An outline for the USMLE Step 1

advertisement

USMLE

Ralph Bou Chebl

April 2011

Basics- Step 1

• Eight-hour computer-based test.

• Seven 46-question sections with a total of

322 multiple-choice questions.

• One hour is the time provided for each section.

• Between test sections, the test taker is allotted a cumulative 45 minutes for personal breaks.

How to register

• Educational Commission for Foreign

Medical Graduates: www.ecfmg.org

• >$800

• 3-month “eligibility period”

• It takes a while to get your permit

• Prometric

• Scores are emailed 3-6 w later

Test questions

• MED-2 = MAJORITY

• One-best-answer (no “excepts,” no matching).

• Experimental questions.

• Imaging, pathology slides.

• Audio questions.

Format and grading

• Three-digit score: 188-???. The three-digit score is calculated using a statistical percentile that ensures that scores from different years are read on a common scale

• Two-digit score: 75-99 (NOT %).

• Mean = 221, SD = 24

• Most scores: 140-260

Subjects

• Anatomy/ Neuroanatomy,

• Biochemistry, Molecular Biology

• Physiology/Pathology

• Microbiology

• Pharmacology and Immunology

• Statistics, Epidemiology, Medical ethics.

How to study

• FIRST AID = Primary reference.

• USMLE World

• The internet

• Board Review Series

• Anatomy, Molecular

Biology, Statistics,

Epidemiology, Medical ethics.

• Class notes

(immunology)

Pathology

• FIRST AID = Primary reference.

• Very high yield subject.

• Main study material for organ systems.

• Slides. CT scans.

Microbiology

• FIRST AID = Primary reference.

• Very high yield.

Bacteriology,

Virology, fungi and

Parasitology.

• Clinical cases.

• Properties of

Bacteria.

• 3 weeks.

Neuroanatomy

• Cross sections.

Identification.

• 2 days.

• Important areas of the brain. Location.

Function.

• Spinal tracts.

Pharmacology

• 7 chapters in

Lippincott’s.

• Pharmacokinetics,

SNS, PSNS high yield.

• 1 week.

• Medication side effects  First Aid

Physiology

• Renal and cardiology physiology.

• Understand. Do not memorize.

• Experiments on the step 1.

• Other organ systems, first aid as guide.

Summary

• Most important method to prepare for Step

1 and step 2????

USMLE world

Med 3 Vs Med 4?

• Depends on residency, med 3 schedule, desire to match straight after med 4.

• MED 3: 1. Matching

2. Electives.

3. Don’t REALLY need clinical experience.

• MED 4: 1. Applying to a competitive residency.

2. Easier year than med 3.

3. Clinical clerkships. (scans, clinical presentation). Can be done in 4 months.

Basics- Step 2CK

• Focus is much more on clinical application of medical knowledge

• Eight 44-question sections with a total of 352 multiple-choice questions.

• internal medicine (majority), obstetrics and gynecology, pediatrics, preventive medicine, psychiatry, surgery.

• Diagnosis, prognosis, the next step in medical care, including preventive measures.

Step 2CK - Books

Step 2CK - Books

• Subjects combined in one book.

• High yield topics.

• Important guide for broad material of step

2 CK.

Step 2CK

• Most important preparation method  USMLE world.

• When to do it? Study time?

• First 3 months of MED 4 if applying to the match.

(added benefit of MED 3 finals).

• If not matching, better after internal medicine rotation.

Matching

• ERAS Application Process

• Prior to applying via ERAS, contact your programs of interest to determine their minimum eligibility criteria, ERAS application deadlines, licensure requirements , and institutional policies about visas, if applicable. Much of this information can be found on each program’s website. (www.matcharesident.com)

• Obtain a Residency Token via ECFMG’s OASIS .

• Use your Token to register at the AAMC MyERAS website

• Once you have registered at MyERAS, you can begin to work on your application (Profile, CV and Personal Statement).

Matching

• It is recommended that you submit supporting documents , to ERAS Support Services for arrival by

August 1. All documents should be accompanied by a

Document Submission Form (DSF) , which you can complete and print online using ECFMG’s OASIS .

• Register with NRMP in order to participate in the 2011

Match.

• Select programs and assign supporting documents.

• On September 1, at 8:00 a.m., Eastern Time in the

United States, you begin to apply.

Required Documents

• Original Medical Student Performance Evaluation

(MSPE)

• Medical School Transcript

• Original Letters of Recommendation (LoRs)

• Photograph

• USMLE

• Personal statement.

Matching

• 4 categories

1. US citizen, US school.

2. Non US citizen, US school.

3. US Foreign medical graduate.

4. Non US Foreign medical graduate.

Timeline

• Step 1 in MED 3

• Step 2 CK first 3 months of MED 4.

• ERAS token in mid july.

• Apply to ERAS by September 1 st .

• Register for the match at NRMP.

• LORs (3-4). Preferably by US doctors (electives) by

October at the LATEST.

• Interviews (November till end of january)

• STEP 2 CS by December 31 st of application year.

• Match in February.

Timeline

• Post match

• Couple’s match

• Early finals?

Download