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xyyzm: Some experience for step 1&2
作者:USMedEdu
发表时间:2009-03-02
更新时间:2009-03-03
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发信人: xyyzm (xy), 信区: MedicalCareer
标 题: Some experience for step 1&2
发信站: BBS 未名空间站 (Mon Mar 2 17:36:22 2009)

Please forgive me for using English here.

I have gained a lot from here, having been thinking to give some experience
back but I have been lazy after finished step 2 CK. Really impacted by what
coalminer has posted, pushing me to put down my experience. Hope some
people can find something useful.

I graduated from Medical School in 1994. Have two daughters (will be 3 and
8 yo this summer) and working full time at a company. No PhD.

I had been thinking to take the exams for a long time before I fully
committed myself to the preparation around Nov 2007. I spent probably more
than two years before that time, just to finish reading Rapid Review
Physiology, High yield Anatomy and High yield Neuroanatomy, sometimes many
hours a month, sometimes maybe 0 hr a month. I really can\'t handle a lot of
pressure from different things at the same time, conflict with my wife (she
works full time and even busier than me most of the time), children, and
applying and waiting for GC.

Around November 2007, when I started full time preparation, a friend
introduced me Mitbbs, and I saw Gira555\'s experience. Really impressed me
and decided to copy her experience with longer preparation time. I took
Step 1 on June 21, 2008 and got 241/99. Took a trip with my older daughter
to china for three weeks in July, prepared for step 2 sporadically in August
, and committed myself fully in preparation mood in September. Finished step
2 CK Jan 26, 2009 with a score of 240/99. CS is due toward the end of this
month.

So it took me 8 fully committed preparation months while still working, plus
finished Anatomy and Physiology reading outside this time for Step 1. 5
months for Step 2 CK.

Summary,

1. By reading physiology and anatomy, I learned medical terms in English;
became familiar with some basic knowledge learn in college. Reading high
yield anatomy has been very difficult due to all those terms. Luckily, I
used a used book from a friend, which came to me with a lot of terms
annotated with Chinese.
2. As gira outlined, Goljan\'s audio, UW and first aid are very important
for Step1. For me, without any of these three, I can\'t get the score I got.
What I want to add is Goljan\'s audio is even good for step 2. I often
remember something he said while I was preparing for step 2. I listened to
Goljan\'s audio two to three times using driving time between work and home.
In addition to these, I read Kaplan notes other than physiology and anatomy.
After Kaplan notes, I read FA two times until before the exam. Did UW on
the side, with ~56% correction rate in the end when all the incorrect
questions were gone. Bought Kalpan Qbank, but tried no more than 50 Qs.
3. Microbiology is the unexpectedly the hardest to me, harder than
pharmacology which I expected to be hard. I reviewed pharma without trying
to remember the names of drugs, but try to understand the mechanisms/effects
/indications and some side effects of different category of drugs while
reading pharma, tried to get an impression which drug belongs to that
category. I only tried to remember drug names when I was going through FA
in the end.
4. I read Kaplan notes once for step2, Fischer\'s audio once (didn\'t like
it very much except chest pain part), Kaplan Qbank once without going over
incorrect Qs for the second time, did UW until almost incorrect Qs were
close to none. 59% correction rate for UW in the end. Bought Crush step2 but
didn\'t get time to read.

NBME forms,
I did all NBME forms, step 1 forms 1-4 around a month before exam, form 5 (
510) and 6 (570) online two and three weeks ago. For Step2, started forms
around one months before exam, a lot of incorrect answers, did form3 online
two to three weeks before exam, got 460. thought about postponing exam, but
feel can\'t afford the time and bear the stress, also feel 90 would be enough
, so went ahead as planned, after finishing form 4 offline. CD 34/34/40 one
week before exam. Form 5 for step1 and form3 for step2 are hard, not
representative of the exams. form 1s are easier than real exam.

My experience, shortly before exam, FA/Forms/CD for step1; Forms/CD for
Step2.




Gira\'s experience attached for reference.

Gira555
[Step 1]
准备时间:10hr/年 x 10年 + 4-5hr/天x6.5月,考前请假2周
考试成绩: 259/99 (3/31/07)

Kaplan Qbank 76% 考前做完70%
UW Bank 59%, 考前三个月
NBME 1/日期 2/21/07 660/250
NBME 3/日期 2/21/07 650/248 (考完前一个不信,当天又作了一个)
NBME 3/日期 3/22/07 720/258
NBME 4/日期 没作
USMLE CD/日期 91% 考前1天

所用材料:kaplan notes 一遍半 (有的看了第二遍,有的没有)+ pharm cards/micro
cards, BRS
pathology,Micro Rediculously simple, goljan audio 一遍半,Robbin\'s review
作了一小
半,Kaplan Q book做了一半。没看录像,Goljan书买了看了不到1百页, 不喜欢。FA
2-3遍, 考前猛突击。UW
bank, Qbank.

