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Message: <blockquote data-quote="OveractiveBrain" data-source="post: 12426312" data-attributes="member: 269594">Step 1 is a competitive sport. Do boxers run marathons to train for their fight? To football players play hoops to prepare for the superbowl? To 5th graders do alebra to prepare for their spelling be? The answer is, of course, no. Step 1 is, as many have said, a game of minutia. The first two years of medical school prepare the foundation for understanding how the body works and how it breaks. Very useful if you want to be a good to great physician. In fact, it is why we do what we do. Its what separates us from every other mid level provider. We know how and why things happen. The clinical years prepare you for practice. You learn clinical reasoning, teamwork, systems, treatment, guidelines. The things you learn are different and serve a different purpose. Sure its easy to recall the patient with pancreatitis. But does that help you remember where chymotripsin cleaves proteins? Even if it did, you don't have access to 10,000 patients for the 10,000 nonsense questions they are going to ask you. So, the three things you remember better because of a patient are not worth the 15 things you forget as you learn how to fill out discharge paperwork or how to write a script. The bottom line is that you have to train for the game you are playing. That is First Aid, and, more importantly, Qbanks. You have the knowledge from your first two years. Hone what you have to know FOR THE TEST by studying from books designed FOR THE TEST, and by studying the format OF THE TEST in qbanks. Eliminate "medicine" from your sights. Focus on "the test." Information you will learn, and then promptly forget. you have the foundation inside you already, you will use it on the wards, but FOR THE TEST, focus on materials designed to get you scoring well ON THE TEST. In short, there is no advantage, and I would argue a disadvantage, from taking Step 1 after clinical years. </blockquote>

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