Official 2015 Step 1 Experiences and Scores Thread

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M2 here. Starting today, I am just going to be reviewing for Step 1 which I am taking next May, and nothing else. Here is my plan:

Oct 23-Dec 31: Memorize FA2014, Watch all of Pathoma
Jan 1-Jan 31: FA2015, Pathoma (pass 2), Kaplan QBank
Feb 1-Feb 28: FA2015 (pass 2), Pathoma (pass 3), USMLERX
March 1- March 31: FA2015 (pass 3), Pathoma (pass 4): UWorld
April 1- Mid May: FA2015 (pass 4), Pathoma (selective topics), UWorld (pass 2), all practice tests

Goal: High number
 
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Hey guys,

Long time lurker. Think its about time to start posting. US med student. Write step 1 in early to mid March.

Step 1: early to mid March
Already did part 2 videos of DIT (downloaded with no workbook)

USMLE Rx: 1500/2300 done. I have a 75 average on untimed, systems based approach. Hoping to be done Rx first week of January. I have been using Rx as a tool to learn rather than see where I stand. It claims I will get a 256 with that %......yeah I don't think so. Im going to take my first NBME first week of January to see where I stand.

NBME: 1st one, deciding between NBME 7,13, or 15 all of which I have offline. I think you just multiply your # correct with 1.4 to ballpark predicted score? Anyone have recommendations for which one to take first? I plan all those three plus purchase one or two newer ones as I get into Feb. I will probably take an NBME ever 2 weeks

UWorld: Starting 1st week January. Will probably do random, tutor mode. I want to get through it twice by March.
Pathoma: Almost done once. Plan to do it 1-2 more times

Thats my plan! Aiming for a pretty high score, not because i'm gunning for some super competitive field....but i'm currently on a leave of absence from my school (with a good reason) and I figure it will look bad if I do poorly having a bunch of time off from school.

Any advice or feedback would be greatly appreciated, thanks
 
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faisal 2000 said:
what should we know about ecg ?
Click to expand...
pathologyDO said:
everything.
Click to expand...

Post #7 on this thread.

http://forums.studentdoctor.net/threads/do-we-have-to-know-how-to-interpret-ecgs.961570/

I just want to make a point that for 2CK, you do have to know a bit more about ECGs (e.g., identify Mobitz I/II, SVT/VT) and the Txs. For instance, for WPW --> generally procainamide. Adenosine for SVT. Amiodarone for VT. For Step 1, practice questions can sometimes make you freak out, but if they show you an ECG, it will be absurdly simple.
 
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Hi all, hope you guys are spending this short winter break productively. I got now only 5 months left until my step 1. I have been doing Rx and UW questions via Skype with others and it has been going pretty well. We basically read each question stem before we look at answer choices and then we discuss briefly and try to develop that gut feeling of nailing down the question. I would like to find more people who would be interested in this effort.

I think most of us who are MS2 covered pretty much major portion of our topics by now and I feel like doing questions is really the most efficient way to studying for step 1. So pls PM me if you interested in this. Skype allows you to share screen and allows multiple people to join.

Thanks.
 
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MudPhud20XX said:
Hi all, hope you guys are spending this short winter break productively. I got now only 5 months left until my step 1. I have been doing Rx and UW questions via Skype with others and it has been going pretty well. We basically read each question stem before we look at answer choices and then we discuss briefly and try to develop that gut feeling of nailing down the question. I would like to find more people who would be interested in this effort.

I think most of us who are MS2 covered pretty much major portion of our topics by now and I feel like doing questions is really the most efficient way to studying for step 1. So pls PM me if you interested in this. Skype allows you to share screen and allows multiple people to join.

Thanks.
Click to expand...

Out of curiosity, how are you finding medium and hard Rx compared to UW?
 
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To simply put, Rx is more toward did you memorize the fact whereas UW they want you to think. But really it all boils down to how familiar are you with the topics/concepts. Though some Rx has some good questions. I use Rx as a complementary tool to study FA.

As I do questions, I am more convinced that doing questions is really the way to go.

If anyone is interested in it, pls let me know.
 
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Phloston said:
Post #7 on this thread.

