policymaker said:
Thank you! I've been waiting to hear something like this. YOu are my new hero Panda Bear. 🙂
While you were studying for the boards (Step 1 specifically), how did you go about memorizing all the details? I'm not so worried about concepts, but just thinking about all the trivial minutia makes me want to go back to engineering..
And if you don't mind me asking, do you think your low class rank hurts you at all as you're applying to a competitve specialty? Do your engineering background and good board scores more than make up for it?
Hold on while I put on my flame ******ant suit and brace myself for the onslaught of criticism about to come my way....
1. You don't have to memorize details for either Step 1 or Step 2, at least not to the extent that many people think. Most of the questions on Step 1 are of either the "What is the next step in the management of the patient" type or a variation of the "interpret this graph" or "what lab values reflect this patients condition." There were very few questions with a definite "Hemolytic Uremic Syndrome" kind of answer.
Of course, I am exagerating somewhat but only to the extent that we need to differentiate knowledge from trivia. If you have a good grasp of the concepts then you will do fine. Maybe not AOA fine but you will pass and probably do at least average or slightly better. There is no one in the world more adverse to sitting down and force memorizing a table of facts than your Uncle Panda and I did fine.
2. Best way to study for Steps 1 and 2? Easy. Get an online subscription to USMLEWorld Qbank and/or Kaplan Qbank and do practice questions untill your head explodes. Read the explanations of both your right and wrong answers and you will be well prepared. There are about 2000 Kaplan and 2000 USMLEWorld questions for Step 1 and an equal number for Step 2. After 4000 questions, which should take you a month, you will be as prepared as you can possibly be for the test. The USMLEWorld questions are almost exactly like the actual questions in both length and difficulty.
Screw reading textbooks, review course, review books, study groups, or any other method of preparation. Assuming you have been paying attention during medical school you have the knowledge up there somewhere, all you have to do is jar it loose by doing questions. I read the BRS books and High Yield for Step 1 and felt that this was a waste of time because the questions are phrased in a way to almost negate your typically superficial grasp of the subject. The Kaplan Qbank questions that I did in the last two weeks of my studying were much higher yield. For Step 2 I didn't even bother with reading and went straight to the questions for the two weeks I studied.
A very special "thumbs down" to First Aid which is the most overrated study aid out there.
3. Did my low class rank hurt me for competative specialties? No doubt it has. I applied to 24 programs and have only been invited to eight interviews with three more programs to hear from. Like John Kerry, I was skunked in North Carolina getting no interviews there even though I applied to all six of their programs. Vanderbilt sent me two rejection letters, the second presumably to make sure I knew I didn't have a chance. But like I always say, if you are hell-bent on AOA and matching into Derm at Harvard you can safely ignore my opinions on everything. I'm just trying to give advice to people like me who will never be at the top of the class either from lack of desire or lack of ability.
I am happy with the programs that did invite me for interviews, however, and they seemed to have liked me just fine. I have interviewed or will interview at El Paso, Baton Rouge, Little Rock, Temple (Texas), Shreveport, Morgantown (West Virginia), Omaha, and Louisville. I still have to hear from Lexington (Kentucky), Richmond and Charlotte (Virginia). I have not heard from Jackson, Mississippi but I applied to them by mistake as they are a four year (total) program and I am only really interested in the three year programs. I'm sure they are not interested in me but the feeling is mutual.
4. I think my engineering
and military background went a long way towards compensating for my low class rank. Word of advice to some of the anti-military people on SDN: There are plenty of ex-military program directors out there, especially in Emergency Medicine.
Not to mention that the only other profession which physicians seem to respect is engineering.