential performance and the best way to get a feel for true NBME-style questions.

Unlike comprehensive learning tools, the NBME self-assessments are purely evaluative. Their primary strength is not in teaching content but in providing a realistic benchmark of your knowledge and test-taking readiness. The score reports give you a performance profile that highlights strengths and weaknesses across different systems and disciplines, guiding your final weeks of study. This direct feedback from the test makers is an invaluable component of USMLE Step 1 study resources.

Key Features & Pricing

• Official Practice Exams: Features multiple CBSSA forms with questions written in the official NBME style.
• Predictive Scoring: Provides a score report that helps estimate your performance on the actual Step 1 exam.
• Performance Feedback: Includes an INSIGHTS dashboard for longitudinal analysis and highlights areas needing improvement.
• Pricing: Each self-assessment is purchased individually, typically costing around $60 per exam. Access them at the official NBME website.

How to Use NBME Self-Assessments Effectively

It is crucial to use these assessments strategically throughout your dedicated study period. A common approach is to take one early as a baseline, another midway through to track progress, and a final one 1-2 weeks before your test date to simulate exam day and build confidence. Reviewing every question afterward, correct or incorrect, is vital. While the explanations are less detailed than those in UWorld, they help you understand the NBME's logic and question focus.

4. USMLE.org (official exam content and practice resources)

While not a commercial study aid, the official USMLE website is an indispensable resource that every student must use. It serves as the primary source of truth for all administrative and content-related aspects of the exam. This is where you will find the official content outline, which details the exact subjects and physician tasks tested, along with their respective weightings. Understanding this framework is crucial for structuring your study plan effectively.

The site's main value lies in its authoritative guidance and free practice materials. It provides an interactive tutorial that mirrors the actual exam software, allowing you to familiarize yourself with the interface and navigation. It also offers free practice questions that, while limited in number, are written by the same people who create the real exam, making them an essential tool for understanding question style.

Key Features & Pricing

• Content Outline: Provides a detailed breakdown of all tested topics and their percentage on the exam.
• Official Practice Materials: Includes a free set of practice questions and a software tutorial that simulates the exam-day experience.
• Program Bulletins: Contains the official rules, policies, and procedures for registration and test administration.
• Pricing: All resources on the official website, including the practice materials and content outlines, are completely free.

How to Use USMLE.org Effectively

Start your Step 1 preparation by thoroughly reviewing the content outline on USMLE.org to create a balanced study schedule. Before your dedicated study period, complete the official software tutorial to avoid any surprises with the test interface on exam day. Use the free practice questions early on to get a feel for the official question style and integrate them later as a final check before your exam. Regularly check the site for any updates to exam policies or content.

5. AMBOSS (library + QBank + study tools)

AMBOSS has rapidly become a key player among USMLE Step 1 study resources by uniquely integrating a comprehensive medical library with a high-quality question bank. Its platform is designed for dynamic learning, where every QBank explanation is directly linked to relevant, high-yield articles in its extensive library. This cross-linked system allows for quick clarification of concepts and deeper dives into weak areas without ever leaving the ecosystem, making it a powerful tool for both foundational learning and dedicated prep.

The platform’s strength is its efficiency. Instead of cross-referencing multiple books or websites, students can instantly access concise, exam-focused articles that explain complex pathophysiology, pharmacology, and more. This integrated approach helps reinforce knowledge and build connections between different topics, a critical skill for answering multi-step USMLE questions.

Key Features & Pricing

• Integrated Library: Features over 1,400 high-yield articles covering all Step 1 subjects.
• Question Bank: Contains a large bank of approximately 2,900+ Step 1 questions with detailed explanations.
• Study Tools: Includes features like a "highlighting" tool to emphasize key information and an "attending tip" for clinical context.
• Pricing: AMBOSS offers monthly and yearly subscriptions. A standard annual plan providing access to both the library and Step 1 QBank typically costs around $438, with other options available.

How to Use AMBOSS Effectively

Many students use the AMBOSS library as a primary reference throughout their preclinical years, then integrate the QBank during their dedicated study period. A popular strategy is to use the library's search function to quickly look up concepts encountered in UWorld or NBME practice exams. The "Analysis" feature helps track performance and identify knowledge gaps, allowing you to create custom study sessions focused on specific weaknesses.

6. Sketchy (visual mnemonic platform)

Sketchy has revolutionized how many students approach high-volume memorization subjects like microbiology and pharmacology. It uses a unique visual mnemonic system, embedding high-yield facts into memorable, story-driven illustrations and videos. This method transforms dense information into engaging narratives, making it one of the most effective USMLE Step 1 study resources for visual learners who struggle with rote memorization.

