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NBME Self-assessment Tests and USMLE Review – An Update

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

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What to Do on the Day of the USMLE Exam

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

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Answering USMLE Type Questions – Part II

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

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Answering USMLE Type Questions – Part I

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

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Preparing for the USMLE Step 2 CS – Part III

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

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