First Aid For Usmle Step 1 Is A Fraud!

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Tedebear

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I believe yearly publishing of First Aid for the USMLE is a FRAUD. Here is why.

1. First of all there is good information in First Aid. However, the only reason it is updated every year is to make MONEY. The authors of first aid don't care if it is an updated product, as long as it is perceived that way. The assumption is that the First Aid authors update the book EVERY year. Yeah right. These guys haven't taken Step 1 in nearly ten years. How can they update the information if they themselves don't take the test? They can't. Sure, they have new students "update" the exam, however that is about 6 students every year. So they could include information from their 6 exams, however this is a drop in the bucket to the number of questions in the computer database. You can also argue that students send in what was on their Step 1 exam. However, do you really believe students run straight to the post office after the test to send in "high yield" facts to the authors of First Aid? I doubt it. Let's do a quick headcount on SDN, how many people have actually sent in information to the authors of First Aid? Not many, if at all. If students that are very proactive such as the group in SDN don't send information to First Aid, do you believe the larger cross section of students out of the SDN loop would send information to First Aid after their test?

2. Secondly, the book omits stuff every year to add "new information". Does this mean that they are removing stuff that is not high yield anymore? How can you make an argument over what is high yield and what isn't high yield with only 6 new students every year that add dialogue about the exam. Can you really justify removing something on First Aid because such a small group didn't have the "fact" on their exam? Of course not. I believe they omit and reincorporate information to form a product that looks "new" every year.

3. It is a fact that First Aid is updated every year however, I believe the updates are cosmetic. When they take stuff out, I believe they reincorporate couple years later. Would they risk this? Why not. Do you really think people own a First Aid that is 3 to 4 years apart. Once you pass your Step 1 there is no more need for the book. Would someone that bought a 2005 First Aid own a 2001 First Aid. Doubtful. First Aid people have to update it every year because most medical students are very anal about having this book even as a 1st year student.

The authors of First Aid are brilliant. They give the medical students placebo, and the students use the book. From their point of view, they have a cash cow that pays every year. The authors don't have an obligation to update it because the reputation of the book is so immense the quality doesn't have to be the same as the 2001 version.

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daria said:
I'm going to have to assume that you don't have a reply to my critique of your logic. Most likely a reasonable assumption, since you haven't had a reply to similar critiques posted by ForSkin, mpp, and others.

[Turns off burner] But if you can't take the heat...

He's refraining from replying at my request and under threat of thread closure. I'll make an additional request that posters remain on topic. Thanks.
 
I hate to break in on this exhausting discussion about publisher scams, but you are right about the 2005 First Aid being shorter than 2003. They shortened the ratings section, but it looks like the main high-yield fact section is actually LONGER than it was. I also emailed the authors because of the wrong organ-systems chart table, and they're working on an errata with the right page numbers. 🙂

futuromd said:
I just noticed that my 2003 edition is about 30+ pages longer than the 2005 edition. I haven't completely compared content, but I found that kind of odd. Almost makes you feel like your missing out on something. Perhaps they got rid of stuff that hasn't shown up in the past few years, but 30+ pages seems like a bit much.

Also, the page number cross reference on the inside cover of the 2005 edition is full errors. That's kind of annoying...especially considering this book is so highly regarded among med students across the country.
 
Tedebear said:
I believe yearly publishing of First Aid for the USMLE is a FRAUD. Here is why.

1. First of all there is good information in First Aid. However, the only reason it is updated every year is to make MONEY. The authors of first aid don't care if it is an updated product, as long as it is perceived that way. The assumption is that the First Aid authors update the book EVERY year. Yeah right. These guys haven't taken Step 1 in nearly ten years. How can they update the information if they themselves don't take the test? They can't. Sure, they have new students "update" the exam, however that is about 6 students every year. So they could include information from their 6 exams, however this is a drop in the bucket to the number of questions in the computer database. You can also argue that students send in what was on their Step 1 exam. However, do you really believe students run straight to the post office after the test to send in "high yield" facts to the authors of First Aid? I doubt it. Let's do a quick headcount on SDN, how many people have actually sent in information to the authors of First Aid? Not many, if at all. If students that are very proactive such as the group in SDN don't send information to First Aid, do you believe the larger cross section of students out of the SDN loop would send information to First Aid after their test?

