Combo "FA for STEP 2 CS + UW for STEP 2 CK"

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calhad

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Hello!
I would like to have your opinion about my study plan. First of all, just to explain my situation: I'm an IMG, just received my Step 1 scores. I will be starting 3 to 6 months USCE - Clerkships (Internal Medicine) in September. Step 2 SC is scheduled for January 2012 and Step 2 CK for May-June 2012.
My plan for the next couple of months will be FA Step2 CS + UW Step 2 CK while doing my rotations. It's a pretty simple plan but I have some questions:

1) (most important) I would like to have a good performance during my rotations. What other books do you recommend that could fit in a study plan for Step CS+CK and for my clinical rotations?
2) Will FA Step 2 CS be enough for Step 2 CS and UW Step 2 CK enough for Step 2 CK?
3) A lot of IMGs recommend Kaplan for Step 2. Never seen it in SDN. Any thoughts?
4) My favourite band are The Beatles. What's your favourite band?

Thank you,
Calhad
 
I truly do not believe that First Aid Step 2 CK is a good enough review book to do well on the Step 2. I have the 6th, not 7th (most recent) edition.
 
Sorry about that. I misread your original post. Yes, it seems that First Aid CS is sufficient. Apparently CS is a game where you basically need to ask the right questions and do the right things and they'll check all the right boxes for you. I just bought the 3rd edition of FA CS and it looks very comprehensive and I have no doubts with using it as my only CS study tool.

However, I don't know about UWorld for your (our) only study tool for CK.

Somewhat off topic:

(In *NO WAY* am I lecturing you or anyone, I just have some stuff on my chest/mind.)

This is a difficult thing to discuss, but I've been wanting to open up communications on it. I am a FMG too. I went to AUC (one of the "big 3" carib schools.) I know that a lot of the clinical rotations my school set me up with (Wyckoff Hospital) were horrible, in that they didn't teach anything, and I didn't learn anything practical.) I know it's up to me to study during those rotations. I do blame myself for not studying diligently during my free time. Hey, I was in NYC, and there's so many beautiful women! 🙂

A program director, and many residents, at a nice place where I did months and months of rotations, told me that FMGs/IMGs seem to have a hard time with Step 2 CK. They said that we tend to not be prepared in the right way for it. I listened to them, but couldn't find the time or energy to prepare for Step 2, went into it blind, and got a 165.

I found out there's a world of difference between presenting a patient with HTN on rotations and actually identifiying a picture of HSV keratitis on the Step 2 CK. (Yes, that's a question, and no, you won't' see that in UWorld.)

I didn't go to an American med school, so I have no idea how much they are exposed to in their rotations, or how much they are taught, but I sure hope, for their sake, that it is a whole lot more than we were. It leads me to believe that for a FMG/IMG, that it's a very risky move to *only* study UWorld for your Step 2 CK. I truly think you've got to supplement it with other things.

I took Step 2 CK 5 days ago (Monday). I used UWorld (did about 3500 questions, so it's like finishing it 1.5 times), Step Up to Medicine, First Aid for stuff Step Up didn't have, Wikipedia, and two iPad apps: "A to Z Dermatology" [that app, btw, is pure gold for derm questions] and "Littman Soundbuilder" or something for heartsounds.

I studied hard for about 10 weeks. I took off maybe one day a week, or less. I feel like I knew an infinite amount more than I did when I got a 165 on CK. Ie, on my 165 attempt I was almost scared to progress to residency because I felt so unconfident in my knowledge, but know I feel confident and know that I have a nice foundation.

And given all of that studying and knowledge, I'm still scared to death that I failed CK again. Some of the questions on it, I just don't know where we were supposed to learn it. I had three questions on which abx to give for aspiration pneumonia. I'm looking it up in Step Up To Medicine now, and there's almost nothing on it. In UWorld they had a case of aspiration pneumonia, and the treatment was Clindamycin. So I answered Clinda to my three questions on it. If I google it now, I see a lot of mixed info. Clinda seems to be the mainstay, but then they combine Aspiration with CAP, and it's a different abx. Or they combine Aspiration pneumonia with nosocomial pneumonia, and it's different. So who knows which of my questions, if any, Clinda was the right answer to?

In my heart I tell myself that I studied so hard and wanted to know everything possible. So when I miss these questions, I tell myself that I was gunning to try to know as much as I could, and that obviously I'm going to miss a lot of Q's, but that there's a huge gap between a 280 (or whatever max score is) and a 189 (min passing score.) I'd be fine with a 189 to be honest.

My point, if I have one, is that UWorld is great for honing in concepts and giving you really good board relevant material, but you have to make sure you have a rock solid foundation beforehand. You can't just use it to memorize a bunch of facts that you don't have a firm grasp on, because a lot of the stuff in UWorld isn't on the boards.

One great thing about UWorld, if you do enough questions, you start to memorize everything about them. On the boards, for a small number of questions, I could glance at the answers, read the first couple of sentences, and know what the question was asking me. Then you just skim over the question to make sure they don't "throw a wrench" in anything, and then answer it. Felt really good, and helps give you some "free time" to spend on other questions.

