Biggest Mistake While Studying For Step 1?

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DOCTORSAIB

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I thought it'd be nice to get opinions on some common pitfalls to avoid while studying for Step 1. Reading how yet another poster scored in the 99th percentile is certainly beneficial. Don't get me wrong. But it's always good to get feedback from people on the OTHER side of the bell curve as well.

I'll start. According to my research, the two MOST COMMON mistakes in preparation for Step 1:

1) Attempting to use too many books
2) Not doing enough questions

Alright. Let's hear it people...
 
3) SDN .... and other forms of getting sidetracked

(By the way I have not taken Step 1 yet....... 1.5 months until D-day)

I guess the point is that you need to develop some sort of schedule and stick to it. Treat the studying like a job. Regular hours, full attention, etc.

That is what I am trying to do right now as I prepare for final exams in about a week. It's late spring / early summer. The weather is perfect, and distractions are everywhere. I have already noticed how hard it is for me to stay on track, but I think it will be crucial to pull off a good score.

I will also the second the point about trying to use too many books or other sources. Personally I am going to do my best to learn all I can from FA 2006, BRS Path, BRS Phys, and some of Goljan's handywork that I have freely "acquired" over the years. I picked up the HY Neuroanatomy because I felt like I was weak in that area, and the book is so short that I couldn't pass it up. In addition, I am going to try to do 50-100 QBank questions per day for 3-4 weeks.

5 weeks of studying
4 books + Goljan crap
> 50% of QBank

That's all for me. Keep it simple.
 
We had a presentation by an "education exprt" at our school a few months ago about boards studying. She interviewed several students (high scorers and low scorers) and found what was common:

• Time Plan for Study: Individualized,
organized, well thought out, good focus
• “Good” Review Source (1 text based, 1
question book per subject)
• High-yield Study Method
• Appropriate use of Practice Questions
• Strong Testing Skills
• Good Stress Management

*she emphasized that in the end, it didn't really matter WHAT book they used (but obviously some books are more popular) what was important is that they only had 1 review source per topic, anything more is just too much and not a good use of time.

General Strategy:
• Comprehensive - don’t omit anything.
Adjust time, effort and method according to
needs
• Tailor to your needs: start with the weakest,
end with your best.
• Integrate review of 1st year material when
it complements current 2nd year material

Active Learning:
Essay-like thinking
• Recall not recognition - the fallacy of familiarity (she then showed us a slide with pennies on it, and had to recognize the right one - none of us could do it!)

She went into some detail in "active-learning" and the appropriate use of questions, specifically that many ppl will save them to the end because they want to read/learn everything first. And that we should be using questions 2 ways: first during our reviewing/learning phase to make sure we are acrtually learning the relevant material and learning correctly. And 2nd to use it later to test recall, and for test strategy.

Another education guy is actually going to meet with students to help them make an effective study plan next week, I guess to make sure they are going to be studying effectively.

Anyway, hopefully someone will find anything above helpful..I sure did.
 
Excellent tips. Thanks for sharing them with us. I wish my school gave more attn to the boards.

missbonnie said:
We had a presentation by an "education exprt" at our school a few months ago about boards studying. She interviewed several students (high scorers and low scorers) and found what was common:

• Time Plan for Study: Individualized,
organized, well thought out, good focus
• “Good” Review Source (1 text based, 1
question book per subject)
• High-yield Study Method
• Appropriate use of Practice Questions
• Strong Testing Skills
• Good Stress Management

*she emphasized that in the end, it didn't really matter WHAT book they used (but obviously some books are more popular) what was important is that they only had 1 review source per topic, anything more is just too much and not a good use of time.

General Strategy:
• Comprehensive - don’t omit anything.
Adjust time, effort and method according to
needs
• Tailor to your needs: start with the weakest,
end with your best.
• Integrate review of 1st year material when
it complements current 2nd year material

Active Learning:
Essay-like thinking
• Recall not recognition - the fallacy of familiarity (she then showed us a slide with pennies on it, and had to recognize the right one - none of us could do it!)

She went into some detail in "active-learning" and the appropriate use of questions, specifically that many ppl will save them to the end because they want to read/learn everything first. And that we should be using questions 2 ways: first during our reviewing/learning phase to make sure we are acrtually learning the relevant material and learning correctly. And 2nd to use it later to test recall, and for test strategy.

Another education guy is actually going to meet with students to help them make an effective study plan next week, I guess to make sure they are going to be studying effectively.

