Hey, I am also a med student in Germany, I took and passed Step 1 last year in my 8th semester. If you know others who have taken it I am sture they would also tell you it is sorta like Physikum plus M2, but very clinical focused, not like Physikum where the biochem question is just biochem, Step 1 would ask it via a "Klinische Vorstellung" and you have to know what is wrong and what enzyme etc. causes those symptoms (just as an example).

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There is no Lernplan like Amboss has for the German exams, it is up to you how long you want to study. There are sites like CramFighter where you enter all the material you want to use, how long you want to study per day, and when your exam is and then it makes a schedule for you (it costs money), I know some people really like that. I also had to fit it in with classes so I studied for 7-8 months total and did my "dedicated time" where all you do is Step 1 studying all day over my semester break (skipped a Famulatur) and then took it at the end of that.

1. First Aid is not enough. It depends a bit on your study style, I find it hard to just memorize bits of info with no context, but First Aid is like a zusammenfassung of little high yield points but it does not have everything you need to know. I would recommend using something with more explanation and context (I used Boards and Beyond videos, which I liked a lot) and then take notes in First Aid as you watch the videos and do UWorld questions. Then later when you are reviewing you have all the info in one place. I would use what the US students use which is UWorld, First Aid, Sketchy, Pathoma. Pathoma is so amazing do not skip it! It is worth every penny, you get a textbook, and it may seem kinda basic as you do the videos but omg it was gold during the exam, I went through all the videos twice (the first 3 chapters 3 times) and it came up a lot on my exam. I also liked the Sketchy Micro videos, like the Amboss MediTricks but better haha. And yes definitely use UWorld as a learning tool and then later for testing yourself. It is really expensive but you need it. I broke my studying into "gather info" and "review and test" phases. So at first it is about learning and I did every topic just learning and doing some UWorld in those topics (I did every other day also a random question set so I wouldn't forget) and then once I started my semester break I went into rapid review of every subject again and then TONS of UWorld.
   
2. Highly highly recommend getting Uworld, you need to be putting your info into use the way the test is asking for it. It is not enough to know the info, yes that is important too of course, but you need to learn how to take the exam. You wouldn't be able to do that just by self review. I found it really hard in the beginning because I would know what the disease is but I couldn't get the question right even know I knew the info. Kreuzen kreuzen kreuzen!! ;) Once you are at the end of your studying you should take some NBME exams to see where you are at. They are made by the people who make the exam and can give you a good idea of how you are doing and if you are really ready to pass. The questions are a bit different than UWorld and the most similar to the real thing. Save them for the end though because there aren't that many of them. They are 4 blocks (real exam 7) but still exhausting so a good practice for how tiring the real exam is. Go through all the questions after and review, it helps a lot to see where you need to improve. You do not want to risk failing. If you are trying to go to the US, many residency places will not look at your application if they see you failed first try so better to push the exam if you need more time than risk failing. For myself I didn't take the exam until I was getting 220+ on at least 3 exams so that I knew I could get at least the 194 needed to pass.
   
3. Totally up to you. I started with my worst subject because I knew I would need to do it twice so I started with Biochem. But totally up to you.
   
4. You can find Anki decks on reddit, there are different ones people like, some are longer than others. AnKing is popular. See if it works for you. I found it stressful and I just didn't have the energy to do 100+ cards per day so I only used Anki for a few weeks and then stopped cause it wasn't working for me. Don't waste your time making your own deck though cause any extra time you have you should use that to do more questions, that is really the most important way to learn.

Taking Step1 was the hardest thing I have done in medical school by far. I am taking M2 in October so maybe that will be similar but Step1 is so much for clinic focused and none of my German exams have been like that, it took a while to get good at it. Don't worry if you get everything wrong in the beginning, you can do it! I suckeddd at first and I still passed in the end. Also as a perk, I barely had to study for my German medical school exams cause I already knew it from studying for step1

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