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Getting the Most from Your Review

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Making Your Step 1 Review Effective January 13th, 2014 Scott Robertson Regional Medical Programs Director scott.robertson_at_kaplan.com – PowerPoint PPT presentation

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Title: Getting the Most from Your Review


1
Making Your Step 1 Review Effective
January 13th, 2014
Scott Robertson Regional Medical Programs
Director scott.robertson_at_kaplan.com
2
  • 41

52.5
78
225
765
2015
http//www.nejm.org/doi/full/10.1056/NEJMhpr110751
9
Source New England Journal Of Medicine (http//ww
w.nejm.org/doi/full/10.1056/NEJMhpr1107519)
3
Program Decision Making
Specialty Mean US Med scores 2011 (2009) Matched Years of residency Mean hrs/ week Schedule type Salary range
Family Medicine 213 (214) 3 52.5 Uncontrollable 175k-220k
Psychiatry 214 (216) 4 48 Controllable 173k-248k
ObGyn 220 (219) 4 61 Uncontrollable 251k-326k
Pediatrics 221 (219) 3 54 Uncontrollable 160k- 228k
Emergency Medicine 223 (222) 3 46 Controllable 239k-316k
Anesthesiology 226 (224) 4 61 Controllable 331k-423k
General Surgery 227 (224) 5 60 Uncontrollable 284k- 383k
Neurology 225 (225) 4 55 Controllable 408k (median)
Internal Medicine 226 (225) 3 57 Uncontrollable 184k- 231k
Pathology 226 (227) 3 45 Controllable 239k- 331k
Transitional Year n/a (236) 1 - - -
Orthopedics 240 (238) 5 58 Uncontrollable 397k-600k
Diagnostic Radiology 240 (238) 4 58 Controllable 377k-478k
Neurosurgery 239 (239) 6 - - 287k- 637k
Otolaryngology 243 (240)   53.5 Controllable 245k (median)
Dermatology 244 (242) 4 45 Controllable 313k-480k
Plastic Surgery 249 (245) 5 - - 275k-499k
4
Program Decision Making
Specialty Mean US Med scores 2011 (2009) Matched Years of residency Mean hrs/ week Schedule type Salary range
Family Medicine 213 (214) 3 52.5 Uncontrollable 175k-220k
Psychiatry 214 (216) 4 48 Controllable 173k-248k
ObGyn 220 (219) 4 61 Uncontrollable 251k-326k
Pediatrics 221 (219) 3 54 Uncontrollable 160k- 228k
Emergency Medicine 223 (222) 3 46 Controllable 239k-316k
Anesthesiology 226 (224) 4 61 Controllable 331k-423k
General Surgery 227 (224) 5 60 Uncontrollable 284k- 383k
Neurology 225 (225) 4 55 Controllable 408k (median)
Internal Medicine 226 (225) 3 57 Uncontrollable 184k- 231k
Pathology 226 (227) 3 45 Controllable 239k- 331k
Transitional Year n/a (236) 1 - - -
Orthopedics 240 (238) 5 58 Uncontrollable 397k-600k
Diagnostic Radiology 240 (238) 4 58 Controllable 377k-478k
Neurosurgery 239 (239) 6 - - 287k- 637k
Otolaryngology 243 (240)   53.5 Controllable 245k (median)
Dermatology 244 (242) 4 45 Controllable 313k-480k
Plastic Surgery 249 (245) 5 - - 275k-499k
5
(No Transcript)
6
First Step Understand what you need to know and
do in order to solve USMLE questions
7
Step 1 Evolution Single Jump, 1980s
  • Which of the following is the drug of choice for
    a patient diagnosed with oral thrush?
  • A. Amphotericin B
  • B. Fluconazole
  • C. Griseofulvin
  • D. Ketoconazole
  • E. Nystatin