For instance, for WPW --> generally procainamide.
Click to expand...
why do you choose procainamide specifically
i think in this case we have to decrease activity of av node , so there are 3 strategies to do that ca channel blocker,digitalis and Na channel blocker
and as i know Verapamil acts on A-V node more selectively therefore i can say that Verapamil is the best in WPW
 
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Oh man. I write the Step 1 in late April of 2015. I am almost halfway through FA for the first pass. Started Kaplan and USMLErx and do about one block a day (alternating between the two) and watched most of Pathoma at least once. The curriculum at my school keeps me insanely busy so kudos to those of you (like @MudPhud20XX ) who have done a lot more individual/outside-curriculum prep. Anyway, like it or not, I am on this ride with you guys. Let's see how this goes.
 
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faisal 2000 said:
why do you choose procainamide specifically
i think in this case we have to decrease activity of av node , so there are 3 strategies to do that ca channel blocker,digitalis and Na channel blocker
and as i know Verapamil acts on A-V node more selectively therefore i can say that Verapamil is the best in WPW
Click to expand...

I wasn't listing procainamide as the be all end all Tx for WPW. I was meaning to imply that's commonly an answer to WPW questions.

From UpToDate:

"For patients with acute symptomatic orthodromic AVRT who are hemodynamically stable, our approach is as follows (table 1) (see 'Acute termination of orthodromic AVRT' above):
•We recommend initial treatment with one or more vagal maneuvers rather than pharmacologic therapy (Grade 1B).
•If vagal maneuvers are ineffective, pharmacologic therapy with an AV nodal blocking agent (ie, adenosine, verapamil, beta blockers) should be instituted. We suggest intravenous adenosine rather than intravenous verapamil as the initial choice based on its efficacy and short half life (Grade 2B).
•If adenosine is ineffective, we proceed with intravenous verapamil as the second line agent. If orthodromic AVRT persists, intravenous procainamide, beta blockers approved for intravenous administration (propranolol, metoprolol, and esmolol), and digoxin are additional therapeutic options.
●For patients with acute symptomatic antidromic AVRT who are hemodynamically stable, we treat with intravenous procainamide in an effort to terminate the tachycardia or, if the tachycardia persists, slow the ventricular response. (See 'Acute termination of antidromic AVRT' above.)"
 
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Out of curiosity, has anyone taking the COMLEX received an email from their school giving permission to sign-up yet?
 
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I started going through Pathoma and First Aid over our winter break. Pathoma is great.

However, First Aid seems to me just boring bullet points for general concepts we learned in class, which I think wouldn't cut it. I'd rather read a story for each subject that incorporates these bullet points and then later go through First Aid.

Are these just review books? Any suggestions?
 
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saveourpens said:
I started going through Pathoma and First Aid over our winter break. Pathoma is great.

However, First Aid seems to me just boring bullet points for general concepts we learned in class, which I think wouldn't cut it. I'd rather read a story for each subject that incorporates these bullet points and then later go through First Aid.

Are these just review books? Any suggestions?
Click to expand...

Yes they are just comprehensive review books. Obviously there are many textbooks on each subject in First Aid, but coupled with question banks it gives you a good idea of what you absolutely need to know. I'd be careful about buying too many extra resources in an attempt to fill in everything that these resources don't cover, as this is not an efficient use of your time for the purposes of board prep.
 
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Mr. Mojo Risin said:
Yes they are just comprehensive review books. Obviously there are many textbooks on each subject in First Aid, but coupled with question banks it gives you a good idea of what you absolutely need to know. I'd be careful about buying too many extra resources in an attempt to fill in everything that these resources don't cover, as this is not an efficient use of your time for the purposes of board prep.
Click to expand...

Agreed. While reading FA: Know the concept? Move on. Unsure about the concept? Review it (read a section in a review book, a wiki article, etc). Don't know the concept? Find a comprehensive resource and read about it. That's what I do.
 
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NoLollipops4U said:
Has anyone done an NBME yet? Which one are you guys going to do first?
Click to expand...
My school purchased 15 for us to do over the break. I hate to waste it so early. Oh well...

Also, is the genetics in FA enough or should I tried to look it up somewhere else? My school didn't do a great job teaching it. I know it's not a high yield topic, but there is no reason to miss potentially easy questions. Thanks.
 
