if all you need is FA then why isnt everyone scoring 240 plus

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Ramoray

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I keep reading recent experiences with step 1 and it seems like alot of people are saying, as i have always read in the past and heard from almost every 3rd year at my school last year is, all you need is FA, 90 percent of it is in there or more. Well if that is the case and virtually everyone uses and relies on FA, why isnt everyone scoring higher? I mean if everyone uses FA and that is all you need shouldnt everybody do better. My feeling is the people who say FA is all you need had a very good background konwledge in their head that consisted of alot more than hwat is in FA. I just dont get how FA can have it all. Dont these test writers look at FA ever?
 
Ramoray said:
I keep reading recent experiences with step 1 and it seems like alot of people are saying, as i have always read in the past and heard from almost every 3rd year at my school last year is, all you need is FA, 90 percent of it is in there or more. Well if that is the case and virtually everyone uses and relies on FA, why isnt everyone scoring higher? I mean if everyone uses FA and that is all you need shouldnt everybody do better. My feeling is the people who say FA is all you need had a very good background konwledge in their head that consisted of alot more than hwat is in FA. I just dont get how FA can have it all. Dont these test writers look at FA ever?


well first, that would be statistically impossible. and second, its how you apply the info in FA. you can memorize all there is from now to kingdom come but if you're not used to the clinical vignette format you're toast.
 
If you can regurgitate and apply FA you will get a 240+, I promise. There are many facets of medicine that are not included in FA but are implied. When someone says "All you need is FA", what they really mean is "As long as you learned everything the first time, all the review is in FA" or "Once I got out of the test, the answer to every question I could remember was in FA". Dont take this statement too seriously. Balance out your review sources and compare the info in the various sources.
 
That, and I think everyone who says that has already used multiple other resources. So, their knowledge base is a lot more broader than what it seems. And moreover, I think if you look at FA by itself, it's garbage even with first two years of med school, because all it is is just facts. But, after you've recently reviewed material in other sources, it seems as if everything is in FA, because in reality, it probably does have everything you really need, but you won't be able to retain it nor make something out of it without having read in a more detailed applicable manner. Like, that one important line that you need to answer the question may be in FA, but it's useless becuase it's so hard to just look at it independently and retain it AND more importantly, APPLY it to what they're asking. But, after having done all the reading/reviewing, that one line "makes sense" because you have the recently aquired background to make that line hihglight in your brain. I don't know, just my two cents. That's the way I feel using FA. I remember I looked at it in th beginning, and it was useless because if i read something in it, i'd either forget it, or would have to read more elsewhere to make use of that line.

All my friends who have done really well, in reality, only used FA in their last 2 weeks as a final review, and at that point, I can see where FA can be very useful becuase you can make sense of all those nit picky facts that you have read everywhere else. So, I think, that line "FA is all you need", or "memorize FA" is VERY skewed...take that with a grain of salt obviously. And, "memorizing FA" is really impossible, IMHO, without at least having other knowledge. Otherwise, it's like memorizing arrow up, arrow down, to the right, to the left, etc. You get the point.
 
Idiopathic said:
If you can regurgitate and apply FA you will get a 240+, I promise. There are many facets of medicine that are not included in FA but are implied. When someone says "All you need is FA", what they really mean is "As long as you learned everything the first time, all the review is in FA" or "Once I got out of the test, the answer to every question I could remember was in FA". Dont take this statement too seriously. Balance out your review sources and compare the info in the various sources.

Well said Idio...I unfortunately did not make the 240 cutoff (239 😛 ) but I completely agree with this statement. The best preparation for the boards is usually going to be keeping up with the material of the first two years, and depending on the school, filling in the gaps/relative weaknesses of your school's pre clinical curriculum. That said, FA is an excellent review source for evaluating just how much of that stuff you have retained, and recalling some of the inane factoids you may be a little foggy on after two years of med school. For example, many people make the statement "All the pharm you need is in FA", and I completely agree that every last drug I got a question on my Step 1 was in First Aid, but if you hadn't taken the time in the past to begin to learn that stuff in the first place, First Aid really isn't going to help you that much with a few weeks to go before test day.

