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Askdoc-USMLE Prep Courses
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By askdoc, on April 10th, 2010%
I read Kaplan notes once, FA twice and doing Qbanks now. Is that enough for Step 1? A frequent question asked in forums and in my blog but misses the point entirely. It is never a question of how much effort you put into preparing for the USMLE that determines the final result of your prep, but how well you have retained and are able to recall the information you have studied. Although a certain amount of effort is required in order to achieve this, how much time and effort you put in to achieve equivalent result depends on the skill and intelligence you put into your prep. It is not so much studying harder as studying smarter.
In the forums, you see a lot of people studying the same things in the same way and results range for high 99′s to failing. So something else must be at work to explain the variety of results achieve using what is essentially the same study plan. And that something is the level of mastery achieved by different people using the same plan. It has to do with the different methods people use to study the material. As some people have asked time and again. When you say you have revised the material 2 times, do you mean you have read the materials twice, or you have tried to memorize the material twice. And therein lies the difference in results.
For the purpose of the USMLE, what you cannot recall in a minute or so, you do not know. It is not enough for you to have read Kaplan, or FA or whatever, but you should be able to recall what you have read. If you cannot answer a question, it is because:
1. you do not know the concept because you have not read it
2. you read the concept but you did not understand it
3. you read the concept and understood it but cannot recall it in the exam
4. you read the concept, understood it and can recall it in the exam given enough time, but of course since this is the USMLE, you never have enough time
Continue reading Why You Need to Master the USMLE Step 1
By askdoc, on April 7th, 2010%
I would like to announce that you do not have to enroll in the full course to listen to Askdoc’s USMLE Step 1 Prep Course Live Lectures. You can now choose to attend the Live Lectures only for US$ 200. If you decide to enroll in the full course within the next 2 months, you are entitled to a credit of US$100 from the price of the full course.
What is Askdoc’s USMLE Step 1 Live Lectures?
Unlike other courses, my live lectures concentrate on teaching you how to study for the USMLE Step 1, rather than what to study. It is composed of 6 1.5 hour lectures, presented live over the web. The lectures includes the following:
1. How to Master the USMLE Step 1: This lecture discusses and explains the basis for the study methodologies in the course. It discusses what is unique about the USMLE, why you need to study a certain way to do well. It outlines basic principles you need to consider in designing your review, how long you need to study, what you need to study, how much you need to study, understanding how test questions are designed and how that should impact your study and much much more.
Continue reading Attend Askdoc’s USMLE Step 1 Live Lectures
By askdoc, on March 27th, 2010%
People have been badgering me for sometime now on writing more about how to prep for Step 2 CK. Some even wants me to start a Step 2 CK prep course. However, due to time constraints and the Step 1 Prep Course, it has not come to pass.
Lately there had been too many people asking questions about their Step 2 CK preparation and problems they are encountering. Although I still don’t have time to write a full article on it, I have decided to tackle the 4 most common reason that people do poorly in the Step 2 CK. I am also reposting an article about “What to do for Step 2 CK” an older post that needs some rewriting but is still relevant
1. Not Studying Enough Detail. The most common mistake people make in studying for Step 2 CK is not studying enough detail. You see so many reviewers in the market that purport you can ace the exam by studying the little material it contains. That is a lot of bull. Medicine is a very broad subject and Step 2 CK covers all the most common and even some rare cases.Those little reviewer just does not give you enough detail to do well in this exam. An exception is Kaplan Notes. Very good detail. However, you need to know 85% of it in order to know enough to pass. Higher if you want a higher score. And that is impossible to do unless you do a minimum of 3 revisions. I will discuss the various study materials you can use in another post.
Continue reading Most Common Mistakes in Step 2 CK Prep
By askdoc, on March 27th, 2010%
*note: I wrote this way back in 2007 and posted it in prep4usmle. I am reposting it here because many people have been asking about how to prep for Step 2 CK and I am busy to write one. Although this may need a rewrite, it will do until I actually finish and post a new article.
The purpose of this post is to help people prepare for Step 2 CK. I purposefully did not title this as ‘How to get a 99 in Step 2 CK’ even though I got one using these preparation techniques. The reason is that it takes more than knowing how to prepare to get a 99. How much sacrifice and effort you put into your preparation is most important.
Some of you may already know me, from my post on how to prepare for step 1. I posted it in answer to a question on ‘What to Do’ in Step 1, and it’s purpose is to guide people in how to prepare for step 1 rather than how to get a 99 even though, again, I got one using those prep techniques. I’m posting a link to that thread:
For those who don’t. I am an Old IMG from the Philippines. Graduated way back in 1989 at the top medical college in my country. I took Step 1 last April 24, 2006 and got a 99/256. Took Step 2 CK last November 20, 2006 and got 99/258. Back in late 2004, when I started this journey and like most of you dreaming of 99′s, whenever, I see someone posting that they got 99′s, 2 things always pop up in my mind, wishing that it was me and wondering how it’s done. And always, when I read what they write about how they did it, it talks of what books they read, what lecture they listened to and what QBanks they used. Of course, the problem was, everybody seems to be doing the same things and most of them are not getting 99′s and some are even failing. So the only conclusion I can make is the secret does not lie in the preparation materials rather in how you used the preparation materials. And since different people have different starting points and different capabilities, their preparations and the materials they used must be adjusted accordingly.
