taking block 1 off to study step 1

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j_sde

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our school allows us to take block 1 off from third yr to have additional time to study for usmle/or vacation time before rotations. i was wondering, if there is any negatives about doing this?? if i dont take block 1 off... i would start 3rd yr rotations first week of July. But if i take block 1 off, i start rotations third week of August. My concern is that starting 3rd year rotations late... may hurt me in doing a sub I during my 4th yr... or in doing electives later on... or in the residency application cycle. am i gonna be late for it? ex, wont be able to get grades in... or complete some electives... or get letters in?? i guess i'm more concerned because i do have interest in some of the more competitive specialities such as ENT, orthopod, radio. any help would be greatly appreciated, as we have to make this decision in 5 days. thanks.
 
I guess I'll start by asking a question or two:

1. Now, by taking this time off for studying, are you just using a normal vacation/elective block to do this, or are you offsetting your entire 3rd year by one block... If you are merely using a vacation/elective month, then I really don't see the harm (though, personally, I think the best time to take the boards is right after you have finished your 2nd year finals and all that info is already right in your head... you'll really enjoy being done with them and taking the interim time until 3rd year for vacation). If you are offsetting your entire 3rd year to take the boards later, then I may hesitate a little and refer you to question #2...

2. Do you really think you will need that extra time studying, and do you really think you will use that extra time? Personally, I got really sick of studying within about 2 weeks. I guess it depends on the individual... I tried to study a little bit all throughout my 2nd year (I mean real little bit)... and then I just crammed for about 4 weeks after my finals... In retrospect, I think I would have done better and had more time to relax/vacation if I had just taken the boards right after my finals... but I do know several people who think that the extra time they spent studying really paid off...

3. If you really are offsetting your entire 3rd year by a block, that may pose some problem in that it will limit the number of 4th year rotations you can squeeze in before application time... most importantly limiting the options for letters of recommendation. If your school has had this option in the past, you may want to find people who have done this and see how it worked out for them.

I guess the real issue is knowing your capabilites and weaknesses... some people may be able to improve their board scores with increased time to study while others do not. In general, students who have done well to date and are good test takers do well, those who have struggled and are poor test takers do poorly. If you are really going to take the extra time, I would strongly consider using a prep course or some sort of organized preparation to ensure that you optimize your studying, because believe me you will get really tired of it otherwise. Concentrate on questions and specific areas of weakness (I always struggle with renal...) Good luck and I hope this is some help!
 
If you worked hard during your first 2 years, then you will be doing more of a review than studying. I took 4.5 weeks of the 6 week break between 2nd and 3rd year to study. I procrastinated and only spent 2.5 - 3 weeks really working. This was adequate for me, and I really don't think I would have improved my score much if I would have taken an extra year to study.

If you have a month between you last final and first rotation, I would suggest cramming during that time and then taking the damned thing so you can get on with your life.

Good Luck...
 
I know somebody who took block 1 off to study. However, rather than studying for an extra 6 weeks, he just procrastinated on studying and ended up studying no longer than anyone else.

I would recommend just studying for it and taking it during the break, then starting third year on schedule. The extra block is probably better used as an elective block than as study time.
 
thank you for your responses..

but... i dont know how some of you guys only spent 2-3 weeks to study for the boards. i feel like i'm an average student, but its gonna take me at leaves 5 weeks to study for the boards. i've forgotten just about all my physio/biochem... and after my finals, i'd like to take 2 weeks to review first yr material... 1 week to review pharm/micro/path/beh... and that leaves me with 2 weeks to do qbank, etc.

given that... i figure if i take block one off, that'd give me some extra time to study in case i fall behind schedule, etc. if not.. i can always use that time for vacation.

i guess the quesiton i'd like answered is.... whether pushing one block of my MSIII rotations into the first block of MSIV will affect me in any way during residency application. i am not familar with the timeline for residency application..... so ... i'm not sure whether people usually spend their early blocks of MSIV to do sub Is and electives? do they? when are subIs and electives usually completed by.... like around october?? or is that too late..... esp if i wanna entertain the SF Match.... so.. i guess if anyone can sorta give me a quick outline of the end of MSIII to the begining of MSIV and to the time of residency applications... that would be greatly greatly helpful.
thanks again.
 
I would definitely not push third year rotations into fourth year.

The ERAS stuff, as I recall, has to be in by November 1 - this means letters of recommendation, dean's letter, etc, both of which are somewhat contigent on doing your sub-I's. Most people that I know spent the first couple months of fourth year doing sub-I's and away rotations to finalize their decision of what specialty to go into and also to get good experience at their own school, other schools, and line up letters of recommendation.

Everything is pushed ahead a month or so for the SFMatch. You basically have the first three months of fourth year (July, August, September), at the most, to include on your application and in which to get letters of recommendation. So, if this time is taken up with finishing third year rotations, you may be out of luck.

As for studying for the boards, my school gave us about 6 weeks off between second and third year. I took a four week Kaplan class, then studied on my own for about 10-12 days, then took about 10 days off for vacation. I had done a bit of preparation at the end of second year, but no serious studying until Kaplan started. If your school offers board review stuff during second year, I would go. I don't know what your curriculum is like, but we did path/pathophys second term of second year and many people used each organ system as an opportunity to review normal anatomy/physiology as well as to learn path/pathophys.

As others have said, studying for step I ought to be a review. You know yourself better than any of us know you, but I think many people have trouble studying intensely for more than 4-5 weeks (or less). So, again, I would definitely recommend starting third year on time, especially if not doing so means giving up your first few months of fourth year electives.

I would also speak with deans at your own school, if you haven't done so already.
 
I agree that Block 1 of 3rd year would be better used as an elective instead of studying for Step 1. I suggest hitting the books hard right after 2nd year finals without taking a break. Many of my classmates who set aside more than 4-5 weeks ended up procrastinating and wasting lots of time. Others who took a week off before beginning to study said they really didn't enjoy themselves that week because boards were hanging over their heads. I am a slightly above average student at a slightly above average med school and studied hard (no Kaplan, just studied with a friend) for about 3 weeks for Step 1 (including some weekend days). I spent about 1 hr 4 days/wk on Qbank (split price and access with friend). I scored in 230's (scored 29 on MCAT).
I was happy with that score. I guess if you are shooting for 250's your approach would be different.
Life is much sweeter with that test behind you. Take it early!
Good Luck! Know First Aid really well.
 
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