I saw that there was a similar thread for 2011 that had plenty of useful info so I figured its best to start one for 2012. 👍
I don't really know where you gather your information from. You and iCY should grab a mocha-java or something. I'm sure you guys would make great penpals. EaglesAllday got it right. Our MS1/2 curriculum carries a written-exam-based 2CK material-focus, rather than one catered to much of the MCQ basic science stuff. However, once again, I hadn't seen FA until just this February nor had I thought about ever sitting the USMLE until I was almost through my second semester of MS2. So if I can do the math correctly, given that you were geared toward this exam since the beginning of MS1, you actually will have prepared longer overall by the time we both sit the Step. I've read posts about people having read FA during MS1/2 or having gone through Kaplan QBank / UWorld during MS2, etc. So if you think I'm at an advantage in any way then you are simply imagining based on your own internal struggles, which is normal since projection is an SDN-common defense mechanism.
Then why are you whining like a b.itch. Man up, loser. And Lol at you coming on here making excuses and pleading yourself to validation, then saying you're not making excuses. ******.
Not true, we've been given only 4 weeks to study after 1.5 years of med school basic sciences (most people don't study FA since day 1--another projection you are using and assuming everyone else does, when in reality most people do their core studying in that 4 wk period and are not gunners in the top 5%). But I agree, everyone needs to do their own thing, but just don't do like EagalsAllday over here and start pouting and coming to the defense of FMGs. Good luck to everyone on their step (even if you are taking it in the year 2021)!
I wish everyone the best of luck. This is definitely the most important exam we will take in our lifetime. It will come, and it will pass, and we will all be better because of it.
I know this also: having studied like a hardcore monk for the past 2 months straight, I now feel prepared for clinicals and any "pimping" that will come my way. Studying for this test should give us all confidence that we are able and capable of being great doctors.
Again, good luck to those who have yet to tackle this beast, and congratulations to those who already have...
Hey everyone,
I know this also: having studied like a hardcore monk for the past 2 months straight, I now feel prepared for clinicals and any "pimping" that will come my way. Studying for this test should give us all confidence that we are able and capable of being great doctors.
.
This is probably true. I'm on my peds rotation and all you hear about is how peds is the hardest shelf. But then when talking to 4th years who actually are realistic, they say you should actually do very well if you just took Step 1. A lot of what you learn during your actual rotation doesn't really prepare you for the shelf it seems haha. If you only went off what you actually saw at the hospital, you'd probably only see 1/4th of the material haha.
There's also a few 4th year students who for one reason or another still had to do their peds rotation, so they're with us too. Their clinical skills are better, but the 3rd years are actually better at answering the pimping questions and do better with the shelf practice questions. When it comes to random facts and shelves, you probably have advantage having just taken Step 1.
Not true, we've been given only 4 weeks to study after 1.5 years of med school basic sciences (most people don't study FA since day 1--another projection you are using and assuming everyone else does, when in reality most people do their core studying in that 4 wk period and are not gunners in the top 5%). But I agree, everyone needs to do their own thing, but just don't do like EagalsAllday over here and start pouting and coming to the defense of FMGs. Good luck to everyone on their step (even if you are taking it in the year 2021)!
I'm tempted to get worked up about it too but I think what it will probably come down to is that they're going to have to account for their time when it comes time to interview and they're going to have to come up with a less embarrassing answer to the question of what it was they did for that year off other than post on SDN and study for Step 1. I'd much rather have less time to study than be put in that situation.
THe only sections of my FA that I really used/annotated were anatomy, embryo, and neuro. Everything else I just relied on uworld to teach me. I honestly think there is alot of info in FA that is not testable and is a gigantic waste of your time to read, so I don't recommend doing cold reads of FA or even doing the conventional "read it cover to cover 3x before you test". I think doing questions was MUCH more important, because 80% of the questions on my test I actually encountered before in qbanks, so I remembered most of them. For the small 20% of questions that I did not encounter, I really don't think there was any way to prepare for them other than to make educated guesses based on what you do remember.
I have to disagree w/ the poster above about their pharm assessment. I had MOA, clinical use, and toxicities. I had a micro, pharm, and immuno exam for the most part. Know every aspect of the drugs as they are presented in FA.
iCY, thanks for the write-up. I'm glad you emphasized the above point. That's very helpful/reinforcing, because I agree that questions, questions, questions are key.
You do, however, already know my stance that I believe knowing FA cover-to-cover is also important.
read my post more carefully. I said know the stuff that shows up in uworld because thats whats important. Knowing every single adverse effect of every single drug will not get you bonus points. Blindly reading FA pharm to memorize everything is NOT a good idea. There are barely any pharm questions on step 1 to begin with, and most of them deal with MOA and big time topics that ALSO show up on uworld. Anything "clinical use or Adverse effect" outside of uworld is a waste of time. Even if you get 1 question on it (out of 300ish?), its not worth memorizing FA word for word.