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aspiringdoc09 said:
My school purchased 15 for us to do over the break. I hate to waste it so early. Oh well...

Also, is the genetics in FA enough or should I tried to look it up somewhere else? My school didn't do a great job teaching it. I know it's not a high yield topic, but there is no reason to miss potentially easy questions. Thanks.
Click to expand...

Genetics is also one of my weaker areas. My school didn't do a great job either, and I've never done basic science research so I haven't had any reinforcing exposure. I'm all ears for tips too!
 
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Mr. Mojo Risin said:
Genetics is also one of my weaker areas. My school didn't do a great job either, and I've never done basic science research so I haven't had any reinforcing exposure. I'm all ears for tips too!
Click to expand...

+2 for not having a school teach it well. But honestly, I'm probably just gonna use FA and qbanks to cover genetics and wikipedia/medscape if I need more clarification.
 
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Mr. Mojo Risin said:
When did you order it? Reading from a screen would drive me crazy so I just opted for the hard copy. Plus, I plan to debind and hole-punch mine once I get it.
Click to expand...

I never ordered it....hahaha. But yea, reading from a screen does take its toll, but I've been reading the 2014 FA and everything else from here this whole time. I did all my mcat studying from my computer too, so maybe I've just gotten used to it since then =\
 
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dextor2003 said:
I never ordered it....hahaha. But yea, reading from a screen does take its toll, but I've been reading the 2014 FA and everything else from here this whole time. I did all my mcat studying from my computer too, so maybe I've just gotten used to it since then =\
Click to expand...

Too many floaters for me to put up with that lol
 
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@dextor2003 I think RR Biochem has a little more detail on genetics/lab tech if you can manage to take a look at it. Not sure how useful it is, and I'm not big on reading too much extra stuff, but it's short enough to at least mention it.
 
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Mr. Mojo Risin said:
When did you order it? Reading from a screen would drive me crazy so I just opted for the hard copy. Plus, I plan to debind and hole-punch mine once I get it.
Click to expand...
Call me weird, but even though tons of people debind and hole-punch or spiral bind their books, I, for some reason, have always thought of it as sacrilege... I had to prepare myself to write in FA last year when I got the 2014 edition (which is the one I am sticking with). In fact, it is the only book I actually write in. I just think things like that is like defacing a book even though it is for a good purpose. Please tell me I am not a freak... or maybe I read too many library books growing up where you're not supposed to write in them (I guess nobody actually checks out real hardcopy books from libraries anymore...).
 
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Mr. Mojo Risin said:
Le sigh... I guess I'll have to do that too. Oh well :xf:
Click to expand...

I'm on board with that too. I was just doing the Kaplan Qbank and it was kicking my butt, so I asked. I still have the HY topics to cover for the genetics, so maybe they will offer tips that will help. I use to know genetics back in 2006, then they completely confused me with the usual awful teaching during M1 first semester. LOL
 
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FalconSlice said:
Call me weird, but even though tons of people debind and hole-punch or spiral bind their books, I, for some reason, have always thought of it as sacrilege... I had to prepare myself to write in FA last year when I got the 2014 edition (which is the one I am sticking with). In fact, it is the only book I actually write in. I just think things like that is like defacing a book even though it is for a good purpose. Please tell me I am not a freak... or maybe I read too many library books growing up where you're not supposed to write in them (I guess nobody actually checks out real hardcopy books from libraries anymore...).
Click to expand...

I haven't written in any of my medical textbooks because I typically resell them after I'm done with the class. Hesitant to write in your copy of FA, though? Haha, that's on you, friend. I will never spiral bind anything ever again after my last experience at Kinko's. Perhaps I got someone who didn't quite know what they were doing, but they really messed it up big time. I have perfectionist tendencies, and loose pages in a spiral bound pisses me off to no end. If I rip the hole punch, I can fix it with the hole-punched sticker things.
 
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Mr. Mojo Risin said:
If I rip the hole punch, I can fix it with the hole-punched sticker things.
Click to expand...

You just gave my horror flashbacks to grade school: paper-hole punch reinforcers---ripping pages from binders---OH the terrible and cruel world we live in!!! Then, again, I have PTSD from my grade school days from experiences like these. (and let's not forget not writing in straight lines on a blank page...)
 
