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xlitx: my step 3 experience
作者:USMedEdu
发表时间:2009-05-27
更新时间:2009-05-27
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发信人: xlitx (xli), 信区: MedicalCareer
标 题: step 3 experience
发信站: BBS 未名空间站 (Wed May 27 17:08:23 2009)

I am sorry that I can not type in Chinese right now. But I don’t want to
wait, so I may lose the desire to write it down or post it. Please forgive
me if you are not used to read in English.

I got my step 3 score today: 209/87. Not a good score. But I am still very
happy, given that I took my CK two years ago and I did not find enough time
to fully prepare for it. My NBME score 4 days before the exam was 480.

Preparation: mainly UW.
For MCQ, I went through in the first time, using mixed mode; then in the
second time, I only picked up the wrong ones to go through again. In the
third time, I reviewed the questions in disciplines. (I even did not have
enough time for test mode). I also roughly went through crush step 3. So I
want to say if you are not aiming high at step 3 and you got good scores in
step ½, maybe you don’t need spend a lot of time and energy on it for
a pass. In the real exam, my questions were not as long as some people in
the usmleforum claimed. However, my time in the emergency/inpatient counters
was tight. It is in part due to the long passage of the question items and
we have to figure out what information is really relevant and important. On
the other hand, my performance on this part is the worst. My relatively poor
knowledge in the emergent intervention may also count for it. I think for
this part, we need a very accurate mastery of the knowledge, not just to
have some general common sense.

For CCS, I also only used UW and I only went through once. My comfortable
index before test is about 70%. However, I did not feel good in the real
exam and the results turned out not so good, too. The lower end of my
performance is in the borderline range. Some of my cases ended really fast,
like in 8 minutes--real time, earlier than I expected. I think for some of
them, I even did not get the lab/image results back yet. And for at least
half of my cases, they ended before the patients gave good feedback or
improvement. But I am sure my general direction towards the diagnosis and
treatment is correct. I remembered what I read in the usmleforum: once you
give out the major intervention/therapy, the case will end. I am thinking
that may be true. It was so funny that in my first case, it is a urinary
infection in a pregnant. I gave her ampicillin and prenatal tests that I can
think of. Then in my next follow-up (I don’t remember it was the 2nd or
3rd, anyway the case ended without saying if her urinary urgency improved or
not. I kept thinking during the exams, if I missed that she is ampicillin-
allergic and the patient died. So my lesson or my advice for CCS is: pay
attention to details in your practice; in the real exam, take time to think
it thoroughly; don’t rush; you have enough time. Even during the exams, I
found that in my last case, I did not consult the patient for smoking (he/
she is a heavy smoker). For CCS, I think practice is very important and you
can get great improvement within a short time. I think Adeno, usmle and
Angelahan all gave excellent advice on step 3. Thank Angelahan provided the
NBME questions and answers and thank Adeno for your consults and
explanations.

Hope this is helpful and good luck with all of us in the future: the intern-
to-be, the residency applicants, the exam-takers and everyone who is helping
us.

--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 128.249.]

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