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“Live as if you were to die tomorrow. Learn as if you were to live forever.” – Mahatma Gandhi PowerPoint Presentation
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“Live as if you were to die tomorrow. Learn as if you were to live forever.” – Mahatma Gandhi - PowerPoint PPT Presentation


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“Live as if you were to die tomorrow. Learn as if you were to live forever.” – Mahatma Gandhi. First Aid for the USMLE Step 1: The Really Short Version. Tao Le, MD, MHS Assistant Clinical Professor Chief, Section of Allergy & Immunology University of Louisville

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First Aid for the USMLE Step 1:The Really Short Version

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

Senior EditorFirst Aid Board SeriesUSMLERx Test Bank Series

overview
Overview
  • 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
  • 8 hours total
  • 336 questions in 7 one hour blocks
  • 48 questions per block
  • 45 minutes of break time

Lunch

question types
Question Types
  • One-best answer items
  • Sequential items
  • A few with multimedia
  • Clinical vignettes
    • 65-70% of exam
    • Multi-step reasoning

A 32 year old caucasian woman presents with a 5 day history of occasional double vision and ptosis. The diagnosis is made by...

scores and passing rates
Scores and Passing Rates
  • Passing is 188/75
  • Mean is 222
  • 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
  • Just pass the exam  200 – 220
  • Beat the mean  220 – 240
  • Ace the exam  >240
  • “ROAD to Riches”
    • Radiology/Radiation Oncology
    • Ortho/Ophtho/Otolaryngo/Urology
    • Anesthesiology
    • Dermatology
timeline for study
Timeline for Study
  • 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
  • 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
  • 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
  • Mix of biostats, psychiatry, psychology, sociology, psychopharmacology
  • Biostats and epidemiology is very high-yield
  • Personality disorders
  • Doctor-patient interactions
biochemistry
Biochemistry
  • 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
  • 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
  • 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
  • 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
  • Concept oriented
  • Diagrams work well in physiology
  • Know basic physiologic relationships, hormones
  • Many clinical vignettes incorporate pathophysiology
review resources
Review Resources
  • Text reviews
  • Test banks
  • Self-test reviews
  • Case-based reviews
  • Review courses
  • Other media
    • Flash cards
    • CDs/MP3/Videos
    • PDA
picking and choosing resources
Picking and Choosing Resources
  • 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
  • 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
  • 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
test day tips
Test Day Tips
  • 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
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  • All new sequential and multimedia questions
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  • Select questions by difficulty level
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  • 10,000+ flash cards covering all the First Aid high-yield facts
  • Integrated with First Aid for the USMLE Step 1 online
  • Searchable by organ system, discipline, and topic
  • Discuss, annotate, and mark your favorite First Aid topics
first aid team 2 0
First Aid Team 2.0
  • 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