usmdthrowaway got a reaction from procrastinating in Writing USMLE Step 1 in PGY1
I would definitely suggest doing it after 2nd year. I got my MD in the US, but I can’t imagine having to recall everything again from Step 1 in 4th year, plus you’ll have Carms and QE1 to worry about then. It also depends what your goal is. If it’s for residency, your grade definitely matters on Step 1! If it’s for fellowship, many won’t care, but some definitely do (such as GI).