MedLife Mastery

USMLE Step 1 Tutoring

Pass USMLE Step 1 with a mentor who has already been where you are

Five weeks of dedicated and your NBME has not climbed a point. You know something has to change and nobody can tell you what. Step 1 tutoring here means one to one with a medical student who cleared it recently, sat through the same plateau, and can name what is costing you the pass!

PASS MedLife mentor starts here

What you are up against

Clear Step 1 and never sit it again

Sitting near the line is its own kind of stress. There is no score to improve toward and no credit for a near miss, so a whole year of work resolves into one word. We would love to make sure that word is Pass!

Here is where first-time takers landed last year! If you are an international graduate, read the third row, because one in four does not clear it and that is the group we are asked to help most often.

First-attempt Step 1 pass rate, 2025PassFail
US and Canadian MD schools93%7%
US DO schools89%11%
International medical graduates75%25%

Official USMLE performance data, usmle.org.

What Step 1 tutoring includes

What your Step 1 tutoring includes

Every Step 1 tutoring package includes the same six things, whether you book five hours or forty. Each one is here because one of us went without it and remembers how that felt!

A mentor who sat this exam recently

Having cleared their own boards, every mentor comes in with the exam still fresh, and our Step 2 scorers sit at 270 and above. Because they remember which questions felt unfair, recent counts for more here than senior.

A session that starts on your work

Before you meet, your mentor has read your brief and pulled the questions you missed. Your hour opens on the block you are weakest in rather than on a conversation about what to do today.

A Step 1 tutoring plan built to your test date

In session one the weeks you have left get mapped against the blocks you are weakest in. As NBME scores arrive, later sessions revise it.

Recordings with an AI summary

Recorded if you want them to be, and every recording comes back with an AI summary of what you covered and what you agreed to do next. At 11pm you can reread the summary or jump to the explanation instead of trying to recall it.

Your own schedule

From your mentor's calendar, book whatever suits. Weekly, twice weekly, or saved up for the fortnight before test day.

Hours that follow you to Step 2

Whatever Step 1 tutoring hours you do not use carry to Step 2 CK, Step 3, or med-school application coaching. Nothing lapses, ever!

What we look at first

We will find what is costing you the pass, then fix it with you

“I am really struggling to understand why my scores are not improving after five weeks.” That sentence turns up in almost every first session we run, and every mentor here has said a version of it themselves. A plateau has three possible causes, and knowledge gets blamed far more often than it deserves, because it is the failure you can feel. The good news is that all three are fixable!

Gaps in the content

“I feel like I have learned nothing in two years.” Your mentor sat in that same chair recently, so they know that recognizing a topic in First Aid and answering on it are different things. They will find the gap and close it with you!

How you meet the question

“I am never 100% sure of half of my answers.” Talking yourself out of right answers is something your mentor did too, right up until somebody watched them work through a block and showed them where the reasoning broke.

The shape of your weeks

“I did not have a day off from studying for a month.” Every mentor here has run a month like that and watched their scores flatten because of it. Yours will rebuild the week with you before it costs you the exam!

Where your hours go

You will get more from the same hours, without studying longer

Nobody here is going to tell you to study more. Every one of us tried that first, and if you have gone a month without a day off, more hours is the last thing you need. Burnout and a plateau look the same from the inside.

Rereading First Aid feels like work and rarely raises a score, and you can get those hours back! Your mentor shifts that time into practice, and into the kind of review that finds why your reasoning broke rather than re-reading the answer you already got wrong.

How many hours you need

Book the hours your situation calls for, and know what each one does

Nobody wants to commit thousands of dollars of Step 1 tutoring to fix a problem they cannot name yet. You should not have to, so here is the honest pattern across the industry on top, and what a thirty hour package normally does with your time underneath.

Every plan is different, so treat the lower half as the usual shape rather than a rule! In session one your mentor will tell you where your own hours are best spent!

How many hours

First attempt
10 to 20 hrs
Retake or rebuild
25 to 40 hrs
0 hrsindustry average, 3550 hrs

What thirty hours do

2h
8h
9h
7h
4h
2h plan 8h weak blocks 9h questions together 7h review and reasoning 4h final stretch
START OF YOUR RUN TEST DAY

Notice how little of it is content. Two hours go on the plan, eight on the blocks where you are losing marks, and the other twenty go on working questions with someone watching how you work and on review that finds the reason you missed one.

If your own split needs to look different, it will. A retaker rebuilding from a fail spends far more of the run on the first half of that bar, and someone whose content is solid spends almost none of it there. Your mentor will show you your version in session one!

Your run to test day

Your mentor will adapt your plan as your scores change

A dipping NBME two weeks out is something every mentor here has lived through. It is the night you stop studying, open the scheduling page, and start pricing a postponement.

Yours will have your revised plan in front of you the day that score lands, because they remember sitting up with nobody to send it to! Across a dedicated period, the sessions fall roughly like this.

Getting started

You will be matched with your mentor inside 24 hours

When your date is six weeks out, waiting a week for a sales call is time you do not have. There is no consultation call to sit through here! Pick your hours, tell us where you are, and we take it from there.

Before every Step 1 tutoring session

Step 1 tutoring that starts on the work

If you have booked Step 1 tutoring before, you know the session that opens by asking what you want to do today. Ten minutes of your hour are gone before any work happens. Ours do not start that way!

Your mentor prepares before they meet you, every time, and your hour opens on the work. Here is what that preparation buys you!

Step 1 tutoring options

Step 1 tutoring packages, five hours to forty

Across all five Step 1 tutoring options the format is the same, one to one and 60 minutes a session, at one price for Step 1 and Step 2 CK!

