1. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview USMLE - Step Exams November 7, 2012

2. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Agenda Georgette Dent, MD - Presentation Susan Hadler, MD – USMLE Prep Course Kelly Mansfield – Medical Foundation Ann Farabee – Assistant Registrar

3. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview USMLE Step 1 Educational Policy Usually take in June following 2 nd year Must pass by December 31 st of 3 rd year If first attempt is unsuccessful, plan on re-take by November 15 th of 3 rd year Must pass within 3 attempts or will be dismissed (“3 strikes you’re out policy”). In line with North Carolina Medical Board Licensing Requirements

4. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Step I/MCAT 6/7/20164

5. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview USMLE Step 2 Clinical Knowledge Educational Policy Take Step 2 Clinical Knowledge by November 15th Show passing score of Step 2 CK by December 31st Lack of a passing score by December 31 means eligibility for the Match and graduation is in question Must pass within 3 attempts or will be dismissed (“3 strikes you’re out”). 6/7/20165

6. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Step II/MCAT 6/7/20166

7. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview USMLE Step 2 Clinical Skills Educational Policy Show proof of registration by February to participate in the NRMP Must take Step 2 Clinical Skills by end of spring semester for May graduation Consider taking Step 2 CS by November 1 Some program directors like to see a passing Step 2 CS score before finalizing Match rank order list in February! Receive financial aid for registration in fall and spring disbursements….must budget!!! Can take time off from electives/selectives for exam 6/7/20167

8. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Step I/Step II/MCAT 6/7/20168

9. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview USMLE Step 2 Testing Centers –Philadelphia (busiest) –Atlanta (most popular for UNC) –Los Angeles –Chicago –Houston (least busy) 6/7/2016 9

10. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Application Process Apply online – NBME Licensing Examination ServicesNBME Licensing Examination Services Certification/Proof of Enrollment – contact Ann Farabee (Assistant Registrar) – 1001 Bondurant Hall, CB# 9535 – 962- 8337 Cost for Step 1 - $560 –Registration Fee’s budgeted in financial aid package – USMLE Study Materials (included in cost of education) –Considered a full time study during the summer, therefore room and board are included in financial aid package –Contact Sheila Graham McDonald – 962-6117 or somfinaid@listserv.med.unc.edu with questions somfinaid@listserv.med.unc.edu Testing accommodations available – contact Deborah Ingersoll (Educational Resources Coordinator) – 1050 Bondurant Hall – 843-6171

11. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Scheduling the test Computer exam offered at Prometric testing centers Testing centers located all over US Contact Prometric when you get the permit Use 800 number or check the WEB Appointments made on a first come first serve basis May also call local centers directly 10 centers in NC –Asheville, Charlotte, Greensboro, Greenville, Raleigh, Wilmington

12. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Taking the exam MUST BRING ID AND SCHEDULING PERMIT!!! No personal items allowed (leave in locker) Bring lunch, 1/2 hour for lunch May practice exam at Prometic for a fee 7 hour exam administered in 7 blocks of 50 questions May take break between blocks

13. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Best Practices for Preparing for Step 1 Start preparing for Step 1 by reading the appropriate sections of First Aid with each course as it is in session. This information will provide a structure and overview of major concepts from the point of view of the National Board of Medical Examiners. Consider adding notes from classes to First Aid. (Optional: Consider using practice Step 1 questions in conjunction with each course.) Goal: Read First Aid at least once by the end of second year. Use First Aid and USMLE World electronic question banks as core Step 1 study materials during the May-June study period following second year. Identify weak areas and use subject-specific review materials (Board Review Series, Lippincott for pharmacology or pathology).

14. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Best Practices for Preparing for Step 1, continued Take a practice test to establish a baseline and to identify which areas (weak areas) you will study first. Take additional practice tests periodically to check your progress. Do not wait until you have studied all content before taking a practice test. Consider practice tests as tools to monitor your progress toward taking the actual test. Develop a feasible plan of study that includes reading/studying, doing questions in question banks, and ongoing review of topics already studied. Do random questions in 50 minute blocks (question bank). Review correct and incorrect answers and understand why the correct answer is correct and why others are wrong. Keep a running list of topics that will require additional study.

15. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview After the exam Scores available online within 8 weeks Minimum Step 1 passing score – 188 Maximum Step 1 – approximately 280 Recommended Reading (for understanding what your score means relative to the Match) see link below for 2011 Charting Outcomes in the Match http://www.nrmp.org/data/chartingoutco mes2011.pdfhttp://www.nrmp.org/data/chartingoutco mes2011.pdf

16. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Highly Competitive Specialties Ratio of US Seniors:Position Median Step 1 Scores Matched Students RatioStep 1 Plastic Surgery 0.9 249 Orthopedic Surgery 0.8 240 Otolaryngology 0.9 243 Radiation Oncology 0.8 240 Dermatology 1.0 244 Match Outcomes Data, August 2011

17. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Moderately Competitive Specialties Ratio of US seniors:position Mean Step 1 Score Matched Students RatioStep 1 General Surgery 1.1 227 Emergency Medicine 1.0 223 Med/Peds 1.3 230 Radiology 1.3 240 Anesthesiology 1.3 226 Obstetrics/Gynecology 1.3 220 Pediatrics 1.4 221 Match Outcomes Data, August 2011

18. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Less Competitive Specialties Ratio of Seniors:Position Median Step 1 Scores Matched Students RatioStep 1 Internal Medicine 1.8 226 Neurology 1.8 225 Psychiatry 1.8 214 Pathology 1.9 226 PM & R 1.7 214 Family Practice 2.1 213 Match Outcomes Data, August 2011

19. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Resources and Contacts USMLE Web Site –http://www.usmle.org/http://www.usmle.org/ National Board of Medical Examiners –The National Board of Medical Examiners ®The National Board of Medical Examiners ® Prometric web site –http://www.prometric.comhttp://www.prometric.com An Examination of Students’Preparation for Step 1 and Their PerformanceAn Examination of Students’Preparation for Step 1 and Their Performance

20. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Third Year Core Requirements Internal Medicine (inpatient) – 8 weeks Internal Medicine (outpatient) – 4 weeks Surgery – 8 weeks Neurology – 4 weeks Family Medicine – 6 weeks Obstetrics and Gynecology – 6 weeks Pediatrics – 6 weeks Psychiatry – 6 weeks

21. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview 3 rd Year Calendar 2013 to 2014 Required Transition Course: June 24 th to June 28 th, 2013 Clerkships start July 1st Required Class Meeting: Friday December 13 th 2013 Winter break: December 14 th to January 5th Spring break Clerkships end June 27, 2014

22. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Fourth Year Curriculum Acting AHEC Internship – 4 weeks Critical Care Selective – 4 weeks Advanced Practice Selective – 4 weeks Science of Medicine Selective – 4 weeks Electives –12 weeks total –Offered in 2 or 4 week experiences –One 4 week block can come from preclinical years CPX Capstone course

23. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview QUESTIONS?