Category Archives for USMLE Step 1

USMLE Step 1 Experience – 270 – Roberto

 

 

Preparation started: Jan 2019

Exam: Sept 2019

Preparation Time: 8 months

Books:

First Aid USMLE Step 1

Pathoma (Fundamentals of Pathology) by Hussain Sattar

Qbank:

Uworld

Tests:

NBME (all 20)

Other Stuff:

Sketchy

Preparation methodology & Journey:

My strategy was to use limited resources but to ace them. Many people go after 1000 resources and then they are not even able to memorize one of them. Just think about it..what is actually gonna be in your mind during the exam ? 50 books done very superficially or  books done perfectly word to word. So that was my plan. I used only UFAP and NBME in my preparation and while i did a ton of googling along with it to understand it, i knew that when exam day comes i will have limited resources i have to read and hence the situation will be under control. So i started with the general section of FA which includes: Biochemistry, Microbiology, Immunology, Behavioural Science, Pharmacology(general) and pathology(general). Once i was done with these, i did the systemic part of First Aid USMLE Step 1 along with Pathoma lectures + Pathoma videos. So while i was doing First Aid in this way i looked up a lot of stuff that i did not understand like the swiss cheese model or small monoclonal antibodies for which there is not much info in FA and it is merely mentioned in FA but it is not explained well. I made sure that i knew first aid like the back of my hand. Each and every line, even the errata i knew which mistakes they had made.. lolz. It was like i was married to FA :p . Uworld is a beast. I started Uworld after i finished FA and Pathoma. I thought that Uworld would be a breeze..but was i mistaken. It is a mammoth… almost 3-4 times the data in FA is in Uworld. It is unbelievably dense because the thing is people just rote memorize the right answers and see the superficial explanations..but guys the meat of the material is in the explanations. We have to do the entire explanation of the correct answer along with that of the incorrect one. I did this also in the same manner that i did First Aid.. i read it cover to cover and anything i could not understand i would do it from wiki and medscape and would be all over google for that topic. I also learnt a nifty little trick along the way.. when you are searching for let’s say a topic like swiss cheese model as i described above. The way to search it effectively in google is to put in “Swiss Cheese Model USMLE”. Make sure you put a USMLE behind it. The reason you should be doing this is that when you put a USMLE modifier to the search query the results displayed will be only links relevant to USMLE. When you put in just swiss cheese model you will get a general description as this statistical model is also important for nuclear power plants and steel factories and many other things. So i suggest you to put in USMLE word behind the topic name and you will get only the relevant results. Now after i did all the stuff from UFAP i had to take on the final ultimate beast and that is NBME. This questions are so high yield.. i can’t even overestimate it’s importance..they are that important. The NBME questions have to be done with answers and explanations. Make sure you do these both online and offline. What i mean is that not all NBME forms are available online. SO those tests that aren’t there is a pdf circulating..it has all the NBME..each and every NBME is in it. So make sure you get it and do the answers and explanations.

So that’s all..my method is do less resources but do them well and it worked. The score speaks for itself.

I have to highlight at this point that the resources i used were insufficient for media questions and hence i did the following from google images/wikipedia/webpath/wayne state radio/etc resources and apps. Just google and do the topics from wherever you find:

Most commonly asked ECG patterns

Most commonly asked Heart Sounds and Murmurs

X-Ray, CT Scan, MRI, contrast vascular stuff– angiography, venography.

Gross Pathological specimen and histopathological images of diseases which have been mentioned throughout the course in UFAP.

NBME Scores:

I did all NBMEs in sequence from NBME 1 to 24. They are called NBME 1 to 24 but actually there is no NBME 8,9,10,14. So there are just 20 NBMEs which are 4000 questions

Offline NBMEs:

NBME 1: 224

NBME 2: 248

NBME 3: 235

NBME 4: 229

NBME 5: 238

NBME 6: 243

NBME 7: 250

NBME 11: 244

NBME 12: 253

NBME 13: 259

NBME 15: 255

NBME 16: 257

NBME 17: 255

I used a score convertor which has like a decimal fraction you can multiply your score with in order to get the 3 digit score.

