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#1451 |
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2K Member
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SDN Members don't see this ad. (About Ads)
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#1452 |
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Senior Member
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#1453 |
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2K Member
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Since I don't believe I voiced my opinion on this previously, I will do so now. It seems that a lot of people view those sections as overkill, and that may very well be true, but I didn't find them to be particularly difficult. Maybe I just remember them well from class, but most of embryo and anatomy I rated as a 4 both times through. Now there were some things, like neck anatomy, that were a bit much in my opinion, but that's what great about GT, you can rank things not only according to your knowledge but also according to their priority. There are higher yield topics on GT, so don't skip those for anatomy and embryo, but if you have the time I don't see why not to bank them.
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#1454 | |
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Senior Member
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Quote:
If I had the time I would bank some of the details from it just for the hell of it, doesn't really take too much out of you if you already know the material, but if the cards have info that seems new to you and you don't have much time your better off skipping them. For the anatomy section I selectively banked topics that I saw in First Aid and then I added some cards that I recall seeing in some HY sources. I basically added the stuff that I could rank real high and just go over a couple times every now and then just to keep what I ALREADY KNOW fresh without having to spend time going back to an anatomy source. If the cards had info which I wasn't familiar or comfortable with I skipped them and will go back to them if time permits. |
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#1455 |
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Member
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Anatomy isn't as high-yield as other subjects but it definitely shows up. I got a question wrong on an NBME test about which structures run in which female pelvic ligaments.
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#1456 |
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about:blank
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If people are just starting GT with 3-4 months until Step 1, then I think they need to prioritize their weak points/g for the HY stuff in GT. If you're starting out as an MS1 or maybe just a freshly new MS2, then I can the best thing is to just bank it all and then rate them according to what you feel is low yield or HY.
__________________
To each to his or her own~ |
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#1457 |
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Senior Member
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Gunner 2.0 is incoming soon. Got an alpha invite w00t
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#1458 |
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Senior Member
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#1459 |
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Senior Member
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#1460 |
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Senior Member
Join Date: Jul 2011
Posts: 365
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#1461 |
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Senior Member
Join Date: Jul 2011
Posts: 365
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Yay! I do wish they were more transparent with their roadmap/plans. Good to hear though. Any ETA?
Last edited by amaprez; 04-18-2012 at 06:55 PM. |
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#1462 |
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Member
Join Date: Jan 2012
Posts: 47
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In Feedback > Browse Ideas > Status > Planned
There are several very interesting comments from the CEO saying "it's on the next release." Now I'm curious. |
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#1463 |
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Senior Member
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#1464 |
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Senior Member
Join Date: Jul 2011
Posts: 365
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I have a question about a GT card:
"In pregnancy, serum thyroid binding globulin (TBG) concentrations rise almost twofold. TBG binds to T3 and T4; therefore, total T3 and total T4 concentrations are elevated. However, free T3 and T4 levels are normal. The increase in serum TBG concentration during pregnancy is due to increased estrogen activity." I'm not understanding why free thyroid hormones levels don't change if TBG rises. TBG increase means more thyroid hormone is bound to it, thus less is 'free'....so why isn't free thyroid level decreased in pregnancy? I'm missing something here.
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#1465 | |
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Senior Member
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Quote:
the hormonebinding globulins are never fully saturated, the homeostatic mechanism works in a way that it favours normal levels of T3s and T4s over saturated globulins. so short term you have less saturated TBGs and longterm you have produced more Thyroxines so that you have normal saturated TBGs and normal levels of T3/T4. don't know if that makes sens to you. |
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#1466 |
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Senior Member
Join Date: Jul 2011
Posts: 365
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I found this on wikipedia:
"If, for example, the TBG level is high, which can occur when estrogen levels are high, the TBG will bind more thyroid hormone, decreasing the free hormone available in the blood, which leads to stimulation of TSH, and the production of more thyroid hormone. In this case, the total thyroid hormone level will be high." So it sounds like the free level does decrease, but TSH immediately compensates. After compensation, the free level will remain normal, but total level is increased. Is my understanding correct? |
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#1467 | |
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Senior Member
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Quote:
I just quickly looked into rapid review (RR) and it says, usually 1/3 of the TBGs are saturated. I would also think that the increase of estrogen in pregnancy resulting in increased TBGs are gradual enough that you wouldn't detect the minimal increase in TSH levels, according to RR there is no increase in TSH. also worth noting from RR: use of anabolic steroids or nephrotic syndrome reduce levels of TBGs --> decreased levels of Total T3/T4 but normal levels of free T3/T4. |
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#1468 |
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Member
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Nm.
