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  #101  
Old 02-09-2015
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Originally Posted by drsrb View Post
Yea that's what my confusion was.. If vertex is at 0 station doesn't that mean the fetus head or presenting part is engaged.. I chose forceps as answer that's y..
I guess they want to emphasize that adequate n correct technique was used n still nothing happened I. E y they went to cs.
you are right i thought 0 was not engaged. 0 means its fully engaged. than the answer is forceps
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  #102  
Old 02-09-2015
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but the correct answer was take consent and proceed to cs. i guess with this they wanted to signify (after correct pushing technique,significant maternal effort,adequate contractions)-whatever can be done has been tried..still not sure about it tho.. this is from uworld only.
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  #103  
Old 02-10-2015
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but the correct answer was take consent and proceed to cs. i guess with this they wanted to signify (after correct pushing technique,significant maternal effort,adequate contractions)-whatever can be done has been tried..still not sure about it tho.. this is from uworld only.
its a weird question, since by MTB 3 the next logical step would be to try with forceps. Was there anything in history that might have contraindicated forceps assisted delivery? Like mothers pelvis too small, unruptured membranes or head orientation of the foetus?
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  #104  
Old 02-10-2015
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Actually there wasn't.. This is a u world q's.. They also had the consent thing included in this as the pregnant lady was 16yo..just that I excluded Coz it wasn't really required..
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  #105  
Old 02-10-2015
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I have a question. It says on the uworld website that they have added 100+ questions. Can someone please tell me how many “sets” of drug ads & abstracts are contained? thanks
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  #106  
Old 02-15-2015
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is there a score relator for uworld avg % to the approximate score in the real exam. I am averaging 57, will i pass? I just want to pass and get rid of it!!
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  #107  
Old 02-15-2015
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last week of preparation:

MTB internal med in 5 days
5 days 10 cases each total of 52

UWSA on saturday

exam on wednesday ill just review biostatitstics day before.
lets see whats this all about.

they say its long hard and tiring. so ill just be physically fit and ready. i dont think it will be much worse than CK.
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  #108  
Old 02-15-2015
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Hey! My exams on monday and wednesday. I feel like i am very under-prepared. have to do UWSA and figure out where i stand. I am planning to do incorrect and marked ones plus 10 cases/day too. Dont have time to read MTB but will try to. did u do UWSA?
Goodluck for ur exam!
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  #109  
Old 02-16-2015
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Hey! My exams on monday and wednesday. I feel like i am very under-prepared. have to do UWSA and figure out where i stand. I am planning to do incorrect and marked ones plus 10 cases/day too. Dont have time to read MTB but will try to. did u do UWSA?
Goodluck for ur exam!
im writting UWSA tomorrow

so internal MTB in 5 days. and did cases 10 today most of them office ones and easy ones but felt much more comfortable doing it.
dont forget to do the online software the real one. i dont know how im gonna manage to do it with my mac

okay lets just i dont know share our underpreparation my friends are taking exam on monday. and im not interested what you guys will say after exam. i take mine on tuesday and then have 4 days in between. to focus on CCS mostly. just be ready for statistics

i did one block of incorrects too today. so am on the plan and on the track. so glad this gonna be over soon.
taking fischers marathon on 22nd. im really bored of this USMLE life. lets go and get some life sooonnnnnnnnn so that nobody can drag us out of the hospitals until we are old demented and disabled

we ar enot underprepared there's just nothing more or else we can prepare with lets formulate like this.
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  #110  
Old 02-16-2015
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i took UWSA today

it's exactly the same difference and level of complexity as UWSA had for CK.

cons:
* small amount of biostats/Epidemiology
* 1 or 2 questions are arguable i would say
* no drug adds or abstracts
* 48 questions per block in hour ( had 3-5 minutes to go through marked ones)


Pros:
* makes you to twist your mind and thinking !
* "i have no idea how i performed" feeling

It seems to be quite hard. average % was 51.

ended up with 245

taking exams on 23-26

Peace
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  #111  
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Hi beka-CTS.

Great score on UWSA. You'll all set.

I was wondering if you could share the books, qbanks that you used.

I read half of MTB 3 and started kaplan qbank. Averaged a 59% in that. Just started UW. Currently at 58% after 6 blocks :/

Any advice?
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  #112  
Old 02-16-2015
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Quote:
Originally Posted by warfarin90 View Post
Hi beka-CTS.

