Four weeks....30 points?

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GrammCracker

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Okay, I have 4 weeks until I take the test and I'm hoping/praying/sacrificing for an approx 30 point increase in my scores. I took a practice test a couple of days ago, and although I passed, I am not satisfied with my score at all. No, I'm not one of those people that is averaging a 240 and wants to get a 270. I got a 197 and I'd like to be as close to 230 as possible. I'm going to study extremely hard in the next coming weeks.

I'm so frustrated though because I've been studying pretty hard the past month and blah! A 197! I'm pretty sure I'm having problem with the amount of material. The content that I know, I know really well. But there's still so much material that I don't thoroughly know adequately to answer questions correctly.

Sorry for the vent. Anyway, is a 197 -> 230 doable in 4 weeks? Thanks!
 
Really depends where you are in your studying... If you are at the beginning then 30 points is very, very do-able. Starting at around a 200 is a good place to be. For instance I started right around 200 and i ended up just below 250.

For obvious reasons, if you have already been studying a while, you probably will have a harder time increasing quite as much. I went up ~ 20-30 points in the last 3 weeks.

Keep your nose to the grindstone. No matter where you end up, as long as you put in your full effort you will be happy with the outcome.

As Einstein once said, "Satisfaction lies in the effort, not in the attainment. Full effort is full victory." He was smart.
 
Really depends where you are in your studying... If you are at the beginning then 30 points is very, very do-able. Starting at around a 200 is a good place to be. For instance I started right around 200 and i ended up just below 250.

For obvious reasons, if you have already been studying a while, you probably will have a harder time increasing quite as much. I went up ~ 20-30 points in the last 3 weeks.

Keep your nose to the grindstone. No matter where you end up, as long as you put in your full effort you will be happy with the outcome.

As Einstein once said, "Satisfaction lies in the effort, not in the attainment. Full effort is full victory." He was smart.

instatewaiter: What did you feel helped you to bump up that high? Are you using the standard FA, Goljan, UW resource method?
 
It's possible to raise your score by 20-30 pts in 4 weeks. A few of my classmates managed to do it but it's extremely hard work though. They studied average of 12-14 hrs a day (sometimes more), by drilling FA and UW into their minds over and over. A few supplemented FA and UW, goljan, with HY neuro, cell bio, etc. I think the biggest score improvement was this one guy in my class (he started out 184, ended up getting a 229) so it's basically a 45 pt gain. He studied hardcore for 5 weeks though... and by hardcore i mean, he completely isolated himself from society and got only about 3-4 hrs of sleep each night. The rest of the hours were spent studying, doing questions, etc.
 
instatewaiter: What did you feel helped you to bump up that high? Are you using the standard FA, Goljan, UW resource method?

Well I started with high yield topics first. That way I saw them multiple times. I ended with low yield memorization based topics. I studied from about 8:30 till 12. Took an hour for lunch. Studied 1-5. took 2-3 hour break. 9-12pm I did UW questions. 8 hours of sleep per night is CRUCIAL.

3 very important hints:
Take days off. 1 too 3.5 full days off. I liked half days (7 half days) b/c you could study for a few hours and feel like you got stuff done and then take the rest of the day off.

Get plenty of sleep. Nothing burns you out like not enough sleep. It will add to your stress level.

Get some exercise. Jog for 10 minutes if nothing else.


I broke it down by subject instead of organ system because this is how the books are done and it also allows for a lot of over lap. The more times you see something the more you will remember it. During each of the subjects I would do a cursury review of FA to see what was hit and what was missed in the other books.

In order

I did ~2.5 days of BRS physio. I used about 2 days to go through it completely and then 1/2 a day to review

Next I did RR path (great book that reviews phys, pathophys, path and micro). It took about 5.5 days to go through it and then used 1 day to review

Next I did behavioral for 2 days. I used HY behavioral. Good book that covers all you need to know

Took a break for 1/2 day then started micro

For Micro used Micro made ridiculously simple and spent 5 days- 4 reading MMRS and 1 review. Great book. I made note cards during this of little tid bits. Often times you will be asked to know minutia like which gram + cocci are coagulase positive and catalase positive? Which are grown on MacKonkey. Often times you dont even have to recognize the clinical picture b/c they give you the answer just based on some minutia you need to memorize like what agar it's grown on. The note cards were key b/c I came back to them during my wrap up. I separated out antimicrobials into 1/2 a day out of the 5. And again I used 1 day to review

Next I did pharm- used FA for the drug list and most of the info. Any times there was no Mechanism of action or I didnt know how an impt side effect worked I looked it up. Really you only need to know FA. Memorize the crap out of the page with side effects. Knowing that page alone will get you tons and tons of points. I spent 5 days on pharm and made note cards for this one too.

After pharm I took NBME 3

Next 2 days of neuro. Used HY. Quick read and great book.

Next I did 1.5 days of Gross/histo/embryo. Used only what was in FA. I recommend NOT using anything else

Did biochem using mainly FA. There is a good chapter about integration of all the pathways in BRS biochem. It is worth a quick read. Otherwise memorize the crap out of FA

After biochem did the free 150.

Then I used 5 days to review only FA and my note cards of micro and pharm.


So to recap for those who dont want to read it all

Phys 2.5 days (BRS)
Path 6.5 days (RR)
Behavioral 2 days (HY)
Micro 5 days (MMRS)
Pharm 5 days (FA alone)
Neuro 2 days (HY)
Gross/embryo/histo 1.5 days (FA alone)
Biochem 2.5 days (mainly FA and some BRS)
Wrap up with FA for 5 days

Took NBME 1 for a baseline. Took NBME 3 about halfway through. Took the free 150 right before. Did UWorld questions every night.
 
I treated the boards like a big game: How much crap can you memorize in the given time.

I knew it was impossible to know it all but just tried to put in the effort. The effort is the key. If you realize you cant know it all, not only will you be less stressed out but you will also see the forrest for the trees.

Good luck peoples
 
I treated the boards like a big game: How much crap can you memorize in the given time.

I knew it was impossible to know it all but just tried to put in the effort. The effort is the key. If you realize you cant know it all, not only will you be less stressed out but you will also see the forrest for the trees.

Good luck peoples

Thanks for the great tips.

For micro drugs, is it worth memorizing the full spectrum of bugs against which they work that FA lists, or is it enough to memorize the 1-2 drugs that my Microcards lists as effective against each bug? I find it easier to memorize a couple drugs with each bug, and memorize drug side effects/MOA separately.

I'm also asking because I've read in other threads that when it comes to cancer drugs, it is much higher yield to know side effects than the specific cancers against which the drugs are used.
 
Thanks for the great tips.

For micro drugs, is it worth memorizing the full spectrum of bugs against which they work that FA lists, or is it enough to memorize the 1-2 drugs that my Microcards lists as effective against each bug? I find it easier to memorize a couple drugs with each bug, and memorize drug side effects/MOA separately.

I'm also asking because I've read in other threads that when it comes to cancer drugs, it is much higher yield to know side effects than the specific cancers against which the drugs are used.

there are a few key examples where you need to know the drug for a given bug. Things like tx for MRSA or BV or toxo or chalmydia.

I would recommend also learning the spectrum a drug is good for. This is less for the boards and more for when you get to the wards 3rd year. You will get an absolute ton of brownie points when the attending asks for other options to tx a given infection. Most of the time you wont know what the actual bug is, just the group of things that cause the dz. The residents will just stare blankly and you can look like a superstar.

You dont need each individual bug- just know that X covers most gram +, or Y covers anaerobes OK and gram negatives.

MOA and SE are definitely the most impt for the micro drugs.
 
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