ONLINE NBMEs:
NBME 18 – 250
NBME 20 – 259
NBME 21 – 264
NBME 22 – 273
NBME 23 – 264
NBME 24 – 271

You might be wondeering how you got 270 on final test but still had only 224 from your initial test. The method is popularly called “NBME TITRATION METHOD” in my group.. Actually this is a phrase a high scorer had in his experience who was from my medical school and then we started using this phrase and it caught on.
It’s simple:
Give NBME —> Analyse NBME score —> See the incorrect questions & THINK –> What could i have done to get this right ? Should i have read the question better ? Should i have done FA better ? Was i not alert ? Was it analytic issue ? Think what was the error —> then next you have to mitigate this issue —> if you are not getting the question right because you did not read FA well then do FA well —> If you did not get this correct because you had issue with not doing enough questions then do more questions —> Next NBME you should improve your score by doing what was lacking —> Then again next NBME you should see what you got incorrect and analyse like this again —> eventually after a few NBMEs you will start getting a grip on it and scores will improve. So that’s all you have to do.. Read basic books ( + Pathoma + UW (UFAP)) word to word.. then do NBME TITRATION METHOD and you will score well.

October 10, 2019

USMLE Step 1 score – Dr. Akanksha Sharma – 265

USMLE-Step-1-265

USMLE-Step-1-265

Dr. Akanksha Sharma (Indian IMG) has written this experience and submitted it to us. You can also submit your experience via usmleexperiences.review/contact and we will be very happy to publish it.

USMLE Step 1 preparation timeline:

First Read: 6 months

Materials:

Kaplan Lecture Notes + Kaplan Videos

Uworld Offline

First Aid USMLE Step 1

Pathoma

Boards and Beyond

NBME 1-7 offline

In this stage i was still in last 6 months of my internship so i had to go to college for the internship posting too and hence i did not have a ton of time and i had to manage my studies with my duties many a times a they would be night duties and they would also be 24 hour duties sometimes. This hampered my preparation..but that is the life of a USMLE aspirant in India who has to go to villages and work in areas without electricity and study simultaneously.

In these prep materials i would do each subject with following materials: Kaplan Lecture Notes (OR Pathoma for Pathology) + Videos + FA + Uworld subjectwise + Boards and Beyond. In the subjects i did all of them from Kaplan except for Pathology which i did from Pathoma exclusively. Sattar Sir is love <3 .. Lolz. His teaching style is amazing as he explains everything so conceptually. If you have not done Pathoma then i strogly recommend you to do so.

My NBME scores were decent. When i converted to 3 digit score by multiplying the correct question with 1.38 i used to score 240s to 250s. I did all the NBME along with answers and explanations.

Second Read:

All books again revision

Online Uworld

Offline Kaplan Qbank (never did online.. dont have money)

100 cases of ethics book (i.e. Kaplan Medical Ethics – 100 cases you are most likely to see on your test)

NBME 11, 12, 13, 15

In this read i was doing the remainder of NBME long with the other question sources like Online Uworld (i got 93% correct as i had done offline). Also did Kaplan Qbank offline mainly for Immunology, Biochemistry, Microbiology, Anatomy. I was also reading the main books again while doing this.

Final Read:

NBME 16, 17, 18, 19 ===> Offline
NBME 20, 21, 22, 23, 24 ===> Online

Tough topics i revised again. I also did ECG and Heart sounds and XRay, MRI and CT scan head to toe.. as i was getting questions wrong on the NBMEs with multimedia.

Finally in last 1 week, i rounded it all up and did the wrong Uworld questions, wrong NBME questions and wrong Kaplan Qbank questions. I read my annotated FA one last time and then prayed and went for the exam.

Exam was do-able. I recommend you use the FB USMLE Step 1 Preparation Forum groups. They are very useful. I discussed Step 1 NBME questions in the group which was very very helpful to me as i got many topics from there. There are sites like nbmeanswer, testpiratyes and others. But in my opinion they are not very good and have incorrect answers so dont use those. Use these gorups instead.

September 24, 2019

USMLE Step 1 Experience – 272

USMLE Step 1 - 272

USMLE Step 1 – 272

Preparation Time : 11 Months

Books Used:

First Aid

BRS Anatomy

BRS Behavioural Science

RoadMap Anatomy

Pathoma

UWorld

NBME

Preparations:

My approach was to use minimal resources and master them. Rather than taking years to give the exam.. I felt that doing few resources but doing them well is the key to winning in USMLE. I did the above resources in following order:
FA + Pathoma —-> UW —–> BRS Anatomy & RoadMap Anatomy —-> NBME

I first started out by doing lectures of Sattar and Pathoma book together with FA. I did General & Systemic Pathology sections from FA during this stage. After doing this well i did the rest of the subjects: Biochem, Behavioural, Microbiology, Immunology. While doing FA + Pathoma.. I would make sure i knew each and every word. I made Anki cards of each and everything that was hard to remember. I would look up on google each and every topic which i could not understand in FA. I had to understand and memorize everything in the books before i go forward..else i would not go forward. In this way i took 5 months to do FA + Pathoma..

