For example, the Review of Pathology course in my prep course http://prep.askdoc-usmle.com uses bulleted lists tables and illustrations since the purpose is primarily to help people master the subject. Although for most of the course participants this was not a problem, some people have a hard time using bulleted lists primarily because they have not learned a significant number of concepts. The solution was to supplement reading a more detailed texts like Basic Pathology or Pathologic Basis of Disease which helped them to raise their score significantly. If the lack of knowledge is not too severe, supplementing with Goljan’s lectures or RR Pathology may suffice. However, the need of supplementing learning activities during the mastery phase can significantly prolong the process.
It is also important in the Mastery phase to emphasize recall and that is accomplished by using a combination of Q banks and flashcards.
The mastery phase can usually be accomplished within 3 to 4.5 months so long as the learning phase was done adequately. Otherwise, the review length can be prolonged.
The last phase is the Test Preparation phase where you try to train yourself specifically for the requirements of the USMLE. This includes learning to answer USMLE type questions, developing stamina to sit for 8 to 9 hour exams, simulating the actual examination day to insure you are in top form, including the amount of rest time you give yourself after finishing your prep to the day you sit for the exam to ensure you are fresh and alert rather than tired and burnt out. This usually can be accomplished in 1 to 1.5 months and includes primarily KR and TP activities.
The actual prep course will only cover the Mastery and Test Preparation Phase and will not cover the Learning phase. Therefore it is important that you have finished the Learning phase before enrolling in the course as not doing so will mean that you won’t finish in 6 months
Although some materials will be provided you on the online course, other materials you will need to procure for yourself. I will publish a complete list for those enrolled in the course. Below, you will find a partial list.
1. Robbin’s Review of Pathology Q Book – 2nd Edition
2. Levinsion and Jawetz, Review of Medical Microbiology
3. Trevor and Katzung, Review of Pharmacology
4. BRS Physiology – Linda S. Costanza
5. BRS Behavioral Science – Barbara Fadem
6. For Biochem, Anatomy, etc. – Kaplan Lecture notes will suffice.
Also good to have a subject oriented Q book like Kaplan Q book. If you need to supplement with textbooks, usually because there is some inadequacy with the learning phase recommend the following;
1. Pathology – Rapid Review Pathology, Basic Pathology or Pathologic Basis of Disease (choose 1)
2. Pharmacology – Lippincott’s Illustrated Review of Pharmacology
3. Medical Microbiology – The review book will suffice and no need for a separate text
4. Physiology – BRS physiology is good enough except if you have problems with Acid Base physiology. Then use Guyton, Ganong or NMS physiology for Acid Base only
5. Biochemistry – Kaplan is adequate but dense. IF you need to learn concept, use Illustrated Review of Biochemistry.
You should also be ready to subscribe to at least one online Q bank, either Kaplan or UW especially during the Test Preparation phase. A “downloaded” version is not considered adequate. You should also be able to subscribe to at least 2 NBME assessment test also online and not a “downloaded” version.
There are certain requirements you need to follow or else it will be grounds to drop you from the course.
1. You should follow all instructions.
2. You should follow the recommended course materials
3. You should follow the recommended course schedule. (The schedule is not very strict, it allows a lot of leeway for you to go faster or slower. However, there is a limit to how much you can stretch the schedule since the course is six months)
4. You should inform me if you have any problems with the course or with the instructions. I cannot monitor your progress since I am not physically present beside you.
5. You should commit to a minimum score of 85 and get my permission before taking the actual examination. (There are evaluations you can do to test whether you are ready for the examination. Taking it when you are not ready is a waste of money and time.)
6. You should regularly attend the weekly chat session
7. Any other condition which may be imposed depending on how the course progresses.
Due to the lessons I have learned conducting the first prep course and in consultation with participants of the first prep course, I will now be imposing some fees. As some of you may be aware, the current economic crisis in the US was started by subprime mortgages in the housing market. People were allowed to buy houses without any downpayment. At the first sign of difficulty, these people just walked away from their mortgages because they have no equity. There wasn’t even any effort to work through the problem and find solutions.
