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Taking the Surgery Shelf Exam The exam is formatted as an online test consisting of 110 multiple choice questions which must be completed in 165 minutes. Luckily for students, it has the same interface as the USMLE Step exams, with each question set up as a vignette.

Which NBMEs are the most predictive for Step 1? In our experience, since the new NBMEs were introduced, NBME form 18 has been the most predictive of students' scores on test day.

Currently, the available NBME CBSSA forms are Form 18, 20, 21, 22, 23 and 24 and are considered the best and most accurate way to assess one's predicted performance on the USMLE Step 1. However, as of March 24th*, 2021, the NBME will be retiring all of the old CBSSA NBME forms and replacing them with 6 new NBME forms.

What is the format of the exam? The surgery shelf is 110 questions long (all vignette based multiple choice, with varying numbers of answer choices), and students are given 2 hours and 45 minutes to complete each exam.

Based on informal student reporting, NBME 28 and UWSA 2 are the most correlated with Step 1 performance. Given this information, it might be a good idea to take these two exams when you are further along in your dedicated study and closer to your actual test day.

There are several NBMEs available and the more data you have, the more accurately you will be able to predict your score. With that said, based on informal student reporting, the best NBME predictors seem to be forms 10 and 11.

There is no right or wrong time to take your NBME practice exams. There are a few to choose from, however. The UWorld Self-Assessments 1 and 2, or UWSA1 and UWSA2, are probably the most reliable practice exams out there. In particular, UWorld 2 is strongly correlated with your Step 1 score/pass rate.

On the surgery shelf exam, you should expect questions about esophageal diseases, gastric complications, small and large bowel disorders, GI bleeding, hernias, biliary tree, and general GI malignancies.

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