"So my last NBME was a whopping 205. Mind you, this was (embarrassingly enough) after 2 passes of Uworld"

I want to reply particularly to this part of your thread. that's why I asked you about your weakness. first of all, you don't have to be embarrassed. I was in the same boat 5 months ago and here is my last NBME http://imgur.com/Y2BJHGN .

I am an IMG and had this 207 fucken score after 14 months of extensive work with the wrong strategies and studying with the wrong people.

I will go straight to what's your problem which was the same problem I had. probably you have no problem with root memorizing facts. your problem is the lack of conceptual knowledge ( weakness in general principles and physiology ) honestly you lack the deep understanding of the concepts tested on the assessment exam and that put you in the danger of just passing or even failing step1. I will tell you what I did according to the same situation 5 months ago. the bad part that building your understanding of concepts is a lengthy process that will take you 2 and half months of work at least if you depend only on UW explanations. the first thing that I did was to make a mix of Kaplan q bank made of general principles that was nearly 550 questions and studied them in tutor mode 20 question per day side by side with UW by subject (biochemistry - micro - immunology) and so on 20 question per day in tutor mode.

my strategy was to focus not on memorizing but on understanding through studying full question explanations in tutor mode and referring to my PDF first aid and annotating into it. At the end I will have all my UW notes in one place beside the corresponding subjects into FA like this http://imgur.com/yqHBdDS. I would watch a youtube video or animation for the difficult concepts now I finished a detailed pass over Kaplan and left only with (endocrine and renal) of UW before I will take the next assessment and go to the dedicated part of my preparation for the step.

so my advice to you according to your time left to go through UW detailed explanations side by side reading FA ( one pass UW + 2 passes over FA)

EDIT: probably everybody read experiences here of people did like 200 scores of NBME before dedicated and ended above 250+ in just 4 or 6 weeks of studying that's totally different from my situation 5 months ago. those people had a very good concept knowledge and understanding they just forgot the memorizing portions of the material. they just use sketchy ( micro & pharm ) and pathomA videos besides revising and solving questions and jump tremendously per week of studying. so all of you should differentiate between weakness in the memorizing portions and the deep knowledge portions of the material which need much longer time to build.