5 hours$797$159 an hour
  • A place to start
  • Fix one weak block
  • Plan built in session one
Get started
10 hours$1,347$134 an hour
  • A typical first attempt
  • Two or three blocks
  • or $470/mo for 3 months
Get started
20 hours$2,497$124 an hour
  • Weekly through dedicated
  • Plan revised at every NBME
  • or $870/mo for 3 months
Get started
Most chosen 30 hours$3,597$119 an hour
  • A full run to test day
  • Retakes and rebuilds
  • or $1,250/mo for 3 months
Get started
40 hours$4,597$114 an hour
  • Twice weekly, start to finish
  • Room for Step 2 CK after
  • or $1,600/mo for 3 months
Get started
Every session, whatever you book. 60 minutes one to one, your mentor prepared beforehand, a recording with an AI summary if you want one, a plan revised as your NBMEs arrive, and hours that carry to Step 2 CK if you do not use them!
Rather than attending physicians, our mentors are medical students who sat these exams recently. That sets the rate, and in our view it also makes them better suited to this particular job.

Step 1 tutoring rates, us against the field

The same ten hours of one-to-one Step 1 tutoring, priced across the field. Every figure below comes from the company’s own published pricing, so compare away!

Hourly rate on a 10-hour Step 1 package, from each company’s own site, August 2026.

What a retake costs

A pass first time is worth more than the hours it takes

Step 1 tutoring costs a meaningful amount of money and we would rather not pretend otherwise, especially on a student budget. It helps to hold it next to what sitting Step 1 a second time costs you, and we would much rather you never had to find out!

The fee is the small part. The year is the expensive part, and the attempt stays on your record for every program that reads it.

Being straight with you

When Step 1 tutoring is the wrong call for you

Plenty of students arrive convinced they need Step 1 tutoring when what they need is another two weeks and some sleep. We would rather you passed than bought! If you are in the right-hand column, say so during matching and we will point you somewhere better.

Tutoring will help you if

  • Your NBME scores sit near the pass line and will not climb
  • You are retaking after a fail and need a different approach
  • You understand the content and keep missing the question
  • Your dedicated period is short and cannot be spent on the wrong thing
  • You have a plan you do not trust, or no plan at all
  • You are an IMG working out what this exam rewards

Tutoring is the wrong spend if

  • Your first pass of the content is not finished
  • You have not sat an NBME, so there is nothing to diagnose from
  • You are already tracking comfortably above the line
  • Accountability is what you want, rather than teaching
  • You want a predicted score, which no tutor can give you

Your satisfaction guarantee

If it is not working, we will make it right

Three promises stand behind every package, and none of them is about your result. You are in safe hands here :)

A different mentor, whenever

If the fit is wrong, just say so and we will match you with someone else. Unused hours stay yours!

A refund inside your first 4 hours

If the first session or two does not land, every unused hour is refunded, within your first 4 hours and 60 days of signing up.

Hours that never expire

Use them whenever suits you. To Step 2 CK, Step 3, or application coaching, they carry across!

We will not guarantee a pass. Behind any promise like that sit conditions buried in the terms, and we would rather not write one. If the tutoring is not working for you, the spend comes off the table instead.

Questions

Straight answers

Step 1 is pass/fail now. Is Step 1 tutoring still worth the spend?

Often no, and we would rather tell you that! If your NBMEs sit comfortably above the line, Step 1 tutoring is the wrong spend and Step 2 CK is the better use of the time, since it is scored and now carries the weight in residency applications.

Where Step 1 tutoring earns its cost is a pass in doubt, a retake after a fail, or practice scores close enough to the line that you cannot call it.

Why is my Step 1 tutor a medical student and not a physician?

Because this exam is a skill, and the people best at explaining it did it recently! A mentor who sat Step 1 eighteen months ago remembers which questions felt unfair and what they cut when time ran short. Ten years out, an attending remembers the syllabus.

That is also what sets our rate. In our view you get a better teacher, and we would rather make that argument than hide it.

How many hours of Step 1 tutoring will I need?

Across the industry, students who take tutoring for the Steps average around 35 hours. For a first attempt that usually means 10 to 20, and for a retake, 25 to 40.

Committing before anyone has looked at your situation is guessing, though, which is why five hours exists. Start there, and in session one your mentor will tell you whether you need more.

What happens after I sign up?

First a questionnaire, covering your test date, your most recent NBME, what you are using, which blocks feel worst, and when you can meet. We read it and match you with a mentor inside 24 hours!

Their calendar link comes to you and you book your own sessions. Everything runs online, at 60 minutes a session, recorded if you want them to be, with an AI summary of each session sent back to you afterwards.

Who are the mentors?

Medical students and recent graduates who cleared their own boards, screened on their score and on whether they can teach, which are different skills. Among our Step 2 scorers, 270 and above is the bar.

By exam, by weak areas and by when you can meet, we match you, then introduce you before your first session.

Do you tutor Step 2 CK as well?

Yes, at the same prices! If you finish Step 1 with hours left, they carry across.

I have unused MCAT tutoring sessions. Can I use them here?

Yes. Whatever value you have left carries across at the prices above. Because the hourly rate differs, the number of hours changes, so a $997 balance becomes roughly 7 hours.

Are there instalment options?

Three monthly payments on every package from 10 hours up. On each option above, and again at checkout, you will see the amounts.

We are rooting for you

You can do this, and you do not have to do it alone

Every one of us sat where you are now, with a date on the calendar and a number that would not climb.

It got better once somebody looked at the work with us, and your mentor is there to do the same for you!

Start with five hours of Step 1 tutoring, or take the full run to test day. Either way there is a plan built to your weeks, someone who prepares before every session, and a satisfaction guarantee behind it. We would love to help you get this one done :)

See tutoring options Step 1 tutoring from $797. Sessions run 60 minutes.