Anyway, hopefully someone will find anything above helpful..I sure did.
 
Not starting on day one of Medical school to study and practice the questions and intergrating knowledge learned with respect to the exam.
 
missbonnie said:
We had a presentation by an "education exprt" at our school a few months ago about boards studying. She interviewed several students (high scorers and low scorers) and found what was common:

• Time Plan for Study: Individualized,
organized, well thought out, good focus
• “Good” Review Source (1 text based, 1
question book per subject)
• High-yield Study Method
• Appropriate use of Practice Questions
• Strong Testing Skills
• Good Stress Management

*she emphasized that in the end, it didn't really matter WHAT book they used (but obviously some books are more popular) what was important is that they only had 1 review source per topic, anything more is just too much and not a good use of time.

General Strategy:
• Comprehensive - don’t omit anything.
Adjust time, effort and method according to
needs
• Tailor to your needs: start with the weakest,
end with your best.
• Integrate review of 1st year material when
it complements current 2nd year material

Active Learning:
Essay-like thinking
• Recall not recognition - the fallacy of familiarity (she then showed us a slide with pennies on it, and had to recognize the right one - none of us could do it!)

She went into some detail in "active-learning" and the appropriate use of questions, specifically that many ppl will save them to the end because they want to read/learn everything first. And that we should be using questions 2 ways: first during our reviewing/learning phase to make sure we are acrtually learning the relevant material and learning correctly. And 2nd to use it later to test recall, and for test strategy.

Another education guy is actually going to meet with students to help them make an effective study plan next week, I guess to make sure they are going to be studying effectively.

Anyway, hopefully someone will find anything above helpful..I sure did.

that has seriously been one of the most helpful things i have read yet on SDN. please post more advice when you get it! i also wish my school did more. thanks!!
 
pushing your test date back. It's like a "quit day". Make it, prepare for it and stick with it! (Because you'll never FEEL ready). And this goes along with sticking to your schedule (unless you realize that it's really, really off). I know people who got so caught up in the details of one subject (often biochemistry incidentally) that they completely derailed their plan, pushed the test date back (see above) and had forgotten everything from the first weeks of studying by the time they actually sat for the exam.
 
Wednesday said:
pushing your test date back. It's like a "quit day". Make it, prepare for it and stick with it! (Because you'll never FEEL ready). And this goes along with sticking to your schedule (unless you realize that it's really, really off). I know people who got so caught up in the details of one subject (often biochemistry incidentally) that they completely derailed their plan, pushed the test date back (see above) and had forgotten everything from the first weeks of studying by the time they actually sat for the exam.

ugh, i really want to change my date by 2 days, i know just 2 days, but i really feel like it would make a big differece? basically, it's going to add to my final review time.

bonnie
 
missbonnie said:
ugh, i really want to change my date by 2 days, i know just 2 days, but i really feel like it would make a big differece? basically, it's going to add to my final review time.

bonnie

Personally, I wouldn't do it. I pushed my date UP (by a week) and it was the absolute best thing I did. You will be so sick of reviewing by that time and honestly, after WEEKS of cramming things into your brain two more days of review probably won't make a positive difference. But if think that you will end up pushing the date back anyway because you're worried, just do it now and be done with it. You don't want to spend brain power worrying about those two days while you're supposed to be reviewing. I think that entering the study period with the idea that the date is flexible is the real issue.
 
This is a great thread.

I've got some 3800 questions in the Board Simulator Series, some 1000 from the Rapid Review series and will also get the Kaplan Qbook and Qbank. Altogether, that's about 8000 questions. These days I'm going through the BSS and Rapid Review questions more for learning purposes than to actually assess myself. I'm reserving the Kaplan Qbook/Qbank to assess myself with timed blocks.

I've got 3 and a half months left for the exam. So, I've got time to play around with these questions, but does anyone think this is overkill? Is more better in this case, even if I analyse all my mistakes quite carefully? Could doing too many questions turn out to be the biggest mistake?
 
DrPak said:
This is a great thread.

I've got some 3800 questions in the Board Simulator Series, some 1000 from the Rapid Review series and will also get the Kaplan Qbook and Qbank. Altogether, that's about 8000 questions. These days I'm going through the BSS and Rapid Review questions more for learning purposes than to actually assess myself. I'm reserving the Kaplan Qbook/Qbank to assess myself with timed blocks.

