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Askdoc-USMLE Prep Courses
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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 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 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
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