After this i was tense as i had not done a single question.. So i started UW.. Let me tell you UW is the most important resource and it took me 3 months to do it well. Again i would do each and every word of UWorld. I would google whatever i could not find.. I would make sure that i know the meaning of each and every word inside out before i moved forward. I would go to wikipedia, google, medscape, uptodate.. everywhere and anywhere.. I would search google images for relevant images of things like livido reticularis.. I would see YT videos for complex topics which i had hard time understanding. The goal was to make sure i learn every sentence before i move forward. I would not move forward if i dont have 100% grasp over the topic. So it took me 3 months for UW. I got 82% average score and i did mixed and not system wise.

Then after this much I started revision and doing NBMEs. The NBMEs were very helpful for my progress. I would give NBMEs even back to back sometimes if i felt in the right groove to do it. The reason NBME helped me is simple: Analyzing my mistakes and doing each and every single question with explanations. The important part was that i did the explanations for each and every question. This helped me learn many topics in great depth and that is not covered in UW, FA and Pathoma.. But its asked in test.. So if i had not done NBME with explanations maybe i would have got considerably low score.

Exam day:

I had packed a good dry snack in advance. I did not want to take a heavy meal with me..so i packed light food..Fruits, Red Bull, Chips, Energy bar and water. I did not take a full meal as it was meaningless to eat heavy and fall asleep in exam.

The exam was tough and the last 2 blocks were quite tiring.. Still i was alert throughout. I slept well the night before.. so i did not have an issue of sleepiness.. I recommend you to sleep well before the exam. I did not study 1 day in advance of the test and i also did not stay up till late.. So that helped me get optimal performance. I recommend you do the same.

 

Tip:

Journey is long and tough..make sure you go ahead with faith in yourself and god.. You will do very well.

September 29, 2018

USMLE Step 1 – 270 Experience

270 USMLE Step 1

270 USMLE Step 1

 

Bushra Hamadi
IMG Graduate – 2016

Books used:

FA 2017

Kaplan Lecture Notes (2017) + Videos

Pathoma

Goljan audio + Lecture Notes

HY Gross Anatomy

BRS Gross Anatomy

BRS Physiology

BRS Behavioural Science

Kaplan Medical Ethics 100 Questions

Questions:

Kaplan Qbank (Offline only)

UWorld (Online and Offline)

Practice Tests:

Did all NBME and 2 UWSA and  2 Kaplan Practice Tests and 1 Kaplan Diagnostic Test

The scores of UWSA and 3 Kaplan tests was very over predictive. I would not bet on it as a good gauge of the final score.

Preparation Timeline:

I started out first by gathering the material. As i did not have any knowledge beforehand as to how this exam works, I first read as many examples as i could. I started out by checking examineees who in the past had scored 270+ and tried to emulate their success by using the same resources as they did. I never imagined that I would get the same score.. But here i am writing an experience 1 year later as to how i got a 270 score myself. It took me 14 months actually to get the score i wanted to.. For reaching this score i had to sacrifice a lot, work very hard and had to give up many bad habits of time wasting to get it. I will write in detail how i made it this far and how you could too..

 

INITIALLY:

I started with Kaplan Lecture Notes + Kaplan Videos.. I had heard starting out with Physiology is a good idea..so that is what i did.. I started out doing Physiology but soon i found that the lecture videos are very lengthy and not very high yield. So i started using BRS Physiology along with Kaplan Lecture notes. I did entire BRS Physiology book…and the MCQs in it are very high yield. They give a lot of information on important HY concepts of CVS and Respi which i personally found very difficult to do. So after having done BRS Physiology, I did Kaplan Lecture notes of Physiology one more time to try and strengthen this subject as it would be very important to do before doing Patho. I then did UW, Kaplan Qbank offline. They helped me as it was subjectwise prep and i was reinforcing what i had studied in the previous period in Kaplan + BRS.

I then went on to do Microbiology and Immunology.. The Kaplan lecture videos of this subject are so boring. I think i fell asleep in more than half of them.. So i skipped them and i did the book of Kaplan for Immuno and Micro only. I recommend not focusing on the Kaplan book much as FA + UW is everything. I did UW offline and Kaplan Qbank offline for these too.