Anyone who thinks memorizing all of FA = good idea, hasn't taken step 1 yet, nuff said. I know your natural tendency is to memorize everything because you are scared ****less that any of it will show up on your exam, but step 1 = high yield topics, not "name all the 5 clinical uses for the chemo drug 5-FU". If you actually sat down and memorized everything these drugs are used for, I feel sorry for you because you have just wasted your time. You will probably get 5-10 questions on pharm, 7-8 of them will be "what is the MOA", and the remaining 2-3 will be "patient is on 10 drugs, and has this MAJOR side effect (mine was pulmonary fibrosis), what drug is it?"
Its quite sad that alot of the information being passed around in this form is from people who have NOT taken step 1 yet and do NOT KNOW what level of detail is required for the exam. Read ALL of the posts above from people who've taken step 1, and really pay attention to what kind of Qs they got, and how they recommend you study.
I had some weird pharm questions that were outside of FA or UWORLD.. but yea it was 2 out of 300 something questions .
1-2 obscure Qs in each topic = ~20 or 30 "maker or breakers" on the real exam. If someone's not hitting all of the nitty gritty detail, then those questions are as good as lost. Even though I haven't yet taken the exam, I would agree that learning all of the high-yield is obviously foundational/essential, but people should shoot a bit beyond that, and knowing FA cover-to-cover is a basic starting point.
I don't know what audience you're speaking to, but the vast majority of American MS2s don't know First Aid cover to cover. Those who approach that level of knowledge are getting the 260s-270s. Having extensive knowledge on low yield information that has no history of ever being tested upon is not required to do extremely well on this exam.
I suppose the selection bias of SDN contributes to that kind of mind set. He should keep in mind to get a 265 that he has to score 2 standard deviations above the guys who don't really have a solid grasp on First Aid, probably had passes for all of their basic science classes, and finish their first pass of UWorld two weeks before their exam. I'm not saying it's a cake walk to get a 265, but it's not nearly as hard as he's making it out to be.He is a bit naive about how insanely high his own level of expectations is. Not everyone is striving for or capable of achieving a 270+. But hey, I'm not hating (more like jealous lol). More power to him; I bet he'll set a record score
I suppose the selection bias of SDN contributes to that kind of mind set. He should keep in mind to get a 260 that he has to score 2 standard deviations above the guys who don't really have a solid grasp on First Aid, probably had passes for all of their basic science classes, and barely finish UWorld a week before their exam. I'm not saying it's a cake walk to get a 260, but it's not nearly as hard as he's making it out to be.
lol I had close to 1000 questions left in uworld the week before my exam. I was cramming in several hundred a day, didn't even bother doing a full cover-cover read of FA during the last week, and I felt well prepared for the test.
I think alot of people mistake "reading FA cover to cover" to actually "knowing FA cover to Cover". Just because you read a book 3x doesn't mean you know every word in it!
Also to the guy above who said that my exam is my experience only and that other people can get different tests. Its only on SDN where i've heard about the ridiculous questions showing up on exams, and about people having 15 biochemistry questions. Everyone in my school i've talked to has had a similar experience to mine, the exam was well balanced with mostly pathology and very little of the bull**** subjects.
1-2 obscure Qs in each topic = ~20 or 30 "maker or breakers" on the real exam. If someone's not hitting all of the nitty gritty detail, then those questions are as good as lost. Even though I haven't yet taken the exam, I would agree that learning all of the high-yield is obviously foundational/essential, but people should shoot a bit beyond that, and knowing FA cover-to-cover is a basic starting point.
Yeah b/c I had at least 40 pharm questions. No lie! So it may be a bit misguided to say NOT to learn the drugs in FA. But for the most part I see where ICY is coming from.
You know that saying "the plural of anecdote isn't fact"?
1-2 obscure Qs in each topic = ~20 or 30 "maker or breakers" on the real exam. If someone's not hitting all of the nitty gritty detail, then those questions are as good as lost. Even though I haven't yet taken the exam, I would agree that learning all of the high-yield is obviously foundational/essential, but people should shoot a bit beyond that, and knowing FA cover-to-cover is a basic starting point.
Finished my test a few days ago
dedicated study period : 5-6 weeks
NBME 6 (9 weeks, took this while still in school) = 185
Uworld 1 (3 weeks)= 240
Uworld 2 (2 weeks) = 250
NBME7 (1 week) = 248
Resources
Pathology - Pathoma - Excellent! new gold standard! Did NOT read or listen to goljan (except for the 2 nutrition lectures, b/c that is not covered elsewhere)
biochem - kaplan lectures + GT. Biochem was the biggest piece of $%^& waste of my time. I wish I never studied biochem, and instead took my test a week earlier. B/c I got 3 questions on ALL of biochem that took me a full week to memorize. And 2 of those were tay sachs and pompe (2 of the most obvious dzs you will encounter). Only ONE was a biochem pathway. So if you are strapped for time, do NOT memorize pathways. Learn what North vs south vs west blot is, read the storage diseases, and skip biochem! Even if you get one question on it, its not worth a week of cramming!
anatomy/embryo - used kaplan videos to explain things, then just banged out FA/uworld till I memorized everything that was in the qbank.