The platform's core strength is its ability to create strong, long-lasting memory hooks. By associating a specific microbe or drug with a vivid scene and recurring symbols, Sketchy helps students recall complex details under exam pressure. Its library has expanded beyond its original "Micro" and "Pharm" sections to include pathology and physiology, offering a comprehensive visual learning experience that complements traditional resources like First Aid.

Key Features & Pricing

• Visual Mnemonic Videos: An extensive library covering microbiology, pharmacology, pathology, and more.
• Integrated QBank: Offers practice questions to test and reinforce concepts learned in the videos.
• AI-Powered Cases: A separate subscription provides patient case simulations for clinical reasoning practice.
• Pricing: Subscription-based, with plans starting around $300 for 6 months and up to $500 for 24 months. Group and military discounts are available.

How to Use Sketchy Effectively

To maximize retention, watch a Sketchy video before reading the corresponding chapter in a textbook. Actively engage with the video by identifying the symbols and their meanings. Revisit the sketches periodically using spaced repetition, either by re-watching the videos or reviewing the illustrations. Pair your Sketchy review sessions with practice questions from a QBank like UWorld to ensure you can apply the memorized facts to clinical vignettes.

7. Boards & Beyond (video curriculum + quizzes)

Boards & Beyond offers a comprehensive video curriculum designed to build a strong conceptual foundation for the USMLE Step 1. Taught by Dr. Jason Ryan, a cardiologist and award-winning educator, the platform excels at breaking down complex preclinical topics into clear, digestible lectures. It is structured to complement First Aid, making it an ideal resource for students who want to understand the "why" behind the facts.

The platform's strength is its systematic, systems-based teaching approach. Each video is accompanied by downloadable PDF slides, allowing students to annotate and follow along. While it includes quiz questions, its primary value is as a learning tool rather than a standalone question bank, making it one of the most effective USMLE Step 1 study resources for content review.

Key Features & Pricing

• Video Library: Contains over 440 videos covering all major Step 1 subjects, from basic sciences to organ systems.
• Integrated Quizzes: Features over 2,300 Step 1-style questions to test understanding after each video lecture.
• Slides and Books: Provides downloadable PDF slides for each video, with options to purchase physical books.
• Pricing: Subscription-based, with prices starting around $199 for six months and going up to $479 for a two-year membership.

How to Use Boards & Beyond Effectively

Boards & Beyond is best used during the preclinical years to build a solid knowledge base and then revisited during the dedicated study period. A popular strategy is to watch the videos for a specific system (e.g., Cardiology) and then immediately do UWorld or Amboss questions on that same topic. This "learn-then-apply" method reinforces high-yield concepts and helps solidify long-term retention.

8. Pathoma (Fundamentals of Pathology book + video course)

Pathoma is a cornerstone resource for mastering pathology for the USMLE Step 1, renowned for its efficiency and high-yield focus. Created by Dr. Husain A. Sattar, the program combines a concise textbook, Fundamentals of Pathology, with a series of engaging video lectures. Its primary strength is simplifying complex pathological principles into an easily digestible format, making it an indispensable tool for building a strong foundation.

Unlike comprehensive review resources, Pathoma hones in exclusively on pathology, but it does so with unparalleled clarity. Dr. Sattar’s teaching style excels at integrating molecular biology, pharmacology, and physiology into the context of disease processes. This integrated approach helps students connect disparate concepts, a crucial skill for answering the multi-step questions common on the exam. Many students find it pairs perfectly with other high-yield resources, and you can learn more about how to integrate Pathoma with First Aid for Step 1.

Key Features & Pricing

• Video Lectures: Over 35 hours of high-yield video content covering general and systemic pathology.
• Textbook: A 218-page full-color book that corresponds directly with the videos, ideal for annotation.
• Integrated Learning: Effectively links pathophysiology with clinical presentations.
• Pricing: Access is subscription-based, with a typical 12-month subscription priced around $129.95, which includes both online video access and a hardcopy of the book.

How to Use Pathoma Effectively

The most effective strategy is to watch the Pathoma videos for a specific organ system before tackling related UWorld questions. Annotate the Fundamentals of Pathology textbook as you watch the lectures, creating a personalized, high-yield review document. Many students complete a full pass of Pathoma early in their studies to build a strong foundation and then revisit specific chapters during their dedicated study period to reinforce weak areas.

9. USMLE-Rx (ScholarRx) (QBank + videos + Bricks)

USMLE-Rx is an integrated suite of study tools developed by the authors of First Aid for the USMLE Step 1, making it one of the most content-aligned USMLE Step 1 study resources available. Its main appeal is the direct linkage between its QBank questions, flashcards, and videos and the high-yield facts presented in the First Aid textbook. This tight integration helps students build a strong foundational knowledge base by reinforcing key concepts from multiple angles.