Then i started doing the dreaded Anatomy as it was the most asked subject in the time that i was giving my test.. I gave my test in December end of 2017. Anatomy was asked a lot especially pelvic anatomy and perineal anatomy. Fortunately my profs in MBBS was heavy on anatomy and anatomy was not a major issue for me and i was used to it. Still i did Kaplan Lec Notes + HY Gross anatomy + BRS gross anatomy.. I also did UW and Kaplan Qbank with it. It was very helpful. For Anatomy i recommend doing all the CT scans and MRIs… especially the thigh, arm ones which people neglect.. I had as everyone does..done the abdomen and the thorax and skull ones.. but we should not neglect XRay, CT, MRI, Angio, Veno, etc  of limbs as that is HY in exam too.. Just do the radio given in the books, qbanks i mentioned and you will do well.

Biochemistry is a subject which is a rarity.. It is the only one which is good in Kaplan Lec Notes + Videos. I recommend to do entire Kaplan Biochem as it is just amazing and the professor had done an amazing job.

Patho + Pharmac –> I had done FA + Pathoma + Goljan (only audio + lec notes). Patho and Pharm kinda go hand in hand so i did both of them together. It was very helpful to do these from multiple sources. this phase alone took 4 months and i also did offline UW and offline Kaplan Qbank along with this.

After this all i had left was Behavioural science.. So i did UWorld + BRS Behavioural + Kaplan Qbank + Kaplan Lectures for Behavioural Science..

By this time i had felt that i was forgetting the initial subjects.. so i started doing NBMEs to make sure i am remembering everything.. I would do 1 NBME and then i would take a week to do it’s answers and explanations. This was very vital for me.. it took my score from 240s to 270s..as i did each and every NBME it helped me understand the sections that i was weak in.. It also helped me set a schedule. I would revise my week parts and then do NBME every weekend. In this way i did 11 NBMEs. In my time there were total 15 NBMEs (Not named sequentially).. So i did 11 NBMEs.. so 200 ques in each i did 2200 questiosn..then i took a small break and i did my entire course again.. I did every subject again and then on day i sat for 2 NBMEs back to back in 1 day. I did this to emulate a real exam scenario. This was very helpful in building stamina.. I scored above 250 in that so i took a date of 1.5 months away.. in that much time i again did all subjects and did remaining 2 NBMEs.. I also did Kaplan Diagnostic test and Kaplan Full Tests and 2 UWSA tests. They all overpredicted what i got.. As i got almost 100% correct in all of them..

Then finally i got a 1 month UW subscription online and got 93% in it. I had already done offline..so it was not first pass but second.

Final week:
I did all incorrect questions of UW and incorrect NBME questions.. I also did tough subjects like lysosomal storage diseases again.. and development milestones.

Exam:

Exam was tough.. I had very little sleep the previous night and after exam was over i thought i had performed very poorly.. I did 2 blocks initially together..then small break..then third block.. then lunch and then for rest of blocks i took 7-10 min breaks in between. I recommend you do USMLE tutorial on day before exam as everyone serious in giving exam well will give the exam in a way to get 15 mins extra break time.

After 3 weeks of anxiety… finally got my score !! 270 !! No words can describe this feeling..

September 29, 2018

USMLE Step 1 – IMG Experience – 267 – Pooja

USMLE Step 1 Experience

USMLE Step 1 Experience

 

 

Dr. Pooja Patel

Gujarat, India

Preparation time: 15 months

Materials used:

Kaplan Lecture Notes and Videos except Pathology

First Aid USMLE Step 1

HY Gross Anatomy

HY Behavioural Science

Kaplan Medical USMLE Medical Ethics: The 100 Cases You are Most Likely to See on the Test

Fundamentals of Pathology – Pathoma

UWorld

Goljan Images

WebPath for Images

Heart sounds app on android

ECG (only topics related to USMLE)

Journey:

I started out with Kaplan and also did UWorld offline with it. This lasted around 4-5 months. After this i started doing UWorld offline with Pathoma and First Aid. Then in the interim period i started doing offline NBME from NBME 1 onwards.. I soon found out that my Behavioural science was very weak.. so i did HY Behavioural and the 100 cases book. This was helpful in improving my offline NBME scores. I was doing these NBME along with understanding every question and also understanding the incorrect options along with the correct ones. I had heard that Anatomy was very tough in USMLE and hence i also did HY Gross Anatomy. This was helpful in doing the ropics which i was weak in MBBS years. Actually in india anatomy is very heavy subject of first MBBS.. so i was quite good at it..though some things weren’t so solid..those got solid after doing HY Gross Anatomy.

