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cupcraft · 1 year

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My Step 1 Study Guide

Hello! I recently took the step 1 test and passed and I thought I'd share what I did to study and prepare just in case it helps anyone out. Plus advice i'd give looking back on things i didn't do. Hopefully this helps and sorry it's so long. Feel free to send me asks on anything at all!

1: during m1/m2 year -> utilize the Anking deck/study sheets + first aid + things and videos like amboss/scholarrx/sketchy/boards and beyond + pathoma as you go through the blocks. Don't focus on step studying but utilize these resources to bolster your block exams. I used anking & sketchy & first aid primarily but kinda too late and i wish i utilized it earlier. Also, if your school doesn't have step 1 style test questions overall (like mine did for a bit) i'd do scholarrx questions to practice right before a test (it helped me with the tests and also got me to see patterns ahead of time). I wouldn't start using UWorld right away, at least not intensely. If you want a first pass you could start in November/December but honestly for me that was too much so I didn't.

2: Last block/pre-dedicated -> Make a study plan. You can use things like cram fighter or you can do it by hand or in excel/google sheets. If you need mine as an example feel free to ask, though my general plan was review first aid/content review/practice exams and questions/free 120/rest/exam in that order and i did the stuff i forgot first and ended with the info i did in my last block which was msk/derm/heme/onc/ct. It should be noted that you must tell yourself now that this plan won't be adhered to 1000% and you will get behind and you will just say fuck it to some stuff as you go. And be honest with yourself that you may give up studying earlier than you think or sleep in a lot of days. Just be kind to yourself now. This is just a guide to help you, not a strict rule book. For example, i meant to do cardio block review in 2 days and my mental health tanked so it took me like 5 days and i still had a ton of questions i couldn't do.

3: Dedicated ->

Prioritize getting through First Aid srsly and supplement it as you do content review. I read First aid one pass and then i supplemented information from Boards and Beyond videos and some information from pathoma. Mostly, i kept my notes within the pathoma textbook (as i bought a subscription and received the textbook).

As you do content review do Uworld questions and once you get through review really prioritize practice questions and finishing Uworld. You won't realistically finish all questions or blocks but at least try to do as much as you can. I ended Dedicated about 64% through. With Uworld your average will be low and at times will barely improve, honestly as long as you are improving on the net and your average is 40% or higher i think you're doing just fine imo (as that was my experience). UWorld is meant to be harder. When you do UWorld at first do tutor mode and always write down questions you guessed on/got wrong/don't understand in a notebook for review later. I wish i had made anki on them as i went along but i was too burnt out for that realistically for many reasons.

Looking back on it i watched every sketchy but i wish i at least did the anking for the sketchy (as i did no anking during dedicated) to help me remember.

Do practice exams. I did 1 uworld one and 4 NBME tests plus the free 120. the UWorld one in my opinion was not worth it and it lowered my confidence majorly as it was so fucking hard and full of trick questions. The NBME ones were much more useful. The free 120 was the most useful as many of the questions you get may reappear on step, and so it's the best one to do the week of your test so it's fresh in your mind. Make sure as always you review the questions you got wrong because it's so so helpful.

Day before the exam what do i do? -> maybe light review (ie stuff you got wrong a lot, some anki, first aid notes) but otherwise do nothing. srsly just rest, eat, and go to bed!

Remind yourself that you just need to pass. 60% is passing. No one will know your score. It's pass fail!

4: What resources do you recommend? Don't? Etc? ->

Resources I used: Boards and Beyond (videos), Pathoma (videos and textbook), First Aid, Sketchy Micro & Pharm, UWorld, NBME Practice tests (the CBSE), NBME free 120.