The platform is often used during the preclinical years or early in a dedicated study period to solidify information learned in class. While its questions are sometimes considered more straightforward than those on the actual exam, they are excellent for assessing comprehension of First Aid material. The inclusion of Rx Bricks provides modular, interactive lessons that can fill knowledge gaps before tackling more complex question banks.

Key Features & Pricing

• Qmax Question Bank: Contains over 4,600 Step 1 and Step 2 questions with explanations that include direct page references to First Aid.
• Rx Bricks: Offers modular, interactive lessons that cover the core sciences with built-in recall questions.
• Flash Facts & Express Videos: Includes over 14,000 flashcards and a library of high-yield videos integrated with the textbook.
• Pricing: USMLE-Rx offers flexible subscriptions, with its comprehensive Rx360+ package for Step 1 costing around $249 for six months or $349 for one year. A free 5-day trial is available.

How to Use USMLE-Rx Effectively

USMLE-Rx is best used as a primary learning tool alongside the First Aid textbook. During preclinical blocks, students can use the corresponding Rx Bricks and QBank questions to master the material. A common strategy is to complete the USMLE-Rx QBank before starting a more challenging one like UWorld, using it to build a solid foundation. Linking flashcards to specific First Aid sections helps reinforce memorization through active, spaced repetition.

10. Kaplan Medical (QBank, on-demand course, lecture notes)

Kaplan Medical is a long-standing name in test preparation, offering a comprehensive suite of USMLE Step 1 study resources. It is best known for providing a highly structured learning experience that combines didactic video lectures, a large question bank, and detailed lecture notes. This integrated approach is ideal for students who want a guided curriculum to build their foundational knowledge before diving deep into board-style questions.

While its QBank is often used as a secondary resource to solidify concepts, the primary draw is its extensive video library. Kaplan’s on-demand courses provide an in-depth review of all high-yield subjects, making it a powerful tool for those who learn best through lectures. The accompanying 7-volume lecture notes serve as a detailed reference text that complements the video content perfectly.

Key Features & Pricing

• Question Bank: Contains over 3,300 Step 1-style questions with two full-length practice tests.
• On-Demand Courses: Offers more than 330 hours of expert-led video lectures covering all core subjects.
• Lecture Notes: A comprehensive 7-volume set is available for purchase separately or with course packages.
• Pricing: QBank access starts around $199 for one month. Full on-demand course packages are more expensive, often priced between $1,999 and $2,999, but frequently come with promotions and student guarantees.

How to Use Kaplan Medical Effectively

Students often use Kaplan’s QBank during their pre-dedicated study period to build a strong knowledge base, as the questions tend to be more content-recall-focused. The on-demand course is excellent for remediating weak areas identified through practice tests. A common strategy is to watch the videos for a specific system (e.g., cardiology) and then complete the corresponding Kaplan QBank questions to reinforce that knowledge before moving on to UWorld.

11. Lecturio Medical (video library + QBank + tutoring)

Lecturio offers an all-in-one platform that combines an extensive video library with a supporting question bank, making it a strong choice for students who prefer structured, lecture-based learning. It serves as a comprehensive resource for building a foundational knowledge base before transitioning to more dedicated question-based review. The platform is designed to guide students through the curriculum with learning paths and integrated content.

The primary strength of Lecturio is its massive library of high-quality video lectures taught by expert educators. These videos are paired with concept pages and recall questions, creating a cohesive learning experience. While its QBank is a useful tool for reinforcing video content, students often report that its style differs from the NBME and UWorld, making it better as a supplementary rather than a primary practice tool.

Key Features & Pricing

• Video Library: Contains over 8,050 concise video lessons and more than 1,700 concept pages covering all Step 1 topics.
• Guided Learning: Features structured Step 1 learning paths and integrated practice exams to track progress.
• Optional Services: Provides personal tutoring plans and NEJM Healer clinical cases for deeper application.
• Pricing: Subscription plans vary, with promotions often available. It's recommended to verify current U.S. pricing directly on the Lecturio website.

How to Use Lecturio Effectively

Lecturio is best used during the preclinical years or early in a dedicated study period to build and solidify your understanding of core concepts. Use the video lectures to cover weak areas identified by other Qbanks or self-assessments. The integrated recall questions are perfect for ensuring you retain information from the videos. For those needing extra guidance, the optional tutoring can provide valuable structure and accountability.

