Askdoc-USMLE Prep Courses
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By askdoc, on August 16th, 2010%
Which NBME Form should you Use for USMLE Step 1?
This is one of the most common question that I usually encounter both in my blogs and in the various forums. And you have as many answers as there are NBME forms, in fact more. Various answers include the following
- Use all 7 NBME forms to track your progress
- Use at least 2 NBME forms and get the average
- Use NBME form 5 to 7 as they are harder
- Use NBME form 1 to 4 as they are easier
- Use NBME form (#) as they are most predictive
As you can see recommendations vary and reasons vary. My recommendation is to use at least 2 NBME forms, one from the easy set of NBME form 1 to 4 and the second one from the harder set of NBME form 5 to 7 and then get the average. If you want to know why, then read on.
Continue reading Which NBME Self Assessment Form to Use for USMLE Step 1
By askdoc, on August 2nd, 2010%
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 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 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 . . . → Read More: How to Master the USMLE Step 1 – an Introduction
By askdoc, on July 26th, 2009%
Today, we will talk more about the NBME self-assessment tests. We previously discussed what the NBME self-assessment tests are and how they impact your USMLE review. You can read the posts here. Now we will cover three important topics. When to use the NBME self-assessment tests, how to use the NBME self-assessment tests and how wise it is to use the USMLE World self-assessment tests instead.
Continue reading NBME Self-Assessment Tests and USMLE Review – Part II
By askdoc, on June 19th, 2009%
The NBME self assessment test is another of those tools that I feel is responsible for the increasingly high scores in the USMLE. It is a great tool that allows the test-taker to assess his or her readiness for the exam. To a certain extent, if used properly, it is also a useful tool for the examinee to target a certain score, even 99′s and achieve it.
Continue reading NBME Self Assessment Tests and USMLE Review
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.
Be at Your Best on the Day of the USMLE Exam.
So what do you do on the day of the USMLE 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 USMLE examination, when you schedule the examination. It is a known fact that during review, people do reach a plateau and the best time to sit for the USMLE exam is just before or just after you reach your peak. Earlier or later than that can result in lower scores. During review, immediately after learning and memorizing your lessons, you start forgetting right away. 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 for the USMLE is around that long. That is why my USMLE Step 1 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 for the USMLE?
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 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 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
By askdoc, on August 11th, 2008%
We begin part 3 of our series on “What to Study for the USMLE”. For those just joining us, please refer to previous post here and here. Due to the sheer number of review materials available to examinees, we need to classify them in order to make it easier to choose and mix and match between them.
Broadly, we can classify our study materials into three. First are reading materials, mainly books and other written study aids, eg. Flashcards, etc. Second are Question Banks, which by themselves are very important and crucial study materials. Lastly and increasingly gaining importance are audio and visual resources like lectures both audio and video.
Continue reading What to Study for the USMLE – Part III
By askdoc, on July 18th, 2008%
We begin part 2 of our series on “What to Study for the USMLE”. For those just joining us, please refer to previous post here. Before we discuss the various criteria for selecting study materials for review, we need to clarify some concepts and discuss some limitations.
First, there is no real . . . → Read More: What to Study for the USMLE – Part II
By askdoc, on July 4th, 2008%
We now come to the second part of our discussion of “Using Q Banks effectively for USMLE Review”. For those just joining us, please review the previous post here.
Previously we talked about what Q Banks to use and when to use them for review. We will now talk about how to use Q banks as study tools and how to use them for review and assessment.
Continue reading Using Q Banks Effectively for USMLE Review – II
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