NIMSA Talk
Exams and Electives
Topics
• North American Exams
–
–
–
–
Timeline
Step 1 course
Step 2CK and EE tutorials
CS and NAC OSCE tutorials?
• North American Electives:
USMLE Step 1
4
Graduate Entry Medicine Programme Detail
Semester 1
Structure of the Thorax
5
Cardiovascular and Respiratory Physiology
10
Cardiorespiratory Disease
Cardiorespiratory Therapeutics
Principles of Infection
Personal and Population Health
5
5
5
5
1
65
Programme
credits
5 Option
credits
5
5
5
RESEARCH vs.
VACATION
STAGE 1
Gastrointestinal and Genitourinary Structure
Gastrointestinal and Renal Disease
Gastrointestinal and Renal Pharmacology
Gastrointestinal and Renal Physiology
Endocrine System in Health and Disease
Haematology and Immunosuppression
Student-selected option
2
5
5
5
5
5
Reproduction, Psychology and Child Health
Opthalmology and Otolaryngology
Professional Clinical Practice
Oncology and Immunopathology
Disability
5
5
5
5
5
Neurology in Health and Disease
10
5
5
STAGE 2
Medicine 1
3
Surgery part A
10
Surgery part A
Forensic &
Legal
Medicine
5
Medicine 1
EL
EC
TI
VE
Obstetrics & Gynaecology
Psychiatry
NAC
Paediatrics
10
Medicine &
the Community
APPLICATIONS DUE
10
Public
Health
Medicine
Advanced
Clinical
Skills
65
Programme
credits
5 Option
credits
10
USMLE STEP 1
Medicine 2
10
Surgery part B
Surgery part B
20
Medicine 2
Psychiatry
Obstetrics &
Gynaecology
MCCEE
STAGE 3
4
Jun
10
May
Molecular Basis of Life and Disease
Summer
Apr
10
Mar
Feb
Human Form
Cell-cell Communication and Signalling
Patient-Centred Practice
Student -selected option
Semester 2
Jan
Dec
Nov
Oct
Sept
Y
E
A
R
Holiday
Medical
Elective
5
STAGE 4
INTERVIEWS
10
Professional Completion Module:
Medical elective, Subinternship, Clinical
emergencies, Independent study, Intensive
20
revision.
MARCH – MATCH!
10
Medicine &
the Community
Paediatrics
10
65
Programme
Credits
USMLE STEP 2 CK CS +
ELECTIVES
55
Programme
Credits
GRADUATION!!
Registration Process
1. https://iwa2.ecfmg.org/appforcert/onlinedocs/
afcoverview.aspx
2. https://secure2.ecfmg.org/emain.asp?app=iwa
3. Instructions all on this page:
https://iwa2.ecfmg.org/overview.asp
The Fees
Timeline
• Register account now (allows you to obtain a
USMLE/ECFMG ID number)
• In December/January get documents (form 186)
signed by the Health Science Programe Office
and sent on your behalf
• Once you are notified (typically between January
and March), register for USMLE Step 1
examination
• Select a date and location to write the exam
When to Sit the Step 1
• After finishing your theoretical/basic sciences
in your medical education.
• Almost all American Graduates sit the exam
between 2nd and 3rd year.
• Graduate Entry Medicine– after 2nd year
(before res-year).
• Undergraduate Entry Medicine– after 3rd (5
year program) or after 4th year (6 year
program).
