Phloston's prep

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Sir Gillies

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I was quite impressed with the scores of Phloston and so I asked him to share his prep strategy.
I thought it might be of interest to others as well.


Sir Gillies said:
Phloston said:
Sir Gillies said:
Hi Phloston,

First of all, allow me to congratulate you on your commitment and hard work towards the usmle. Also thanks for sharing your experiences of qbanks/books - they are soooooo helpful.

Im a UK IMG and I will start revision in a couple of months. I read carefully what Pollux wrote but I still had some questions about your prep (if it's not too much trouble).

1) are you still a full time student? How many hours per week are you able to dedicate? Will you have a period of dedicated study (ie no uni or work)?
2) Pollux read all of Kaplan LN before qbanks. Did you do the same? Could I clarify - you read all books mentioned by Pollux before starting qbanks?
3) why are you using Kaplan only for biochem and behavioural science and not for the other subjects as well?
4) did you read the corresponding section of FA after each book or did you use a different strategy?
5) if your exam is in December, how many months prior did you start revising?
6) out of curiosity, what year of med school are you and when are you planning to sit step 2 and eventually match?

I am sorry for asking all these as but I'm so impressed by your results that clearly the way you are doing things is optimal.

Thank you so much in advance and sorry for the volume of questions.
My warmest regards,

Sir Gillies

Hi, Sir Gillies, thanks for your email.

I'm doing a 7-yr MBBS/PhD program as a full-time student. It goes 2 med, 3 PhD, 2 med. I'm in my first of the PhD, so I've already finished two years of med.

I am dedicating ~60 hrs/week to studying.

Keep in mind though, I actually hadn't touched a single USMLE resource until second semester of my second year of med. So in actuality, I will have dedicated three semesters-worth of solid studying time by the time I sit the exam.

If you read Pollux's other posts, you'll learn a little more about what he did. He had already finished all of the Kaplan notes and FA before he had started the bulk of the questions. I read FA cover-to-cover before starting questions. I highly recommend that. You need to use questions for reinforcement and shock value, not just for learning info for the first time.

I don't doubt that going through all of the Kaplan notes would be better than only going through biochem and behavioral, but I believe these latter two are the highest yield, particularly biochem, since this one contains info on lab techniques/methods that is not found in too many other resources, including FA.

If I have time, I'll look at the other Kaplan notes, but in general, I'll probably just do those two sections.

I recommend going through FA cover-to-cover. Muscle your way through it. I read it 8-12 hrs/day for about 24ish days to get it done the first time. Now it would be a lot faster. I actually plan on doing my second cover-to-cover pass over these next 10 days. Don't do topic-specific questions after reading a particular section in FA. Do random-mixed questions. It means more if you remember something weeks later than immediately after you study it.

My exam is in late-December, yes. I'm using this entire year to revise heavily. However, I will be using all of November and December to do 12-hr days, so that will technically be my "designated" study period. During that time, I will go through USMLE Rx, Kaplan and UWorld QBanks all for the second time (~300 Qs/day), whereas right now, I'm going through all of the Qs for the first time much slower than that (between 50-100 per day).

I will likely take Step2 after my third year or during my fourth year of med, so that won't be for several more years, following when I sit Step1. I plan to tutor Step1 material at my school over the next two years, while I finish off the PhD, to keep things fresh, but will probably just do cursory prep for Step2 over that time period (e.g. read Step2 SECRETS or CASES possibly).

Hope that helps,

Wow!!! Hats off to you. Really well done for such impressive focus.

I'm glad to hear you read first FA as that it was I was hoping to do.

To clarify: 12 months usmle orientated prep (sorry if I got this wrong but your semesters are different from the ones in the UK). FA followed by qbanks but no other resources used during (nor previously).
Then during your first round of qbank I suppose you are using the micro and pharm cards (info gathered from your posts).
Then you will add other resources. The full summary of your resources are:
FA
Anatomy: Kaplan notes & Kaplan webprep, USMLE Road Map Anatomy, HY Neuroanatomy.
Behavioural science: Kaplan notes & Kaplan webprep.
Biochemistry: Kaplan notes & Kaplan webprep.
Cell biology: HY Cell and molecular biology.
Microbiology: Kaplan webprep, MicroCards.
Immunology: FA.
Pharmacology: Kaplan webprep, HY Pharm, Pharmacology Flash Cards (Brenner).
Physiology: BRS Physiology.
I copied them from pullox's post but removed the Kaplan lecture notes as you said you only using the behavioural science and biochemistry.

Further questions (hope you dont mind : )
1) please correct if I summarized your prep incorrectly
2) was your first read of FA aimed at memorizing or just to have a good understanding of the material + go in more depth if you weren't clear on some topics? If you did require more depth did you start using the above resources (ie Kaplan, HY etc) or others?
3) did you use any usmle books/resources during the first 2 years of med school? I am sorry for asking again but I am so impressed by the fact that you are managing to score so high just from an initial read of FA and no other prep (other than med school which is key obviously). I am trying to understand your background prior to FA followed by qbanks, so that I can try to create a schedule similar to yours.
4) have you already got a schedule for next 7 months ie in terms of when you will be introducing the other resources (and how) and questions:book ratio?