12. Amazon (marketplace for Step 1 books and materials)

While not a direct study tool, Amazon serves as an essential hub for acquiring the foundational physical and digital books required for USMLE Step 1 preparation. It’s the go-to marketplace for core texts like First Aid for the USMLE Step 1, Kaplan Lecture Notes, and print versions of Pathoma, often at competitive prices. The platform allows students to easily compare editions, formats (print vs. Kindle), and sellers.

The primary advantage of using Amazon is the convenience of one-stop shopping combined with fast shipping, especially for Prime members. Buyer reviews and seller ratings also provide a layer of confidence when purchasing expensive textbooks. However, students must be diligent in verifying ISBNs and publication years to ensure they are buying the correct, most current edition and not an outdated or international version.

Key Features & Pricing

• Vast Selection: Offers nearly every major USMLE Step 1 textbook in new, used, and digital formats.
• Competitive Pricing: Prices are often lower than university bookstores, with options to buy used or rent to save money.
• Buyer Reviews: Provides valuable feedback on book quality, content, and seller reliability from other medical students.
• Pricing: Varies significantly based on the book, edition, and seller. For example, the latest First Aid typically ranges from $40-$60.

How to Use Amazon Effectively

To maximize your experience, always double-check the ISBN to confirm you are purchasing the correct U.S. edition. Read recent seller reviews before buying from a third-party merchant to avoid counterfeit copies. Using Amazon's "Look Inside" feature can help you preview the content and layout to ensure it’s the resource you need before committing to a purchase.

Top 12 USMLE Step 1 Study Resources — Comparison

Integrating Your Resources for a Winning Step 1 Strategy

You now have a comprehensive overview of the most effective USMLE Step 1 study resources available. Navigating this vast landscape of Qbanks, video lectures, and review books can feel like the first major test of your medical career. However, the key takeaway is not to use every tool, but to strategically select and integrate the right tools for your unique learning style and needs.

The journey to a passing Step 1 score is less about accumulating resources and more about building a cohesive, personalized system. This article has detailed the individual strengths and weaknesses of top-tier platforms, but true success is found in the synergy you create between them.

Building Your Core Study Stack

At the heart of any successful Step 1 preparation is a robust question bank. UWorld is the undisputed gold standard, serving as the central hub for active learning, content consolidation, and self-assessment. Your Qbank is where you will spend the majority of your dedicated study time, actively applying concepts and identifying weak areas.

To supplement this active recall, you need a solid foundation of content review. For most students, a combination of Boards & Beyond for systems-based learning and Pathoma for pathology provides a high-yield, comprehensive knowledge base. These resources explain the "why" behind the facts, which is crucial for answering the increasingly conceptual questions on the exam.

For memorization-heavy subjects like microbiology and pharmacology, visual mnemonic tools like Sketchy are game-changers. By creating memorable stories and images, Sketchy helps lock in details that are otherwise difficult to retain through passive reading alone.

Benchmarking and Adapting Your Plan

How do you know if your strategy is working? This is where official materials from the NBME and USMLE.org become indispensable. The NBME self-assessments are the most accurate predictors of your exam performance. Integrating these assessments into your schedule at regular intervals allows you to benchmark your progress, simulate test-day conditions, and pinpoint specific areas that require more attention.

Think of your study plan as a dynamic, living document, not a rigid set of rules. If your NBME scores plateau, it's a signal to re-evaluate your approach. Perhaps you need to dive deeper into a specific subject using the AMBOSS library or switch up your learning modality. The ability to adapt your use of these USMLE Step 1 study resources based on objective feedback is what separates a passing strategy from a failing one.

The Role of Personalized Guidance

While self-study with these incredible tools is effective for many, it’s crucial to recognize when you need more targeted support. If you find yourself consistently scoring below your target on practice exams, struggling to create an effective schedule, or feeling overwhelmed by the sheer volume of information, it may be time to seek expert guidance.

Passive learning through videos and books can only take you so far. A personalized tutor can diagnose the root cause of your struggles, whether it's a content gap, a test-taking strategy issue, or an inefficient study method. This tailored intervention is often the most efficient way to break through a plateau and build the confidence needed to succeed. By thoughtfully combining the best self-study resources with expert support when necessary, you create a powerful, customized plan that maximizes your chances of not just passing, but excelling on Step 1.

If you're looking to turn your collection of resources into a coherent, high-scoring strategy, consider the personalized guidance offered by Ace Med Boards. Our expert tutors specialize in creating customized study plans that integrate the very tools discussed in this guide to target your specific weaknesses and maximize your potential. Visit us at Ace Med Boards to learn how one-on-one coaching can transform your Step 1 preparation.