Usefulness of the resources: I really found everything I used to be useful but there's some stipulations. I found that neither UWorld nor First Aid prepared me for the biostats questions well other than memorizing equations. Biostats/public health is often a lot more problem solving oriented not just "can you do an odds ratio" for ex, so the NBME practice exams were more useful for that concept. I also did not find every boards and beyond video useful so there were many i skipped, esp pharm videos as i used sketchy! Along with first aid i bought the other first aid book, the clinical reasoning one. TBH it is a useful book (i used it a bit during my blocks) but during dedicated i was so tired and didnt have time to use it so do with that what you will. Sketchy was so so useful esp for micro but like I said i wish i supplemented with Anki. Also, Boards and Beyond cardio was so helpful but a lot of info i skipped through as i found it too detailed for step overall, but it is good to use looking back on it for clerkships i imagine (as there's info specific to clinical practice).

Anki specifically: I stopped all anki during dedicated because I just was too overwhelmed and couldn't keep up with it. Looking back I would've used Anki a lot earlier than i did during the blocks and kept up with it in small amts cumulatively, and then during dedicated done the sketchy ANKI primarily/old reviews/+anki for stuff i got wrong on questions a lot to make it easier. But, i still did well without it during dedicated.

5: test day tips ->

if you have stomach problems like me don't drink caffeine and prioritize sleep the night before (if you can tolerate caffeine then this is fine).

Pack lots of snacks that you know you will be able to eat while exhausted and stressed. I find it hard to eat something heavy on days like that, so i packed things like grapes/oranges/granola/pretzels/pbj/beef jerky. Stuff that would fill me and fuel me but not make me feel sick. Pack lots of water and potentially Gatorade or something.

Go to the bathroom before you enter the exam room.

Before the test day plan how you will take your breaks (this helped me because it was really overwhelming otherwise) and then you'll be able to read yourself on the test day to modify your break time.

Go through all the questions and then review marked ones and then review all of them together. Just know you will mark almost every question and it doesn't mean you got them wrong and failed.

6: other misc tips ->

just avoid the reddit. There are plenty of good advice plus links to resources (ie anking deck/etc.) on reddit and you should use it for that. But often i found the reddit to be a place that made me feel like i was gonna fail just like it was during MCAT/applying to school. I'd be like "is this score good" and they'd be like omg delay your test youre not gonna do well you should be scoring xyz. I just couldn't read that stuff, even if there was good and honest advice in between.

It's okay to push back your test/retake it if you have to (and can! It depends on your situation).

Consult an academic coach/advisor at your school during dedicated!

Work in groups: ie meet up with people at a library and use each other for accountability or if you need group review sessions please do that. All in all, just don't let yourself be isolated. Even do work with friends in other programs, just having ppl there will help you.

Prioritize sleep, food, water. Seems redundant to say but genuinely do this.

Change scenery a lot. Go to a cafe, go to school, go to a library or WeWork, go to your family's house, etc. It really will help you.

Regardless of your schedule and how well you follow it try to stop working at the same time every day. Set a time you will stop work forever and play video games or read a book or just collapse onto the couch. If you study 24 hours a day you will burn out faster.

Accommodations? How do i get those for the test -> this should be a post on it's own so i will just say if you want me to make a post on this I can. I had private room accommodations just to share! But there are many types of accommodations. Just know you really have to do this like a year/many months in advance!

That's really all i can think of. Just ask me if you have any q's! Goodluck ya'll.

#step 1 #advice #usmle step 1

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emgoesmed · 9 months

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Hi , i love your blog. Everything always looks so perfect. So i wanted to ask you for some advice, i am an IMG , and have recently done my residency(medicine) back in my home country In south east Asia. So my background knowledge is not so bad. Life happened (some not so good events) and i needed to move to US. I dont think am in for studying for step 1 right now but i think i ll be able to study for step 2 CK. I wanted to ask you if one can do well on step 2 ck by doing uworld. I am worried the most about pedes gyne surgery, cuz its been a while i have studied these subjects. Could you please recommend what extra sources should i use for pedes gyn surgery. And if those are as heavily tested on ck as medicine. Any advice on sources , timeline or anything really would be helpful. This is the only social media platform i av right now and i dont know who else to ask. I would be really grateful for any advice.