8
Step 1 Evolution Double Jump, 1990s
  • A 28-year-old HIV-positive man complains to his
    physician of a recurrent whitish film that seems
    to grow on his tongue and oral mucosa. A germ
    tube test is positive. Which of the following is
    the drug of choice for this patient?
  • A. Amphotericin B
  • B. Fluconazole
  • C. Griseofulvin
  • D. Ketoconazole
  • E. Nystatin

9
Step 1 Evolution (Triple Jump, today)
Answer B
10
Step 1 Evolution (Triple Jump, today)
  • A 72-year-old woman is brought to her physician
    by her husband. He states that she is having
    trouble recognizing her grandchildren, and is
    having increasing difficulties in the planning
    and executing her daily activities. Furthermore,
    she is having a more difficult time recalling the
    names of common objects. He states that he often
    finds her wandering around the house with an
    absent look on her face. Which of the following
    structures is most likely affected in this
    patient?
  • A
  • B
  • C
  • D
  • E
  • F
  • A 72-year-old woman is brought to her physician
    by her husband. He states that she is having
    trouble recognizing her grandchildren, and is
    having increasing difficulties in the planning
    and executing her daily activities. Furthermore,
    she is having a more difficult time recalling the
    names of common objects. He states that he often
    finds her wandering around the house with an
    absent look on her face. Which of the following
    structures is most likely affected in this
    patient?
  • A
  • B
  • C
  • D
  • E
  • F

11
Effective Prep
Establish a S.M.A.R.T plan
Spaced Repetition
Active Learning
Question Practice
Using my Kaplan Step 1 Qbank and other programs
Effectively!!
12
To excel on (not simply pass) your exam
  • Set up a strategic study plan and stick to it
  • Anticipate that questions can present the basic
    clinical sciences in a different format than you
    are typically used to seeing
  • Review the material in ways that mimic current
    question demands
  • Study actively, not passively
  • Build in tactics to minimize forgetting key
    information
  • Focus on understanding, not just memorizing
  • Know the USMLE testing software by appropriate
    use of Kaplan diagnostic, Qbank, and sim exams

13
Getting Started or Planning Ahead
14
Speak the Language Build your test question
vocabulary
  • Glossary of Terms Frequently Used in Test
    Questions
  • Term Definition
  • Abolish To do away with, to eliminate
  • Absolute value The distance from zero,
    disregarding or - sign
  • Abundant Plentiful, numerous
  • Account for Explain, justify
  • Acquire Get, obtain, gain
  • Acrid A sharp taste or smell
  • Adjacent Near or next to
  • Aggravate Irritate, make worse
  • Alter Change, modify
  • Amenable Changeable, yielding, pliant
  • Amplify Enlarge, make bigger
  • Apparent Visible, evident
  • Arrest To stop, check or hold
  • Attenuate To weaken or reduce in force or amount
  • Attributable to Result from, be caused by
  • Bear To support, hold up, endure, show or
    exhibit some feature

15
5 common EARLY preparation mistakes
  • 1. PASSIVE studying wholly focused on content
    review or video review or curriculum notes
    review
  • 2. Insufficient or INAPPROPRIATE practice with
    questions
  • MEMORIZING content, but not understanding
  • MISREADING, misinterpreting questions
  • DEVELOPING inappropriate test day strategies

16
The ACTIVE study cycle for all subjects
17
Review Activelyfrom the start!
  • Make summary notes of key aspects
  • Color code to cluster and highlight
    similarities/exceptions
  • Use diagrams and charts to summarize key data
  • Do questions before and after reviewing
  • Know most commons and hot topics
  • Change study modes frequently to refocus your
    attention
  • Use Qbank properly
  • Work with a question partner
  • Consider other Kaplan online resources to offer a
    fresh view of Step 1 topics you find difficult

18
Use Your Qbank Properly
  • Begin using timed mode as soon as possible
  • Cover answer choices initially to focus on
    question stem information
  • Look at why, not just what you missed when
    testing
  • Look for patterns among your errors, then adjust
    study to minimize these errors
  • View questions as a guide to what content to
    focus on and how to store the material in memory
    for easier application to questions
  • Avoid thinking of practice test scores as a
    judgment on your intelligence
  • Keep mixing in items on content reviewed
    previously to better retain and to adjust to
    random nature of real exam

19
Try Question Partnering
  • An activity that can help you identify habits
    that are costing you points on exams
  • A nice change of pace from solo reviewing
  • An opportunity to learn new approaches to solving
    questions
  • A chance to provide these same benefits to your
    partner
  • An ACTIVE learning technique!!