I also was afraid of multimedia on the test and hence i did: Goljan Images, WebPath for Images, Heart sounds app on android, ECG (only topics related to USMLE). These helped me a lot on the test as i had ECGs and Heart sounds and also abunch of questions with MRI and CT Scan and histopathology and gross pathology images.

TIPS:

Overall the exam is doable but i recommend you do Behavioural science well..my study partner did almost same stuff as me except the 2 behavioural science things and he scored 11 points lower than me. Actually his online NBME score used to be more than mine but his Behavioural was very very low in the exam score card. So i recommend special attention on Behavioural Science.

Best of luck !!

September 28, 2018

USMLE Step 1 Experience – 272 – Rochelle Howell

USMLE Step1 Experience

USMLE Step1 Experience

 

Finally got my score card back and it is an amazing 272 !! Could never have expected this amazing score.. it is beyond my wildest dreams and also beyond my most recent NBME test or for that matter it is higher than any NBME test i have ever given. In this article i am going to break down the exact method step by step how i reached this score and how anyone could if they have a decent baseline knowledge and are willing to work hard. The solution to most things in the following experience is related to: “Spaced repetition technology” and in particular the free software called “Anki”. It is 100% free so like i am not pitching for sales of any company and as a matter of fact i recommend that you DO NOT buy and anki cards or even use the free ones as they are not really that good and at the very least even if they are good they are not customized to your own learning style.

I basically studied from a ton of sources and put it all into ANKI by making my own decks. In the end near my exam i had around 11K cards. Why and how are so many cards useful.. let me explain it:

How to use anki for USMLE ?

Or rather i should say How is anki useful for USMLE Step 1 ?

So basically what happens is that once we read something we forget it in a few days and the way Anki works is that it re-inforces concept at the exact time that we are likely to forget it. This makes sure that the information that we have read stays in our head. So basically if you make anki cards and make sure you follow the schedule and do the cards daily then the information will be stored in your head indefinetely and you wont have to worry about it. The reason i liked this is because i was always vary if i am actually going to be able to remember everything i study. I used to read and forget in a few days..but what anki did was that as long as i am willing to put in the time and effort everyday to review the cards i would be able to remember the material indefinetely. This helped me memorize really small minutae which i would otherwise never have been able to remember. So that’s enough of why you should use Anki. Now onto my journey…

So let’s start by the resources i used and the method i used these resources.

I did the following materials:

First Aid USMLE Step 1

Kaplan Lecture Notes & Kaplan Videos

Boards and Beyond

Fundamentals of Pathology by Hussain Sattar

Rapid Review Pathology by Edward Goljan

BRS Gross Anatomy

BRS Behavioural Science

BRS Physiology

BRS Embryology

BRS Histology

High Yield Neuroanatomy

CMMRS

Uworld

UWSA 1 and UWSA 2

Kaplan Qbank

Kaplan Sims and Kaplan Diagnostic test

NBME all – offline and online

From all of these books i would take out whatever information i did not know already and put it into Anki – Important: If i knew something from my medical school days i did NOT put it into anki.. as unnecesarily overloading info into the cards is worthless.

Out of above resources i did mainly questions ONLY from the BRS books. As far as First Aid USMLE is concerned i made sure i knew it inside out word for word. I would make sure that i knew everything in it…and for that i had to google a lot and see wikipedia also. Same is the case with UWorld.. For these 2 things i did above and beyond the basic books.. For the rest of the books i would not go beyond the books as the books themselves were exhaustive themselves.  I took all the information and put it into Anki and the thing is you have to just trust the process.. Just trust the software and it will make sure you remember.. but of course you HAVE to do the questions daily..meaning whatever flash cards are to be done today you cannot under any circumstances delay it or procrastinate it. You have to do today’s work today. If you do that you will memorize everything perfectly.

I gave NBME 16-19 online. I dont have the scores of those but they were all in the mid 260s.. so i dont remember which one was which. I gave the tests within last 2 months before the test. So those scores were from the similar preparation level. There wasn’t much improvement as i believei gave it in last 2 months within a span of i think 2-3 weeks only. All of them were mid 260s and hence i was sure i will score well.

As far as the exam is concerned i can’t divulge questions so dont ask.. what i can say is that if you do above method and do it exactly as i say then you can expect a similar score.