Sorry for writing like a crazy person.
 
Hello!
I would like to have your opinion about my study plan. First of all, just to explain my situation: I'm an IMG, just received my Step 1 scores. I will be starting 3 to 6 months USCE - Clerkships (Internal Medicine) in September. Step 2 SC is scheduled for January 2012 and Step 2 CK for May-June 2012.
My plan for the next couple of months will be FA Step2 CS + UW Step 2 CK while doing my rotations. It's a pretty simple plan but I have some questions:

1) (most important) I would like to have a good performance during my rotations. What other books do you recommend that could fit in a study plan for Step CS+CK and for my clinical rotations?
2) Will FA Step 2 CS be enough for Step 2 CS and UW Step 2 CK enough for Step 2 CK?
3) A lot of IMGs recommend Kaplan for Step 2. Never seen it in SDN. Any thoughts?
4) My favourite band are The Beatles. What's your favourite band?

Thank you,
Calhad

Per my usual...

First Aid or Step Up

and

UWorld

With a one month dedicated study period will get an average student an average score. You will get you a 230. If you want to increase that score, you add on things. You could do whichever you didn't do first (First aid or Step Up), or you could add Secrets. Do NOT do Crush.... it is an easy read you can do the weekend before you start just to refresh you of everything, but it won't get you any points, especially not over FA or SU. More than that, and you are trying to hard.

If, however, you need to boost that score to the 250+ range because you are trying to make up for a garbage Step 1 score, I highly recommend Kaplan. Get their books, do their videos (they are now online) or do the center prep. Im a pretty smart dude, but I suck at multiple choice exams. Kaplan got me a 252 on Step 2 (and a 248 on step 1). I got pwned by OB/GYN, but everything else was to the right (and often red starred). I attribute that to Kaplan. I personally think if people can do well with DIT, they were probably going to do well on their own anyway, and I haven't heard anything about Falcon's Step 2 in 2 years, so cannot comment.

Yes FA or SU
Yes UWorld

Maybe Secrets
Maybe Kaplan

No Crush
No DIT
No Falcon
 
Last edited:
Hello!
I would like to have your opinion about my study plan. First of all, just to explain my situation: I'm an IMG, just received my Step 1 scores. I will be starting 3 to 6 months USCE - Clerkships (Internal Medicine) in September. Step 2 SC is scheduled for January 2012 and Step 2 CK for May-June 2012.
My plan for the next couple of months will be FA Step2 CS + UW Step 2 CK while doing my rotations. It's a pretty simple plan but I have some questions:

1) (most important) I would like to have a good performance during my rotations. What other books do you recommend that could fit in a study plan for Step CS+CK and for my clinical rotations?
2) Will FA Step 2 CS be enough for Step 2 CS and UW Step 2 CK enough for Step 2 CK?
3) A lot of IMGs recommend Kaplan for Step 2. Never seen it in SDN. Any thoughts?
4) My favourite band are The Beatles. What's your favourite band?

Thank you,
Calhad

CS is a joke. If you speak english, you will pass. If you don't want to be that ***** who speaks english and fails, you can read Step 2 CS. If you don't speak english as your first language, you should get together with someone and bounce cases off each other. You need about 5 hours total studying for this to work.
 
Actually, HSV keratitis is in UWorld. Otherwise, agree with your post. UWorld can be used as a sole source only if you have a great foundation.

I actually meant identifying a picture of HSV keratitis. The stem said "a xx yr old man has eye pain, fluorescein is done and shows the following:" differential had some things that could cause eye pain, (i.e. abrasion, HSV keratitis, etc). I knew that HSV keratitis was painful, and CMV wasn't (thank you UWorld!). So I had to decide between abrasion and HSV. To me it didn't look like an abrasion, so I braved it and went with HSV, which I believe, after Google-ing, was the correct answer.


Per my usual...

First Aid or Step Up

and

UWorld

With a one month dedicated study period will get an average student an average score. You will get you a 230.

I sincerely hope that you are on to something with this advice. I would be extremely gracious to receive a 230. I would be extremely happy with a 201. 🙂 I'll honestly be happy with a 189.

---

I really want to learn more about the Step 2 CK scoring itself. So around a 230 is average? I'm a FMG/IMG with family medicine my sights. It's what I want to do and I'm lucky that it doesn't need a 270+ to get! When I hear a 230, I am impressed. That sounds high to me. So is 230 the average for AMGs? Does that mean if a AMG got a 200 they did pretty bad?

Are there any AMGs out there that failed CK and will talk about how much or how little they studied for the exam?
 
Great replies, thanks!

What I plan to do based on the answers:
- Use Kaplan + Step Up + UW during my clerkships studying each subject for the specific clerkship I will be doing.
- After the clerkships have some dedicated time just with UW to prepare for Step 2 CK.
- Step 2 CS -> First Aid CS

Again, thanks for the help everyone.
Calhad
 
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