Great score on UWSA. You'll all set.

I was wondering if you could share the books, qbanks that you used.

I read half of MTB 3 and started kaplan qbank. Averaged a 59% in that. Just started UW. Currently at 58% after 6 blocks :/

Any advice?
Thank you.

I'm mainly using MTB 3 (new edition) adding stuff from UW qbank.
Have CK notes from UW CK (just going through them).

i suggest to stick to MTB and study it in and out.


Your UW performance seems to be alright. it will increase in a little bit.

one thing i have to say is that after doing CCS cases ( 52 + 41 from UW) i feel more confident dealing with MCQs.

stick to the plan.

cheers
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  #113  
Old 02-16-2015
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Thanks a lot.

Do you think the new MTB is needed? I don't think 50% of the old MTB that I read has helped me so far in answering questions (maybe a few).
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  #114  
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Originally Posted by warfarin90 View Post
Thanks a lot.

Do you think the new MTB is needed? I don't think 50% of the old MTB that I read has helped me so far in answering questions (maybe a few).
Depends.

When are you taking exam?

if it's in next month period i would stick to older edition. there are some differences and i don't think it's necessary to switch the books now.

just keep the level of persistence high and go through UW.

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  #115  
Old 02-16-2015
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I'm taking it end of April/early May.

For CK, I made the mistake of going through Kaplan twice, MTB 2+3 twice. Only had time to do UWorld 1.5x. Only thing that helped was UWorld to be honest.

I plan to make it through UWorld for Step 3 atleast 2-3 times. I feel it's most high-yield.
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  #116  
Old 02-16-2015
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Originally Posted by warfarin90 View Post
I'm taking it end of April/early May.

For CK, I made the mistake of going through Kaplan twice, MTB 2+3 twice. Only had time to do UWorld 1.5x. Only thing that helped was UWorld to be honest.

I plan to make it through UWorld for Step 3 atleast 2-3 times. I feel it's most high-yield.
to be honest, i think Kaplan Qbank is sh*t



go for UW !

Good luck with Match and then Exam
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  #117  
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Quote:
Originally Posted by beka-CTS View Post
to be honest, i think Kaplan Qbank is sh*t



go for UW !

Good luck with Match and then Exam
Thanks.

You're exactly right. It seems FMGs from South Asia in particular swear by Kaplan for Step 1 and 2 or atleast used to. Over-rated imo.

UWorld is golden. Kaplan Qbank for Step 3 was full of out-dated guidelines that messed with my head. However, about 30-40% of the questions were pretty good.
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  #118  
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Quote:
Originally Posted by beka-CTS View Post
to be honest, i think Kaplan Qbank is sh*t



go for UW !

Good luck with Match and then Exam
Hey!!

awesome UWSA score! how much was ur block wise %? i did 3 blocks and my mind got royally screwed up!! was getting around 52% on avg. Anyways good luck for ur exam, hope u do well
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  #119  
Old 02-16-2015
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Hey!!

awesome UWSA score! how much was ur block wise %? i did 3 blocks and my mind got royally screwed up!! was getting around 52% on avg. Anyways good luck for ur exam, hope u do well
Hi.

ended up with 69% cumulative, random timed

Good luck to you too
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  #120  
Old 02-17-2015
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Hi.

ended up with 69% cumulative, random timed

Good luck to you too
Nice performance .... can you please share your U.W bank correct percentage???
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  #121  
Old 02-17-2015
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227 on UWSA
my UW cumulative was 59%
have not done anything else than new mtb3 and UW on and off from january

almost no biostatistics in self assessment.

taking exam 24 feb, march 1.

Good luck everyone.
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  #122  
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227 on UWSA
my UW cumulative was 59%
have not done anything else than new mtb3 and UW on and off from january

almost no biostatistics in self assessment.

taking exam 24 feb, march 1.

