Usmle step 2 experinces

2021-11-14 02:36:56 Usmle step 2 experinces pinned Deleted message Open / Comment

2021-09-14 13:37:05 #step_2ck_experience

All right y'all, let's get this party started. Here's to a smooth sailing third year, no Prometric drama with Step 2, in-person aways and interviews, and no CS/hopefully PE.

School: bone wizard

Step 1: mid 230s
Level 1: mid 570s

Step 2 goal: 250+
Level 2 goal: 600+

Interests: EM, OB/GYN (distant second)

Rotations (in order): Peds, IM, FM, Psych, Neuro, Surgery, EM, OB/GYN and then several electives mixed in

Resources: UWorld, Online MedEd, Tzanki deck since it's shorter and the Step 1 decks burned me out, might check out B&B for Step 2 when it comes out since Dr. Ryan saved my butt on Step 1

My rotations go until the end of June and unfortunately my schedule is pretty backloaded with my final 3 rotations being EM, OB and ICU so I guess that means I'll be taking Step 2 in early July. Obviously I'm not sure how auditions/aways will be playing out next summer and if PE will be a thing so a lot up in the air right now in terms of scheduling. My school does COMATs for our shelf exams but I don't plan on using any DO-specific resources for COMATs or Level 2 as I've heard UWorld is all you need. Open / Comment

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2021-09-07 10:10:43 the path of those whom Thou hast blessed, not of those who incur wrath, nor of those who are astray.”

– The Opening (al-Fatihah) Open / Comment

2021-09-07 10:10:43 FOCUSED AND DIFFUSE MODES
Those are the 2 main ways of thinking involved in learning scientific facts as well as the creative acts of artists and scientists according to Barbara Oakley, Ph.D. This woman is the main instructor of the course “Learning how to learn” I took a while ago on Coursera. She’s also the author of the book “A Mind For Numbers: How to Excel at Math and Science (even if you flunked Algebra)”. The course was great and very well-done. The thing is that the idea of focused and diffuse modes of thinking is worth entertaining and I think it’s important for the USMLE and any other exam you’re preparing for. Focused mode means what we all know, put your head down into something, reading, writing, solving questions, looking things up… etc i.e. you’re concentrating and trying to learn or reinforce your learning of something. We all good at that. Diffuse mode, on the other hand, means that type of thinking that you enter while in a relaxed mode. Avicenna (Ibn Sina) said once that he often falls asleep while struggling on some intellectual issues and he subsequently dreams about these issues to the point that the answer appears before his eyes in the dream. He then wakes up and writes those new ideas down. This happened to almost all of us one way or another. The idea is that your brain (while in a relaxed mode) wonder and try to make connections between information and concepts you learned before in the focused mode, so you got to give your brain this opportunity especially when we’re talking about a huge exam like USMLE which demands a great deal of integration and connection-making ability between subjects on different levels. So, what can you do about this? Sleep well, take long walks, exercise, relax on your chair for a little bit every day and think lightly about what you learned this day or the day before. This will have a huge impact on your performance. Don’t just study, watch TV, scroll down your Facebook homepage, watch YouTube, talk to people… etc You have to do some relaxed “diffuse” activities. Cooking is one of those by the way

+220 vs +240 vs +260
There’s no difference in studying sources, IQ or timelines! The only difference is the intensity of studying, focusing, taking everything seriously and not panicking too much.

SUGGESTED PLAN
=> Introduction – 1 month – Kaplan video lectures



=> Building the base – 1 month – Pediatrics, Ob/Gyn, Psychiatry, Epidemiology, Statistics, Ethics – Kaplan Lecture Notes Internal Medicine – Master The Boards Surgery – Kaplan Surgery Cases Section + Boards and Wards Surgery Section



=> Getting into the game – 2 months – UW subjectwise timed tutor mode – 1 block per day (take notes and annotate your books, make sure to understand everything in UW)



=> Recap – 2 weeks – Revise your book again (you already annotated them and took notes from UW)



=> Before the end – 3 weeks – Do UW (second time) in timed mode 3 blocks a day (do the 3 blocks then read the explanations)



=> Finishing – 1 week – Revise your books and notes

N.B.

Do your first assessment (NBME 4) after “Recap” i.e. after #4. Do NBME 6 when you’re halfway through your second UW round. Do NBME 7 after finishing second UW round. Do UWSA in the last week and FRED 141 free questions in the last day.

