STEP 1 + COMLEX LEVEL 1 BLUEPRINT + EXAM ARCHITECTURE
YEAR 2 CAPSTONE | PAGE 27A - CURRENT FORMAT, BLUEPRINT + STUDY PRIORITIES
START WITH THE EXAM YOU WILL ACTUALLY TAKE
For Step 1 exams on or after May 14, 2026: 14 x 30-minute blocks, no more than 20 items per block, one 8-hour day, at least 55 minutes of break time, and a 5-minute optional tutorial. COMLEX Level 1 is 320 single-best-answer items in eight 40-question sections across two separately timed 4-hour sessions, with 60 minutes pooled break time. Once you advance a COMLEX section, the prior section is no longer accessible.
START WITH THE EXAM YOU WILL ACTUALLY TAKE
- USMLE Step 1
- Step 1 content
- Step 1 sample test
- NBOME Level 1
- COMLEX format
A. CURRENT OFFICIAL BLUEPRINT - WHAT MUST STAY RETRIEVABLE
| Blueprint signal | What it means for dedicated |
|---|---|
| Step 1 task emphasis | Applying foundational science concepts: 60-70%; diagnosis: 20-25%; communication: 6-9%; practice-based learning: 4-6%. |
| Step 1 disciplines | Pathology 45-55%; physiology 30-40%; nutrition 15-20%; gross anatomy/embryology, microbiology and pharmacology each 10-20%. |
| Largest Step 1 system groups | Reproductive + endocrine 12-16%; respiratory + renal/urinary 11-15%; behavioral health + nervous/special senses 10-14%; blood/immune 9-13%. |
| COMLEX Dimension 1 | Application of knowledge minimum 60%; OPP/OMT 12%; patient care/procedural skills 6%; PBL&I 4%; communication 3%; professionalism 3%; systems-based practice 2%. |
| COMLEX Dimension 2 | Musculoskeletal minimum 13%; wellness 12%; nervous/mental health, GI/nutrition, circulatory/hematologic and respiratory each 10%; remaining systems retain explicit minimums. |
- Question practice is the center of dedicated; videos and texts are repair tools, not the daily destination. - Keep organ systems integrated with pathology, physiology, pharmacology, microbiology, biostatistics, ethics/communication and images/graphs. - DO learners add OPP/OMM every week rather than postponing it to the final days; COMLEX also tests communication, professionalism and systems-based practice. - Use the current official interface before test day. Step 1 software changed in May 2026; NBME self-assessments also received an updated interface in June 2026. — CAPSTONE MASTER RULE
One primary Qbank + official-style self-assessments + an error log + targeted repair. Do not restart every resource from page 1 when performance data already identify the weak mechanisms.