First Aid for the USMLE Step 1: The Really Short Version
Transcript of First Aid for the USMLE Step 1: The Really Short Version
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“Live as if you were to die tomorrow. Learn as if you were to live forever.”
– Mahatma Gandhi
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Tao Le, MD, MHSAssistant Clinical Professor
Chief, Section of Allergy & ImmunologyUniversity of Louisville
Senior EditorFirst Aid Board Series
USMLERx Test Bank Series
First Aid for the USMLE Step 1:The Really Short Version
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Relax.
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Overview
USMLE Step 1 – The Basics Defining Your Goals Timelines for Study Approaching Each Subject Choosing Prep Resources More Tips Overview of First Aid/USMLERx Q&A
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USMLE Step 1 - The Basics
8 hours total 336 questions in
7 one hour blocks
48 questions per block
45 minutes of break time
Lunch
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Question Types
One-best answer items Sequential items A few with multimedia Clinical vignettes
65-70% of exam Multi-step reasoning
A 32 year old caucasian woman presents with a 5 day history of occasional double vision and ptosis. The diagnosis is made by...
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Scores and Passing Rates Passing is 188/75 Mean is 222 22 points is 1 SD Allopathic med students
95% pass on first try 99% eventually pass
Osteopathic med students 77% pass on first try
IMGs 71% pass on first try
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Defining Your Goals
Just pass the exam 200 – 220 Beat the mean 220 – 240 Ace the exam >240 “ROAD to Riches”
Radiology/Radiation Oncology Ortho/Ophtho/Otolaryngo/Urology Anesthesiology Dermatology
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NRMP: Charting Outcomesin the Match
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NRMP: Charting Outcomesin the Match
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Timeline for Study
The “Just Pass” Schedule – 1 to 2 months First Aid High Yield Facts Crammable subjects Review questions – 1 question bank
The “Gunner” Schedule – 2 to 6 months In addition to above Less crammable subjects More review questions – 2 question banks
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Choosing Study Strategies
Structure and characteristics of the subject Structure and characteristics of your
curriculum Time assigned to a particular subject or
system Your style of learning
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Anatomy
Traditional anatomy is low yield Know anatomy for specific diseases,
traumatic injuries, procedures, and common surgeries
Neuroanatomy, embryology, basic cross sectional anatomy is high-yield
Be able to identify structures on X-rays, CTs, MRIs, electron micrographs, and photomicrographs
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Behavioral Science
Mix of biostats, psychiatry, psychology, sociology, psychopharmacology
Biostats and epidemiology is very high-yield
Personality disorders Doctor-patient interactions
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Biochemistry
Crammable!! High yield topics include vitamin
deficiencies, diseases of genetic errors, key regulatory enzymes
Understand the “pathobiochemistry” Be familiar with medically relevant
laboratory techniques
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Microbiology & Immunology
Crammable!! 40% bacteriology, 25% immunology, 25%
virology, 5% parasitology. So don’t fixate on bacteriology!
Focus on distinguishing characteristics, target organs, method of spread, and diagnosis
Know the immune response, vaccines, immunodeficiency diseases
Know viral structures and genome
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Pathology
Huge but important topic Know hallmark characteristics of each
disease including signs and symptoms Look for clues in age, sex, ethnicity, activity Know descriptions of “trigger” words Most questions with gross specimens and
photomicrographs can be answered from the history alone
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Pharmacology
Crammable!! Focus on prototypic drugs; forget obscure
derivatives, trade names, dosages Major categories are ANS, CNS,
antimicrobial, cardiovascular, and oncology Mechanisms, clinical uses, and toxicities are
high-yield Review associated biochemistry, physiology
and microbiology
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Physiology
Concept oriented Diagrams work well in physiology Know basic physiologic relationships,
hormones Many clinical vignettes incorporate
pathophysiology
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Review Resources
Text reviews Test banks Self-test reviews Case-based reviews Review courses Other media
Flash cards CDs/MP3/Videos PDA
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Picking and Choosing Resources
Buy books/resources early Buy only what you can use Don’t blindly buy a whole series Check out the book reviews in First Aid for
the USMLE Step 1 (Section 4)
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Study Tips
Establish a study schedule and stick with it Alternate study methods for variety Save “crammable” subjects for the end Focus on high yield material and previous
learned material Allow time in schedule for breaks, exercise
and personal issues Stay relaxed and grounded Use our checklist to keep you on track
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CBT Tips
Be very familiar with the CBT tutorial Know the keyboard shortcuts Use computerized practice tests in
addition to paper exams Mix Q&A throughout and at end
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CBT Practice Options
Types Suggested Use
USMLE Sample Test Format familiarity
NBME/CBSSA Benchmarking
Commercial Test Banks Practice/study
Simulation
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Test Day Tips
Less coffee on test day Layered clothing Read lead in first for long
questions Manage the clock Light lunch The “C” reflex P = MD/DO
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First Aid Team 2.0
Visit our blog – www.firstaidteam.com Download the presentation Get First Aid/USMLERx updates
Follow us on Twitter – www.twitter.com/firstaidteam Get quick Q&A’s throughout the day All referenced to First Aid
Join our Facebook group Click link on Firstaidteam.com
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