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My expression when the guy handed me back the POS job he did:
Super_FUUU_Face.jpg
 
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Mr. Mojo Risin said:
I haven't written in any of my medical textbooks because I typically resell them after I'm done with the class. Hesitant to write in your copy of FA, though? Haha, that's on you, friend. I will never spiral bind anything ever again after my last experience at Kinko's. Perhaps I got someone who didn't quite know what they were doing, but they really messed it up big time. I have perfectionist tendencies, and loose pages in a spiral bound pisses me off to no end. If I rip the hole punch, I can fix it with the hole-punched sticker things.
Click to expand...
Btw, I'll get the baseball bat---where does this Kinko's employee live?
 
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FalconSlice said:
You just gave my horror flashbacks to grade school: paper-hole punch reinforcers---ripping pages from binders---OH the terrible and cruel world we live in!!! Then, again, I have PTSD from my grade school days from experiences like these. (and let's not forget not writing in straight lines on a blank page...)
Click to expand...

Here is my intervention for you, because it sounds like you need it:

punching-through-paper.jpeg


s0212310_sc7

s0202109_sc7


You're welcome. I accept PayPal.
 
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aspiringdoc09 said:
My school purchased 15 for us to do over the break. I hate to waste it so early. Oh well...

Also, is the
Mr. Mojo Risin said:
Genetics is also one of my weaker areas. My school didn't do a great job either, and I've never done basic science research so I haven't had any reinforcing exposure. I'm all ears for tips too!
Click to expand...

genetics in FA enough or should I tried to look it up somewhere else? My school didn't do a great job teaching it. I know it's not a high yield topic, but there is no reason to miss potentially easy questions. Thanks.
Click to expand...

What specifically about genetics are you guys curious/concerned about? Genetic principles (HW, pedigrees, etc)? Molecular genetics (lab testing types of stuff)? Or the genetic diseases themselves? Genetics at my school was also taught very poorly (except for molecular genetics which was covered by a biochem guy). Basically we learned all of the major genetic diseases in 1 week during MS1 biochem. We've touched upon a few of them when relevant in MS2 organ systems, but not much.

I took a single genetics class in undergrad and it was more than enough to prepare me for the genetics principles portion of genetics. For everything else, FA is pretty comprehensive with a few exceptions. For example, some of the lower yield (at least what I assume to be lower yield) diseases are missing what I feel to be HY facts. Williams syndrome, for example, is classically associated with supraventricular tachycardia. A fact that is not mentioned in FA14.

Mr. Mojo Risin said:
When did you order it? Reading from a screen would drive me crazy so I just opted for the hard copy. Plus, I plan to debind and hole-punch mine once I get it.
Click to expand...

FA PDF is awesome for searching 🙂 Like you though. definitely need a hard-copy to annotate/read.

Mr. Mojo Risin said:
I haven't written in any of my medical textbooks because I typically resell them after I'm done with the class. Hesitant to write in your copy of FA, though? Haha, that's on you, friend. I will never spiral bind anything ever again after my last experience at Kinko's. Perhaps I got someone who didn't quite know what they were doing, but they really messed it up big time. I have perfectionist tendencies, and loose pages in a spiral bound pisses me off to no end. If I rip the hole punch, I can fix it with the hole-punched sticker things.
Click to expand...

I hole punched my FA. So far I've only had to use one of those hole-punch stickers.. but I learned a trick way back in middle school. Get a piece of clear scotch tape and wrap it around the tear and over the old hole. Then get a single hole punch (or three hole punch if you're brave) and just put a hole through the tape. It's great because you don't have to worry about getting the hole-punch sticker perfectly lined up with the hole. Just cover everything up and make a new hole!
 
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Mr. Mojo Risin said:
@seminoma I'd be worried about not having enough margin space, but that is a clever idea! Almost defeats the purpose of debinding it in the first place, no?
Click to expand...