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#1469 | |
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-Account Deactivated-
Join Date: Jan 2009
Posts: 4,247
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Quote:
__________________
-Account Deactivated- |
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#1470 |
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-Account Deactivated-
Join Date: Jan 2009
Posts: 4,247
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status update irk? curious how the cram bank is going
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#1471 |
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PGEEE2 mediates FEEEVER
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#1472 | |
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2K Member
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Quote:
Things have been going well so far. No doubt it has been a crap ton of work to keep up my daily questions, but not having to bank new cards has made it much more manageable (although GT has added like 8 more cards since I finished my banking, just to keep this "gunner" gunning). For a while there I was sitting at like 600-680 questions a day, but now I am down to the low 400's or mid 300's for the most part as I have ranked the easier things at a "4" a few times and moved them out beyond my Step-I date. I'm hoping to keep things under 300 questions/day by the time my dedicated study time rolls around (1 week left!), which I could get done in about 1.5 to 2 hours a day pretty reasonably. This week will be hectic though, because I have my last block final on Friday, and I'd really prefer not failing the last exam (and block) of the didactic years so I may have to rush my daily GT. I've also used the customized review schedule feature to move things from the day or two before my exam to the day after my exam. Honestly, thinking back to that banking frenzy, I don't really know how I did it. I pretty much ignored all things school related for like a week and a half and spent hours and hours reading and banking new cards and then subsequently doing the initial review quiz on those topics. I was up until like 1 or 2 in the morning some nights (which is late for me, I guess I'm getting old ) trying to make sure I hit the minimum number of cards banked that I needed to so I would finish banking GT in 10 days. I don't know if it was better finishing GT the way I did or if it would've been better to just slowly bank cards, but overall I am really glad I did it. It was nice not having finishing GT hanging over my head, and I like being able to look at my daily questions and know I have X number of questions left, and then I am finished with GT for the day, instead of wondering how long it would take me to bank new cards too. I've also started using Pathoma, and I am loving it. We're doing some heme/onc stuff to finish second year at my school, and in watching the pathoma vidoes, the material has become way more clear than watching the podcasts from the professors at my school. I mean, nothing against them, but those pathoma videos are just very clear and to the point. I also love how he is always saying, "examiners like to test it like this" or something to that effect when explaining something; it gets my attention. I've actually combined my daily GT with Pathoma, so I'll do like 50 GT questions and then take a break watching a ~10 minute section of Pathoma before doing another 50 GT questions. It has helped split up the relatively large load of GT questions that I've had into smaller chunks, which allows me to avoid mental fatigue and move through the questions more quickly (~50 Q's/15 min). In a week I will start my true board study time without stupid school around to get in the way of my learning, so that should be fun. That's where I think the banking frenzy will really pay off, because now I have seen everything that I banked at the end of March ~4-5 times and while not everything is sticking yet, I feel comfortable continuing with GT but also adding on a heavy dose of qbanks on random mode. Had I not had a chance to properly review something like endocrine let's say, then I wouldn't want to waste those qbank questions on something I would for sure get wrong anyways. With the foundation of knowledge I have in place, the qbanks should help augment my learning and expose my weak areas. My plan is to get through the whole Kaplan qbank in ~15-16 days, which would mean 3 blocks of questions per day (~138). Since I get through qbank questions in slightly under a minute on average, that will take about 2 hours and 20 minutes for questions, and then about a 2:1 ratio of review time:testing time means another 4 hours and 40 minutes of reviewing those blocks of questions for a total of 7 hours a day. If I am doing a 10-12 hour day like I anticipate, that will leave me 3-5 hours to do my daily GT (~1.5-2 hours), watch some Pathoma, and review FA/other books as necessary. Assuming I finish Kaplan in under 2.5 weeks, that will leave me about a month left before my exam to do all of UW. I'm not sure exactly how many questions are in UW, but I believe it is around 2500, so hopefully I will be able to do all of it plus redo my incorrects by the time my exam rolls around. I also have 2 NBME practice exam vouchers from my school that I will have to use at some point in this process, so I'll probably take one after I finish Kaplan and the second about a week out from the real deal. Hopefully the loads and loads of questions will pay off with a decent score. Anyways, that's what I've been up to and what I'll be doing in the coming weeks. I'll definitely check back on this thread with more updates, and hopefully a happy ending to this epic journey.
