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Old 05-24-2015
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Default I failed 2 online practice nbme's. What can you suggest to get better?

I am finally glad to find a community for people who study from other medical schools in other countries! Maybe I can get your opinions on how to best proceed.

IMG Grad, passed Step 1 almost 3 years ago with 216.

My CK preparation so far was MTB 2+MTB 3 and UW. I finished 1 revision of UW on random + timed. I purchased NBME 4 with expanded feedback and it is equal to 195 after 1st round completion of UW, MTB 2 + MTB 3.

I thought I understood the concept training from MTB books and when reading UW explanations for everything but the NBME was really different from how I thought.

Then I read MTB 2CK again and read through all mistake UW questions and did NBME 7 and got a 203.

These are not great scores to come close to passing above baseline

I have my exam on June 25, so 1 month remaining. Am I not reading or relying too much on MTB approach? I only saw maybe 3 or 4 questions where maybe the MTB helped but not certain.

I think some problem is from step 1 pathophysiology and disease identification being a long time ago but I thought I would read first aid step 1 but I think it will take focus away from CK with 1 month left.

Any past exam takers or those who have more ideas on how to adjust my study plan for this month? More books? More UW? More questions from somewhere else? More something?

Thanks very much!
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Old 05-25-2015
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Any guidance advice? It will really help! Thank you again
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Old 05-25-2015
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I would suggest you to do more of UW if you haven't done it atleast twice. And do it in mixed mode. Read MTBs where you feel you can't recall something. I hope this helps..
Please tell did nbme 7 seem really hard to you? So many ppl say it's tough, so what's your opinion on it? I don't want to get discouraged with low score, so thinking to take it offline..
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Old 05-25-2015
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You've only got a month left and from the sound of it, you need some serious work on basic content. You're definitely giving up a lot of easy points, so there is some sort of disconnect in your approach.

I would suggest looking at some of Kaplan's video resources. Your problem might simply be due to knowledge, but my sense is that it's due to a problem in your approach. Some of the video resources will help you start thinking in the right way.

One of the biggest issues is that you can't rely on many of our favorite test strategies. You have a harder time eliminating wrong answer choices because they ALWAYS give you 5+ reasonable choices. If it's a diagnosis question, they will give you the top 5 items on the differential and expect you to reason which is correct. Mechanism questions will include not just step 1 basic science concepts, but now they ask about concepts in management.

They also don't make the important information as obvious as it was on Step 1. On step 1 they would tell you whether the guy in a coma had DM1 or DM2. On Step 2CK, they give you the H&P and labs and expect you to figure out which it is AND initiate the correct treatment.

I would think about trying something new in addition to another tour of UWorld. I feel like some basic conceptual adjustments could help you immensely.
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Old 05-25-2015
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Quote:
Originally Posted by faith255 View Post
I would suggest you to do more of UW if you haven't done it atleast twice. And do it in mixed mode. Read MTBs where you feel you can't recall something. I hope this helps..
Please tell did nbme 7 seem really hard to you? So many ppl say it's tough, so what's your opinion on it? I don't want to get discouraged with low score, so thinking to take it offline..
Hi faith! Thanks for replying to me!! The aim now is to definitely do UW again but I think Young Doc's suggestion is also something I need to consider now also. I thought the NBME 4 + 7 were tough. I think my mind was geared for UW style and completely in a different shock from how the actual NBME questions were written.

I could not trust the offline types of these tests and wanted to make sure to go the official way by purchasing it. This way at least there is no doubt.

Quote:
Originally Posted by Young Doc View Post
You've only got a month left and from the sound of it, you need some serious work on basic content. You're definitely giving up a lot of easy points, so there is some sort of disconnect in your approach.

I would suggest looking at some of Kaplan's video resources. Your problem might simply be due to knowledge, but my sense is that it's due to a problem in your approach. Some of the video resources will help you start thinking in the right way.

One of the biggest issues is that you can't rely on many of our favorite test strategies. You have a harder time eliminating wrong answer choices because they ALWAYS give you 5+ reasonable choices. If it's a diagnosis question, they will give you the top 5 items on the differential and expect you to reason which is correct. Mechanism questions will include not just step 1 basic science concepts, but now they ask about concepts in management.

