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  #1  
Old 05-05-2011
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Unhappy IMG Taking Step 1 Exam After the Second Year!

Hi guys,i am from India and I'm currently in 2nd year (3rd semester) of med school.

I have collected all the materials (in fact too many) required for step 1 prep and intend to write the exam after my second year.ie in June 2012.

I have a few doubts. without their clarification I will find it difficult to sleep. please help me out.

1. Is it advisable to write step 1 after 2nd year being an IMG? (cause almost every IMG writes after graduation and they all advise me so...)

2. Please tell me the pros and cons of writing step 1 after 2nd year?(I'm aiming for a 250/99 and nothing less)

3. I stand in the top 10 of my class. but i have really less time to read for step 1. and so I'm losing confidence.....

4. Do u know of any IMG who has written step 1 after his/her second year and managed to get a 99???

please help me out guys...
thanks a million in advance!!!!!
may god bless you.............

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  #2  
Old 05-06-2011
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Hie medstud.
The thought of giving your step 1 in your second year is good, but you will really need to work hard for the scores you intend to get.Lets look at the pros and cons
Pros
1) The subjects being the same there will be overlapping of topics but the exam ideology is completely different.For step 1 you are required to know the reasoning and concept behind a particular a topic but for your medical school exams they just test you on your cramming up capacitiy.By knowing the concepts in detail it may help you excel in your medical school exams and cramming up may somewhat help you for your step 1
2) As the number of applications for residency are increasing every year you will definitely require a USCE (United state clinical experience) in the form of an elective to stand apart from the crowd.Most universities now require STEP 1 score for elective application.So the number of universities which can apply to will be more.
3)You have loads of time during your second year.(We had eighteen months).You can study your ass out instead of loitering and wasting time.
4)I would mention this last. In case you get a low score on your step 1 you can apply after 5 years.By then you would be plus 2 years after graduation.Which is less compared to people who reapply after taking the STEP 1 after graduation. (DONT THINK OF THIS TO HAPPEN AND BE POSITIVE)

Cons
1)Among the various people who i have known who tried to give their STEP 1 in their second year could not cope up and left it in between..(But again they were average students)
2)The clinical knowledge gained during the 3rd and final year do help because most of the question are clinical.But if you have clinical rotations starting during your second year this should not be much of a problem.

So as you see the pros are more compared to the cons.But you will have to be more focused and need to have a strict deadline for finishing.You will have to work harder than your peers.
My advice..Start with STEP 1 preparation.Aim for a specific date by when to finish your study and when to take the exam.Do keep secondary goals in between to know your progress.In case you figure out that you cannot cope up or your score will be low avoid taking the exam.
Hope this helps
Best of luck for your future
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  #3  
Old 05-06-2011
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I know ppl from the Caribbean that manage to get 92 -93 in their 3rd year of school ... It is possible, you just have to see it.
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  #4  
Old 05-06-2011
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Quote:
Originally Posted by rulz View Post
I know ppl from the carribean that manage to get 92 -93 in their 3rd year of school ... It is possible, you just have to see it.
im a 3rd year Indian med and how i wish i'd started my prep in the 3rd sem.. i intend to give my step 1 in march '12 and i have to fit in a very tight schedule. but it is TOTALLY worth all the effort that you can put right now. the subjects are fresh and you have quite some time on your side.
and yea there are many imgs that attempt the step 1 in their 3rd year. (incl me!)
BoL
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  #5  
Old 05-07-2011
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I am from India and I know few students who have given step 1 during 2nd yr and done great and few who haven done great either...

It is not an easy task to do step 1 during end of 2nd yr. It requires a lot of dedication and studying medicine and surgery especially during your clinical postings. If you can do well in those two subjects, then it would be great. It will result in your performance being very good. Clinical scenarios are very much the order of the day today... The step 1 exam has changed into a spectrum of clinical disorders based exam these days... The NBME form 11 and 12 reflect that...

So, if you can manage it then you should go ahead or else, target step 1 during your internship....

All the Best
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  #6  
Old 05-07-2011
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I agree hugepuppy, but I want to add that even if you prepare after graduating, you will still face problems. Like if you go for a housejob, then you wouldnt get enough time to study. If you dont do your housejob, even then you're going to start forgetting stuff from basic sciences. And your time to prepapre will be limited. You'd need to finish your steps within three years to avoid becoming an old graduate. And we all now how difficult it is for old IMGs out there...
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Old 05-07-2011
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hey even i am in 2nd year student from india preparing for step 1.
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  #8  
Old 05-08-2011
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Quote:
Originally Posted by medguy93 View Post
I agree hugepuppy, but I want to add that even if you prepare after graduating, you will still face problems. Like if you go for a housejob, then you wouldnt get enough time to study. If you dont do your housejob, even then you're going to start forgetting stuff from basic sciences. And your time to prepapre will be limited. You'd need to finish your steps within three years to avoid becoming an old graduate. And we all now how difficult it is for old IMGs out there...
I don't deny what you said... But I personally feel that we are better exposed to clinical medicine and clinical case scenarios after final year or internship than during second year which is vital for step 1 from an IMG perspective...

As far as the old graduate thing is concerned, I believe that if you get good scores then it (old IMG) will be sidelined. Plus do some research and get a meaningful publication or apply to some student conferences and present papers there... It will surely help... I request Step Taker and Sabio to kindly throw some light on this topic...
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Old 05-08-2011
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Quote:
Originally Posted by hugepuppy View Post
I request Step Taker and Sabio to kindly throw some light on this topic...
The old grad issue has been extensively discussed before;
Useful links:
-
-
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  #10  
Old 05-08-2011
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I guess that would depend on the kind of system you're studying, right? Every med school has a different curriculum. Like with us, we used to get a case to solve every day since the first day of our first year. And all our questions have clinical vignettes. I think we have sufficient exposure. In addition, I have done my electives in ER, nephrology, general surgery, OBGYN and internal medicine. So I think I have pretty much covered the basics. Plus I plan to take my exam in the 4th year by which time I would have done all my clinical rotations.
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  #11  
Old 05-09-2011
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Thanks for your valuable advice guys. well ive made up my mind to take step 1 after 2nd year. but 3 months before the exam ill take an NBME mock exam. and if im not up to the mark i wont write the exam. in case i dont write the exam, the knowledge i would gain from the prep would definitely help me, it would never go waste.

thanks again guys.. you have really motivated me..
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