教训:拖的太晚考, 整天告诉人我要考试了,后来都没有人信。一个朋友劝我去报了
名,最有用的建议了。 报了以后就
觉得真是要考了。 报完后出去先开了个会, 飞机上买了个Suduku机, 回家后每天晚
上玩到2-3点。 被室友没收了。后
来下决心手机也都关机, 谁的事儿都不理。心就静下来了。

经验:我是个做题派的。我觉得记性不好,开始看书像爬高山一样, 觉得征服不了,
那时候很痛苦。看了大概两本书后
买了UW题库, 看不下书的时候就做题。 觉得作题是各个击破,后来看书时常的就见到
题里已经学到的东西,就不那么陌
生了,看书反而容易多了。我觉得对我这样的知识比较陈旧,难以静下心啃书的人适用
。不管是做题还是看书, 有限时间
里学到东西了就觉得有成就感。应该把时间多花在学习不会的东西上,比如做错的题,
尤其是反复做错了的。第一遍看东西
就要把概念搞清楚。FA,UW和goljan audio强烈推荐。

Gira555
[Step 2]
准备时间: 4-5hr/天,3-4月,考前请假1周
考试成绩: 264/99 (8/3/07)

Kaplan Qbank 68% 考前一个月
UW Bank 69%, 考前几天 (中间有一段两个掺着做的)
NBME 1/日期 05/04/7 540/227
NBME 3/日期 6/23/07 630/245
NBME 3/日期 7/4/07 690/255
USMLE CD/日期 没做
所用材料:Kaplan五本一遍, step2 secret一遍, Fisher Audio完成约一半, Kaplan Q
Bank, UW Bank 
教训:没有太多教训,挺满意的.觉得主要该做的都作了,不觉得差很多别的要看.
经验:第二步真是做题为主.每本书看了一遍,儿科是到最后一天急慌慌翻着算是看完
了.一直是一边看书,一边做题的.
错了的题最后过了一遍.比第一步省事太多. 而且nbme一直在进步,挺受激励的
。中间6/30考了CS, 所以加
起来不到4个月吧。

I have thought about talking about time management, but didn't in my post.

I have to say, I used a lot of time at work. The PDF files really give me
convenience to do it at work. That's is why I can make it as I had. So don'
t feel frustrated when you can't in similar time frame.

I have a friend, who told me he usually wake up at 5:30am, and get to the
lab at 6:00am, study until 9am every day. Another friend, who abandon to
take the test, said his best time of studying is nighttime. I wake up around
6:30 to 7:30am, start to study between 7:00am to 8:00am at work place, till
9 to 9:30am. Also study for 2-3 hrs at night, start between 8to9pm till 11
to close 12pm. My daughers went to sleep a little after 9pm, most of the
time, they are still in sleep when I left in the morning. My wife is very
supportive, she took the kids to school or daycare in the morning, I pick
them up in the evening. Sometimes, when I want to talk to my older daugher
at night while studying, she would say to me "do your test", because I have
been telling her that I can't play wiht her a lot because I need to take the
test. My wife are even more supportive after I got 99 at step1.

I drink a lot hot tea in the morning, a little less in the afternoon in case
I can't sleep well at night. Try to eat as less dinner as possible, so I
don't feel tired after. Eat more at lunch or breakfast to compesate. A not
too bad night sleep is also important. I play basketball most of the Sundays
when taking my older daughter to chinese school. I sometimes also take a
little diazepam (varies from 1/3 to half a tablet of estrozolam?? sorry if I
spelled the medicine wrong) if I wake up like 2am, 4am or even 5am to help
me to get enough sleep.


Having said so much, I guess what I mean is you have to figure out a way to
balance your body to a good, balanced state in order to do this in such a
long time, and find your best time to study. Excercise one to two times a
week is also very important.

To take this test, I believe most people have to talerate a lot of
loneliness and sacrifice some relationships in order to concentrate. It has
also been a hard part for me in the process.

Test day, eat a good breakfast, clear the bowvel(my habit, try to eat more
vegi at dinner time), take a cup of concentrated hot tea to get on the way
to test center, also prepare a light luch and a tea bag for the afternoon.
Take a walk to the bath room after first one to two sections, stretch a
little, drink some tea. then do two sections in a row. take rest between all
the other sections. Leave more rest time for the afternoon. rest more than
5 min for the last three sections. While taking the test, just think what
you are doing is to finish the test, stay calm and just try to finhish the
test, try to manage to finish all the questions in 58-60 min. Don't rush,
don't dalay. Most of the time, I either have one minute left or quickly
finished the last one to two questions in the final minute.


--

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