They also don't make the important information as obvious as it was on Step 1. On step 1 they would tell you whether the guy in a coma had DM1 or DM2. On Step 2CK, they give you the H&P and labs and expect you to figure out which it is AND initiate the correct treatment.

I would think about trying something new in addition to another tour of UWorld. I feel like some basic conceptual adjustments could help you immensely.
Hmm Young Doc, this is like my father giving me an eye opener told you so lesson

Is there an alternate to kaplan videos as I first do not have them, second I heard they are very long of over 200 hours.

Another book or shorter course I can purchase maybe? Where would I fit that in my schedule for 1 month?

I think I mislead myself in the safety of thinking UW + MTBs like everyone posted from exam experiences I read in the forums, made me want to believe the same. I know I am not trying to memorize UW but mabye the logic is not right in approaching the question.

I like the basic conceptual remark you made and hope to hear how to fill this in the month left.
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Old 05-26-2015
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Quote:
Originally Posted by anushrisha View Post
Hi faith! Thanks for replying to me!! The aim now is to definitely do UW again but I think Young Doc's suggestion is also something I need to consider now also. I thought the NBME 4 + 7 were tough. I think my mind was geared for UW style and completely in a different shock from how the actual NBME questions were written.

I could not trust the offline types of these tests and wanted to make sure to go the official way by purchasing it. This way at least there is no doubt.



Hmm Young Doc, this is like my father giving me an eye opener told you so lesson

Is there an alternate to kaplan videos as I first do not have them, second I heard they are very long of over 200 hours.

Another book or shorter course I can purchase maybe? Where would I fit that in my schedule for 1 month?

I think I mislead myself in the safety of thinking UW + MTBs like everyone posted from exam experiences I read in the forums, made me want to believe the same. I know I am not trying to memorize UW but mabye the logic is not right in approaching the question.

I like the basic conceptual remark you made and hope to hear how to fill this in the month left.
I'd have to look at what's currently out there. You're right that 200 hours is a bit much for one month, but honestly, if you're failing, you may just have to bite the bullet and extend your test day. I know that isn't what you want to hear and maybe you can still get it together and pass, but you need to start thinking about what your plan is should you still be in danger of failing one month from now.

I would try to find any of the videos that Conrad Fischer did -- there are legal and illegal ways of obtaining them. There might even be some samples on youtube to see if you like his way of thinking. Obviously you can't get through an entire course, but you might benefit from something more targeted. If ObGyn and Pediatrics are your weakest sections, maybe just do the videos for those areas. Remember that if you have any bar that goes below "borderline" on your score report, you are missing easy questions. You don't have time to learn/master all the hard material, but you can definitely get yourself up to passing if you master the easy stuff.

Another Free resource I would DEFINITELY try would be OnlineMedEd. There are some paid portions of the site now, but the videos are completely free. You should definitely watch ALL the videos in your weak areas. He has a really nice way of teaching and explaining things that could really help you.

I guess the biggest question still remains: Are you failing because you don't know the information, or are you failing because you have trouble applying what you already know? Both are things you can fix, but by very different means.
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Old 05-26-2015
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Youngdoc
I wasn't aware of onlinemeded and I loved it!
Thank you very much.
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Old 05-26-2015
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Quote:
Originally Posted by neuronium View Post
Youngdoc
I wasn't aware of onlinemeded and I loved it!
Thank you very much.
No problem! They've really added quite a bit in the past couple years. When I was a third-year student, they were relatively new and their video offerings were more limited. They were great, but not as comprehensive as they are now. Even though I took my CK awhile back, I still refer to their site when I want to refresh my memory about a topic.

I really like the clinical focus of the material and how he tends to model good clinical thinking. This kind of thinking is exactly what is tested on CK. Books cover the knowledge and UW questions will give you practice, but there's much to learn about clinical reasoning that - at least for me - is best learned from watching and listening to someone model it.
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