Hi!

UWorld is the main question bank that US med students use to study for USMLE step 2 CK. It is a great learning tool because the question/answer explanations are very thorough.

Medicine is about 50-60% of the exam, Surgery is 25-30%, Pediatrics is 20-25%, OB Gyn is 10-20%, and Psychiatry is 10-15%.

For surgery, I recommend De Virgilio's case book; the surgery portion of the exam is less about the actual surgeries and more about medical management of pre- and post-op, and indications for surgery.

I didn't have a very good resource to study for Pediatrics or OB Gyn, but recommend looking on Reddit for ideas. You don't need an account to do so. Search for posts about what helped people succeed on their shelf exams during third year, since those are specialty-specific resources.

One IMG I know who is in Internal Medicine residency in the US told me his study strategy was to complete UWorld and then do the entire Amboss question bank over several days prior to his exam because he just used a free trial period lol. I know other US students who did both question banks and got great scores (260+) as well.

I hope this is helpful! Best of luck in studying for your Step exams and don't hesitate to reach out if you have any more questions, I'll try my best to answer or point you towards helpful resources. :)

#emgoesmed #ask #answered #anon ask #usmle step 2 ck #img #studyblr #med student #med school #med studyblr

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lasclprice · 2 years

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usmlematerialsnet · 3 years

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Free Amboss Coupon Code 04/2021

https://medbooksvn.org/free-amboss-coupon-code-04-2021/

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ontrackmind · 3 years

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Learning all the things. Step 2 is 2 weeks from today!

PS- does anyone else have a love-hate relationship with UWorld?

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a-young-doctors-journey · 3 years

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Snapshot mid-study session. Covering dermatology today, and answering Amboss questions on random, tutor-mode (because my brain is too lazy for exam mode right now).

I'll try to stand up now, stretch, maybe work out a teeny tiny bit? My joints need it from being cooped up at my desk all day.

#study spo #study spot #study desk #aesthetic #study aesthetic #studygram #studyblr #medical student #med studies #dermatology #Amboss #step 2 prep #step 2 ck #usmle #highlighters #coffee #mine

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meg2md · 3 years

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Just finished the AMBOSS self-assessment, mean score 79% with a breakdown of 83/85/83/68%. This was my first time doing not-tutor mode questions outside of NBMEs for shelf. It was also the most questions I've done in a row since Step 1. I DO NOT HAVE STAMINA. Overall I felt it was moderately difficult, although Reddit would have me believe that it's easier than Step 2 itself. I'll review it tomorrow probably and finish the DIP NBME 32 episode today + anki.

Things that don't surprise me: doing decently on medicine, since that's the shelf I'm studying for. Also doing well on social sciences/epidemiology, neuro, and heme/onc because those have randomly typically been my strengths. Also not surprised by doing poorly on GI since I haven't done that since surgery.

Surprised by my poor performance in endocrine and respiratory. I'm generally good at endocrine, and I just went over pulm a week or two ago. Surprised that I did well on MSK because I felt like I was guessing on all those.

Kind of surprised by the poor performance on peds since I did well on that shelf, but also I hate peds and so it makes sense that I would have knocked it all out of my brain as soon as I was able.

I'm still super fucking nervous for Step 2. The 3-digit SA score will come on on 5/12 which is EXACTLY one month before I take the real thing. And I realllyyyy need to get at least a 250 to be competitive for the programs I want

I can't wait until Step 3 when no one cares they just want you to pass!!!!!

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medstudentsrock · 6 years

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Peds Rotation

Peds was great guys. I didn’t see myself doing this rotation because i usually don’t know what to do with kids haha..but it was great. I saw a lot of different cases-saw a ruptured tympanic membrane, Parotitis, WAGR syndrome, autism, testicular torsion, UTIs, bronchiolitis etc. It was amazing. I definitely needed to learn to do the HPI for this rotation.

