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Live as if you were to die tomorrow. Learn as if you were to live forever. – Mahatma Gandhi.

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Presentation on theme: "Live as if you were to die tomorrow. Learn as if you were to live forever. – Mahatma Gandhi."— Presentation transcript:

1 Live as if you were to die tomorrow. Learn as if you were to live forever. – Mahatma Gandhi

2 Audio Check n Get audio through computer speakers n OR dial toll-number to get audio n Telephone number and code are in your invitation and in the control panel to the right n If you cant get audio, this PPT will be posted at n If you get a busy signal, please keep trying.

3 Tao Le, MD, MHS Associate Clinical Professor Chief, Section of Allergy & Immunology University of Louisville Senior Editor First Aid Board Series USMLERx Test Bank Series First Aid for the USMLE Step 1: The Really Short Version

4 Relax.

5 Overview n USMLE Step 1 – The Basics n Defining Your Goals n Timelines for Study n Approaching Each Subject n Choosing Prep Resources n More Tips n Overview of First Aid/USMLERx n Q&A

6 USMLE Step 1 - The Basics n 8 hours total n 322 questions in 7 one hour blocks n 46 questions per block n 45 minutes of break time Lunch

7 Question Types n One-best answer items n Sequential items n A few with multimedia n Clinical vignettes u 70-80% of exam u Multi-step reasoning A 32 year old caucasian woman presents with a 5 day history of occasional double vision and ptosis. What is the most appropriate diagnostic test?





12 Scores and Passing Rates n Passing is 188/75 n 2-digit score to phase out 4/13 n Mean is 221 n 22 points is 1 SD n Allopathic med students u 95% pass on first try u 99% eventually pass n Osteopathic med students u 77% pass on first try n IMGs u 71% pass on first try

13 Defining Your Goals n Just pass the exam 200 – 221 n Beat the mean 222 – 244 n Ace the exam 245+ n ROAD to Riches u Radiology/Radiation Oncology u Ortho/Ophtho/Otolaryngo/Urology u Aesthetic Surgery u Dermatology

14 NRMP: Charting Outcomes in the Match


16 Timeline for Study n The Just Pass Schedule – 1 to 2 months u First Aid High Yield Facts u Crammable subjects u Review questions – 1 question bank n The Gunner Schedule – 2 to 6 months u In addition to above u Less crammable subjects u More review questions – 2 question banks

17 Choosing Study Strategies n Structure and characteristics of the subject n Structure and characteristics of your curriculum n Time assigned to a particular subject or system n Your style of learning

18 Anatomy n Traditional anatomy is low yield n Know anatomy for specific diseases, traumatic injuries, procedures, and common surgeries n Neuroanatomy, embryology, basic cross sectional anatomy is high-yield n Be able to identify structures on X-rays, CTs, MRIs, electron micrographs, and photomicrographs

19 Behavioral Science n Mix of biostats, psychiatry, psychology, sociology, psychopharmacology n Biostats and epidemiology is very high- yield n Personality disorders n Doctor-patient interactions

20 Biochemistry n Crammable!! n High yield topics include vitamin deficiencies, diseases of genetic errors, key regulatory enzymes n Understand the pathobiochemistry n Be familiar with medically relevant laboratory techniques

21 Microbiology & Immunology n Crammable!! n 40% bacteriology, 25% immunology, 25% virology, 5% parasitology. So dont fixate on bacteriology! n Focus on distinguishing characteristics, target organs, method of spread, and diagnosis n Know the immune response, vaccines, immunodeficiency diseases n Know viral structures and genome

22 Pathology n Huge but important topic n Know hallmark characteristics of each disease including signs and symptoms n Look for clues in age, sex, ethnicity, activity n Know descriptions of trigger words n Most questions with gross specimens and photomicrographs can be answered from the history alone

23 Pharmacology n Crammable!! n Focus on prototypic drugs; forget obscure derivatives, trade names, dosages n Major categories are ANS, CNS, antimicrobial, cardiovascular, and oncology n Mechanisms, clinical uses, and toxicities are high-yield n Review associated biochemistry, physiology and microbiology

24 Physiology n Concept oriented n Diagrams work well in physiology n Know basic physiologic relationships, hormones n Many clinical vignettes incorporate pathophysiology

25 Review Resources n Text reviews n Test banks n Self-test reviews n Case-based reviews n Review courses n Other media u Flash cards u Videos u Mobile apps

26 Picking and Choosing Resources n Buy books/resources early n Buy only what you can use n Dont blindly buy a whole series n Check out the book reviews in First Aid for the USMLE Step 1 (Section 4)

27 Study Tips n Establish a study schedule and stick with it n Alternate study methods for variety n Save crammable subjects for the end n Focus on high yield material and previous learned material n Allow time in schedule for breaks, exercise and personal issues n Stay relaxed and grounded n Use our checklist to keep you on track

28 CBT Tips n Be very familiar with the CBT tutorial n Know the keyboard shortcuts n Use computerized practice tests in addition to paper exams n Mix Q&A throughout and at end


30 CBT Practice Options TypesSuggested Use USMLE Sample TestFormat familiarity NBME/CBSSABenchmarking Commercial Test BanksPractice/study Simulation

31 Test Day Tips n Less coffee on test day n Layered clothing n Read lead in first for long questions n Manage the clock n Light lunch n The C reflex n P = MD/DO

32 Now a word from our sponsor… First Aid Express Video Course n 50+ hours of high-yield online videos based on First Aid n 600+ more color images and animations to expand key First Aid concepts n Exclusive 190+ page full-color First Aid PDF workbook n Watch as many times as you want n $100 off with your AMSA membership

33 First Aid Team 2.0 n Like us on Facebook – u Get FA/USMLERx updates and Q&As n Visit our blog – u Download the presentation u Get First Aid/USMLERx updates n Follow us on Twitter – u Get quick Q&As throughout the day u All referenced to First Aid

34 First Aid Team 2.0 n Visit our blog – u Download the presentation u Get First Aid/USMLERx updates n Follow us on Twitter – u Get quick Q&As throughout the day u All referenced to First Aid n Join our Facebook group u Click link on

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