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Old 02-07-2014
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Unhappy Step 1 fail

Hi dear dr
I am a doctor from Ö I graduate in 2006. It takes 2 years on and off for me to complete my study and get ready for step 1. I read all the Kaplan lecture notes and listen to DVDs. I do around 3000 tests but not from a definite Q bank and not in a situation the same as the real exam. In these two years, I continue to practice as an ER physician in the hospital. I get married 8 years ago. The exam cost around 3000 $ for me. I take the exam in 15 January 2014. I was in pressure and left around 40 question unanswered!
UW exam score: 214
5 February 2014, score release: Fail (183/75)
I am in shock. What should I do? Should I say goodbye to my dream? Is there any other choice for a physician in the U.S? Is it reasonable to schedule for step 1 and 2 CK combined? In your opinion, which one is better: be a family physician in the US or an ophthalmologist in my motherland? Iím so confused and need your advice. Please donít deny helping me.
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Old 02-12-2014
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Hi SA node

well I am going to be sitting the USMLEs as an IMG and I also have worked ft and have a child, so I understand why things are very different compared to being able to lock yourself away for 12 hours a day and live in a library

I'm sorry it didn't work out this time, but don't let it put you off - in a way, having a 'fail' (which is almost a pass) is better than having the lowest pass mark because it means you are able to resit

I would try and book a chunk of time off work before your next test so think about when you could do that. 3 weeks or so if you can of solid study. I'd give yourself at least until this summer or longer

I absolutely think you could do Step1&2 together as you may find 2ck considerably easier than Step1. But maybe best to sit Step1 on its own to get over that hurdle first - try and do your best in each one to match successfully.

I just wanted to post and tell you not to give up - some of the most successful doctors have failed an exam, it's really okay. This is just an opportunity to do it all better.

Start with - solidly going over everything again from the beginning, however dull this may be. even the usmlerx express vids in fact to start with may be a good pacing tool to get you through all the material again without getting too depressed or bogged down in it. perhaps think about some different resources if you feel you struggle more in some areas than others - have you used pathoma? there are also some pretty great books around, even some Q&A ones that are pretty fun. how do you learn best? do you make condensed notes? draw pictures? rewrite by typing up? annotate FA?

then when you feel you know it better than before, I would recommend spending the most time doing uworld questions. just keep on doing questions.

I cannot comment on whether you are better off as a family physician in the US or as an ophthalmologist. Being an ophthalmologist in your home country may be the best thing for you, you haven't said where that is (I was offered a placement in a brilliant world class outstanding eye hospital in Israel recently that would beat any in the US hands down) but I think it would be good for you anyway to sit and pass Steps 1 and 2 and then make a decision about that.

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The above post was thanked by:
seniortaker (11-23-2014)



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