20
How many questions is enough?
  • Too many too soon wastes questions and may
    reinforce incorrect beliefs about the depth /
    difficulty of the Step 1 subject material
  • Too few too late will not adequately prepare you
    for test day cramming suppresses learning!!
  • Sources
  • Kaplan Step 1 High Yield, Step 1 Qbank, Step 1
    sims (2), a 2nd Step 1 Qbank (1 month)

21
Create an Effective Study Plan
  • Get organized TODAY!!!
  • Note important school dates and deadlines
  • Schedule review tasks around those dates
  • Self-assess TODAY!!
  • Hard to know where you need to go until you first
    know where you are starting from! Online Kaplan
    Diagnostic is your answer!!
  • Integrate use of study resources TODAY!!
  • Print materials like the First Aid pages
  • Online resources like Qbank, NBME assessments
  • Interactive resources, e.g. classmates, med
    advisors

22
Using Extra / Vacation Time
  • Link review of 1st year content to topics of
    current course lectures, such as systemic
    Pathology
  • Use extra or vacation time to review 1st year
    content that doesnt easily link to current
    classes WHAT?!?!
  • Begin using USMLE-style questions at exam pace
    now
  • Note problem topics revealed by testing for extra
    attention once 2nd year classes end
  • Reserve enough fresh questions for use in final
    prep period -gt Kaplan Sim exams!!

23
Organize Yourself After 2nd Year Classes End
24
  • First 2/3 of remaining time
  • 1. Take first overall assessment early
    (Kaplan sim 1), rank order
  • subjects by test results!
  • 2. Complete planned review of all Step 1
    subjects!
  • 3. Final subject content review occurs in
    weakest to strongest order!
  • Final 1/3 of remaining time
  • 1. Cycles of practice testing --- identify
    weak spots - review these
  • again to refresh clarify!
  • 2. Refresh highest yield topics rote during
    final 2 weeks!
  • 3. Take final overall assessment (Kaplan sim
    2) plan last week of
  • review!
  • No study the final afternoon and evening before
    exam day!!!
  • Allow for final assimilation and accommodation
    processes!

25
Final Review - KEY POINTS
  • Self-assess comprehensively (sim 1)
    approximately 1 month to six weeks before exam
    date
  • Allocate final days to spend per topic based on
    sim 1 results, as shown below
  • Take simulated exam 2 approximately 7 to 10 days
    before exam date review completely for final
    most challenging study review
  • Optional take NBME self-assessment (50 4-hour
    exam)

Assessment Scores Assessment Scores Study Sequence FINAL Study Days
Anatomy 70 7 2
Physiology 45 1 5
Biochemistry 60 6 3
Behavioral Science 75 8 2
Pathology 50 3 5
Microbiology 60 5 3
Immunology 45 2 3
Pharmacology 55 4 5
26
Plan Your Last Month Carefully
Questions should drive you BACK to study
SPECIFICS!
Content
Questions
EXAM DAY
Topical Question Review
Test Simulation
Questions do not TEACHthey TEST! Always
remember that!...
27
Questions should drive you BACK to study MORE!
  • Questions do not TEACHthey TEST! Always
    remember that!...

28
  • Whether you believe you can, or you cant,
    you're right.
  • Henry Ford

29
  • Thank you for your attention today!
  • What are your questions?
  • Scott Robertson
  • scott.robertson_at_kaplan.com
  • Regional Medical Programs Manager
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