2. Secondly, the book omits stuff every year to add "new information". Does this mean that they are removing stuff that is not high yield anymore? How can you make an argument over what is high yield and what isn't high yield with only 6 new students every year that add dialogue about the exam. Can you really justify removing something on First Aid because such a small group didn't have the "fact" on their exam? Of course not. I believe they omit and reincorporate information to form a product that looks "new" every year.

3. It is a fact that First Aid is updated every year however, I believe the updates are cosmetic. When they take stuff out, I believe they reincorporate couple years later. Would they risk this? Why not. Do you really think people own a First Aid that is 3 to 4 years apart. Once you pass your Step 1 there is no more need for the book. Would someone that bought a 2005 First Aid own a 2001 First Aid. Doubtful. First Aid people have to update it every year because most medical students are very anal about having this book even as a 1st year student.

The authors of First Aid are brilliant. They give the medical students placebo, and the students use the book. From their point of view, they have a cash cow that pays every year. The authors don't have an obligation to update it because the reputation of the book is so immense the quality doesn't have to be the same as the 2001 version.

After taking Step 1 and then reviewing 4 years of First Aids (including the newest), I have to agree with you. This year is actually the best yet and there is some content change but I'm pretty annoyed with the writers for blatantly lying to the reading public.

I sent them at least 4 e-mails with good changes and error corrections. They actually made some of these suggestions into the new book. When I look at the contributions page, total blank. They filled in a few people but no mention of credit for my contributions. Gee, thanks First Aid. Thanks for providing a great product and being thankful for loyal support.
 
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Dude wtf just don't buy it if you don't want it. This is capitalism, and I would hardly call what they are doing as fraud. You think we're all stupid and actually think they update this book every year? All text books have new editions that are essentually the same as previous ones. I was a philosophy major and you can get new editions of books with writings from 200 years ago, those never change. What about updated history text books? We aren't stupid, but many of us are OCD and anxious and thus we buy new editions for our own ease. Is this preying on our psychology? Yes, but that is the foundation of advertisement! I don't see what the point is of this thread, and it is quite obvious it's not a fraud. If even one sentence were changed they can legally claim it has been updated with new material. I think as a medical student you should be able to reason that new editions dont differ that much, use #$@ common sense!
 
With the hundreds of books out there for Step 1, I don't think First Aid is trying to rip anyone off. Who knows how much feedback the authors get, but it may help sort out what's emphasized, and also give the ratings to current study aids. I never thought of FA as the be-all and end-all to studying, but it was a good jumping-off point.

I bought the 2002 FA when I first started med school. During the 1.5 yrs of basic science, I'd hit the appropriate sections of FA and put in what I thought was important (e.g. clarifications, mnemonics, associations, et al). By the time came around to study for Step 1, my FA was a wreck, but I knew where everything was, what I needed to work on and what I needed less work on. I then used supplemental info (CMDT, BRS, Kaplan, flash cards) to clarify concepts and fine-tune my testing skills. I certainly don't think I missed out on anything by not having the most up to date version of First Aid, however I'd probably not have benefited as much if I bought the 1998 version of FA - which if I recall correctly was about 80 pages(?).
 
I'm going to reply even though this thread died a while ago...

Implementing a successful business model and profiting from it does not equal fraud.

That's all. 🙂
 
This is pretty common and it isn't really fraud. Do you really think the automotive industry changes design from year to year?
 
I don't consider it fraud. I think it's good business but I agree in principle with what the OP is saying. They embellish their continual changes and do not give credit where it is due.
 
Let's just say in the 2005 edition, the authors have incoporated high yield facts that showed up in the 2004 exam. Let's just assume that's what they've done. Does it then make the 2005 edition any more valuable than, say, the 2000 edition? Personally, I doubt it. I would even suspect that the 2000 edition would be a better option, as it's possible that the actual exam questions reappear every few years. Since the questions change yearly, I don't see how the book, by incorporating the latest high yield facts from the "previous" year, could help in your preparation for the exam in the "future", unless there really is a trend.

What do you reckon?
 
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