Studying for Step 2 as a fresh M2?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

IntoTheNight

Full Member
2+ Year Member
Joined
Jan 22, 2020
Messages
44
Reaction score
28
For example, let's imagine a study plan of 5 hours a day will get me the Step 1 score I want, but I want to study 8. Is it not a better use of my time to focus those extra hours on the Step 2 deck (improving my CK), as opposed to spending more time learning Step 1 material?

I understand Step 1 lays a strong foundation, but many physicians I have spoken to mention that they have never needed more than a cursory understanding of many of the rarer diseases/cellular mechanisms that Step 1 requires knowledge of. By choosing to focus on Step 2 material instead of some of the Step 1 specific material, would I not ultimately be a better diagnostician, too?

Members don't see this ad.
 
First of all, the Step 1 score you want is Pass. Second, many people find Step 1 harder to pass than they initially thought. It's very easy (and common) to underestimate the amount of effort it takes to pass Step 1. Step 2 is comparatively easy.

Most people are going to need to spend those 8 hours a day on Step 1 material alone. Get past the significant barrier that is Step 1 and THEN start thinking about Step 2. Trying to study for both at the same time would be nothing less than hubris and would very likely result in either a failed attempt or a need to delay your exam.

Also, Step 2 is more clinical, so it makes more sense to study for that exam while you are in your clinical rotations and while you are studying for your shelf exams.

One step at a time.
 
  • Like
Reactions: 3 users
just curious - is there a way to study for both at the same time? I know there is some overlap, just wondering if there was a study plan that encapsulated both
 
Members don't see this ad :)
I understand the temptation to think this way but it’s all the same stuff really. There are fewer biochemistry questions on step 2 and more “what’s the next imaging you want” questions, but how do you answer those questions? You go back to your step 1 knowledge.

If you want an insanely high step 2 score, just do UFAPS and mature AnKing. I promise you it will pay dividends. Studying for step 1 seriously hard is the same as studying for step 2. Until a “Pathoma” for step 2 gets released
 
  • Like
Reactions: 1 user
just curious - is there a way to study for both at the same time? I know there is some overlap, just wondering if there was a study plan that encapsulated both
See my comment above. But just grind as hard as possible for step 1. Everyone studies the same way in third year (UWorld and Anki), so if you want to set yourself apart, it will be by remembering the nitty-gritty details of stuff from your preclinical years.
 
Thanks for your feedback. It seems as though the best approach is to focus on Step 1 content that overlaps well with Step 2 and master that. What would that content entail?

Path/Pharm? Any other concepts/principles to prioritize while studying? How important is pathophys?
 
Passing is so much harder than you or your old attendings realize. There are record numbers of people failing or pushing back step 1.

I'm telling you this as someone who took Step 2 a few months ago: just focus on Step 1 for now. Build that strong foundation of knowledge. You'll have plenty of time to master Step 2 content in M3 if you are efficient.

It sounds like you're really keen on ignoring everyone's advice, so I'll tell you this: get the Amboss knowledge bank for a 2 year subscription. A lot of their questions are dual tagged as Step 1 and Step 2, so by studying for Step 1 and doing those questions, you'll be chipping away at the remaining questions for Step 2. There, you're studying for both now. Go wild.
 
  • Like
Reactions: 2 users
Studying for Step2 while studying for Step 1 is kind of like saying you want to apply for law school after medical school is over, so you're going to study for the LSAT with your extra time now. It really does make just about as much sense. Or maybe it's more like pre-studying MS1 material during the summer before med school starts - hopefully by now you understand why everyone says not to do that too.

Your thought process on time use is good, but the error is that the issue is not one of knowledge acquisiton but rather one of processing. The fact is that the kind of thinking you have to do for S1 questions is vastly different from S2. You need the S1 foundational knowledge to do well, but then you'll also need the experience on the wards and doing shelf exams to understand clinical reasoning and how you must approach those vignettes differently. It's not so much the conceptual knowledge is different, it's a switch in how you think and that switch happens less on anki and more in the context of actual clinical medicine. Making the switch early only risks costing you points on S1 and won't make any difference for S2 years from now when you finally take it.

For example: take something like the various antiarrhythmic meds. S1 is going to test the mechanisms, the underlying basic science, mechanisms, kinetics, etc. And all of that is important. S2 is going to expect you to determine which one to use based on the scenario, and that will be wildly different depending on whether its inpatient vs outpatient, ICU vs floor, hemodynamic stability of the patient, previously tried therapies, etc. And the answer may not even be a drug - may be a procedure or maybe you need more testing. The answer may be based on some RCT showing drug X over drug Y in that given scenario and have nothing to do with the basic science of it at all. There's no amount of anki cards you could do now that would prepare you to answer that, it's a process of clinical reasoning that you'll learn with time and you'll fit your basic concepts into it.

Focus on the task in front of you and don't needlessly risk a step failure. Any hour you spend on S2 content is either costing you points on S1 or needlessly risking burnout. You'd be much better served by taking those 3 hours and doing something fun outdoors, or even just taking a nap or watching a movie. Get your solid foundation now because I had S1 questions even on my ENT written specialty boards, so you know they must appear on everyone else's.

In the scored S1 days there used to be an old saying about what you need to prep for each USMLE exam:

Step 1: 2 months
Step 2: 2 weeks
Step 3: #2 pencil

The tests don't get easier, but the knowledge tested is finite and the more clinical thinking you develop, the easier it all gets. You'll have more than enough time to prep for and crush S2 if you put in the time and learn the foundational concepts for S1 now.
 
  • Like
  • Care
Reactions: 1 users
First look up the pass rate for first-time Step 1 takers and explain to me how you are certain YOU will not be one of those who fail. You may "waste" time over-studying, but it is worth it to NOT fail.

physicians I have spoken to mention that they have never needed more than a cursory understanding of many of the rarer diseases/cellular mechanisms that Step 1 requires knowledge of.
Sure there are. There are also physicians who are getting fired and replaced by nurse practitioners, often with little/no measurable change in outcomes, because for all their extensive MD/residency training and education, they never developed more than a basic understanding of what they are doing. I'm not trying to be sardonic here, but you truly never know what you'll need to know, and just keep in the smallest back corner of your mind that, eventually, someone is going to ask you questions about one of those "front of First Aid" diseases (if it's still organized like that).
 
  • Dislike
Reactions: 1 user
Despite popular belief, the better you know S1 material the better you will do on S2. The way to study for S2 at this point is to know S1 material cold
 
  • Like
Reactions: 1 users
Top