September 26, 2018

USMLE Step 1 Experience – Dr. Anastasia (Ukranian IMG) – 271

 

Hello all. This is Anastasia. My experience is divided into 4 parts:

Preparation Books

Journey

Assesments

Exam experience

1. PREPARATION BOOKS:

First Aid USMLE Step 1

Kaplan Lecture Notes (even Pathology.. i did it all from Kaplan. Barone Rocks !! 😀 )

BRS Behavioural Science

BRS Gross Anatomy

BRS Physiology

High Yield Embryology

High Yield Neuro-Anatomy

Conrad Fischer’s Kaplan Medical Ethics – 100 most likely questions

Fundamentals of Pathology – Pathoma

Uworld

2. JOURNEY:

I started with Kaplan Lecture Notes with some of the videos. I did the Pathology lectures contrary to popular opinion it is quite good. Behavioural science is the achilles heal of all IMGs and hence i did BRS Behavioural science and also Kaplan Medical ethics 100 most likely questions. I was week in NeuroAnatomy so i did HY Neuroanatomy and it was helpful. I also did Pathoma and while it was helpful.. Barone rocks !! 😀 First aid and Uworld are the 2 most high yield resources in USMLE.. its even higher yield than high yield books despite the name.

3. ASSESSMENTS:

NBME 18: 269

NBME 19: 267

I dont recall the other NBMEs scores as it has become a long time since i gave them but i gave all NBMEs online which were available online and the rest i just did the questions and answers with explanations offline. It was very helpful as i found a similar pattern between this and the real exam.

4. EXAM EXPERIENCE:

Do the following before the exam:

Sleep well before the day of the exam. I got 7 hours of good sleep before the exam and i think it helped me a lot.

Do the tutorial from FRED before the exam as it is very helpful as it save the time which would otherwise have been used in it. That time can be effectively used in breaks.

Do the images on the last day before the exam and dont study too much on the day before the exam as it is not helpful and rather you will be hyper and may have difficulty sleeping.

Make sure to have food, drinks etc for the exam breaktime packed before the exam. Dont pack at last moment as you will just be anxious then.

The exam was tough and it was also lengthy. Questions were weirdly worded and even corner questions from corners of First Aid were asked. I recommend you to concentrate on First Aid and UWorld the most. Best of luck… on to step 2 Ck now..

September 26, 2018

Ashley’s USMLE Step 1 Experience – 266

USMLE STEp 1 (5)

USMLE STEp 1 (5)

 

Intro:

I was a regular MS2 in a large well know university and scored average on my tests in med school. I was never really a class topper but i worked my ass off for this test and it paid off.

Books and question resources i used:

First Aid USMLE Step 1

Fundamentals of Pathology by Hussain Sattar

Rapid Review Pathology by Goljan

BRS Gross Anatomy

BRS Behavioural Science

BRS Physiology

BRS Embryology

Kaplan Biochemistry Lecture Notes

Doctors in Training

Firecracker

Self made Anki deck

UWorld

Kaplan Qbank

Becker Qbank

USMLE Rx

Kaplan Qbook

First Aid Q&A

NBME 15,16,17,18,19 online

NBME 1-14 offline..it’s actually just 10 tests offline(some numbers NBME haven’t been released by them so it’s not 14 tests offline but rather 10 offline..go figure !!).. Do all the NBMEs if you want a score over 260 !! Don’t skip them !!

Topics to be done well divided by subjects:

Anatomy: Perineum and Pelvic anatomy; the nerve, lymph drainage, vascular supply,etc everything of that part is important. CT Scan and MRI of the upper and lower limbs, head and neck. Coronary angiography. BRS Gross anatomy has a TON of questions. Do that and the questions from the question banks and NBMEs and you will be gold. You will do very well in USMLE if you know the imaging and have done tons of questions. I was afraid of anatomy before the exam and i got a very high percentile in it (based on the score report page with the bars i was on the extremely accurate end)

Embryology: BRS Embryology questions were very good. In addition to this Qbanks and FA are good enough to nail this. While you will get probably only 4-5 questions on this, don’t ignore it..do things like pharyngeal arches and developmental anomalies very well. You will get all the questions right

Physiology: Endocrine is very important as i had a ton of up down arrow questions from it. This subject is dealt with well in Costanzo’s BRS Physiology. I did not do the big Costanzo book but this book was enough. Do CVS well too.. there are questions about responses to hemorrhage and shock types in almost every qbank and also on the NBME

Biochemistry: This was the only subject in which i did Kaplan Lecture notes for biochemistry as this s the only one which has to be done well. The doctor.. i forgot his name Dr. Wilson or something in Kaplan Biochemistry is very good and he does a great job of teaching Biochem. I recommend you to do biochem from kaplan as it is tough well with a good integration between normal biochem and the abnormal disease.