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#1473 |
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-Account Deactivated-
Join Date: Jan 2009
Posts: 4,247
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I have a feeling it will go well for you. Thanks for the update! Will probably do a similar cram with whatever information we're presented with for the last block. I don't think I could learn it in advance, and the logic of having done it all at least once before random UWorld makes a lot of sense. Long way off though!
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#1474 |
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Senior Member
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I'm interested to hear updates from others who are using GT as their test date approaches...
%banked/%mastery how many daily questions time spent on daily questions qbanks or other sources your using alongside I'm curious to see how GT has prepared you for the final stretch! |
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#1475 |
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about:blank
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82%/37%
Well I started going on a banking spree to finish everything in the next two weeks so around 300-400 atm I try to limit it to 1.5hrs max Uworld,Pathoma, Goljan audio, FA, and Anki for now. Going to take my first CSSBA/assessment soon and then I'll see what elseI need to supplement in. |
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#1476 | |
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PGEEE2 mediates FEEEVER
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Quote:
~210 questions/day + trying to bank min of 4-5 cards/day 1.5 hrs Have been listening to Goljan from the start, been through Pathoma twice, annotated FA, too much school BS to do qbanks unfortunately. ~2 more wks of school and I can crank up qbanks. |
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#1477 | |
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2K Member
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Quote:
Anyways, as it currently stands, I am at 99.4% banked (those bastards keep adding cards!) with a mastery of 55.2% and rising pretty quickly (at this point I've seen everything at least a couple times through, so lots of cards are moving into that "4" category every day). The downside is that I am still having quite a few cards per day, especially as those irritating questions are now popping up every 2-3 days (that's right lysosomal storage disorders, I'm talking about you!). My outlook for the next week is 360, 359, 374, 377, 335, 372, 370, etc., but then it drops off quite a bit. Since those 360+ cards aren't all things I've mastered, it slows me down a little bit, so I figure it will take me about 2.5 hours to get through that many cards (though I've been breaking it up into more manageable chunks interspersed between Pathoma videos). As I mentioned above in my last epic novel-like post, I will be using Kaplan at first and then UW as my Qbanks. Edit: Test date is June 13 Last edited by lrkoehle; 04-28-2012 at 08:59 AM. Reason: Adding test date for those who care |
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#1478 |
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Member
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test on june 15
100% banked, 59.5% mastery ~230 q's/day, 1.5-2 hours (at this point, if i'm still missing something, it's because i need to review the concept) 100+ qbank q's / day, about 6 hours, annotating into FA Kaplan Qbank 32% complete, 69% correct UWorld qbank 36% complete, 74% correct Anki for things that are in first aid but not GT (mostly drugs) - 15 minutes/day Pathoma videos and old Kaplan videos (biochem, resp phys) - over lunch, ~45 minutes/day BRS physio (reading + review q's), high-yield neuro (annotate into FA), finishing up renal course work - scattered throughout the day, ~1 hour total Goljan audio - when I'm on the bus, walking to school, pooping, brushing my teeth, doing dishes ~ 1 or 1.5 lectures/day also try to exercise every other day remainder of the day is relaxing with my gf (some people just work straight through to bed time, I think that's a recipe for burnout) NBME7 (2 weeks ago) - 238 GT is my primary knowledge source and by far #1 important resource besides just learning everything from books the first time around. If a question comes up based on facts contained in GT, I can usually answer instantly. If i had to do it over again, I would have started 10 hour days and Q-banks earlier (I started the first week of April) |
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#1479 | |
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Senior Member
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GT rec...