During the first prep course, no fees were collected. This proved to be a mistake as on the first sign of trouble, some of the participants just chose to walk away. As I stated, just enrolling in the course will not raise your score or help you pass. You need to study and follow a schedule. Some participants just walked away when they could not keep up with the schedule. Others walked away when they were being prodded to start Chapter 1!!! Therefore to insure that this thing does not repeat, a non-refundable enrollment fee of US$ 100 for all those eventually enrolled in the program. This is to make sure that the enrollee is really committed to finishing the course and raising their USMLE scores.
I am tentatively accepting 5 new enrollees to the course. If more than 10 people apply then the possibility exists that I will accept another class of 5 enrollees for a total of 10. If you are not accepted, your enrollment fee will be refunded. However, once the course starts, the enrollment fee will be non-refundable.
Another problem I encountered are people taking extraordinarily long time to finish the course. This course is six months long. And if you apply yourself properly, there should be no problem finishing the course in 6 months or less. Taking more than six months means you are either not studying regularly or you have completely botched your learning phase and are not ready to get into the mastery and test preparation phase. Therefore, I will be imposing a penalty of US $100 per month starting on the 7th month or a fraction thereof. This is to insure that people will not take their sweet time and really concentrate on finishing the course on time.
Applicants will be accepted on a first come, first served basis. If you are interested in applying, please send an email to applications@askdoc-usmle.com. Include the following information
Your Name or nickname
Your preferred callsign (for use in logging in to the prep course and forum)
Year of Graduation: (old grads and new grads require different prep)
Country of Medical School:
Country of Origin:
Country currently residing (ie. where you will be reviewing – your time zone)
Sex (only so I don’t make a mistake of addressing you wrongly)
Age: (only if you want to, however, I may have to make adjustment to how to couch you depending on whether you are older or younger, so if you don’t want to state actual age, give me an idea )
You should also click the link below to submit your enrollment fee through PayPal. Be sure to put the above information before submitting your enrollment fee on PayPal, so I know you have submitted your enrollment fee. (Put either your name or your callsign). You will only be considered to have applied once you have submitted both your application and your enrollment fee.
If your enrollment is not accepted, the fee will be refunded through PayPal.
Please submit your application and enrollment fee on or before January 15, 2009. As acceptance to the program is first come, first serve, there is no guarantee that slots will remain open up to that date.


I would like to join the step1 course.
kindly e-mail me the details
The instructions on how to apply for the prep course is on page 2 of this post. Please refer to that for details. You must email your applications to applications@askdoc-usmle.com. You should submit your enrollment fees through the PayPal link in the post.
In light of the fact that January 20, 2009 is the inauguration day of the the new US president, the start date of the course will be moved to January 26, 2009 instead.
Thank you for your interest
Dear askdoc,
I have sent you an email which includes my application.
I was wondering do I need to pay for the application before you accept me into the course. Please do reply and consider my application.
iam still in the learning phase but ofcourse i won’t wait till next year to join your course do i have any other option
anyway i have 8 hours daily to study
To dr amr,
There will probably be another class open by end March or early April. By that time, most of the first batch which have started last September would have taken their examination so I can handle another class by that time. Thank you for your interest.
To Askdoc,
I have been waiting for your email since past couple of days. Do you have any more vacancies in this upcoming batch.
I am willing to joing this group. I already sent my application. Please do reply.
To sam,
Sorry for the late reply. See your email.
Askdoc
To ask doc
I wanted to know if you received my application and paypal . Please confirm to let me know . Thanks
Did you receive my email ?
look at your email
I would like to announce that all positions of the course have now been filled. The next class will start on April and enrollment begins sometime in March. Check back by that time if you are interested in joining the course.
