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First Aid for the Step 1 Presentation with Dr. Tao Le
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First Aid for the Step 1 Presentation with Dr. Tao Le

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    • 1. “ Live as if you were to die tomorrow. Learn as if you were to live forever.” – Mahatma Gandhi
    • 2. Tao Le, MD, MHS Assistant Clinical Professor Chief, Section of Allergy & Immunology University of Louisville Senior Editor First Aid Board Series USMLERx Test Bank Series First Aid for the USMLE Step 1: The Really Short Version
    • 3. Overview
      • USMLE Step 1 – The Basics
      • Defining Your Goals
      • Timelines for Study
      • Approaching Each Subject
      • Choosing Prep Resources
      • More Tips
      • Overview of First Aid/USMLERx
      • Q&A
    • 4. Relax.
    • 5. USMLE Step 1 - The Basics
      • 8 hours total
      • 322 questions in 7 one hour blocks
      • 46 questions per block
      • 45 minutes of break time
      Lunch
    • 6. Question Types
      • One-best answer items
      • Sequential items
      • A few with multimedia
      • Clinical vignettes
        • 70-80% of exam
        • Multi-step reasoning
        • A 32 year old caucasian woman presents with a 5 day history of occasional double vision and ptosis. What is the most appropriate diagnostic test?
    • 7.  
    • 8.  
    • 9.  
    • 10.  
    • 11. Scores and Passing Rates
      • Passing is 188/75
      • Mean is 221
      • 22 points is 1 SD
      • Allopathic med students
        • 95% pass on first try
        • 99% eventually pass
      • Osteopathic med students
        • 77% pass on first try
      • IMGs
        • 71% pass on first try
    • 12. Defining Your Goals
      • Just pass the exam  200 – 221
      • Beat the mean  222 – 244
      • Ace the exam  245+
      • “ ROAD to Riches”
        • Radiology/Radiation Oncology
        • Ortho/Ophtho/Otolaryngo/Urology
        • “ Aesthetic” Surgery
        • Dermatology
    • 13. NRMP: Charting Outcomes in the Match
    • 14. NRMP: Charting Outcomes in the Match
    • 15. Timeline for Study
      • The “Just Pass” Schedule – 1 to 2 months
        • First Aid High Yield Facts
        • Crammable subjects
        • Review questions – 1 question bank
      • The “Gunner” Schedule – 2 to 6 months
        • In addition to above
        • Less crammable subjects
        • More review questions – 2 question banks
    • 16. 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
    • 17. 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
    • 18. Behavioral Science
      • Mix of biostats, psychiatry, psychology, sociology, psychopharmacology
      • Biostats and epidemiology is very high-yield
      • Personality disorders
      • Doctor-patient interactions
    • 19. 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
    • 20. Microbiology & Immunology
      • Crammable!!
      • 40% bacteriology, 25% immunology, 25% virology, 5% parasitology. So don’t 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
    • 21. 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
    • 22. Pharmacology
      • Crammable!!
      • Focus on prototypic drugs; forget obscure derivatives, trade names, dosages
      • Major categories are ANS, CNS, antimicrobial, cardiovascular, and oncology
      • Mechanisms, clinical uses, and toxicities are high-yield
      • Review associated biochemistry, physiology and microbiology
    • 23. Physiology
      • Concept oriented
      • Diagrams work well in physiology
      • Know basic physiologic relationships, hormones
      • Many clinical vignettes incorporate pathophysiology
    • 24. Review Resources
      • Text reviews
      • Test banks
      • Self-test reviews
      • Case-based reviews
      • Review courses
      • Other media
        • Flash cards
        • CDs/MP3/Videos
        • PDA
    • 25. Picking and Choosing Resources
      • Buy books/resources early
      • Buy only what you can use
      • Don’t blindly buy a whole series
      • Check out the book reviews in First Aid for the USMLE Step 1 (Section 4)
    • 26. 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
    • 27. 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
    • 28. www.nytimes.com
    • 29. CBT Practice Options Types Suggested Use USMLE Sample Test Format familiarity NBME/CBSSA Benchmarking Commercial Test Banks Practice/study Simulation
    • 30. Test Day Tips
      • Less coffee on test day
      • Layered clothing
      • Read lead in first for long questions
      • Manage the clock
      • Light lunch
      • The “C” reflex
      • P = MD/DO
    • 31.  
    • 32. Now a word from our sponsor…  USMLERx Step 1 Qmax
      • 3000+ high-yield USMLE Step 1-style questions in FRED v2 format
      • All new sequential and multimedia questions
      • Integrated high-yield facts from First Aid for the USMLE Step 1
      • Select questions by difficulty level
      • Accurate USMLE score predictor
    • 33. Now a word from our sponsor…  USMLERx Step 1 Flash Facts
      • World’s largest Step 1 flash card bank
      • 10,000+ flash cards covering all the First Aid high-yield facts
      • Integrated with First Aid for the USMLE Step 1 online
      • Searchable by organ system, discipline, and topic
      • Discuss, annotate, and mark your favorite First Aid topics
      • Now available as an iPhone/iTouch app!
    • 34. First Aid Team 2.0
      • Visit our blog – www.firstaidteam.com
        • Download the presentation
        • Get First Aid/USMLERx updates
      • Follow us on Twitter – www.twitter.com/firstaidteam
      • Join our Facebook group
        • Click link on Firstaidteam.com
      • USMLERx – www.usmlerx.com
    • 35.