HPI is different for neonates and for preschoolers and for adolescents, so you had to tailor your questions to the specific age group.

Overall you asked if they were in Daycare (If they were less than 5-6 years old), dental visits, smokers or pets in the house along with the general questions (fever, vomiting, diarrhea etc)

Neonates you ask the mom which hospital they were born at, vaginal or C-section, bottle or breast, term or preterm, any complications etc.

Up to 1 Year old you ask about bottle or breast feeding, if bottle, then what formula and how much they feed. If they breast feed how many minutes they latch onto each breast and how many hours apart do they feed. You ask about wet and dirty diapers. You ask about consistency of the stool. Don’t forget those developmental milestones as well (Refer to Maxwell’s Pocketbook). Then you ask the general qs about any fever, vomiting, cough, or diarrhea

Kids in school( Elementary, middle or HS) you ask how they are doing in school, if they have any friends, and about their grades, and which school they attend.Also ask if they are involved in any extra-curricular activities.

For HS girls you ask about periods, age of Menarche, LMP, how their periods are like etc along with sexual history.

Any patients coming in with asthma, you ask if the asthma is related to weather changes, exercise induced or year around.

That’s all i have.

Studying wise, i did Uworld and Emma Holliday Powerpoints/video lecture, and read through Kaplan Peds book.

#usmle #usmlestep1 #usmle step 2 ck #usmleprep #usmle review #medstudent #medblr #medlife #step2cs #peds #shelfexam #clinicals #uworld #amboss

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neuromedical · 2 years

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Week 20 of 39

I don‘t even know what to write about this week... We spent it at a paediatric clinic that doesn’t really work with my school, got condescending looks from both the staff and the other students, and went home. The most useless placement of them all. All week I wished we could go back to “our” clinic where we actually saw patients and had something to do...

We’re officially past the half of this year. Only 19 more weeks as a medical student. Well, hopefully - I have to pass the rest of my state exams. And there also can’t be a humanitarian covid-crisis. Ah, fuck... I mentioned the other week that they want to take us out of school to help with covid patients which would also mean that they’d prolong the year either by a month or three. This week they finally told us that it pertains mainly to the lower years and the final year will only come in if it’s absolutely necessary. Which makes sense, because we really need new physicians as soon as possible. It’s in the best interest of everyone to let us graduate in term. But, unfortunately, the covid cases are going up. Horrifically. Every single bloody day. I’m praying it won’t come to the worst...

In hopes to get some more Knowledge into my brain, I downloaded Amboss and went through some Step 2 questions (I think Step 2 is the US equivalent of our state exams). It’s tragic 😅 In my defence, all our exams are oral so I’m not really used to that type of questions, but hopefully I’ll get better at them. Also, some of them are just plain dumb (like when you choose a test to perform and the answer’s wrong because “duh! of course we did that!! but what would you do BESIDES that?!” My dude, I can’t read your AI mind!)

I still haven’t finished reading Kith & Kin, but I’m working on it! Yesterday, I watched the first three episodes of The Legend of Vox Machina and fell in love... I highly recommend it if you like fantasy shows - it’s funny, it’s emotional, and it’s very much not for kids which is super refreshing to see - lately the internet has been obsessed with making everything PG 🙄 As if adult spaces weren’t necessary or something... Anyway, have a nice weekend! :) (Also the artwork on the photo is a print, the paintbrushes are there because I plan to gold-leaf it 😊)

#personal #y6

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afke-books · 2 years

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USMLE qbank

Amboss qbank is a next-generation healthcare Q&A question bank

The Amboss qbank is a next-generation healthcare Q&A question bank. Amboss has been designed to help health care professionals, medical students, and other education providers prepare for their specific clinical assessments.

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emgoesmed · 2 years

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2/25/2022

Days of Productivity: 1/50

Starting this challenge to hold myself accountable while I study for step 1. I need to get better at figuring out what is a reasonable amount of material to study per day.