Neuro - kaplan videos are excellent as well. Then follow up w/ FA and uworld
everyting else - FA/Uworld
The test was mostly pathology, neuro, and immunology. Do lots of qbank questions for those subjects and you will be fine.
Micro was really simple and uworld is enough. (micro is surprisingly simple. like what bug causes watery diarrhea in HIV pts)
Pharm also was also really simple - big time drug MOAs and toxicities (don't waste your time memorizing the side effects/clinical uses of MOST drugs out of FA, alot of it won't show up on your test. Instead use Uworld to see which drug toxicities and clinical uses are high yield. Amiodarone and cisplatin showed up on several uworld questions, and also ended up on my exam)
anatomy/embryo - Uworld topics showed up, although my test had ALOT of anatomy that wasn't in either uworld or FA (questions about ligaments, blood vessels suppling parts of the GI tract, etc...) but most you could still guess on pretty well. Can't really study more than uworld/FA for these 2. Well you could but its a waste of time
Neuro - LOTS of neuro, know it well. uworld/read FA lots of times. only image in neuro was a cross section through the medulla.
Immuno - I did uworld immuno Qs 2-3 times and I felt pretty well prepared. I didn't read FA outside of what was tested in the Qbank.
physio - i didn't really study this outside of uworld (didn't even really read the sections in FA). I feel like i got a pretty good understanding of physio from pathoma + uworld. I also didn't bother memorizing all the damned formulas. The only phyiso formula I got was CO = HR x SV
thats all I can remember at the moment. Again I want to mention that I did NOT read FA cover to cover. INfact there were topics in FA that I never even read. I used pathoma for pathology so all the pathology pages in my FA were not used. I also did NOT read most of physiology in FA, because I encountered it in Uworld. The only physio I looked at in FA were the images.
THe only sections of my FA that I really used/annotated were anatomy, embryo, and neuro. Everything else I just relied on uworld to teach me. I honestly think there is alot of info in FA that is not testable and is a gigantic waste of your time to read, so I don't recommend doing cold reads of FA or even doing the conventional "read it cover to cover 3x before you test". I think doing questions was MUCH more important, because 80% of the questions on my test I actually encountered before in qbanks, so I remembered most of them. For the small 20% of questions that I did not encounter, I really don't think there was any way to prepare for them other than to make educated guesses based on what you do remember.
In my final week before my test, I just brushed up and did questions on my weaker subjects (re-did all of the anatomy, embryo, and immunology questions a few days before). I skimmed through the rapid review (first time reading it) the day before my test, but it didn't really help me on the test.
Again, I want to emphasize, most of step 1 is high yield topics from pathology, so that should be the priority. Pathoma did a pretty good job of replacing FA path, except there were a few topics in repro that were not in pathoma, so look those up in FA.
lol? phloston you forgot one final step in your calculation. Lets assume your calculation is correct and there are 20 or 30 total "maker or breakers" in the exam. Do you really think you're going to get all 30?![]()
If this test can make 300 or so questions WITHOUT successfully repeating the same exact question word for word, then can you figure out how many questions are available in their test bank? Lets say they have close to 2k available questions like other qbanks do, then 20 maker/breakers = only .01 of your exam![]()
Ah look she resorts to name calling, must be that time of the month.
Next.
Sorry, de-lurking briefly because this? Is unacceptably misogynistic.
I realize you were responding to a post that was also completely inappropriate, but that's no excuse to make such comments yourself.
Okay, back to lurking. Enjoy your (typically misogyny-free) Step 1 discussion. Best of luck to everyone who will be finding out their scores on the 11th.
WELL YOU NEVER KNOW THE SCORE MIGHT BE ON THE WEBSITE BEFORE WE GET AN EMAIL!!!!!!11![]()
Its quite sad that alot of the information being passed around in this form is from people who have NOT taken step 1 yet and do NOT KNOW what level of detail is required for the exam. Read ALL of the posts above from people who've taken step 1, and really pay attention to what kind of Qs they got, and how they recommend you study.
Why are y'all so concerned with how other people are studying? No need to rag on other people for making different decisions.
👍 Consistently, almost every poster who has taken Step 1 and everyone I have talked to agrees that the exam is not super detailed but instead highly conceptual. Still had difficult questions but not difficult in a "wish I had memorized XYZ" kind of way.
Not true in the slightest. Took the exam today. MANY detailed questions where you just had to know it or you won't get it. There were quite a few where I felt proud I was able to reason out the answer, but upon looking them up during my break, I gotten them flat out wrong.
If you want to perform really well, you need both the intelligence - and the knowledge. The best way to do this is to not skimp out on the details during M1 and M2. Retain your notes and study them well. First Aid and Uworld is not enough to prepare for many straight fact questions in a few weeks.
Granted, my test may have been an outlier compared to everybody else's here, but I could count up to 10 questions on average per block where it was not in FA or UWorld and were not reasoning based questions.