For those accepted to the course, please log in to the forum at http://forums.askdoc-usmle.com. Access the forum -> Askdoc’s USMLE Prep Course Forums ‹ Askdoc’s USMLE Step 1 Prep Course ‹ Group 0901 ‹ Course News and Announcement and read the first topic. There will be 2 more posts there on Saturday and Sunday respectively. You will get your instructions there. You are allowed to post reply but not to start topic. If you need to contact me, you can pm me through the forum or post in the appropriate forum on the site.
To saif: I emailed you, please look at your email.
To atif: look at your email. Follow instructions and email me back if you want to get into the course.
Thank You,
Askdoc
PS. The first member of the first batch of enrollees last September is taking his exam this January 27, 2009. Our prayers are for him to achieve the score he is aiming for and that he will get the score as predicted by his NBME assessment test results.
Hi, you have awesome writing capabilities. I have read your ebook and that was very inspiring. I will apply for your preparatory course in march, maybe.
Hi, Askdoc:
Do you have an outline of your course, so I can get an idea of what your course is like? Also, if any sample lessons/notes can be previewed before enrolling in your course, please let me know. Thanks.
Hi Johnny,
If you want some idea on how the course goes, log on to my forum at http://forums.askdoc-usmle.com. Read Askdoc’s Method of USMLE Review and the exam experience poste by a student from my first batch. He took the exam last January 27, 2009 and got a 97/232.
If you want to access some of the sites in the forum used by my current students. Register and log on to the forum as they are only available to registered users.
For a sample of the notes and quiz used, register at my Prep site at http://prep.askdoc-usmle.com. Enroll in the Pathology Demo course. It’s open to all. That is the actual Chapter 1 of Review of Pathology. Originally the course calls for using only commercially available reviewers and texts. However, some of my students had a hard time distinguishing between high yield must know concepts vs. lower yield concepts, so I wound up rewriting my own notes for their use. Then I also found out that some people just have a hard time memorizing and recalling information, So the summary notes was made to help people organize the information in their head for easier memorization and recall. Another important point is to memorize the information in a way that makes it easier to get the right answer to questions.
Askdoc
PS. I am only accepting 10 students for the April Class. As of now, 10 applicants have emailed me to reserve a position for the April Class. However, I don’t accept reservations so I have told them to apply early once enrollment starts in March as it will again be first come, first served.
Hi, Askdoc,
Thanks for the information. I will check out the links that you’ve provided.
Is there a class that would start in March, if enough people will enroll?
I’d like to take the exam in June-Aug of this year.
Hi Johnny,
Actually, it is possible to make it for an August exam date even with the April class. The program can be finished in 4 months if you strictly adhere to 6 to 8 hours of study time, 6 days a week. In fact an NBME assessment test is scheduled just after the 4th Month and if you are satisfied with that score, then you can sit for the exam. The extra 2 months is there for various reasons. People who wants 99′s will probably have a hard time being ready in 4 months though not impossible. Most people tend to drag their feet when studying and for them 4 months is not enough. Lastly, there are people who have glaring problems and deficiencies which may take sometime to fix, therefore extra time may be needed.
When the enrollment starts on March, and you enroll early, you can start the course ahead of the others if you want. The materials are there for you to use. The reason I want people in classes is because it is easier to monitor people when they are more or less covering the same stuff. Also I do discuss ways to tackle USMLE questions (ie. being able to get the correct answer even if technically you don’t know the exact answer) using questions in the course itself. If people are at different sessions, then those behind would know the answers to questions they have yet to encounter in future chapters. The reason that classes are 2 months apart is that the first month or so the busiest as I have to correct bad study habits and glaring deficiencies from the new students. Some gets corrected in a week or so, others persists much longer and therefore occupy a huge amount of my time. By the end of the second month, most problems should be resolved and the students can usually now study by themselves with just occasional advise from me.
So my suggestion is enroll early, inform me and I will let you start ahead maybe as early as third week of March
Askdoc
Ok, thanks for the detailed email.
Dear askdoc,
In the future, instead of my real name, can you use my screen name, “bestmedicine” instead?
Hi bestmedicine,
No Problem.
Askdoc