
Did you know that only about less than 5% of students fail the USMLE Step 1 on their first try? That’s an impressive success rate, but it still means that thousands of students are facing one of the most challenging exams of their medical careers. And if you’re gearing up for it, that number might feel a little intimidating. But here’s the thing: It doesn’t have to be that way. With the right strategies, you can absolutely crush your USMLE Step 1 exam in just three months — just like Dr. Rajeev Iyer did.
Dr. Iyer passed his Step 1 exam in just three months by following a few key strategies that helped him cut through the noise, stay focused, and use his time effectively. No gimmicks, no shortcuts — just solid, proven advice that actually works. In this post, I’m going to walk you through the 5 game-changing strategies that Dr. Iyer used to succeed, and trust me, these aren’t your typical “study tips” you’ve heard a thousand times before. Let’s dive into the real deal.
1. Maximize Your Study Time: Make Every Minute Count
Alright, let’s start with the one thing we all wish we had more of: time. Between clinical rotations, social life, and the occasional Netflix binge, finding time to study for the USMLE Step 1 can feel like an impossible task. But here’s the thing: It’s not about having more time. It’s about making the time you do have count.
How Dr. Iyer Did It
- Study While Eating: Yep, you read that right. Dr. Iyer would whip out his flashcards or study notes while eating lunch or dinner. It’s like multitasking, but in a way that doesn’t leave you feeling overwhelmed. Those 20-30 minutes of eating? Perfect for a quick review session.
- Exercise and Walk: Don’t think you have to lock yourself in a room to study. Dr. Iyer would take walks around his neighborhood or hit the gym while listening to study podcasts or audio lectures. This way, he could stay active and keep his brain engaged at the same time. Plus, it’s a good excuse to snack without guilt.
Make Use of “Dead Time”: Whether you’re on a bus, waiting in line, or even doing laundry, those little pockets of time can add up. Dr. Iyer didn’t waste a minute — he used that dead time to cram in a few quick facts or go over some questions.
Tip for You:
If you’re struggling to find time, start by looking at your day in chunks. Even 5-10 minutes here and there add up. The key is to be intentional with how you use those minutes.
2. USMLE World: The Ultimate Tool for Success

If you’ve started your Step 1 prep, you’ve probably heard about UWorld. It’s the question bank everyone swears by — and for good reason. But here’s the thing: It’s not enough to just do questions. It’s about how you approach those questions.
Dr. Iyer’s Strategy
- Tutor Mode: Don’t just do UWorld questions and mark them as “right” or “wrong”. Dr. Iyer took it a step further and used the Tutor Mode. This mode allows you to review the questions in depth and understand why the answer is correct. It’s all about learning the reasoning, not just memorizing facts. And trust me, you’ll thank yourself when you encounter those tricky questions on test day.
- Consistent Practice: Dr. Iyer didn’t wait until the last minute to tackle UWorld. He made it a habit to do a set number of questions daily — 40 to 50 questions, to be exact. By the time the exam rolled around, he had built up a solid foundation of knowledge and got a feel for the types of questions asked.
Why It Works
UWorld helps you build test-taking stamina, fine-tune your knowledge, and learn how to approach tricky questions. Plus, the more questions you do, the better you get at spotting patterns and understanding what the examiners are really testing.
Tip for You:
Make UWorld your best friend. Set a goal to complete 40-50 questions a day. Remember, it’s not about just answering them — it’s about really understanding the explanations.
3. Notes, Notes, Notes: The Power of Personalization
Some people swear by writing down every word. Others type it out on their laptops. Dr. Iyer found that the act of writing personalized notes was a game-changer in his prep.
Why Notes Matter
- Making It Your Own: Dr. Iyer didn’t just jot down whatever was in the textbook. He made his notes his own. Whether it was diagrams, color coding, or unique mnemonics, he turned his notes into personalized learning tools.
- Active Recall: Writing your own notes forces you to process the material. When you go back to review, you’re not just passively reading; you’re engaging your brain and reinforcing what you’ve learned. This helps with long-term retention — and trust me, you’ll need that when you’re facing the exam.
- Focus on High-Yield Topics: Don’t waste time writing everything down. Dr. Iyer focused on the high-yield, high-impact topics that are more likely to show up on the exam. You don’t need to rewrite the entire textbook — just focus on the stuff that matters.
Why This Works
Writing things out forces your brain to process and understand information. The more you interact with the material, the better you’ll remember it. Plus, creating your own notes allows you to highlight the concepts that matter most.
Tip for You:
Create personalized notes and focus on active recall. Add in diagrams or charts to make things stick. And, remember to review them regularly.
4. Study Partners: A Game-Changer for Your Preparation

If you’ve been studying solo, it might be time to consider a study partner. While it might seem like a hassle, having someone to quiz you can make a huge difference.
How Dr. Iyer Used His Wife as a Study Partner
- Random Quizzes: Dr. Iyer’s wife would quiz him on random topics, challenging him to explain concepts. She wasn’t just asking basic questions — she threw curveballs at him to test his knowledge. This helped him think on his feet and improved his recall.
- Active Recall Sessions: Instead of just reading through notes, Dr. Iyer practiced active recall with his wife. She’d ask him questions, and he had to explain the answers out loud. This helped solidify his knowledge in a way passive studying never could.
Why This Works
Having someone quiz you in an unpredictable way helps mimic the pressure of the real exam. It forces you to explain concepts clearly, reinforcing your understanding.
Tip for You:
Find a study buddy or someone who can quiz you regularly. It’ll keep you sharp and ready for anything the exam throws at you.
5. Plan for the Exam Day: Stay Energized and Focused
Alright, after all the studying, it’s finally exam day. You’ve prepped, you’ve practiced, but now it’s time to execute. Don’t forget that your prep isn’t over yet. Your exam day routine matters just as much.
What Worked for Dr. Iyer
- Energy Boosters: Dr. Iyer brought coffee, dark chocolate, and gum to the exam. The caffeine kept him alert, the chocolate gave him a boost of energy, and the gum kept his mind focused.
- Taking Breaks: The exam can be a mental marathon, so Dr. Iyer planned breaks between sections to recharge. This prevented burnout and helped him stay sharp throughout the day.
Why This Works
Long exams are a mental test. If you don’t pace yourself and take breaks, your mind will start to wander, and your energy will drop. Plan ahead so you’re at your best when you hit that final stretch.
Tip for You:
Plan your exam day carefully. Bring snacks, hydrate, and take short breaks when needed. A little preparation goes a long way in keeping your energy up.
Conclusion: Your USMLE Journey Starts Now
There you have it — 5 strategies that helped Dr. Rajeev Iyer passed the USMLE Step 1 in just 3 months. With a little planning, smart study habits, and the right tools, you can do it too.
So, what are you waiting for? Start using these tips, and get ready to crush your Step 1 exam. Remember: It’s all about working smart, not harder. You’ve got this!