Thanks a lot.
 
The resources I'm using look more like this:

Anatomy: Underground Clinical Vignettes - Anatomy, FA, HY Neuroanatomy, and anything from the QBanks and QBooks (these latter two apply to every subject on this list)
Behavioural science: Kaplan notes, BRS Behavioral Science, HY Biostats, HY Behavioral Science (although I went through this one, I'm just about done with BRS Behavioral, and I would say do BRS but not HY Behavioral, as HY Behavioral is fairly vague with respect to answering actual questions), Underground Clinical Vignettes - Behavioral Science, FA
Biochemistry: Kaplan notes, FA
Cell biology: HY Cell and molecular biology
Microbiology: MicroCards, FA
Immunology: FA
Pharmacology: FA, Lange pharmacology cards, Brenner pharmacology cards, DejaReview Pharmacology (do this after the former three)
Physiology: FA (my physio background has always been fairly good, so no additional resources here)

Some other really good ones that I've used are DejaReview USMLE Step1, BRS Path and CASES for the USMLE Step1.

I also own about 20 other books that I've flipped through, but the above info is more or less the heart of what you need. Consolidation is important, so although books like USMLE Secrets and HY Heart are really good, they're more just for reference.

Before I had started reading FA, I had finished the Microcards, BRS Pathology, Robbin's, Underground Clinical Vignettes - Anatomy, and HY Behavioral. I had also done many of the questions from Robbin's Rapid Review and University of Utah Webpath during my second year of med. I've also read various pieces of HY Cell & Molecular Bio.

After I finished FA, I went through USMLE Rx. I was amazed at how much pharm I had picked up through just FA and Rx alone. I went through all of the Lange and Brenner cards in about two days. There were probably only about 50 drugs between the two flashcard sets that I had not seen in Rx or FA, but I wrote them down for slower review later.

The Microcards are essential. Go through those before you touch FA. Their algorithms for remembering organisms are superior to FA's, although the FA chapter is necessary for toxins and more minutiae stuff. Finish these before you touch pharm because micro is the key to unlocking pharm. For instance, it doesn't mean much to hear that aminoglycosides are good against aerobic gram(-) rods if you don't already know which organisms are being referred to. So go through micro before pharm or FA.

My first read of FA was mainly just to see everything for the first time. When I finished, I wasn't entirely sure how much I had even remembered because I had been reading so much each day and just assumed that I had forgotten most everything, but I had noticed a ~20% score increase when going back to USMLE Rx to finish the remaining 2900 questions, relative to the 100 I had done before starting FA.

Going through Rx and understanding everything will require a second, desultory pass of FA, so you'll also learn a lot more then as well.

I'm going through FA cover-to-cover for the second time now (third pass, if including the desultory Rx-related pass). My focus now is pure memorization, mostly of stuff I had annotated in from Rx or hadn't fully remembered the first couple times. I'm also doing a chapter per day of BRS Behavioral at the moment. Sorry to confuse, but I've also annotated into FA stuff from University of Utah Webpath questions; there's a lot of good info to be found on that platform.

I'll start Kaplan QBank after I finish this pass of FA. When I finish BRS Behavioral, I'll also start doing HY Biostats at about a chapter per day. I'm also going to go back through Robbin's Rapid Review and try and do a block of those questions per day as well (even though I had gone through some during second-year med, I want to review).

After Kaplan QBank (or during; I'm open for improvisation at this point and am still working things out), I will do another pass of FA before starting UWorld.

I plan on going through UWorld in tutor-mode and on paying close attention to everything this QBank has to offer. I'll probably also review HY Cell & Molecular Bio and HY Neuroanatomy as side-reading during this time, as well as some of the Utah questions again.

Then, in the second to last month-out, as I've mentioned before, the plan is to go back through Rx, Kaplan QBank and UWorld at ~300 Qs/day. I'll also revisit FA Q&A and Kaplan QBook for 4-6 days or so.

The final month will be a mix of intense FA-re-re-memorization (annotated copy from all QBanks/books), an analysis of NBME exam questions, a possible cursory pass on UWorld questions again for the sake of blitz recall, and I'll finish one-day-out with USMLE CD (Free-150).

Once again, that's just a generalized summary (otherwise I'd type a 10-page report here). Plus, I'm always making small changes as I'm moving along in time, so that timeline is likely not to any degree exact.

There are quite a few pathways to nailing the USMLE. Some use GT. Some focus heavily on Kaplan notes, DIT, etc. My belief, however, is that FA + thousands and thousands of questions is best. Anyhow, we'll see. :xf: I can thank Pollux for having given me an outline to originally work from.

Hope that helps,
 
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Pholston, I hope you don't end up writing questions for the NBME after your medical training. I can only shudder at the thought of the sorts of questions you will write. :laugh:
 
Pholston, I hope you don't end up writing questions for the NBME after your medical training. I can only shudder at the thought of the sorts of questions you will write. :laugh:
I think you have to pass a drug test to get in with that group. By the looks of his avatar, I don't think that will be happening soon...

Just messin' with you 😀
 
I think you have to pass a drug test to get in with that group. By the looks of his avatar, I don't think that will be happening soon...

Just messin' with you 😀

Oh_369931_579125.gif
 
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