Someone once asked in this forum if the reason I know so much about USMLE is I had taken it before. The answer is no, this is the first time I am taking all Steps. The reason I seem to know a lot about it is that it has always in my nature to know as much as I can about any task set before me. I have never failed an exam in my life and even though USMLE is supposed to be really tough especially for old Grads, I’m not about to let this be my first time. So, I set out to discover as much as I can about the exam, analyzing it and planning out what I hoped was a coherent well thought out study plan taking into consideration my special situation (a very old graduate) and my own prep capabilities.
It is not enough to study hard, one has to study smart too. I believe that with proper prep and hard work, anyone can pass this exam, hence this “what to do”. It is also my belief that with proper prep and really hard work, most can get high 80′s and even 90′s. Someday I’ll probably write a post about how to get double 99′s but for now I’ll stick to proper preparation for Step 2 CK.
Continue reading What to Do in Step 2 CK
By askdoc, on March 4th, 2010%
Hello Everyone, this is actually my first time to try posting videos in my blog. So please excuse the effort if the quality is not too good. Hope to get better at doing this in the future.
A lot of people think that all they need to do in order to do well in the USMLE Step . . . → Read More: How to Master the USMLE Step 1 – an Introduction
By askdoc, on August 2nd, 2009%
It’s been over a year since I first published “NBME Self-assessment Tests and USMLE Review.” Little did I know it will become the most popular of my post with over 14,000 pageviews in the past year. Since that time a lot of things have changed, hence this update.
If you have not read the previous two posts on this topic, please do so as I will not be repeating what I have said there in this post. You can access Part 1 here and Part 2 here.
How well does NBME predict your USMLE Score?
That has been the number one question asked of me since I wrote about this topic. My answer is still the same. Fairly well. Although correlation is never 100% more like 70 to 80%. However, certain development in the past few years have made the assessment tests less reliable for some people. Continue reading NBME Self-assessment Tests and USMLE Review – An Update
By askdoc, on March 13th, 2009%
I wrote part of this post in answer to questions from my readers and students. After 2 emails and one answer to comments, I have decided to elaborate and write in more detail as a post that I will share with everyone.
So what do you do on the day of the examination? The day you sit for the USMLE is the culmination of months of preparation. It may seem unfair that no matter how well your performance were in those countless q banks and test simulation, the only performance that really counts is the one you do on exam day. Therefore, it makes sense to maximize your chances of performing well for that date.
Your preparation should begin way before the date of your examination, when you schedule the examination. It is a known fact that during review, people do reach a plateau and the best time to take the exam is just before or just after you reach your peak. Earlier or later than that can result in lower scores. When you review, immediately after learning and memorizing your lessons, you immediately start forgetting. Normally, the amount of medical concepts you are memorizing and retaining is growing faster than you are forgetting them. However, there comes a time when you reach your peak and eventually plateaus. Afterwards you will go into decline and forget more than you are learning. Most people go into plateau in about 6 to 8 months, therefore the ideal review time is around that long. That is why my prep course is around 6 months long. Continue reading What to Do on the Day of the USMLE Exam
By askdoc, on October 26th, 2008%
Note: This was initially published in 6 parts and was then consolidated into a downloadable ebook.
Why create a study plan?
This is probably the question foremost in the mind of anyone who ever thought of tackling the USMLE. I remember when I was starting out, how this pre-occupied me a lot. Although studying for the USMLE is a big endeavor, studying how to study for the USMLE is no mean feat either. Just like an architect or engineer needs to plan out how to build a building before actually building it, we need to plan out how to prepare for the USMLE before we even begin studying.
Now some people can just jump right into reviewing and 3 to 5 months later take the exam and come out with a 99. I’m not one of those and so are I believe majority of those taking the USMLE. Some will start by applying and scheduling an exam 5 months later, only to find out that they’re not ready. So they extend their period of eligibility and still they’re not ready. Some will take the exam and fail or score so low that it amounts to the same thing. Some will forfeit the application fees and reapply later. Of those who do, some wind up getting good scores because they’ve learned their lesson and did better preparation this time, while for others the results are going to be poor because they did not change anything they’ve done before. Proper planning is crucial for proper preparation Continue reading How to Create a Study Plan for the USMLE
By askdoc, on October 25th, 2008%
We will now continue with Part II of our series on “Answering USMLE Type Questions”. In Part I we discussed the 3 most common problems people have with USMLE type Questions. In part II we will discuss various strategies to correct these weak points. There are strategies you implement during the preparation phase and other strategies you do during the exam itself.
However, the strategies during preparation is more effective than those you employ during the examination and therefore it makes sense to fix these problems before the actual examination day.