I think you actually gain margin space by unbinding and 3-hole punching it. In it's original bound form there's that bit of margin that you can't really do anything with (the parts adjacent to where the pages are bound together). Plus when it's in original binding (or spiral binding) you have to deal with the center margin itself (i.e. it's not as easy to annotate compared to a single sheet of paper on a flat surface).. and for me it gets pretty annoying and it makes my handwriting harder to read. With it 3-hole punched I just take the page out of the binder so I can write on a completely flat surface.

Really quickly here's my pros/cons list for 3-hold punching FA.

Pros:
*Easier to annotate (for the reasons above)
*Easier to add in tables/charts from other sources. For example, there's a cytokine table in Kaplan that I prefer to the cytokine page in FA. Instead of having to write it in or tape it or staple it or however else people add a big chunk of info, I just printed out the Kaplan table, 3 hole punched it, and put it my FA binder after the FA cytokine page.
*Don't have to carry the whole book around. This was more relevant during MS1, but even now I sometimes just bring a single organ system with me (take it out and put it in a smaller binder for the day).

Cons:
*Takes longer to flip to a certain page
*Potential issues with the holes tearing - though I've only torn 1 hole in the past 12 months
*Carrying around a binder (with all the FA pages in it) is more troublesome than the original book.
 
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seminoma said:
I think you actually gain margin space by unbinding and 3-hole punching it. In it's original bound form there's that bit of margin that you can't really do anything with (the parts adjacent to where the pages are bound together). Plus when it's in original binding (or spiral binding) you have to deal with the center margin itself (i.e. it's not as easy to annotate compared to a single sheet of paper on a flat surface).. and for me it gets pretty annoying and it makes my handwriting harder to read. With it 3-hole punched I just take the page out of the binder so I can write on a completely flat surface.

Really quickly here's my pros/cons list for 3-hold punching FA.

Pros:
*Easier to annotate (for the reasons above)
*Easier to add in tables/charts from other sources. For example, there's a cytokine table in Kaplan that I prefer to the cytokine page in FA. Instead of having to write it in or tape it or staple it or however else people add a big chunk of info, I just printed out the Kaplan table, 3 hole punched it, and put it my FA binder after the FA cytokine page.
*Don't have to carry the whole book around. This was more relevant during MS1, but even now I sometimes just bring a single organ system with me (take it out and put it in a smaller binder for the day).

Cons:
*Takes longer to flip to a certain page
*Potential issues with the holes tearing - though I've only torn 1 hole in the past 12 months
*Carrying around a binder (with all the FA pages in it) is more troublesome than the original book.
Click to expand...

Oh I'm with you on the debinding and hole-punch approach: I did it to my 2014 and will be doing it to my 2015. What I was saying is how the clear scotch tape trick is pretty clever, but eats away at the additional margin space that we went through the trouble of creating by debinding. Perhaps you just meant clear scotch tape over the hole itself and not along the entire page, in which case that is actually pretty genius and I will consider doing that. Last time I went to Staples/Office Depot those hole punch stickers aren't cheap. After all, you need 6 per page for about 600-650 pages. That's a lot of stickers, not to mention quite a pain in the ass.
 
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Mr. Mojo Risin said:
Oh I'm with you on the debinding and hole-punch approach: I did it to my 2014 and will be doing it to my 2015. What I was saying is how the clear scotch tape trick is pretty clever, but eats away at the additional margin space that we went through the trouble of creating by debinding. Perhaps you just meant clear scotch tape over the hole itself and not along the entire page, in which case that is actually pretty genius and I will consider doing that. Last time I went to Staples/Office Depot those hole punch stickers aren't cheap. After all, you need 6 per page for about 600-650 pages. That's a lot of stickers, not to mention quite a pain in the ass.
Click to expand...

Oh, yeah just the hole itself! If you don't overshoot the hole by a lot, then the only margin you lose is the tiny bit between the hole and the edge of the page (which is now torn anyway). Also depending on the width of the tape you use you could be losing margin immediately above/below the hole. Depending on how OCD you are, the scotch tape can be a pain though (fingerprints, excess if you don't fold it perfectly, etc). I still prefer it to the 3-hole punch things especially because it's clear (I couldn't find any clear 3-hole punch things) and if you happen to have annotated a bunch of stuff right near the hole you can still read it with tape over it.
 
