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I saw my NBME scores return back to normal. Instead, I worked exclusively on question interpretation for the last few weeks. Our hypothesis? USMLE Rx overemphasized facts and caused question interpretation atrophy. In other words, I knew the facts well, yet was still getting items wrong.
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Many of the questions I was missing were due to misinterpretation. Perplexed, I went over my recent NBMEs with Alec. My scores went down when I used USMLE-Rx. I did the majority of the medium and hard questions and during this time saw my NBME score flatten out and then drop. However, I felt a little short of details, so I decided to try USMLE Rx for a few weeks. At this point, I felt good on question interpretation. I completed the Kaplan and UWorld QBanks and saw my NBMEs rise consistently. In fact, it may have actually hurt my score. My take: Rx’s questions disincentivize good interpretation. Instead, USMLERx made me feel as if the key to answering questions was memorizing details. Useful questions force you to apply the knowledge you’ve learned. Scoring 250+ on Step 1 involves mastery of the material. When I finished Kaplan and UWorld, I started doing QMax/USMLERx. (To read UWorld: Is Your Strategy Wrong? (I Scored 270 By Ignoring The Dogma), click here). At that point, start reviewing your Anki cards and give First Aid a read over once. You will finish by the beginning or early into dedicated study period. Once you’re done with Kaplan, start UWorld with the same rhythm. Do UWorld After Kaplan, and Continue with Anki (To read The Best Winter Break Step 1 Study Plan, click here). Basically, anything that has a table in First Aid). (E.g., brachial plexus injuries, biochemistry. Kaplan will teach you many of the little distinctions that are tough. Sometimes, this is around the time that your school may administer their NBME exam. Do 40 questions a day on weekdays and 80 a day on weekends. Start Kaplan at the beginning of winter break before boards. Start With Kaplan the Winter Break Before Boards You will have forgotten the answer to most of these questions by then, a few months after the fact. Save these Anki cards to review during your dedicated study period.
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(Same thing goes for full second passes of a QBank – this is useless.) A lot of people make the entire question into an Anki card, but this isn’t very helpful – it takes too long to review. Make simple cards with the answer to the fact that you didn’t know in the item. Use Anki With Your QBanksįirst off, have Anki open as you review QBank questions. QBanks: Best (And Bad) PracticesĮveryone uses QBanks, but not everyone does it well. If you can teach something, you will have mastered it. To master material efficiently, find one or two people who you can teach concepts to and who can teach you. Most high scorers I know agree: you have to master the material. Preparing well for Step 1 sets you up for clerkship success.
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They’re the same things that will help you score high on shelf exams.ĭevelop good habits now, and they’ll stick with you for the rest of your medical education. These are the comments that residents and attendings put in positive clerkship evals.
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(Disclaimer: I tutored Daniel from early in his first year of medical school, and he was part of the Yousmle Online Course.) He gives his advice on not only how to score well on Step 1, but also how it fits in your overall medical training. In this article, Daniel reflects on his journey that will take him to a top dermatology residency in the midwest. When someone does it, it’s always impressive. It’s even harder when you have a limited dedicated study and want to match into a super competitive specialty. Scoring 250+ on Step 1 is a huge challenge.