SDN members see fewer ads and full resolution images. Join our non-profit community!

Family Medicine Shelf Exam?

Discussion in 'Clinical Rotations' started by nmcorp33, May 5, 2007.

  1. nmcorp33

    nmcorp33 MS4 7+ Year Member

    22
    0
    Nov 28, 2003
    Hello SDN members,
    I know there is already a thread for FM shelf exam, but there hasn't been any recent updates. Our school has a weird FM system where we take the shelf exam at the end of our M3 year. As I was beginning to study, I have noticed there doesn't appear to be any good resources. What books did you guys use to study? Thanks in advance! So far I just started reading case files, but any additional resources will help immensely.
     
  2. SDN Members don't see this ad. About the ads.
  3. jdh71

    jdh71 epiphany at nine thousand six hundred feet Physician 10+ Year Member

    62,966
    35,022
    Dec 14, 2006
    FEMA Camp, USA
    The family medicine shelf is broad based and notoriously difficult if taken early in the year, but after all of your rotations done . . . we also take the test at the end of the year, and I owned that sucker. I mean owned it and in some ways I wish I hadn't. It was my best shelf and at every interview the score came up as in, "Did you think about Family Medicine. It was your best exam." ARRRRGGGH! (That's not a knock on FM at all, but when you're NOT applying for a certain specialty, it's annoying to have someone, form the specialty you are interested in, to suggest that maybe(?) you should have applied for a different specialty) Anyway, let's bring it back a bit form the tangent . . . just start to prepare for Step 2 - questions, Questions, QUESTIONS! - and you'll pick up everything family is going to test on. You'll be fine.
     
  4. arthrodisiac

    arthrodisiac 2+ Year Member

    181
    1
    Jan 3, 2007
    how did ur interviewers get your shelf exam scores? wtf...they give those out?
     
  5. jdh71

    jdh71 epiphany at nine thousand six hundred feet Physician 10+ Year Member

    62,966
    35,022
    Dec 14, 2006
    FEMA Camp, USA
    There is a thing called a "Dean's Letter" the comments form my Family preceptors and the score of NBME Family Test were there. Go figure.
     
  6. nmcorp33

    nmcorp33 MS4 7+ Year Member

    22
    0
    Nov 28, 2003
    So there is not one precise book you studied out of? That is a bummer...
     
  7. randomlogik

    randomlogik Senior Member 10+ Year Member

    339
    4
    Apr 22, 2002
    Texas
    I used the Swanson's question book. It has more than plenty questions and covers all the major topics.
     
  8. arthrodisiac

    arthrodisiac 2+ Year Member

    181
    1
    Jan 3, 2007
    i dont want to hijack this thread with this issue...but the dean's letters have all of our shelf exam scores? that seems ridiculous to me. they should just get the letter grade, why the hell do they need a breakdown of everything. maybe they should include a urinalysis on the dean's letter too.
     
  9. jdh71

    jdh71 epiphany at nine thousand six hundred feet Physician 10+ Year Member

    62,966
    35,022
    Dec 14, 2006
    FEMA Camp, USA
    Depends on your school I suppose . . . I wanted my scores there
     
  10. mountainman123

    mountainman123 Guest

    173
    0
    Jul 18, 2006
    OK back to the topic at hand. I am also in FP right now and was curious about the books to use. I am reading Blueprints, and doing questions out of NMS Q and A. I also plan to read the Pretest Physical Diagnosis as I heard from someone that it is really good for FP. Blueprints seems really broad and an overview without saying anything specific. Has anyone used these sources or heard anything good/bad about them? Thanks in advance.
     
  11. mnsikns

    mnsikns

    2
    0
    May 6, 2007
    NJ
    i'm curious too. i'm going to have family med as my first rotation and i was wondering which books i should pick up as the 4th years head out
     
  12. mountainman123

    mountainman123 Guest

    173
    0
    Jul 18, 2006
    I know that there are a lot of people on here that have finished FP. PLEASE people, help us out.....
     
  13. Tiki

    Tiki Girl named after a Giant 10+ Year Member

    955
    16
    Jan 6, 2004
    East Coast
    My school puts the scores for all the shelf exams on there as well.
     
  14. Tired

    Tired Fading away 7+ Year Member

    3,886
    770
    Dec 12, 2006
    That is really annoying. I did well on the IM shelf, and actually had to have a conversation with the clerkship coordinator about my possible future in the field. Not exactly what a pre-surgical student wanted to talk about . . .

    If you have a real big set of onions, you can always say, "I considered your field, but in the end I realized I wanted more of a challenge."
     
  15. jdh71

    jdh71 epiphany at nine thousand six hundred feet Physician 10+ Year Member

    62,966
    35,022
    Dec 14, 2006
    FEMA Camp, USA
    :lol: :thumbup:
     
  16. tinkerbelle

    tinkerbelle 10+ Year Member

    2,571
    5
    Jul 18, 2003
    Neverland
    We have to take the FM Shelf exam at the end of our second year. Most of my classmates used Blueprints and they all said it was HORRIBLE. It's too general to be of any use. I took the shelf without studying and relied on the knowlege I gained though my FM rotation. I did the same as people who prepared by reading the whole Blueprints book (and I'm a below average student). The only other source I heard about was the MKSAP Question book (or whatever it's called)... The few student who used it like it.

    I would have felt more prepared for the shelf exam if I had done more assessments and plans (you know... the last 2 sections of the SOAP notes) on my rotation. I think if you get a lot of practice in deciding what steps to take with a patient (AND IN WHAT ORDER THE STEPS SHOULD BE TAKEN), you won't need to study as hard for the shelf.
     