![]() Quote:
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#1480 |
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Senior Member
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congrats to DoctwoB!
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#1481 |
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MS-II
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After reading that... I just remembered I have 250 problems I have for today...
__________________
c/o 2015
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#1482 |
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2K Member
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Holy crap! That's freaking crazy good. I highly doubt I'll be able to hit 75% mastery on GT by the time my exam rolls around...Maybe 65%? I'm also sitting quite a bit lower on my Kaplan Qbank average...I can definitely say I am impressed! Congrats to docwob!
Last edited by lrkoehle; 04-30-2012 at 06:29 PM. |
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#1483 |
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Senior Member
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2nd year honors vs 100% banked GT...
So I've been off and on this program, I've found it very difficult to honor anything while using GT while I can honor ~50% or so of my courses without GT. So my question is this, would you rather be 100% banked with GT 6 months before Step 1 or honor 2nd year courses? I know some people are smart enough to do both (or they have synergistic effects with class + GT). Unfortunately, our tests tend to emphasize minutia for the honors grades, and not clinical problem solving or application of main points. They'd rather have you regurgitate an unimportant fact than test a difficult concept. I have found that if I'm not careful with GT, I will try to bank too fast with surface understanding, which obviously hurts you in recall level as the cards build up. This semester played out like that for me, I tried to do too much and obtained mediocre results on both fronts (resetting GT and ~average grades). I asked this question before and people said, "do both." But it just didn't work out for me, for whatever reason. I have to chose one or the other. |
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#1484 |
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Senior Member
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Hmmm I wouldn't want to be 100% banked for GT 6 months out; you'll peak too early. I would aim for 100% banked 2-3 months out.
For me, I think I would take a very high step 1 score over preclinical honors. People have differing opinions on what matters for residency applications etc. but since many schools don't even have preclinical grades, I can't think that they're crucial to matching well. So, if you think GT will help you with doing well on step 1, I'd go with GT...but maybe spread it out a bit so you don't finish too early. |
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#1485 | |
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2K Member
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Quote:
Anyways, I am biased towards focusing on the broader picture (i.e. step-I and clinical relevance) rather than the minutiae that inevitably works it's way onto every exam, but I think it will be worth it in the end, because now while a lot of my classmates are trying to remember simple stuff like which cranial nerve is the afferent limb of the corneal reflex, I know it backwards and forwards. It means that while a lot of them have made one pass through FA heading into step I study time, I've already seen most things 5+ times, so I don't have to focus on the remembering the basics, I can try to focus on the details that I hope will push my score past the 240-250 mark ![]() ![]() ![]() ![]() . I know it's tough though to set your ego aside and not kill it on school exams, because I had to do that myself. My school gives us a breakdown of our exam scores along with the class average at the end of each year, and you can see where I started focusing on step-I more my scores dropped from above the average to slightly below the average, because I stopped reading lecture notes or going to class and I'd watch the podcasts at 2X one time to make sure what I was doing with GT et al. was inline with lecture. That means I missed out on some of that minutiae we all hate so much, but so be it. When they administered a practice step-I NBME I was well within the top 10% of my class, so hopefully all this crap pays off... |
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#1486 | |
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PGEEE2 mediates FEEEVER
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Quote:
Unless you want to do a plastics/ent/derm residency and need AOA, and your particular school factors preclinical grades into AOA, screw the grades. They're way to low on the residency list. I have comfortably sat on the top of the grade hill all year while doing my GT, FA, and Goljan and much more relaxed than my class going into this board exam. I know how you feel, making all those A's in undergrad and this just seems so wrong. Sometimes wrong can feel soooo right. Scared you might like it? Lol. Also, you can always wait until after step I to make a call. Irk, Ipizzy, and I might all fail miserably and be exiled from SDN (fail is <240 per SDN requirements to maintain membership). |
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#1487 |
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Senior Member