It’s snowing today so it’s a good day to stay cozy inside and get stuff done.

Finish reviewing amboss self-assessment

Study GI physiology

Review GI micro & pharm

Review hematology

#emgoesmed #em's step 1 countdown #studyblr #studyspo #med student #med school #med studyblr #productivity #days of productivity #coffee #snow #winter #cozy

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usmlematerialsnet · 3 years

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Free Amboss Coupon Code 04/2021

https://medbooksvn.org/free-amboss-coupon-code-04-2021/

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ontrackmind · 3 years

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It's a messy workroom, but I'm happy to have time to study. I didn't score excellently on the step 2 practice exam, but honestly, I'm pretty happy with where I'm starting at. ☺

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a-young-doctors-journey · 3 years

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I have been less than productive these past few weeks, perhaps even month(s). If you follow me on Instagram, you might’ve seen that I did a lot of shifts at the ED (204 hours in fact, the most I’ve ever worked in a month!!) and spent my days off lounging around.

No more of that. I want to get back to my books, fill that brain with some knowledge, and take this bloody test. Step 2 CK, you will be no more! I will vanquish you... eventually.

For now, I haven’t set a test day and I won’t til I have a clearer view of the future. But I do vow to study for you every. single. day. I will track my progress of that here, with the lively world of Tumblr as my witnesses.

Study Log Day 1 - April 4, 2021 | 1:12 PM

I am off today, with no meetings, errands or other distractions scheduled. I will try to get the following things done:

☐ gastro notes (12 pages): read and make flashcards ☐ headache topic from EM curriculum ☐ Ch 20 podcast from EM curriculum ☐ 40 Amboss questions

It’s already 1:12 pm and so far I’ve managed to read about 5 pages of the gastro notes. So I gotta pick up the pace and get back to work. With coffee in hand, I shall do just that.

Sincerely,

a desperate medical student

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meg2md · 3 years

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Alright, so Step 2 CK is now coming up on my radar, and I kinda took the L on a handful of my rotations this year because of burnout.... Basically I bombed FM and surgery shelf exams and I've gotten somewhat behind on peds. I wish I had been keeping up with Divine Intervention podcasts during shelf, but I really barely used them. I've been using Anki intermittently but I really think it's just spoiling some UWorld and NBME questions for me lol

I've been watching some YouTube videos and browsing Reddit trying to get a plan together. There definitely aren't as many resources for Step 2 vs Step 1. So like.... there's no way I'm gonna finish UW during M3. Should I reset it before finishing? I don't remember shit from the questions I did early in the year

Plus everyone's saying that with the Step 1 P/F change, Step 2 CK is already harder (even though my Step 1 was graded lol)

Divine Reddit link 1

Divine Reddit link 2

UWorld > AMBOSS >> other qbanks

Biostats review video

NBME CMS exam - review topics

NBME 6,7,8 (outdated but worthwhile?)

UWSA1,2

**Random reddit comment about divine intervention podcast selection (there's SO MANY, I refuse to listen to them all lol): "ck podcasts or atleast the rapid reviews plus the CLEAN SP, palliative, and ARDS etc"**

I probably won't use Anking during Step 2 dedicated. I think I'll make anki cards based on wrong questions, which is what I did for the MCAT all those years ago which worked really well. Anki just becomes really low-yield and nitty-gritty for me when the exam gets closer... I'd rather spend time doing questions and learning how to reason.

I know people say Step 2 isn't as bad as Step 1 but like.... I'm a memorizer, so learning how to reason through things is hard for me. Also even though I know the mean score is higher for Step 2, the fact that I need around a 250 to be competitive for some of these programs is terrifying, even if 250 on Step 2 is not the same as a 250 on Step 1

med school, ya'll. what a trip

#medblr #studyblr #step 2 #step 2 ck #step 1 #medical school #med school

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