PRAYING
For me, this was the most important part of my preparation and the most important tool throughout my life. Praying (making Duaa) i.e. asking God, has almost always worked for me. Asking God isn’t just words you utter. It’s an intense process. You want something and you believe God is the only one who can truly help you get it, so you ask him for help. Ask for guidance, ask for knowledge, ask for understanding, ask for courage, for strength and finally ask for the score.

“In the Name of God, the Compassionate, the Merciful.

Praise be to God, Lord of the world,

the Compassionate, the Merciful,

Master of the Day of Judgment.

Thee we worship and from Thee, we seek help.

Guide us upon the straight path, Open / Comment

2021-09-07 10:10:42 I was doing Kaplan QB because I wanted to begin UW with a high initial score but it turned out that Kaplan QB is just not good for CK. Explanations weren’t as good as UW, questions were full of tricks… although some pros are that the question stem was long so that you can train in time management and there wasn’t a lot of outdated information like some people say. Yes, the QB may be outdated regarding recent exam question style changes but the information itself is solid and you can count on it.

Bottom line

If you want to do Kaplan QB do it after doing UW first time and don’t bury yourself into details, do 2 blocks a day and read the key concepts in the explanations.

PHASE THREE (2 months and 18 days)
I did UW first time subject-wise timed-tutor. One day I do 1 block, another I do 2 blocks and another may be nothing at all or half a block or something. I took 50 days to finish the QB and some of the Clinical Mastery Series forms. My cumulative was 60% (My Kaplan cumulative was 55%) but I felt like I’m learning a lot and the explanations make sense. Everything is well-done in UW. I was annotating my books and printing a lot of print-screened UW tables and diagrams BUT I learned my lesson and didn’t pay much attention to what I thought was trivial details, I even managed to do about 250 questions without annotating at all That was very hard for me because I’m kind of a “perfectionist”. Then I did NBME 3 again! The first time I did this form I didn’t study the questions and answers from the offline copy that was available because the score was too low and I thought I might do it again in the future (and that what turned out to happen). Anyways, I got 192! I was devastated but I managed to start my second round of UW random timed about 3 blocks a day. My cumulative was 78%. I did NBME 6 again halfway through UW second time and I got 235 (I didn’t revise the questions and answers after the first time I did this test either) then I completed the second time of UW and did NBME 4 with a score of 237, and after that NBME 7 (1 week away) and I got 237 then UWSA (4 days away) and got 242 and finally the 141 free questions from USMLE.org (1 day away) and got 82%. That last week was full of doubt because I didn’t know what to do, UW third time? CMS? Dr. Ali Notes? Reading my books? So, I ended up doing a little bit of everything!

Bottom line

Do UW 2 times and learn everything in it.

EXAM
Anxiety was the major theme during the first 2 blocks and a minor one in the next 2. I wasn’t sure about any question and I think this is normal. Try to take a little break after each block. I posted my impression 2 hours after getting home from the test center.

SCORE
4 Wednesdays after the exam at 10:45 a.m. Philadelphia time: PASS, 243



CK BEFORE STEP 1
Step 1 will definitely help but not in terms of information i.e. there are no questions that require you to know stuff only found in step 1 books and question banks. Step 1 can help you understand better and save time, however, UW and other CK sources have all that you want for the exam.

For example, UW doesn’t have direct neuroanatomy questions or explanations and you won’t find that on the exam either BUT if you already know the neuroanatomy from step 1 that will help you understand topics like “stroke” better.

One last thing: the basic science information that you’ll actually be required to know for the exam (mostly pathogenesis) is covered by CK sources especially UW. Open / Comment

2021-09-07 10:10:42 USMLE Step 2 CK Experience – An IMG Perspective


In the Name of God, the Compassionate, the Merciful.

Here’s my full experience and advice for USMLE Step 2 CK takers in the near future.

Background: Recent Cairo University graduate. Didn’t do Step 1 or CS at the time of writing this article.

My Goal: +240

PHASE ONE (more than a year of almost wasting time!)
That was during my “internship” year here in Egypt or what we call according to the British system we’re following to some extent “training year as a Preregistration House Officer”. I just watched the whole 140-hour Kaplan video lectures except pediatrics because I couldn’t stand that guy (The Kaplan pediatric book is great but the video lectures are just the author reading his book out loud!). Then I spent about 3 months doing almost nothing regarding my USMLE preparation because of getting married .