Good luck everyone.
Thank you for enriching this forum by posting your valuable feed back .... I have heard that any thing above 220 in UWSA should be safe to pass step 3....All the best and do post your exam experience after you are done with it
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  #123  
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Default Input needed

Any one using mapping ccs....is it worth using apart from time proven U.W and archer????
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  #124  
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same here, uwsa 224, my avg uworld was 59% too. i have the old mtb though. And i am reading one chapter a day, will go through the whole book if time permits. I had a doubt about ccs, i'd appreciate any help. in an emergrncy case, if the patient is stable- we do the physical first right? and if we find something in the physical, like say for example stiff neck or guarding abdomen, do we stop the clock or advance it anyways? m so bad with CCS!
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  #125  
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Originally Posted by steps_8186 View Post
same here, uwsa 224, my avg uworld was 59% too. i have the old mtb though. And i am reading one chapter a day, will go through the whole book if time permits. I had a doubt about ccs, i'd appreciate any help. in an emergrncy case, if the patient is stable- we do the physical first right? and if we find something in the physical, like say for example stiff neck or guarding abdomen, do we stop the clock or advance it anyways? m so bad with CCS!
don't worry main things need to be done if you miss IV access like i do all thevtime it won't kill your case. im not good at ccs either have done one round so far. will focus on ccs between my exams it will be more than enough i think.

if pt is stable you dont need pulse ox and monitoring an stuff. he maybe in ER just for acute something meningiits surgery etc..

dont know what was wrong with me today my psychaitry is just below zero which is my strong subject i have missed 3-4 questions which had 100% rated correct answers

im reviewing UWSA and will try couple cases tonight. and from tomorrow MTB i have enough time to go through whole internal med. and before exam will just review biostats and just page by page highlited things as I usually do day before exam.

need not to forget the free usmle org stuff. not sure how ill do that yet
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  #126  
Old 02-17-2015
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i have not met double hunch diaphragm cutoff changes. review that guys it will come for sure.

and i can teach you easy way to calculate NNT NNH they are both in same ways

1 divided by number which is calculated by extraction of two risk percents, exposures whatever..

NNT is 1 divided by ARR which is

NNH = 1 divided by attributable risk (which is incidence exposed- incidence unexposed. aka risk difference)

NNT = 1 divided by ARR (which is event rate in placebo group- event rate in treatment group)

names really does not matter, calculation is the same. there will be given two numbers, rates over 1000 most likley so you just do same calculation. just substract. and divide 1 by whatever number you get by substraction.


so if you increase cutoff in double hunch diagram you increase sPecificity and decrease sensitivity. wherever spesificity increases Ppv increases too.
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  #127  
Old 02-17-2015
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@tamta- Is MTB3 really helping you? I read half of it 1 month ago and am wondering if I should go back and read it once more.

My UWorld cumulative % has been dropping slowly. I started off at 65, now at 57% :/

Don't know what's wrong with me.

Any advice? I don't take any notes whatsoever maybe I should start doing that? Not sure.
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  #128  
Old 02-18-2015
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Originally Posted by warfarin90 View Post
@tamta- Is MTB3 really helping you? I read half of it 1 month ago and am wondering if I should go back and read it once more.

My UWorld cumulative % has been dropping slowly. I started off at 65, now at 57% :/

Don't know what's wrong with me.

Any advice? I don't take any notes whatsoever maybe I should start doing that? Not sure.
we all have that feeling that nothing is really helpful cause we feel and we do know more than before any other exam. so just read it and do question. i read very quickly so i always miss stuff and it never hurts me to review.
i am doing careful slow reading of all internal med these couple days and than will just go over highlights. dont waste too much time on making notes but there surely are stuff to write down form uworld.

Insulin regimens are killing me any kind soul to make a good shortcut for this
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  #129  
Old 02-19-2015
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where can i find the read out cases of ccs on uworld..when i log in i can only access the simulated ones.
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  #130  
Old 02-19-2015
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found them.
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  #131  
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found them.
how on the site?
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  #132  
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yea they are right next to where u go n install the interactive software for ccs.. took me a while.
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  #133  
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Default Shock

Cardiogenic shock: everything is increased except CADRIAC INDEX i.e. CARIAC OUTPUT IS decreased.

