The typical preparation time for USMLE Step 1 ranges from 4 to 6 months for most students, though this can vary depending on prior knowledge, learning pace, and the intensity of study. An effective study schedule usually begins with 2–3 months of comprehensive content review, using high-yield resources like First Aid, Pathoma, SketchyMedical, and lecture notes to build a solid foundation in basic sciences. This is followed by 6–8 weeks of intensive practice with question banks such as UWorld, combined with daily timed blocks to develop test-taking stamina and improve reasoning skills. Integrating spaced repetition, active recall, and regular self-assessment via NBME practice exams helps identify weak areas and reinforce retention. A balanced schedule that alternates content review with consistent practice questions, while allowing short breaks for rest and consolidation, ensures that students cover all important topics efficiently and enter the exam with confidence.