So, about this phase: This was a huge waste of time! Don’t get me wrong; Kaplan is great and I’ll write about that in details just in a minute but doing one lecture this day and another the next week and then get busy with hospital shifts then go back to do another lecture is just not the optimal way to prepare for the USMLE. 140 hours means about 30 days of 5 hours a day and another 30 days for reading the 1400 pages set of lecture notes. That’s enough and much better than what I did, not just because of saving your precious time but also because spreading the studying over a long period of time doesn’t help in making connections between information sets you’re learning about. So, the first lesson: study every day for a decent amount of time & don’t make gaps in your studying timeline.

About Kaplan Video Lectures: all of the doctors are great (except the pediatrician). Conrad Fischer is great and everything but he tends to drop out a lot of important material, so you have to do an extra effort to understand the chapters explained by Dr. Fischer! On the other hand, you have tutors like Elmar Sakala, Charles Faselis, Steven Daugherty…you won’t really be required to do anything other than listening to them carefully and reading lightly after the lecture is finished.

Bottom line

If you want a solid introduction to USMLE Step 2 Ck do Kaplan videos.

About Kaplan Lecture Notes: They should be your main study material in all disciplines except internal medicine and surgery. Kaplan Internal Medicine is good but not very well organized (I used Master The Board for most internal medicine chapters). Kaplan Surgery book is 2 parts, part 2 is the cases that Dr. Carlos Pestana use in his lectures, those are great. However, part 1 which you’re required to study on your own is so cluttered, not organized at all and lacking a lot of stuff. So, for surgery, you can use a combination of Kaplan surgery book (part 2 only) & Board and Wards surgery section.



PHASE TWO (4 months)
I began this phase by doing Kaplan Diagnostic Test (150 questions) and I got 51% correct answers. That was on the 6th of September, 2015; i.e. 7 months before the exam. Then I started doing Kaplan Question Bank and it took me forever because I was over-annotating my books with every question bank trivial piece of information. So, it took me more than 4 months (to the 10th of January 2016) to just finish 1200 questions out of 3000! I took NBME 3 in late November and I got less than 150! (My test date was the 29th of December so, I extended the eligibility period and delayed the test to the 29th of March) and then I continued to do Kaplan Question Bank and did NBME 6 on the 10th of January 2016 and got 150! So, at this point, I said to myself: enough is enough; and started USMLE World QB. Open / Comment

2021-09-07 10:09:42 Open / Comment

2021-09-07 10:08:06 A mixture of straightforward questions, “have to think for a bit” questions and some weird questions.

The exam is doable but very long and tiresome. But trust your prep and assessment scores (to some extent).

Doubts Solved by The Author
Q – How long did you prepare for?

A – 4.5 months

Q – How many times did you study UWorld?

A – Twice

Q – What are the CRASHES?

A – These are the sessions in the EAMTAR group where people ask questions about a certain topic and others answer, you can see the files for past crashes in the files section of the group.

Q – What was your Step 1 score?

A – Didn’t do it yet.

Q – What is UpToDate???

A – It’s a website about all the up to date info on all the medical conditions like treatment and diagnostic tests etc.

Q – Can I have the full name of the website? If you can share…

A – UpToDate is the name of the website. We could access it via our University. See if you can through yours.

Q – Did you do Kaplan, MTB or UWorld-3 as well?

A – I didn’t do any of those books, I did just the Behavioral Science of UWorld-3

Q – I don’t have enough time to study all these resources…Do you think UWorld is enough? this is what I am focusing on now.

A – Yeah, UWorld is good enough.

Q – Why is your NBME-4 low? HOW DID YOU IMPROVE YOUR SCORE?

A – Just studied hard buddy

Q – How long before the exam you took the NBME-4?

A – 4 months.

Q – At which time points did you take the assessments? Like when NBME-3, 4, 6, 7, UWSA? Thanks in advance!

A – Each one month apart except UWSA which was 2 weeks before the exam.

Q – Please can you tell me how many days/weeks between UWSA 1 and 2 you took them? As most people say, final score should be the mean between both.

A – 2 days apart.