And will I based much of studying through second year and the boards on FA,
I feel one should definitely supplement it with other more organized sources (BRS Path and Phys, et cetera)

peace,
dw
 
you guys express what i had always felt, especially about FA being everything you need as far as it is a point form list of everything yoou need and I would understand more if people always said " ya review hard and make sure you hit FA in the end " or something but its like just between my scdhool and SDN i ccannot believe the inordinate amount of people who say ALL they did is memorize FA and surprisingly atleast on SDN ( i know kinda skewed) alot do well. I feel bad, i had some friends just sit in the library for 5 weeks memorizing like 10 pages of FA a day without anything else since that is what they have been told. Ya but agreed thanks for your insight i was just curious
 
People who say that they got a 240+ just by memorizing FA are seriously underestimating their fund of knowledge. As many others have said, FA allows you to recall information that is hidden in your brain already
 
Ramoray said:
... i ccannot believe the inordinate amount of people who say ALL they did is memorize FA and surprisingly atleast on SDN ( i know kinda skewed) alot do well. I feel bad, i had some friends just sit in the library for 5 weeks memorizing like 10 pages of FA a day without anything else since that is what they have been told. Ya but agreed thanks for your insight i was just curious

I might 'listen' to what other peope say but then I trust my own instincts. And I trust SDN (for the most part). But wow, some people say really wack things in school and then I just let it go in one ear and out the other. These pups wuz robbed. 👎
 
First Aid is all you need .... (after doing qbank, NMS, BRS, high-yield, insert 100 other review books, etc.) People never tell you the second half of that statement. In my experience the type who say FA is all you need are the slackers who only want to pass and the closet gunners.

I would say FA is all you need in the last 1-2 weeks, to refresh everything you studied.
 
I had to throw away FA to break 240. All you actually need is Qbank.
 
Let me nerdily point out that since the test is scored on a standardized "curve", if everyone "averaged" a 240, they would still standardize this "average" back down to the usual 215-220, so everyone would still score "average".

Of course FA doesn't contain 100% of what is asked on the boards...no review book could. It gives you the basic broad topics....you need to supplement it with your own knowledge (whether it be what you've retained from classes, other study books, or whatever). If you take a random person off the street (i.e. non-medical person) and have them memorize FA verbatim and then take the boards, I'd be stunned if s/he scored a 240.
 
So i had this grand plan of doing 100 q-bank questions, reviewing the wrong answers, reading 50 pages of Kaplan, and annotating First Aid, and supplementing it with HY Embryo and BRS Path everyday.

hahahahahaha

Now, I'm just memorizng FA like the back of my hand...

Did anyone break 220 with just first aid? (and FIRST AID ONLY)
 
I remember at the closing of the school year, everyone was carrying their FA. I fell into the trap and started to study FA during my Spring Break. My biggest mistake. It would have helped more if I had started with at least with a Kaplan or a BRS. The best would be to read a decent physio book or study from Goljan's stuff. I took Step 1 today and I believed that nothing one can do within a month to outsmart a well-read, curious med student who always does well in class. OK, just my 2 cents. 😎
 
ONLY on a forum like sdn would TWO people point out that " it is not statistically possible for everyoen to get a 240" instead of realizing someone wasnt being serious and was illustrating a point.. man i still have to slap myself when i forget that medstudents are only premeds a few years later and premeds are .. well.. premeds.. learn ramoray learn.. thanks for everyone for their input, seems like everyone agrees that memorizing JUST fa si bogus.
 
FA is just a checklist of things you should know for the test. If you try and use it for a primary studying resource you will be up the creek without a paddle, as there are hardly any explanations (If you learn why something happens, you'll never forget what happens, or you can at least figure it out). Hell even Q-bank is a better learning resource than FA, as it has explanations.

