“Live as if you were to die tomorrow. Learn as if you were to live forever.”
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“Live as if you were to die tomorrow. Learn as if you were to live forever.”

– Mahatma Gandhi


Audio Check to live forever.”

  • Get audio through computer speakers

  • OR dial toll-number to get audio

  • Telephone number and code are in your email invitation and in the control panel to the right

  • If you can’t get audio, this PPT will be posted at www.firstaidteam.com

  • If you get a busy signal, please keep trying.


First Aid for the USMLE Step 1: to live forever.”The Really Short Version

Tao Le, MD, MHSAssociate Clinical ProfessorChief, Section of Allergy & ImmunologyUniversity of Louisville

Senior EditorFirst Aid Board SeriesUSMLERx Test Bank Series


Relax
Relax. to live forever.”


Overview
Overview to live forever.”

  • USMLE Step 1 – The Basics

  • Defining Your Goals

  • Timelines for Study

  • Approaching Each Subject

  • Choosing Prep Resources

  • More Tips

  • Overview of First Aid/USMLERx

  • Q&A


Usmle step 1 the basics
USMLE Step 1 - The Basics to live forever.”

  • 8 hours total

  • 322 questions in 7 one hour blocks

  • 46 questions per block

  • 45 minutes of break time

Lunch


Question types
Question Types to live forever.”

  • One-best answer items

  • Sequential items

  • A few with multimedia

  • Clinical vignettes

    • 70-80% of exam

    • 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?


Scores and passing rates
Scores and Passing Rates to live forever.”

  • Passing is 188/75

  • 2-digit score to phase out 4/13

  • Mean is 221

  • 22 points is 1 SD

  • Allopathic med students

    • 95% pass on first try

    • 99% eventually pass

  • Osteopathic med students

    • 77% pass on first try

  • IMGs

    • 71% pass on first try


Defining your goals
Defining Your Goals to live forever.”

  • Just pass the exam  200 – 221

  • Beat the mean  222 – 244

  • Ace the exam  245+

  • “ROAD to Riches”

    • Radiology/Radiation Oncology

    • Ortho/Ophtho/Otolaryngo/Urology

    • “Aesthetic” Surgery

    • Dermatology


NRMP: Charting Outcomes to live forever.”in the Match


NRMP: Charting Outcomes to live forever.”in the Match


Timeline for study
Timeline for Study to live forever.”

  • The “Just Pass” Schedule – 1 to 2 months

    • First Aid High Yield Facts

    • Crammable subjects

    • Review questions – 1 question bank

  • The “Gunner” Schedule – 2 to 6 months

    • In addition to above

    • Less crammable subjects

    • More review questions – 2 question banks


Choosing study strategies
Choosing Study Strategies to live forever.”

  • Structure and characteristics of the subject

  • Structure and characteristics of your curriculum

  • Time assigned to a particular subject or system

  • Your style of learning


Anatomy
Anatomy to live forever.”

  • Traditional anatomy is low yield

  • Know anatomy for specific diseases, traumatic injuries, procedures, and common surgeries

  • Neuroanatomy, embryology, basic cross sectional anatomy is high-yield

  • Be able to identify structures on X-rays, CTs, MRIs, electron micrographs, and photomicrographs


Behavioral science
Behavioral Science to live forever.”

  • Mix of biostats, psychiatry, psychology, sociology, psychopharmacology

  • Biostats and epidemiology is very high-yield

  • Personality disorders

  • Doctor-patient interactions


Biochemistry
Biochemistry to live forever.”

  • Crammable!!

  • High yield topics include vitamin deficiencies, diseases of genetic errors, key regulatory enzymes

  • Understand the “pathobiochemistry”

  • Be familiar with medically relevant laboratory techniques


Microbiology immunology
Microbiology & Immunology to live forever.”

  • Crammable!!

  • 40% bacteriology, 25% immunology, 25% virology, 5% parasitology. So don’t fixate on bacteriology!

  • Focus on distinguishing characteristics, target organs, method of spread, and diagnosis

  • Know the immune response, vaccines, immunodeficiency diseases

  • Know viral structures and genome


Pathology
Pathology to live forever.”

  • Huge but important topic

  • Know hallmark characteristics of each disease including signs and symptoms

  • Look for clues in age, sex, ethnicity, activity

  • Know descriptions of “trigger” words

  • Most questions with gross specimens and photomicrographs can be answered from the history alone


Pharmacology
Pharmacology to live forever.”

  • Crammable!!

  • Focus on prototypic drugs; forget obscure derivatives, trade names, dosages

  • Major categories are ANS, CNS, antimicrobial, cardiovascular, and oncology

  • Mechanisms, clinical uses, and toxicities are high-yield

  • Review associated biochemistry, physiology and microbiology


Physiology
Physiology to live forever.”

  • Concept oriented

  • Diagrams work well in physiology

  • Know basic physiologic relationships, hormones

  • Many clinical vignettes incorporate pathophysiology


Review resources
Review Resources to live forever.”

  • Text reviews

  • Test banks

  • Self-test reviews

  • Case-based reviews

  • Review courses

  • Other media

    • Flash cards

    • Videos

    • Mobile apps


Picking and choosing resources
Picking and Choosing Resources to live forever.”

  • Buy books/resources early

  • Buy only what you can use

  • Don’t blindly buy a whole series

  • Check out the book reviews in First Aid for the USMLE Step 1 (Section 4)


Study tips
Study Tips to live forever.”

  • Establish a study schedule and stick with it

  • Alternate study methods for variety

  • Save “crammable” subjects for the end

  • Focus on high yield material and previous learned material

  • Allow time in schedule for breaks, exercise and personal issues

  • Stay relaxed and grounded

  • Use our checklist to keep you on track


Cbt tips
CBT Tips to live forever.”

  • Be very familiar with the CBT tutorial

  • Know the keyboard shortcuts

  • Use computerized practice tests in addition to paper exams

  • Mix Q&A throughout and at end


www.nytimes.com to live forever.”


Cbt practice options
CBT Practice Options to live forever.”


Test day tips
Test Day Tips to live forever.”

  • Less coffee on test day

  • Layered clothing

  • Read lead in first for long questions

  • Manage the clock

  • Light lunch

  • The “C” reflex

  • P = MD/DO


Now a word from our sponsor first aid express video course
Now a word from our sponsor… to live forever.”First Aid Express Video Course

  • 50+ hours of high-yield online videos based on First Aid

  • 600+ more color images and animations to expand key First Aid concepts

  • Exclusive 190+ page full-color First Aid PDF workbook

  • Watch as many times as you want

  • $100 off with your AMSA membership


First aid team 2 0
First Aid Team 2.0 to live forever.”

  • Like us on Facebook – www.facebook.com/usmlerx

    • Get FA/USMLERx updates and Q&A’s

  • Visit our blog – www.firstaidteam.com

    • Download the presentation

    • Get First Aid/USMLERx updates

  • Follow us on Twitter – www.twitter.com/firstaidteam

    • Get quick Q&A’s throughout the day

    • All referenced to First Aid


First aid team 2 01
First Aid Team 2.0 to live forever.”

  • Visit our blog – www.firstaidteam.com

    • Download the presentation

    • Get First Aid/USMLERx updates

  • Follow us on Twitter – www.twitter.com/firstaidteam

    • Get quick Q&A’s throughout the day

    • All referenced to First Aid

  • Join our Facebook group

    • Click link on Firstaidteam.com


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