Microbiology & Immunology: This is one subject which i wish i had done less as FA + UW is actually enough. If you know those 2 very well then you will ace this test, You dont need to go overkill this subject as it is pretty much direct memory based. I used Sketchy from my room partner’s subscription.

For Immunology you need to do Hypersensitivity and autoimmune diseases very well. You also need to know things like normal lymph drainage of the entrie body. But that is very obvious..cant expect to get a good score if you dont know FA and this is covered well in FA> The Qbank questions and NBME questions were very helpful as seening the clinical vignettes helps understand how these autoimmune diseases are presented in the test. Like we may memorize SLE however we need to integrate things like the clinical presentation of pericardial rub explained in word (they wont say pericardial rub they will describe it).. integrating the clinical vignette knowledge into the way in which the disease presents in important.

Pharmacology: This is rote memorization

Behavioural science: BRS Behavioural science + Qbank questions + NBME questions. If you want to do overkill you could do the AMA code of ethics handbook. I actually bought that book and used it along with my prep as it was referenced throughout the Uworld qbank. You dont need to but i did.

Pathology: Obviously the big dog of the hood. Lolz. This subject is to be done from as many resources as you can do. As a matter of fact Firecracker was pretty helpful in this as the topics in there are an aggregate of the pool of knowledge from Pathoma and Goljan and also some data is in there from the Qbanks too.

September 26, 2018

USMLE Step 1 Experience – 270 – Dr. Hussain – IMG

USMLE Step 1 (3)

USMLE Step 1 (3)

USMLE Step 1 Experience – 270 – Dr. Hussain – IMG

I started preparing after my final year was over during my internship year. I had to go to work and also study simultaneously and hence it was very hectic. I took 18 months to give this test. I recommend you to make sure that at least when you have the USMLE test, 2 months prior to that you don’t have to do any job or are not at work anywhere and are doing dedicated study only.

Resources:

First Aid USMLE Step 1

Kaplan Lecture Notes for USMLE Step 1 with Kaplan Lecture Videos

BRS Gross Anatomy

BRS Behavioural Science

BRS Physiology

High Yield Gross Anatomy

Boards and Beyond

DIT

Goljan’s Fundamentals of Pathology

Fundamentals of Pathology by Hussain Sattar (Pathoma)

High Yield Embryology

Conrad Fischer Pharmacology Flash cards

Conrad Fischer’s 100 most likely ethics questions – Kaplan Medical Ethics

Lippincott Illustrated Reviews Flash Cards: Biochemistry

Picmonic

UWorld USMLE Step 1

Kaplan Qbank

All 3000 questions of NBME (All NBME test offline and online)

First Round(6 months):

I did Kaplan Lecture Notes with Kaplan videos. I also did FA with DIT in this round. I also did Pathoma completely and some amount of Goljan in this round. I could never do something like Goljan completely as it’s just not possible. I also did Kaplan Qbank and UWorld Offline in this round. The offline tests were very helpful and helped me actually grasp the material as merely rote memorization of theory is not enough

Second Round (4 months):

In this round i shored up my weaknesses as felt from doing the questions & any POTENTIAL weaknesses which may come in the exam. Like: Gross Anatomy is being tested a lot. I knew that if i dont do it well i will face trouble in the actual exam and hence i did BRS Gross Anatomy and High Yield Gross Anatomy. Also, I was weak in up/down arrow type questions and in order to get those down cold i did BRS Physiology. Additionally the subjects of Biochem and Pharmac are memorization type and for those i bought the Flash Cards that i have mentioned. They were helpful to me as i didn’t want to do anything like Anki. So i did those physical flash cards instead. Additionally my Ethics and Behavioural science was weak and for that i did BRS behavioural science and the 100 cases book mentioned in list above. I also did Picmonic and B&B with this as and when i faced issues. Though i did not do these 2 or the other books like those for embryology..i didnt do them religiously. I did them as and when needed but not from cover to cover.

Third Round(3 months):

In this round i did all the books and all the material again but now i did it with the NBME test offline. These tests were very helpful in pin pointing my problems. Like if i had an issue with a particular topic in NBME test.. then that question’s topic i would go back to my books and do that topic very well. So doing books + NBME offline was very helpful.

Online NBME Round (4):

I did 4 NBMEs online: NBME 19,18,17,16 – I got scores in high 250s to low 270s. I also did the entire text books again along with this as my method was to do NBME and understand every single question from it. I would try to understand each and every right and wrong option as these questions are very important.

