Originally Posted by Law2Doc
Um no. Step 1 is still largely lots of minutiae, with emphasis on second year material. Steps 2 and 3 are more clinical. The biggest advantage, timing wise, for step 1 is to have it behind you. You have enough to deal with in the latter two years.
I don't think you guys realize it, but there is a very large conspiracy brewing. Take a look at what schools have students take Step 1 (the most important, and in many ways sole factor in residency applications) after 3rd year rotations. You see, it all revolves back to the MCAT.
Soon all the schools with 34+ MCAT averages will move to this system (most have). NMBE will continue to instill the false idea that clinical knowledge will not help you with their test. Gradually, though, more and more questions will require you to have taken 3rd year rotations. They already have, based on the tests a few of my friends got this past summer. Only the MCAT heavy schools will succeed.
Yes, when you (older) dudes took the Step, it was minutiae. HOWEVER, things have changed and oh they are changing still. There will be a point in the not so distant future where all the "normal" non upper crust students will suffer from insufficient Board preparation. It all comes back to the MCAT, for those who couldn't get those illustrious 37s won't get into the duke and upenns (most of the kids who got in here last year really are u-PEN15(s)...) of the world and won't know the clinical knowledge to answer the impossible vignette on the Step 1.
There is a very dark future upon us.