Four steps are outlined for effective USMLE exam preparation:
1. Use the top-rated study guide for the specific exam.
2. Use a question bank specific to the exam, thoroughly reviewing each question and adding notes to the study guide.
3. Fill the study guide with the additional notes taken from reviewing the question bank.
4. Use the improved study guide as the basis for studying, reviewing it 2-3 times for maximum success on the exam.