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Sajeet Sohi's USMLE Step 1 Guide

Sajeet Sohi's USMLE Step 1 Guide

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Published by Sajeet Sohi
This guide is intended for those preparing for the USMLE Step 1. It is my recommendation for how to prepare for the USMLE Step 1. I wish you all the best, visit my website for the latest: www.SohiMD.com
This guide is intended for those preparing for the USMLE Step 1. It is my recommendation for how to prepare for the USMLE Step 1. I wish you all the best, visit my website for the latest: www.SohiMD.com

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Published by: Sajeet Sohi on Mar 23, 2010
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The SohiMD USMLE Preparation GuideAuthor: Sajeet Sohi, M.D. Contact:sajeetsohi@sohimd.com 
Disclaimer: I do not provide the books and resources I havelisted. How you obtain these books etc is up to you. Irecommend that you get them through the proper andappropriate methods.
 TheUnited States Medical Licensing ExamStep 1 is the test you will bepreparing for which is based on the basic medical sciences years.Although your scores are very important your residency application isbased on a variety of factors and you can read them in theNRMP’sProgram Director’s Survey. An individual with a higher score does notnecessarily mean they are going to be a better physician thansomeone with a lower score, but we should always aim to get as highas we can.While there is a lot of good information on the internet, there are a lotof misconceptions out there. What I advice is the bestrecommendations based on my experiences through basic sciences,USMLE Steps 1/2CS/2CK, and clinical rotations. The mindset required for the USMLE is to be able to integrateknowledge from the different subjects; the questions are notstraightforward and require you to correlate your basic sciences alongwith clinical knowledge. Medical education is changing in the UnitedStates, you may want to read about a new innovative type of curriculum calledGenes to Society. This is what the USMLE is headedtowards as well from what I see.Each medical school has a different timetable I refer to this preparationduring your basic sciences education.A reoccurring theme you find in these tests and individual’s opinions isthat you must be able to apply your knowledge. Just focusing onreading and memorizing facts will get you lost, I feel after you getcomfortable with the textbooks start the question banks early in yourUSMLE Review.What I have written is my personal opinion; other people will haveother ways. There is no one way to study. It may be a good to idea tobuild a consensus of individuals who have recently passed the step tosee what worked and what did not. With time new resources becomeavailable and advice can become out-dated. For reference I completed
Step 1 in May 2009, Step 2 CS June 2010, Step 2CK July 2010. So theremay even be new and better resources now. What works for oneperson may not work for another person, so you will need to adapt anyone’s advice to your own learning style.
The Study GuideUSMLE = Test of understanding and efficiency and not yourintelligence.
- The USMLE is based on typical presentations and stereotypicalscenarios. It is important to correlate each disease or condition withthe epidemiology of the condition… this is key to understanding thequestions.Classroom lectures are the most important source in the entire processthat is your foundation. Make sure to keep up with lectures andassigned readings.USMLE Step 1 Textbooks:
USMLE Step 1 Q-Banks
 Try to be able to do
46 questions in 1 hour
as this is how manyquestions are in each block,
you have to build up your testendurance.USMLE Step 2/3 = Follow how you studied for Step 1.High - Yield***What is “High-Yield”?***
 There is no magical list of topics an individual “should” and “shouldnot” study. Rather, we should use common sense to answer thispopular question. It is more likely that you will be tested on commondisease processes than rare and obscure diseases. I strongly believethat you will have more questions relating to diabetes, hypertension,lung cancer, etc. than a rare disease. Since it is a licensing exam forthe United States, keep in mind the focus will be on issues and
conditions that affect this nation. If a disease is in the news it is likelythat it will be on the USMLE.. see: H1N1, E. coli, prostate cancerscreening etc. Thus, adjust your focus to master the common topicsand then move on to topics like Loa loa.
Steps In Knowledge Retention:
- I think there are 3 steps unique levels in how we comprehend asubject. One stage leads to another and eventually we will retain theknowledge.1. Memorizing: Coronary Artery Disease is associated withAtherosclerosis2. Learning: The pathogenesis of atherosclerosis3. Understanding: The relationship of carotid artery stenosis and thework-up of syncope.- If you can explain a concept to another individual that means youhave a good understanding
General Advice:
Do Not Waste Time. Each Day is Valuable!
1. USMLE prep actually begins on the first day of medicalschool and ends the last day of your second year. What you doafter is just a review
. Studying for the quizzes, midterms, exams isUSMLE prep and not only for your classes.
2. Your general plan should be study hard during your basicsciences and try to write it as soon as possible. I think it isbetter to write the exam sooner rather than later, because thestress builds over time.
3. If you cannot learn a concept by the end of basic sciences and 3 to 4months of preparation than you are likely at your limit.8.
Make the connections between the courses
, ex: do not viewbiochemistry cycles in isolation of the patient’s glucose levels indiabetes for example. All the courses are linked together, the body isnot divided into physiology, microbiology, etc.. it is a system.
USMLE= making the connections
, the questions link concepts fromdifferent courses. So it is not right to say, don’t study this or that. Theycan put anything on the test. So the best strategy is to understand thematerial.12. This whole process is about
personal responsibility
. In the "realworld" no one cares about excuses, "my school didn't teach me this,we didn't do that." You are going to have to teach and push yourself.
13. Medicine is maybe the most competitive field, every day thenumber of potential applicants increases. The past few years has seenthe number of residency applicants increase at a faster rate than thenumber of new residency positions. Thus, the requirements to obtain aresidency are slowly increasing.

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