The main challenge in clinical vignettes is to be able to diagnose the case as fast as possible. As a medical student, the way we learned clinical cases starts with a diagnosis, say Myocardial Infarction. Then we study the signs and symptoms that accompany myocardial infarction followed by laboratory tests that suggest or confirm the diagnosis. Lastly we study therapeutic interventions. That is how clinical vignettes are presented in Underground Clinical Vignettes, which is fine for medical students having their first taste of medical cases. Unfortunately for most people who are ready to take the USMLE, they’ve already gone through that process and will probably need only a short review and it will still not help them with diagnosing clinical vignettes. The reason is that clinical vignettes are presented the other way around with signs and symptoms as clues while you come up with the diagnosis. Continue reading Answering USMLE Type Questions – Part II
By askdoc, on October 15th, 2008%
I wrote this initially in response to someone who was really having a hard time answering tough USMLE type question. Most of the time, when people think their problem is answering tough USMLE type question. the reality is that they have a KA (Knowledge Acquisition) problem. In other words, they did not do their review properly and their problem is primarily with insufficient knowledge base rather than difficulty with USMLE type questions.
Therefore, I always make it a point to test their knowledge base first. This is usually done by testing them using straightforward questions that test knowledge and recall without the common tricks that accompany USMLE type questions.
Now as you may know, I have an online prep site at http://prep.askdoc-usmle.com. The prep site contains all the courses available to course participants of my USMLE Step 1 prep course. There is a demo prep course for Review of Pathology which features the first chapter out of 25 total chapters of Review of Pathology. It covers cell pathology. The online quiz is a straightforward quiz which directly tests recall and does not use USMLE type question. Do well there and it proves you do not have a knowledge base problem.
Continue reading Answering USMLE Type Questions – Part I
By askdoc, on October 12th, 2008%
Everyone knows the usefulness of keeping a large amount of high yield information in your head just before the actual examination. This can help a lot in boosting your score up in the last few days before the actual examination. Although I am never an advocate for last minute cramming for an examination like the USMLE, the benefits of having a large number of high yield facts in your immediate memory is something no one can ignore. The reason is that unless the information is in your immediate memory, chances are it will take some time for you to recall that information and in the context of timed examination like the USMLE, that can make or break you.
Most reviewers acknowledge these facts. First Aid for Step 1 has its Rapid Review section. Levinson and Jawetz has its “Brief summaries of Medically Important Organisms. and Trevor and Katzung’s Pharmacology Review has it’s “Key Words for Key Drugs”. All to be reviewed just a few days before going into the examination.
Continue reading High Yield Fast Facts for the USMLE
By askdoc, on October 7th, 2008%
We now come to Part III of our discussion on “Preparing for the Step 2 CS” In Part I, we discussed how to prepare for the medical interview part of the clinical encounter. In Part II, we discussed the physical examination part of the clinical encounter. We will now tackle the social aspects of the clinical encounter which is usually called bedside manners.
We can further divide the social aspects of the clinical encounter into two. Those that you do in every clinical encounter and those that you do in specific situations. We will start with the first one.
So what are the things you do in every clinical encounter?
Continue reading Preparing for the USMLE Step 2 CS – Part III
By askdoc, on September 29th, 2008%
This started out as a reply to a question asked by dr patel on my blog on how to evaluate one’s readiness for the USMLE and avoid making the mistake of taking the examination and failing it. However, it got a little bit too long, so I have decided to rewrite it into an article.
Failure to properly evaluate one’s readiness for the examination and one’s progress during the whole USMLE preparation process may be one of the most crucial reason not only for failing the USMLE but also for failure to achieve a less than stellar score.
Proper self-evaluation involves not only how to do the evaluation, using the right tool to measure the right parameter but also when to do the measuring to insure maximal effectiveness. Most failures in self-evaluation can be divided into these 2 broad categories.
Continue reading Guide to Self-Evaluation in USMLE Prep
By askdoc, on September 18th, 2008%
We now come to Part II of our discussion on “Preparing for the USMLE Step 2 CS”. In Part I, we discussed how to prepare for the medical interview part of the clinical encounter. We will now tackle the physical examination part of the clinical encounter,
To answer the first question on a lot of people’s mind. No, you should not do the physical examination while conducting the medical interview. Not only is it rude, you miss the opportunity of building rapport with your “simulated patient”. A question your “patient” is asked is if they would want you to be their physician and depending on the source could be an additional 1 or 2 points for you.
Continue reading Preparing for the USMLE Step 2 CS – Part II
By askdoc, on September 15th, 2008%
We begin part 4 of our series on “What to Study for the USMLE”. In Part I, we discussed the need to choose our review material based on what we want to achieve in the exam. We also discussed the use of substituted judgment when we rely on reviewers to know what to review for the examination, and the need to make sure that these judgments are based on the same goals we have with regards to passing, scoring well or acing the exam.
In part 2, we discussed that the score you want to achieve not only dictates the review materials you choose, but also how much of those review materials should be mastered and not just read through. In part 3 we talked about the various materials you used for review and the need to go back to textbooks for concepts you do not know, since you cannot review concepts you do not know. You have to learn them first and you need textbooks for that.
In part 4, we will discuss the two types of text reviewers you should be using for your review and how to use the concept of different types of recalls with the reviewers to maximize the amount of material you can store in your head for the exam.
Continue reading What to Study for the USMLE – Part IV
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