Join Date: Jul 2011
Posts: 365
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How often do you guys find yourself rolling over the day's questions. (ie. spreading out over 7 days, etc) I find that I often get too busy and end up doing that. At least once a week or so. When I get home late at night and I'm staring at nearly 300 questions, I'm just like "aww hell naw" and I click "clear"
![]() Any suggestions, or is this a common occurrence for some of you too? |
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#1488 | |
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Senior Member
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Quote:
usually when I had tons of questions piled up from 2 days. but as long as I have less than 250 questions, I'll go for it. |
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#1489 | |
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Senior Member
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Quote:
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#1490 | |
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Senior Member
Join Date: Jul 2011
Posts: 365
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Quote:
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#1491 |
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Senior Member
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You guys have convinced me to come back. Shooting for 100% between Jan-Feb, for a June exam.
Is the consensus supplements to GT: Pathoma, Kaplan Qbank, UWorld, + maybe BRS physio/goljan RR? Hope you all do well. Good luck. |
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#1492 |
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Senior Member
Join Date: Jul 2011
Posts: 365
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Welcome back. Will you be starting from 0% banked again?
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#1493 | |
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-Account Deactivated-
Join Date: Jan 2009
Posts: 4,247
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Quote:
All very tentative on how well I feel I can learn/not expend too much mental energy this summer +/- FA: would love to hear some more input from people with a high bank % if they feel even one pass through is worthwhile. I could see how it might be nice to have one quick condensed comprehensive pass through everything, phrased slightly differently from GT, and it would be quick if 100% banked, but could also be a waste, so await experienced opinion |
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#1494 | |
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Senior Member
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Quote:
GT + FA + Qbanks = winning... at least I hope it does! Lol, yeah. I was ~32% banked when I reset. I think I can do those cards in a solid 2-3 weeks if I really tried. |
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#1495 |
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Senior Member
Join Date: Jul 2011
Posts: 365
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#1496 | ||
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2K Member
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Quote:
Quote:
Also, I can't remember who mentioned it above, but banking pharm without having seen it in class shouldn't be too bad. IMO, pharm is just a crap-ton of memorization that doesn't take a whole lot of conceptual understanding, especially if you already have the physiology and pathology background down. |
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#1497 | |
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2K Member
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Quote:
I hope that is the formula for success, since it pretty closely mirrors what I am doing for the next 6 weeks, along with FA. I'll let you know in a couple months when I get my score back...but so far I have consistently been above the average kaplan gives for the blocks of Qbank questions I've done. |
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#1498 |
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MS-II
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Current MS1 here.. is there a real advantage to banking pharm in GT during summer and focus on path/micro during MS2 year? Or is this more like a waste of time?
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#1499 |
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Senior Member
Join Date: Jul 2011
Posts: 365
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#1500 | |
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Senior Member
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Quote:
Theoretically, if I were to get through all of micro and pharm over the summer along with a review of first year courses, when could/should I begin Kaplan Qbank? Would it be a bad idea to start Qbank questions once school starts up? |
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) trying to make sure I hit the minimum number of cards banked that I needed to so I would finish banking GT in 10 days. I don't know if it was better finishing GT the way I did or if it would've been better to just slowly bank cards, but overall I am really glad I did it. It was nice not having finishing GT hanging over my head, and I like being able to look at my daily questions and know I have X number of questions left, and then I am finished with GT for the day, instead of wondering how long it would take me to bank new cards too.




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