I've got 3 and a half months left for the exam. So, I've got time to play around with these questions, but does anyone think this is overkill? Is more better in this case, even if I analyse all my mistakes quite carefully? Could doing too many questions turn out to be the biggest mistake?


Pardon me if I'm mistaken, but I seem to remember you were trained outside of the U.S. (India?) and are now taking StepI to apply for a U.S. residency?

If that's the case, then there's no such thing as overkill. You NEED an extremely high score to be competitive, so do as much studying and questions as you possibly can. I would suggest doing the entire Kaplan course (which I'm sure you're doing anyway) AND do as many questions possible.

I've met too many doctors who were trained in India, scored a 250+ on Step I, and still couldn't get any interviews for relatively non-competitive residencies. You need to be as perfect an applicant as possible, so study as long and as hard as you can.

This is just my opinion.

Good luck,

HamOn
 
There a lots of students from the Caribbean with average and even below average boards matching into less competitive specialties. Do you mean that the Caribbean students have it much easier than those from India?
 
Correct me if I am wrong, but being a US-citizen means all the difference in the world. It is still difficult coming out of a caribbean school, but being a US citizen has its advantages when applying to residency.
 
i61164 said:
There a lots of students from the Caribbean with average and even below average boards matching into less competitive specialties. Do you mean that the Caribbean students have it much easier than those from India?

I speaking from a perspective of "I know a few guys" here, so I'm definitely not the authority.

From what they tell me, its ridiculously hard to get into a U.S. residency if you were educated in India (I'm not trying to single out India, its just their example). These three guys had Step I's of 250, 254, and 259 and only one of them got an interview, and that was for an Imed position in Salem, Ma. They described it as though "everyone" in India who wanted to come to the U.S. essentially memorized Kaplan for 6+ months and maxed out Step I (250+).

So yeah, if you believe that, I would say it sounds like its harder to get into a U.S. residency taking that route than it would coming in from a Caribbean school.

Please, feel free to correct me if you know more about it.

HamOn
 
HamOnWholeWheat said:
I speaking from a perspective of "I know a few guys" here, so I'm definitely not the authority.

From what they tell me, its ridiculously hard to get into a U.S. residency if you were educated in India (I'm not trying to single out India, its just their example). These three guys had Step I's of 250, 254, and 259 and only one of them got an interview, and that was for an Imed position in Salem, Ma. They described it as though "everyone" in India who wanted to come to the U.S. essentially memorized Kaplan for 6+ months and maxed out Step I (250+).

So yeah, if you believe that, I would say it sounds like its harder to get into a U.S. residency taking that route than it would coming in from a Caribbean school.

Please, feel free to correct me if you know more about it.

HamOn


I also have the "I know a few guys" source from India, so take the stories with a grain of salt, but they both scored over 250 and one matched Beth Isreal Anastesiology, then CV fellowship and the other Medicine/then GI in New York.... so this is to say that a good score does get you far, but you should also have good interviewing skills, some good letters from the US, which im sure is a whole other board somewhere.... but I did want to say something positive.
I'm also not even close to an authority on this either...
 
DOCTORSAIB said:
I thought it'd be nice to get opinions on some common pitfalls to avoid while studying for Step 1. Reading how yet another poster scored in the 99th percentile is certainly beneficial. Don't get me wrong. But it's always good to get feedback from people on the OTHER side of the bell curve as well.

I'll start. According to my research, the two MOST COMMON mistakes in preparation for Step 1:

1) Attempting to use too many books
2) Not doing enough questions

Alright. Let's hear it people...

Oh I forgot to add my 2 cents in the last post... I havent taken it yet, but my friend said she made two mistakes when studying:

1. Using Qbank to see where she stood, rather than a timing/practice/learning tool. She said thats why you should go through it first

2. Not taking care of herself the last two weeks.

She said it makes a big difference to eat right, excercise, have down time, and most importantly not get panic attacks... she would skip meals a lot and live on coffee to get through the day, but when the week of the exam she caught something and was miserable during the exam...
 
hey guys, just took step 1 on tuesday and i have to say i echo all the thoughts people posted thus far. i would just say that it's not necessarily bad to push your test date back if you honestly feel you are going to fail. i'd originally planned a super-ambitious 3-week study schedule and by week 2 knew that it wouldn't cut it. this is, after all, one of the most important tests you'll ever take and it's worth going into it being reasonably confident you've given it your all. that being said, there's a point where pushing it back is a bad idea. i pushed my date back once, which was a good move, but then i moved it back again about 5 days, in a state of panic, about 10 days before. THAT was a bad move...i was so burned out by the end and now that i'm done, i know i wouldn't have done any better/worse if i'd taken it 5 days earlier. ok, i don't know if all that rambling makes sense but the basic point is: don't try to think ahead too far when you're studying - that is, don't keep thinking about how much stuf you have left when you've just begun studying. it's enough to make any sane person panic.