Final Round before test(2):

I was pretty sure that i will do well on the test and all that was remaining was to make sure that i do the minutae well. And that was exactly what i did. I did the small topics which are forgotten easily in this round.

Test Day Experience:

Exam was brutal. I recommend sleeping well before the test, Make sure not to read anything on the day before the test. This will improve your cognition during the test. Don’t be scared much.. a test cant change you as a doctor. Go in with confidence. Take care and god bless.

September 26, 2018

USMLE Step 1 Experience – 273 – Dr. Zahra el-Ammar

USMLE StEp 1 (2)

USMLE StEp 1 (2)

 

USMLE Step 1 Experience – 273 – Dr. Zahra el-Ammar

I gave my USMLE Step 1 test in mid 2017. I gave my USMLE Step 2 CK test recently. Hence i felt that i should give back to the community and so i have written this experience. In medical college i used to be an above average student (sorry for the humble brag). So my basics were pretty solid. I prepared and gave my tests in only 8 months. In part this was due to solid fundamentals. In case you had weak fundamentals then concentrate on those. They are very important. Dont hurry through the prep and take your time to prep for this beast.

– I starting studying in late 2016 for the test. I collected all the books and video lectures. I was already good with the basics so all i needed to do was refresh things which were either supposed to be known in greater depth in USMLE than my medical school OR subjects which never existed in my medical school. I started out with Kaplan Lecture Notes & Kaplan Video. I did the following first:

  • Biochemistry – As it is asked in greater depth in USMLE than in my college
  • Behavioural Science – As i never had the subject as i am an IMG and it’s not in our course as an independent subject
  • Immunology – It is asked in much greater depth in USMLE Step 1 than in my medical college.

Having done these.. I rapidly went through Anatomy, Physiology, Microbiology, Pharmacology from Kaplan Lecture Notes and Kaplan Videos. I did not do every word of these. I did those things that i was not exactly confident in. My plan was not to memorize these books as it is impossible to memorize them word for word. But rather i wanted to shore up my weaknesses from medical college and get to the meat of the USMLE prep(so to speak). i.e. Get to Uworld and First Aid USMLE Step 1.

First Aid USMLE is a very indpeth book. It may seem like it is just a few hundred pages. But actually it is much more than that. The book..each and every word in it is High Yield. It is very important to know everything in the book with understanding. Google or look up on wikipedia whatever you are not sure of it’s meaning and don’t know it inside out. I had to know everything in that book..not even a footnote in the book would i miss under any circumstances. I would know what everything means inside out. The book is meant as an index. Once you know the index..then it is upto you to know everything about even rarely asked stuff like monoclonal antibodies of rare diseases.

Uworld is actually not just a qbank.. it is more like a large 2000 page book. It’s questions are to be done with answers and explanations. It is important to know even the explanations of the incorrect options. It is vital to know the question bank perfectly because many a times the main question may not be asked but rather the incorrect option’s explanation is framed into a question in the real exam.

I also did 100 most likely ethics case by conrad fischer’s kaplan medical ethics. It was helpful to a significant extent in the exam. Also, i did his Pharmacology Flash Cards by Conrad Fischer. It was also helpful to a certain extent

I gave the following tests online:

NBME 17: 265

NBME 18: 263

NBME 16 was most predictive for me. I got the real score near this score. I got 269 on NBME 16

NBME 19 : 261

UWSA > 260+

NBMEs are more predictive than UWSA. NBME are to be done not just online but also to be done with answers and explanations. It is very important to know the exact understanding behind a NBME question as these questions are made by USMLE organization themselves. It is vital to do NBME offline all the forms which you have not done online.

Before exam i did the FRED practice test which has a few blocks in the exact style as the real deal. Doing these before the exam will help you in doing the exam without having to see the tutorial and you will save 15 minutes in the test and that will get added to your break time.

– My exam day experience:

All questions can be divided into the following sections:

60% based on UW FA Pathoma and NBME

20% based  on Kaplan and other ancillary books and googling and knowing the topic indepth

10% which required tertiary order thinking and which also integrated topics in a weird way not seen before the exam

10% WTF ?!!

I also had 2 ECG and 2 Heart sounds so please make sure you do these well. Both things you should practice well as FA and UW dont cover these well.

I took wafers, redbulls and snack bars to my test. I suggest light food and not insanely heavy stuff as that will just make you feel sleepy and you will not be able to concentrate in the block you do after the heavy lunch. Also before exam i slept 5 hrs (thankfully).. so didnt have an issue with lack of concentration in the test.

Best of luck !!!

September 26, 2018
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