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Usmle Step 1 Study Plan

Usmle Step 1 Study Plan



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Published by drsunny86

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Published by: drsunny86 on Oct 28, 2009
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Several facts have to be considered when organizing a study plan for USMLEStep1:A study plan divided in several rounds improves consolidation of knowledge, aswell as integration in a multidisciplinary approach. However is EXTREMELYIMPORTANT to
go through every round as if the exam was going to takeplace just after it
. Note that just rereading, procrastinating mastering of thesubject to a “future” time is a common error. According to the followingexplanations, a useful preparation is a three round plan:1.Vertical (subject based)2.Horizontal (system based)3.High yield topic based
Crammable subjects should be covered later than less crammablesubjects, since it prevents you from burning out too early and helps youto remember this knowledge stored mostly in short-mid term memory.That’s why the sequence of subjects to study is as follows:
First round:
1.Anatomy-Histology and cytology (10 chapters)-Embriology (4 chapters)-Anatomy (6 chapters)-Neuroscience (11 chapters)
Physiology (32 chapters)3.Behavioral sciences-Epidemiology-Statistics-Social life-Legal/Ethical-Psychiatry related:-Substance abuse-Sexual disorders-CBT-Psychodynamics-Testing-Development-Sleep-DSM IV-Patient physician relationship-Organic disorders-Psychopharmacology4.Pathology-General principles (10 chapters)
-System review (20 chapters)5.Biochemistry-Molecular biology and biochemistry ( 18 chapters)-Medical genetics (6 chapters)6.Pharmacology-General principles ( 2 chapters)-Autonomic ( 5 chapters)-Cardiac and renal (7 chapters)-CNS-Antimicrobial (4 chapters)-Anti-inflamatory drugs-Blood-Endocrine-Antineoplastic-Inmunopharmacology-Toxicology7.Microbiology-Microbiology (9 chapters)-Immunology (17 chapters)8.Miscellanea
Step 1 is turning into a multidisciplinary view, that’s why ansystem based should be helpful:
Second round:
1.Cardiovascular 2.Endocrinology3.Gastrointestinal4.Hematology/ Oncology5.Immunology6.Musculoskeletal7.Neurology8.Psychiatry9.Renal10.Reproductive11.RespiratoryMaterials to prepare this second round:
Kaplan read system based
First aid read system based
Textbooks read system based
At this moment it is specially useful to use the case book andenhance test taking simulation (see below).
Knowing extremely well high-yield subjects accounts for a better result than knowing moderately well all the subjects. That’s why thirdround is ONLY meant to stress the high-yield topics, so one is completely
self-confident about them before the exam. If you have to choosebetween doubting in general knowledge or doubting in punctual thoughhigh-yield topic, choose the first one.Third round : HIGH YIELD TOPICS. Two first weeks of August.TEST PRACTICEPreparation for Step 1 means not only knowing the subjects, but also being ableto use it in THIS exam. It is very important as well to be familial with the exam interms of type of questions (e.g clinical vignettes account for the 75% of it!), thesoftware, and being trained to use the knowledge to answer concrete questionsby gathering data and integrating an answer as well as being able to recall veryconcrete information ( e.g training in deductive and inductive answering) .This practical training is made by using the different materials indicated below.Most effort has to be made after completing first round. However, cards anddiagrams have to be made from the beginning. Tests from the different Qbooksshould be taken on Saturdays from the first round. During the first round, this“test practice” should be answered without time restriction, so the question canbe understood and the card written down. The model for the cards is a veryconcrete information withdrawn from the answer to questions from Qbook, andthe simple question to which it answers on the other side. The use of this as aquiz prevents from just rereading.Test practice may be carried out on Saturdays, 9 to 14 am. There are 13 daysavailable before June, what means 52 hours of test taking for the first round. Onan average of 30 questions per hour (considering that ALL questions have to bechecked and cards have to be made) it makes around 1500 questions, which ismuch below the 4000 recommended. That means that the second round anespecial effort has to be made, not only in questions from the Qbook, but fromthe rest of self assessment options. Keep in mind that
Test Taking Strategies
account for an important part of theresult. These should be stressed upon the second round.
Test taking strategies at First Aid
Card quiz
FRED software
Practice session at a Prometric center 

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