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seminoma said:
What specifically about genetics are you guys curious/concerned about? Genetic principles (HW, pedigrees, etc)? Molecular genetics (lab testing types of stuff)? Or the genetic diseases themselves? Genetics at my school was also taught very poorly (except for molecular genetics which was covered by a biochem guy). Basically we learned all of the major genetic diseases in 1 week during MS1 biochem. We've touched upon a few of them when relevant in MS2 organ systems, but not much.

I took a single genetics class in undergrad and it was more than enough to prepare me for the genetics principles portion of genetics. For everything else, FA is pretty comprehensive with a few exceptions. For example, some of the lower yield (at least what I assume to be lower yield) diseases are missing what I feel to be HY facts. Williams syndrome, for example, is classically associated with supraventricular tachycardia. A fact that is not mentioned in FA14.



FA PDF is awesome for searching 🙂 Like you though. definitely need a hard-copy to annotate/read.



I hole punched my FA. So far I've only had to use one of those hole-punch stickers.. but I learned a trick way back in middle school. Get a piece of clear scotch tape and wrap it around the tear and over the old hole. Then get a single hole punch (or three hole punch if you're brave) and just put a hole through the tape. It's great because you don't have to worry about getting the hole-punch sticker perfectly lined up with the hole. Just cover everything up and make a new hole!
Click to expand...

HW and the pedigrees mostly. I have a hard time determining which ones are AD, AR, XR, etc and then the percentages for carriers. Is there a trick for this? Don't get me started on frequency carrier. Thanks.

As a note, maybe I will debind my FA15. I think my school may do it.
 
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aspiringdoc09 said:
HW and the pedigrees mostly. I have a hard time determining which ones are AD, AR, XR, etc and then the percentages for carriers. Is there a trick for this? Don't get me started on frequency carrier. Thanks.

As a note, maybe I will debind my FA15. I think my school may do it.
Click to expand...

There are really only 2-3 tricks I use to determine the inheritance pattern and I've not gotten any pedigree questions wrong.
Every generation = AD
No male-to-male transmission = XR
Only from mom = mitochondrial
XD is tricky (and uncommon), but typically if it's every generation and females>males then I go with XD. AD should have males=females.

AR when none of those 4.

Percentages for carriers? I just make a punnett square to be sure.
 
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Looking for more insight on how NBMEs and UW practice exams are accessed. Do most people purchase these online? I've also heard of the offline versions, but am not sure how they compare.

Any insight on how people divide these practice exams throughout their prep?
 
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Dr Dazzle said:
Looking for more insight on how NBMEs and UW practice exams are accessed. Do most people purchase these online? I've also heard of the offline versions, but am not sure how they compare.

Any insight on how people divide these practice exams throughout their prep?
Click to expand...

I believe you can only purchase a select number of NBMEs online. For some of the older ones you have to obtain them. They're all retired USMLE questions.

As for how to divide them up for practice throughout prep, it entirely depends on how much time you have. If you have like 6 weeks, then you'll probably want to do one per week. If you're starting now and have a few months, then doing one every other week or so might not be a bad idea. I'm also trying to figure this out myself, especially which ones people recommend doing first or before others, order of which ones to do, etc.
 
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seminoma said:
There are really only 2-3 tricks I use to determine the inheritance pattern and I've not gotten any pedigree questions wrong.
Every generation = AD
No male-to-male transmission = XR
Only from mom = mitochondrial
XD is tricky (and uncommon), but typically if it's every generation and females>males then I go with XD. AD should have males=females.

AR when none of those 4.

Percentages for carriers? I just make a punnett square to be sure.
Click to expand...

Thanks! I'll use these tricks. Now I have to figure out that HW math.
 
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What are you guys doing to really learn the Stats in FA (OR, RR, RRR, error types etc). I can memorize formulas and plug and chug if necesary, but dammit I want to really understand lol

@Phloston, @kirbymeister
 
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kuntash said:
What are you guys doing to really learn the Stats in FA (OR, RR, RRR, error types etc). I can memorize formulas and plug and chug if necesary, but dammit I want to really understand lol

@Phloston, @kirbymeister
Click to expand...

I watched a few of the kaplan videos for that stuff and actually started to understand them, granted I forgot them now already haha
 
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