Focus on doing UWorld throughout third year, as this is your best resource.I probably had < 5 questions on the whole test where I was like “I have no clue what is going on because I’ve never seen this.” I marked probably 7-8 questions per block (ones that I had any doubt at all about – this is a pretty typical amount for me), but I feel like I made pretty good educated guesses on the ones I marked. Overall, I felt pretty good walking out of the test.Although I didn’t use a textbook, I found that being in the hospital and watching the Emma videos at the end of the rotation was enough to “tie everything together” by the end of the rotation (since I know that’s one reason why people like textbooks). You end up memorizing a lot of useless facts without knowing how to apply it to questions. More importantly, textbooks don’t tell you what’s important. I’ve come to find it’s an extremely passive way of learning. I read most of DeVirgilio’s for surgery (my first rotation), used FA for Psych, and skimmed through case files for family medicine, but other than that I didn’t read any textbooks. Anki: Use this as an active way to learn from UWorld questions.Ĭlerkship-Specific study method: I honestly didn’t touch very many textbooks during the year.I did this during the last week before the shelf. I also completed roughly 50% of their question bank throughout the year (I think I used the questions for all rotations except IM since UWorld was more than enough for IM). It was extremely helpful for coming up with differentials and figuring out the next step for management without spending a lot of time on Uptodate. I used AMBOSS throughout the year as a way to quickly look things up during clinical rotations. A few of the newer questions they recently added actually showed up on my test, so definitely do those. 10% - pharm / micro questions (sketchy covers, but was stuff from Step 1).10% - “what is the most common risk factor” questions, which I hadn’t really seen too much throughout shelf exams / on UWorld.70% - “next step” questions – imaging, lab test, treatment.This forces you to study concepts that YOU are weak on. An approach to pre-made Anki decks: Start by suspending all the cards, then unsuspend as you go do questions (unsuspend relevant cards using the browse button in Anki + key words from each UWorld question).In the extra section of each card, write a brief differential with other similar diagnoses with key symptoms to differentiate one vs.Serotonin syndrome – instead of memorizing a list of every characteristic, know that hyperreflexia/clonus is associated with serotonin syndrome, while the other symptoms are similar (e.g., autonomic instability). The latter approach won’t help as much on MC tests. Try to make anki cards that would differentiate one diagnosis vs another rather than making a bunch of cards for every fact in the book.
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