  17. nmcorp33

    nmcorp33 MS4 7+ Year Member

    22
    0
    Nov 28, 2003
    Hmm well the FM shelf is days away. It is interesting that there doesn't seem to be a clear cut way to study for this exam... I guess it is back to reviewing the MKSAP questions and looking at case files. I just glanced over blueprints and I agree that it is way too general. Well here goes nothing... Wish me luck!
     
  18. domer621

    domer621 MS4 5+ Year Member

    551
    0
    Jul 24, 2004
    How did it go?
     
  19. nmcorp33

    nmcorp33 MS4 7+ Year Member

    22
    0
    Nov 28, 2003
    Well by studying only case files and reviewing some of the MKSAP questions I scored very well on this exam. Looking back I agree that blue prints is way too generalized. Your best bet is to read through the new and update case files and try to repeat the MKSAP questions. The only other resource I had was a old family medicine residency exam given to us by our FP docs. Good luck!
     
  20. surprisedgirl

    surprisedgirl 2+ Year Member

    321
    0
    Oct 11, 2006
    how similar is FM shelf to IM shelf? would it be dumb to study the IM stuff? is ee that some of u are studying MKSAP
     
  21. Old_Mil

    Old_Mil Senior Member 10+ Year Member

    2,003
    446
    Nov 19, 2004
    Earth
    ...wait a second, the NBME Family Test? The NBME writes your shelf exams?
     
  22. Blue Dog

    Blue Dog Fides et ratio. Physician Gold Donor SDN Advisor Classifieds Approved 10+ Year Member

    10,882
    2,649
    Jan 21, 2006
  23. nmcorp33

    nmcorp33 MS4 7+ Year Member

    22
    0
    Nov 28, 2003
    In some ways the FM exam has some similarities to the IM exam including tx, dx, and signs from multiple organ systems. However there are also questions on prevention medicine (when to screen for colon ca, pap, etc) and other illnesses that you encounter in the primary care clinic. Hope that helps. If you need more info just drop me a msg. Good luck.

     
  24. stretch210

    stretch210 Senior Member 5+ Year Member

    202
    1
    Jun 12, 2004
    I may have missed something...but what is this MKSAP thing?
     
  25. ForbiddenComma

    ForbiddenComma Tanned for Bowling 7+ Year Member

    929
    20
    Oct 16, 2004
    My school puts shelf tests on the Dean's Letter if you score 70th percentile or more. This includes 3rd year exams, as well as basic science.

    I too have heard that Blueprints bites the big one... so what is a good book to use for this rotation? Or is Boards and Wards good enough? How should you properly cram the week before?
     
  26. nmcorp33

    nmcorp33 MS4 7+ Year Member

    22
    0
    Nov 28, 2003
    MKSAP is the question book for Internal Medicine. Just search it online. It is MKSAP 3 for students.

     
  27. jtmoney99

    jtmoney99

    6
    0
    Jul 20, 2007
    I used Blueprints and the 660 questions on the AAFP website (which you actually need to be a member to get). I don't really recommend Swanson's...it takes too long to get through and it's not really that representative of whats on the test. I wish I had just done case files instead. I did the first 100 pages of Swanson's before I stopped. Also, just pay attention during your clerkship and read up on management/treatment of common diseases/issues (HTN, hyperlipidemia, diabetes, asthma, COPD, pnuemonia, PID/ureithritis/vaginitis, cervical changes, birth control, gout, eczema, tinea, vaccinations, childhood viral diseases, etc.)

    I ended up getting a 77. I wish I had gotten a little higher (reading Case Files probably would have helped boost my score up into the honors region) But for my first shelf, I'm fine with it.
     
  28. mocheese

    mocheese Member 7+ Year Member

    77
    0
    Dec 12, 2003
    anybody try blueprints casefiles? (I accidently bought it thinking it was the other case files)
     
  29. Parmer

    Parmer Member 5+ Year Member

    34
    0
    Sep 9, 2004
    does anyone know the raw score you have to get to be above 2 SD's below the mean? just trying to figure out if i passed...
     
  30. domer621

    domer621 MS4 5+ Year Member

    551
    0
    Jul 24, 2004
    Just took it today. Keep in mind that they can literally ask any question on this exam (and they did), so it's pretty tough to study for it. I was surprised that there was very little obstetrics on the exam. There were lots of distractors, so be sure to read each question very carefully!
    I would recommend the AAFP.org free board review questions and Case Files for the shelf. Honestly, it would be very nice to go through Step-Up to Medicine for this exam, since most of the test is in there. I do not recommend the NMS Q&A question book, because the questions are ridiculous, way tougher than the shelf, and seem to be meant for residents.
     
  31. mules05

    mules05 Member 5+ Year Member

    237
    0
    Jul 17, 2005
    Just a heads up on the aafp.org questions...I just went to sign up for membership to access the questions, and got an email telling me that it would all be processed in 4-6 weeks, at which point I could start using these resources. Kind of pointless since my shelf is next week. So make sure you sign up way ahead of time if you're planning to use these questions!
     
  32. domer621

    domer621 MS4 5+ Year Member

    551
    0
    Jul 24, 2004
    Yeah, I should have mentioned that. It took me 2 weeks to get my membership. You might get lucky!
     
  33. surprisedgirl

    surprisedgirl 2+ Year Member

    321
    0
    Oct 11, 2006
    can the aafp ?s be used by more than one persoN? i have a friend who has membership and she said ic ould use them but i dont want to take away ?s from her!
     
  34. domer621

    domer621 MS4 5+ Year Member

    551
    0
    Jul 24, 2004
    Yep! It's not restricted access.
     

Share This Page