Q – What would you recommend for the final 2 weeks?

A – review UWorld notes especially those marked high yield at the end of the question.

Q – Was step one really essential for such a good score?

A – It would help, but if you haven’t already taken them, you can go through FA or UWorld for Step 1.

Q – Did you do the NBMEs in the sequence mentioned in your experience?

A – NBME-6, 4, 7, UWSA-1 and then UWSA-2 in my case

Q – How did you study from UpToDate? (not referring to access)

A – Just looked through info on topics I was not sure about.

Q – What other resources did you use?

A – Nothing else.

Q – Do you think CMS really helped your score? or would UW and UpToDate be enough?

A – CMS psych, neuro, and med very useful. Open / Comment

2021-09-07 10:08:06 USMLE Step 2 CK Experience by Seeta Chillumuntala


Step 2 CK Score: 261

I am not really one to post on groups however I found that previous experiences were very useful in my prep so decided I would share my experience in case it helps anybody.

This was my first USMLE Step. Prep time – 4.5 months

I started off by doing a bit of UWorld. Then I decided it would be best to solve an NBME to gauge my level of baseline knowledge; so, I solved NBME-4. NBME-4 is thought to be the best predictor of score compared to all other NBMEs. So, thinking back, doing this one so early was not such a good idea cause I scored a 203. However here is my thought on NBMEs – I got 203, with 43 wrong and 157 correct. In the real world, I would actually feel good about that baseline score 157/200 however due to the very complex nature of NBME scoring I ended up with that disastrous score. I was very sad for a few days and had some sleepless nights thinking, my goodness! What does it take to get a decent score, how are the people doing it?

I would like to think it was a blessing in disguise to get such a low score; because I don’t think I would have worked as hard.

Nevertheless, I decided to start by focusing on my weaknesses which the NBME score report showed, such as behavioral health and OB/GYN.

I studied for 6-8 hours every day. I’m not one to take any day off cause I find if I do so it then turns later into 2 days off, then 3 days off …

Resources used
UWorld x 2 (random, timed) highly recommend

Uptodate (excellent for searching updated guidelines on treatment and diagnostic tests) highly recommended.

CRASHes (these are sessions on the Facebook EAMTAR group where a topic e.g. hematology is discussed by the leader asking questions and people posting their answers. I never got to actually take part in the discussions due to the timezone) highly recommend

Kaplan Patient Safety chapter highly recommend

UWorld Step 1 biostats/behavioral science/Immuno-Micro

Osmosis online youtube highly recommend. The drawings really helped me remember the topic

I TRIED few pages of the Kaplan books and MTB but I’m not so much of a textbook person

CMS self-assessments for major topics e.g. OB/GYN, Pediatrics the more questions the better (average 40/50)

NBMEs one each month.

Assessment Scores
NBME 4 – 203 (beginning of prep)

NBME 6 – 240 (month 2)

NBME 3 – 248 (3)

NBME 7 – 245 (4)

UWSA 1 – 268 (2 weeks before the exam)

UWSA 2 – 254 (2 weeks before the exam)

Keep enough time between solving them and the exam to read the explanations carefully, because they contain new questions not found in the question banks with lots of info.

Average of these two was my Step 2 CK score.

Exam Experience
The day before the exam – I relaxed, didn’t do much studying, stayed close to the exam center did not want to have the hassle of traveling from home early in the morning. Went to sleep at 10 pm. Woke up at 6 am had a good breakfast and reached test center by 8 am, the test did not start until 9.30am due to the elaborate security checks.

Block 1 seemed pretty decent, though the questions were not that long compared to uworld

Block 2 tougher

Break 10 min – mistake I made was to go out to drink water, wastes your time when you have to go back to your seat due to the repeat security check to go in

Block 3 tougher

Break 5 min to deep breathe

Block 4 Decent

Break LUNCH eat enough and high energy foods

Rest of the blocks I started to get progressively tired and was taking longer to read the questions so they “seemed longer”. I was actually tight on time and I didn’t have enough time to check through all my answers.

I even started freaking out in the last two blocks and had a mini melt down so I took a few deep breaths and said to myself I must finish strong.

I was very upset after exam but told myself I tried my best and hard work never goes to waste.

Kept checking USMLE forums to see if any others had similar experiences, apparently, it is a common feeling. Open / Comment