What Are the Hardest USMLE Topics to Study and Learn?

USMLE Step 2 Test Prep

The United States Medical Licensing Exam, known as the USMLE or simply “board exam,” is by far one of the most difficult examinations in existence today. It covers several years’ worth of highly complex information that you must know in order to become licensed in your field. The following USMLE topics are widely regarded as the most difficult, so familiarize yourself with them early on and perhaps give them some special attention, too. 

Biochemistry 

Biochemistry is truly a paradox among medical students. It’s absolutely fascinating to explore the various chemical processes that keep human beings alive, but as part of gaining a firm understanding of the subject, there’s a lot – a lot – of memorization involved. You’ll find yourself learning about metabolic pathways, enzyme design and structure, and much, much more, so without a solid understanding of terms and their meanings, it’s difficult to understand much of anything. The sheer complexity of biochemistry makes it the most difficult topic on the USMLE according to the majority of medical students. 

Many doctors (who were once in your shoes) recommend that you take the time to study up on the basics of biochemistry whenever you have a chance. Simply understanding basic terms and processes will make everything to come much simpler for you. 

Microbiology

Medical students also agree that microbiology is the second most difficult topic you’ll find on your USMLE. In fact, it’s difficult for many of the same reasons as biochemistry. It’s the study of all living organisms that are small enough to require a microscope to see them, and that encompasses thousands upon thousands – even millions – of different organisms. The volume of information that students must retain in order to understand even the simplest concepts in microbiology is staggering. 

Getting a head start on microbiology basics (much like doing the same for biochemistry) can benefit you here, as well. The more of the basic concepts you learn now, the easier it will be for you to learn the more complex ones down the line. 

Pathology

Though it isn’t quite as difficult as microbiology or biochemistry, the topic of pathology presents challenges to most medical students at some point in their education. Pathology is a bridge between science and medicine, and to put it as simply as possible, it’s the study of diseases. There are more than 100,000 identified diseases across the globe, so it’s easy to see why so many students struggle with this particular topic. Fortunately, medical students also tend to find pathology interesting, which can make things a bit simpler. 

One of the best ways to prepare yourself for a difficult pathology course involves reading your course syllabus and obtaining as much of the recommended material as you can early on. The more you can read and understand about pathology before your course even starts, the more the lectures, your textbook,  and other materials will make sense. 

Biochemistry, microbiology, and pathology are the three most difficult topics on the USMLE according to medical students from around the world. In all three cases, the complexity lies almost solely in the volume of information you’ll need to retain and very little on actual comprehension issues. As such, start studying these topics as soon as you can and consider scheduling some extra study time for them as needed, too.

The 5 Most Difficult Topics on the USMLE According to Medical Students

Medical Students Surviving

The United States Medical Licensing Examination, or USMLE, is one of the most difficult and rigorous exams you will ever take. The questions focus on numerous topics ranging from anatomy to communicable disease, and you’ll need to recall several years’ worth of information to pass and obtain your license to practice. Below are the five most difficult USMLE topics according to students who have passed their exams with flying colors.

Biochemistry

Most medical students agree that biochemistry is by far the most difficult topic you will find on the USMLE. Not only is there a ton of information to memorize and absorb like a sponge, but because biochemistry is at the cutting edge of medicine in 2020, it’s also changing almost every single day. Doctors recommend devoting a period of your daily study time to biochemistry and keeping up with the latest trends and news, too.

Microbiology

Much like biochemistry, the strange and expansive world of microbiology is difficult to study and even more difficult to truly understand. Nevertheless, microbiology is the very basis for disease; microbes like viruses and bacteria must be fundamentally understood in order to provide the best possible diagnoses and treatment plans for patients. Be sure that you spend plenty of time reviewing microbiology texts, and don’t be afraid to reach out for help if you need it.

Pathology

Pathology is the study of disease and is often referred to as the bridge between science and medicine. It’s at the very center of every single interaction you will ever have with your patients, from diagnosing them to treating them – and even slowing the spread of contagious diseases. Like biochemistry, the way we understand pathology changes on a daily basis, which means it’s incredibly difficult to study effectively. Dedicating a lot of your study time to this topic and keeping up with any new findings will go a long way toward helping you score well on the USMLE.

Ethics/Medical Legal Issues

The ethics and legality of the practice of medicine is quite complicated, and with every single passing year, that complication grows. Doctors and nurses fill out piles of paperwork with every patient interaction as dictated by numerous healthcare regulations and laws. Learning the ethics and legal aspects of medical practice is difficult because there’s simply so much to take in and it never stays the same for long.

Neuroanatomy

Gross anatomy is one of the least difficult topics on the USMLE according to med students and doctors, but neuroanatomy is a different story. This is the term used to define the anatomy of the nervous system, and while it may not seem all that intimidating at first, it’s important to remember that neuroanatomy also encompasses the complex anatomy of the human brain and the way our bodies respond to it. With so much still left to understand about the brain and how it works, it comes as no surprise that students find neuroanatomy an incredibly difficult topic.

Biochemistry, microbiology, pathology, ethics and legal issues, and neuroanatomy are arguably the five most difficult topics you’ll find on the USMLE. It’s important to utilize a variety of study tips to focus on these areas so that you can pass your licensing exam with flying colors.