When to Sit the Step 1
• Try and write the exam during summer
• Writing after the summer is difficult due to
clerkship rotations and res-year exams
• Fine line between feeling ready and
deferring
UCD Step 1 Course Feedback 2014
Survey Results: 17 respondents
• Was the USMLE course helpful: 94% yes (16)
• I would recommend the same lecturers return: 93.75% yes (15)
• I liked the format of the course: 76.5% agree (13), 3 neither, 1 disagree
• The course should include the following method of learning:
– *post review quizzes, regular intervals
– biochem Holloway format: 30min lecture, 30min questions followed
by summary slide
– *clickers to answer questions rather than calling out answers (or use
google test)
• Content of lectures at a good level for my USMLE prep stage: 82% yes
(14), 2 detailed
• Questions and quizzes should be made available throughout the course,
rather than at the end: 70.6% agree (12)
• *Start reading the USMLE first aid early 93.75% (15)
UCD Step 1 Course Con’d
Comments:
• Do course in baby res (hard to do course during exams)
• MAKE FIRST AID part of the UCD reading list
• Many did not attend or only attended first one and then did not return
– Not what they expected
• more active learning components not just lecture
– quizzes
– home work
– marked and reviewed stuff in subsequent class
– draw things out while lecturing similar to Jones for his headache
lecture (neuro)
– the longer the duration the more interactive it needs to be
• Tough to fit in quizzes and intense material while we have exams going on
• Google test questions to anonymously answer USMLE style questions as a
group during classes
MCCEE
Medical Council of Canada
Evaluating Examination (MCCEE)
• 180 MCQs – 4 hours
• More straightforward than the CK
• Write it IN MARCH of 3rd year to be able to
sit the NAC OSCE
• http://physiciansapply.ca/
Graduate Entry Medicine Programme Detail
Semester 1
Structure of the Thorax
5
Cardiovascular and Respiratory Physiology
10
Cardiorespiratory Disease
Cardiorespiratory Therapeutics
Principles of Infection
Personal and Population Health
5
5
5
5
1
65
Programme
credits
5 Option
credits
5
5
5
RESEARCH vs.
VACATION
STAGE 1
Gastrointestinal and Genitourinary Structure
Gastrointestinal and Renal Disease
Gastrointestinal and Renal Pharmacology
Gastrointestinal and Renal Physiology
Endocrine System in Health and Disease
Haematology and Immunosuppression
Student-selected option
2
5
5
5
5
5
Reproduction, Psychology and Child Health
Opthalmology and Otolaryngology
Professional Clinical Practice
Oncology and Immunopathology
Disability
5
5
5
5
5
Neurology in Health and Disease
10
5
5
STAGE 2
Medicine 1
3
Surgery part A
10
Surgery part A
Forensic &
Legal
Medicine
5
Medicine 1
EL
EC
TI
VE
Obstetrics & Gynaecology
Psychiatry
NAC
Paediatrics
10
Medicine &
the Community
APPLICATIONS DUE
10
Public
Health
Medicine
Advanced
Clinical
Skills
65
Programme
credits
5 Option
credits
10
USMLE STEP 1
Medicine 2
10
Surgery part B
Surgery part B
20
Medicine 2
Psychiatry
Obstetrics &
Gynaecology
MCCEE
STAGE 3
4
Jun
10
May
Molecular Basis of Life and Disease
Summer
Apr
10
Mar
Feb
Human Form
Cell-cell Communication and Signalling
Patient-Centred Practice
Student -selected option
Semester 2
Jan
Dec
Nov
Oct
Sept
Y
E
A
R
Holiday
Medical
Elective
5
STAGE 4
INTERVIEWS
10
Professional Completion Module:
Medical elective, Subinternship, Clinical
emergencies, Independent study, Intensive
20
revision.
MARCH – MATCH!
10
Medicine &
the Community
Paediatrics
10
65
Programme
Credits
USMLE STEP 2 CK CS +
ELECTIVES
55
Programme
Credits
GRADUATION!!
USMLE Step 2 CK/CS
USMLE Step 2 - Clinical
Knowledge (CK)
• 352 MCQs over (8) hour blocks
• Start studying during electives (maybe
even during 3rd year Med/Surg)!
– All about management & clinical acumen –
stuff you learn during Res year
• Wont have done Family med/psychiatry/Obs/Gyn/Peds!!!
– USMLE World Q-bank (again)
USMLE Step 2 - Clinical
Skills(CS)
• 12 OSCE Stations
– Simulated patient encounters
• Actors, writing notes, DDx, management
• 25 minutes/case - 8 hours total
• Apply for the CS early, get your ticket etc.
– Only a 5 US cities offer, so choose early and
wisely
»
»
»
»
»
Atlanta, Georgia
Chicago, Illinois
Houston, Texas
Los Angeles, California
Philadelphia, Pennsylvania
• Get it done early!
Graduate Entry Medicine Programme Detail
Semester 1
Structure of the Thorax
5
Cardiovascular and Respiratory Physiology
10
Cardiorespiratory Disease
Cardiorespiratory Therapeutics
Principles of Infection
Personal and Population Health
5
5
5
5
1
65
Programme
credits
5 Option
credits
5
5
5
RESEARCH vs.