Go through First Aid, and whenever you come across something you didn't know, go learn about it from some other book. Yes, you'd probably do great if you memorized first aid, but I doubt there are many people who could retain that much information through brute-force memorization. It will just start spilling out of your brain -- there just isn't enough room. Understand the concepts, and you can figure out what you don't remember outright.
 
Ramoray said:
ONLY on a forum like sdn would TWO people point out that " it is not statistically possible for everyoen to get a 240" instead of realizing someone wasnt being serious and was illustrating a point.. man i still have to slap myself when i forget that medstudents are only premeds a few years later and premeds are .. well.. premeds.. learn ramoray learn.. thanks for everyone for their input, seems like everyone agrees that memorizing JUST fa si bogus.

A lot of Step 1 is NOT in First Aid. I repeat, a lot of Step 1 is NOT in First Aid.
 
Ramoray said:
ONLY on a forum like sdn would TWO people point out that " it is not statistically possible for everyoen to get a 240" instead of realizing someone wasnt being serious and was illustrating a point.. man i still have to slap myself when i forget that medstudents are only premeds a few years later and premeds are .. well.. premeds.. learn ramoray learn.. thanks for everyone for their input, seems like everyone agrees that memorizing JUST fa si bogus.


Now now, Ramoray, play nice.
 
Ramoray said:
ONLY on a forum like sdn would TWO people point out that " it is not statistically possible for everyoen to get a 240" instead of realizing someone wasnt being serious and was illustrating a point.. man i still have to slap myself when i forget that medstudents are only premeds a few years later and premeds are .. well.. premeds.. learn ramoray learn.. thanks for everyone for their input, seems like everyone agrees that memorizing JUST fa si bogus.
Hmm...still not convinced. Not that it matters.

For someone who hates pre-meds/pre-med mentality, that's a fairly pre-med-esque response. Remember some of those former "pre-meds" (which I never actually was by the way; I am just a math nerd) are your residents and attendings, all of whom can make your life miserable on the wards.
 
Ramoray said:
ONLY on a forum like sdn would TWO people point out that " it is not statistically possible for everyoen to get a 240" instead of realizing someone wasnt being serious and was illustrating a point.. man i still have to slap myself when i forget that medstudents are only premeds a few years later and premeds are .. well.. premeds.. learn ramoray learn.. thanks for everyone for their input, seems like everyone agrees that memorizing JUST fa si bogus.
I'm curious why you even started this thread to begin with; haven't you prided yourself on studying the "big books?"
 
bigfrank said:
I'm curious why you even started this thread to begin with; haven't you prided yourself on studying the "big books?"

I agree. You were SLAMMING First Aid back in January.
 
I am an intern now, but I scored in the 240 range on step 1. I laughed at those fools who told me to only read FA. I studied for 1 month, and read a BRS for every section except anatomy, embryo, and neuro. I read FA 3 times and wrote high yield factoids in the margin that were not included in FA that I read in the BRS. I did all the kaplan Q bank questions and reviewed the incorrect answers. I was a beast studying about 12-14 hours a day for the entire month. And, I did well on step 1 however, when step 2 and step 3 came around I had already matched and didn't care as much about my score. So , I only read FA and did Q bank for each step. The result? My score only changed a point or two between the steps. The conclusion: your score on the USMLE's is fairly fixed before you even begin studying. You can surely improve your score by studying high yield materials like FA, BRS and Q bank, but the reality is, it is based on your IQ, test taking skills, and fund of knowledge gained in med school. My advice: It's easy in retrospect to say just do FA and Q bank and you will be fine. I was too OCD about my score to do that. I know FA is a good resource, but only if you did well your first two years and have a good background. Do what you want, I know I can recommend just FA and Q bank for steps 2 and 3, but you probably need more for step 1.
 
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