“live as if you were to die tomorrow. learn as if you were to live forever.” – mahatma gandhi

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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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  • Tao Le, MD, MHS Assistant 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
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  • 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
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  • Relax.
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  • 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
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  • 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?
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  • Scores and Passing Rates n Passing is 188/75 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
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  • 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
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  • NRMP: Charting Outcomes in the Match
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • Physiology n Concept oriented n Diagrams work well in physiology n Know basic physiologic relationships, hormones n Many clinical vignettes incorporate pathophysiology
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  • 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 CDs/MP3/Videos u PDA
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  • 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)
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  • 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
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  • 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
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  • www.nytimes.com
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  • CBT Practice Options TypesSuggested Use USMLE Sample TestFormat familiarity NBME/CBSSABenchmarking Commercial Test BanksPractice/study Simulation
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  • 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
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  • Now a word from our sponsor USMLERx Step 1 Qmax n 3000+ high-yield USMLE Step 1-style questions in FRED v2 format n All new sequential and multimedia questions n Integrated high-yield facts from First Aid for the USMLE Step 1 n Select questions by difficulty level n Accurate USMLE score predictor
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  • Now a word from our sponsor USMLERx Step 1 Flash Facts n Worlds largest Step 1 flash card bank n 10,000+ flash cards covering all the First Aid high- yield facts n Integrated with First Aid for the USMLE Step 1 online n Searchable by organ system, discipline, and topic n Discuss, annotate, and mark your favorite First Aid topics n Now available as an iPhone/iTouch app!
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  • First Aid Team 2.0 n Visit our blog www.firstaidteam.com u Download the presentation u Get First Aid/USMLERx updates n Follow us on Twitter www.twitter.com/firstaidteam n Join our Facebook group u Click link on Firstaidteam.com n USMLERx www.usmlerx.com
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