VACATION
STAGE 1
Gastrointestinal and Genitourinary Structure
Gastrointestinal and Renal Disease
Gastrointestinal and Renal Pharmacology
Gastrointestinal and Renal Physiology
Endocrine System in Health and Disease
Haematology and Immunosuppression
Student-selected option
2
5
5
5
5
5
Reproduction, Psychology and Child Health
Opthalmology and Otolaryngology
Professional Clinical Practice
Oncology and Immunopathology
Disability
5
5
5
5
5
Neurology in Health and Disease
10
5
5
STAGE 2
Medicine 1
3
Surgery part A
10
Surgery part A
Forensic &
Legal
Medicine
5
Medicine 1
EL
EC
TI
VE
Obstetrics & Gynaecology
Psychiatry
NAC
Paediatrics
10
Medicine &
the Community
APPLICATIONS DUE
10
Public
Health
Medicine
Advanced
Clinical
Skills
65
Programme
credits
5 Option
credits
10
USMLE STEP 1
Medicine 2
10
Surgery part B
Surgery part B
20
Medicine 2
Psychiatry
Obstetrics &
Gynaecology
MCCEE
STAGE 3
4
Jun
10
May
Molecular Basis of Life and Disease
Summer
Apr
10
Mar
Feb
Human Form
Cell-cell Communication and Signalling
Patient-Centred Practice
Student -selected option
Semester 2
Jan
Dec
Nov
Oct
Sept
Y
E
A
R
Holiday
Medical
Elective
5
STAGE 4
INTERVIEWS
10
Professional Completion Module:
Medical elective, Subinternship, Clinical
emergencies, Independent study, Intensive
20
revision.
MARCH – MATCH!
10
Medicine &
the Community
Paediatrics
10
65
Programme
Credits
USMLE STEP 2 CK CS +
ELECTIVES
55
Programme
Credits
GRADUATION!!
NAC OSCE
• Apply the same was as MCCEE
• Only eligible after you pass the MCCEE
Graduate Entry Medicine Programme Detail
Semester 1
Structure of the Thorax
5
Cardiovascular and Respiratory Physiology
10
Cardiorespiratory Disease
Cardiorespiratory Therapeutics
Principles of Infection
Personal and Population Health
5
5
5
5
1
65
Programme
credits
5 Option
credits
5
5
5
RESEARCH vs.
VACATION
STAGE 1
Gastrointestinal and Genitourinary Structure
Gastrointestinal and Renal Disease
Gastrointestinal and Renal Pharmacology
Gastrointestinal and Renal Physiology
Endocrine System in Health and Disease
Haematology and Immunosuppression
Student-selected option
2
5
5
5
5
5
Reproduction, Psychology and Child Health
Opthalmology and Otolaryngology
Professional Clinical Practice
Oncology and Immunopathology
Disability
5
5
5
5
5
Neurology in Health and Disease
10
5
5
STAGE 2
Medicine 1
3
Surgery part A
10
Surgery part A
Forensic &
Legal
Medicine
5
Medicine 1
EL
EC
TI
VE
Obstetrics & Gynaecology
Psychiatry
NAC
Paediatrics
10
Medicine &
the Community
APPLICATIONS DUE
10
Public
Health
Medicine
Advanced
Clinical
Skills
65
Programme
credits
5 Option
credits
10
USMLE STEP 1
Medicine 2
10
Surgery part B
Surgery part B
20
Medicine 2
Psychiatry
Obstetrics &
Gynaecology
MCCEE
STAGE 3
4
Jun
10
May
Molecular Basis of Life and Disease
Summer
Apr
10
Mar
Feb
Human Form
Cell-cell Communication and Signalling
Patient-Centred Practice
Student -selected option
Semester 2
Jan
Dec
Nov
Oct
Sept
Y
E
A
R
Holiday
Medical
Elective
5
STAGE 4
INTERVIEWS
10
Professional Completion Module:
Medical elective, Subinternship, Clinical
emergencies, Independent study, Intensive
20
revision.
MARCH – MATCH!
10
Medicine &
the Community
Paediatrics
10
65
Programme
Credits
USMLE STEP 2 CK CS +
ELECTIVES
55
Programme
Credits
GRADUATION!!