USMLE Step 1 Plan
USMLE Step 1 Plan
USMLE Step 1 Plan
Tao T. Le, MD, MHS Assistant Clinical Professor Chief, Section of Allergy & Immunology University of Louisville Senior Editor First Aid Board Series USMLERx Test Bank Series UCV Series
Overview USMLE Step 1 The Basics Defining Your Goals Timelines for Study Approaching Each Subject Choosing Prep Resources More Tips Overview of USMLERx Q&A
8 hours total 350 questions in 7 one hour blocks 50 questions per block 45 minutes of break time
Lunch
Question Types
Passing is 185/75 2005 mean was 217 20 points is roughly 1 SD Allopathic med students
90-91% pass on first try 99% eventually pass
Defining Your Goals Just pass the exam 200 220 Beat the mean 220 240 Ace the exam >250 ROAD to Riches
Radiology Ortho/Ophtho/Otolaryngo/Urology Anesthesiology Dermatology
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 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 Mix of biostats, psychiatry, psychology, sociology, psychopharmacology Biostats and epidemiology is very highyield Personality disorders Doctor-patient interactions
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 Crammable!! 40% bacteriology, 25% immunology, 25% virology, 5% parasitology. So dont 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 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 Crammable!! Focus on prototypic drugs; forget obscure derivatives, trade names, dosages Major categories are ANS, CNS, antimicrobial, and cardiovascular Mechanisms, clinical uses, and toxicities are high-yield Review associated biochemistry, physiology and microbiology
Physiology Concept oriented Diagrams work well in physiology Know basic physiologic relationships, hormones Many clinical vignettes incorporate pathophysiology
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 Buy books/resources early Buy only what you can use Dont blindly buy a whole series
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
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 No coffee on test day Layered clothing Pacing is everything Light lunch The C reflex P = MD