some things i would do if i (gasp) had to do it again:
- i wouldn't read hy immuno; think all the info is pretty much fine in FA.
- fewer sources = better; FA is gold. everything else that you do should be geared toward understanding and memorizing FA. not just blindly "memorizing" it but using techniques that help you better grasp the details and understand the facts.
- goljan is GOLD. even if i didn't get any specific q's that he mentioned in his lectures, he helped me understand and integrate things i wouldn't have been able to do on my own. that being said, if you don't have his lectures, it's not the end of the world...fa. like i said, has all you need.

here are a few other pointers:

- qbank is great, but it's NOT important to get through EVERY SINGLE question. (i got through 84%). i made it a mission after reading this thread, feeling that if i didn't finish every one of those 2100+ questions i'd be missing out. it's easy to just get to panic mode where you're doing blocks of 50 questions and not spending enough time reading and understanding the answers (to ALL the questions, not just the ones you missed, etc. etc.) because you just want to finish. thus, IMO it's better to do less and actually understand, top to bottom, the ones you complete. (Analogy: doing fewer sets of heavy weights as opposed to less effective workouts with baby light weights - you may look superficially "toned" in the latter approach but the first method is what really kills and strengthens your muscles.)

- more on qbank: it can make you feel so miserable - don't let it. the real yardstick is that, somewhere in the middle of your studying, the questions will sort of start to "make sense". i.e. even if you don't get the answer right, it will look sort of familiar, or you'll at least understand what they're trying to test. it's sort of the breakthrough point, and you'll see your score start rising. don't be panicked if it's not hitting 80% by the end. the real test isn't very q-bank-esque in my opinion; it's a lot shorter and tests more basic concepts. that being said, i found qbank very helpful and would DEFINITELY recommend doing it. the best thing about qbank is it allows you to get the timing down - by the end i was knocking out the 50 questions in approximately 25-30 minutes.

- do the free nbme tests, but don't sweat it if you can't find the answer to every single question you get wrong. i think nbme form 4 is ridiculously hard in its grading (the questions seemed fairly easy to me but i was disappointed with my score - even after redoing the test looking up all the answers with all the sources i had, it was a 245...don't have a clue what i didn't get right) while form 2 and 1 are much more forgiving in the score reporting.

- more random things: if you like your family, go home and study. there is nothing better than having someone cook and take care of you while you go into "regression"-mode due to the stress of studying. i went into hibernation for about 5 weeks and don't think i could have handled being around 130 stressed people back near school. also, TAKE CARE OF YOURSELF. i went running every day, ate lots of fruits/veggies/whole grains, got at least 7 hours of sleep.

i'm not going to sugar coat it: you will feel soooooo miserable during this period, so worried and scared and miserable and stressed. but believe me, it's true: odds are overwhelming that you WILL pass. just do the work, do the best you can and hang in there.

whew, i think that's all - will post more if i think of anything...
 
bump... cause this thread is actually helpful, and I have no idea what happened to the other one???
 
Ozarka,

Thanks for the great post. Congrats on finally finishing Step 1. I can't wait to be in your shoes!
 
Thanks Orzaka, I'm scheduled for June 12th and it's scary 😛 Starting to pick up momentum but I can see getting burned out. Hope you did well!

I have tons of resources, but I am sticking with First aid and the recall series.
 
Thanks ozarka, your post is priceless!!! 👍
Wishing you the best!
 
The biggest mistake you can make is wasting time by continually trolling the messageboards for "secret tips" long after you've already put together your study plan and gotten to work.

You know yourself better than anyone here. You know what works for you and what doesn't, where you can study and be focused and where you'll be distracted. Now is not the time to experiment with other people's study methods. Make yourself a study plan that makes sense for you, delete your SDN bookmark and get to it!
 
The biggest mistake you can make is wasting time by continually trolling the messageboards for "secret tips" long after you've already put together your study plan and gotten to work.

I second this... Get to work.

Having said that... Focus, you wouldn't have made it this far if you didn't already know something. Trust your gut.
 
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