Hypovolemic shock : everything is decreased except SVR is INCREASED

Septic shock CARDIAC OUTPUT IS INCREEASED.

is this so hard to remember
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  #134  
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mmm not very hard!
Cradiogenic shock: heart can't pump well-->low cardiac output-->low cardiac index

hypotensive shock: no blood to circulate( hypotension)---> sympathetic activity--> peripheral vessels constricted to send blood to main organs--> increased SVR

i have a tought time remembering physiologic jauncice, breast milk jaundice and breast feeding jaundice!!
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  #135  
Old 02-20-2015
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what are you guys ordering for a hiv patient? apparently the software doesnt have emtricitabine, so everytime i try entering it says no match found. i end up giving zidovudine, tenofovir and efavirenz.
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  #136  
Old 02-20-2015
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what are you guys ordering for a hiv patient? apparently the software doesnt have emtricitabine, so everytime i try entering it says no match found. i end up giving zidovudine, tenofovir and efavirenz.
i will try to do it on exam if asked.

it might be present in Exam software, who knows

if not - zidovudine tenofovir efavirenz is fine
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  #137  
Old 02-21-2015
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mammography screening starts at 40 or 50?
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  #138  
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mammography screening starts at 40 or 50?
recommended after 50, start at 40 in high risk cases.
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  #139  
Old 02-21-2015
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in ccs , pediatric case of appendicitis...when i get a consult from gen surgeon..it just says that to continue on with the medical management even after a concrete evidence of appendicitis on usg..tried ct abdomen n then called a consult,still doesnt accept the patient...
what to do in such a case?
i ordered appendectomy from my side but why doesnt the surgeon accept the case ?
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  #140  
Old 02-21-2015
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and why would you do arthroscopy on a septic arthritis patient?
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  #141  
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Originally Posted by steps_8186 View Post
what are you guys ordering for a hiv patient? apparently the software doesnt have emtricitabine, so everytime i try entering it says no match found. i end up giving zidovudine, tenofovir and efavirenz.
UW sais that emtricitabine is not available in software at this oment but you should still try on exam. i put Zidavudine too instead.
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  #142  
Old 02-21-2015
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in ccs , pediatric case of appendicitis...when i get a consult from gen surgeon..it just says that to continue on with the medical management even after a concrete evidence of appendicitis on usg..tried ct abdomen n then called a consult,still doesnt accept the patient...
what to do in such a case?
i ordered appendectomy from my side but why doesnt the surgeon accept the case ?

it usually tells you that surgery will be shceduled just cotinue with treatment and you order appendicitis do the preop stuff PT PTT IV cefazolin NPO Bedrest and move forward
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mmm not very hard!
Cradiogenic shock: heart can't pump well-->low cardiac output-->low cardiac index

hypotensive shock: no blood to circulate( hypotension)---> sympathetic activity--> peripheral vessels constricted to send blood to main organs--> increased SVR

i have a tought time remembering physiologic jauncice, breast milk jaundice and breast feeding jaundice!!

physiologic only after 24 hours!!! and its always indirect. 12 hours its pathologic

Breast milk jaundice: ebcause of some enzyme in milk that inhibits enterohepatic circulation of bili. may need to briefly stop

Breast feeding jaundice: kid is not getting enough milk. teach to feed better

remember conjugated bili in coupe weeks infant is biliary atresia
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  #144  
Old 02-21-2015
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The new recommendations on breast milk jaundice is not to stop feeding ,continue with feeding ..was a question on uworld ..
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  #145  
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Default P450 niducers and inhibitors

IF ANYBODY HAS FIRST AID STEP1 give the inhibitors and inducers as it is there


Inhibitors:
Antibiotics: Macrolides, Chloramphenicol. Ketoconazole, INH, Cimetidine, protease inhibitors: -Navirs. Sulfa drugs, Grapefruit.

Inducers: Barbiturates, carbamazepine, anti seizures, antiarrhythmics:
Rifampine, Griseofulvin, Phenytoin, Quinidine, St. John's wart
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  #146  
Old 02-23-2015
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Alright

Here we go again

Taking part 1 today
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  #147  
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Day1: Done!
difficulty level: same as CK/Uworld. few step 1 concepts tested( some easy some tough) biostats was straight forward. ethics and drug ads blew my mind away. had one drug ad in every block. each block around 42-43 qs long, 60 mins each. could finish most in time and review marked qs only!
no. of blocks: 6, break time 45 mins ( struggled through the last 2, gosh i was tired!)
post- exam status: back to CCS after a 4 hr long break. phew!!
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  #148  
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Taking exam tomorrow.

Here we go again

just did free 77 qs. and reviewed my stats notes. plan to glance one more time tomorrow morning.
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Correct Answer Day 1 Review

Level of difficulty was same as UW and CK
Mostly Down to earth questions, didn't encounter any WTFs.

Mostly PE, Strokes, CHF, MI, Kidney failure.

Step1ish anatomy materials such as Spinal cord levels of several reflexes, rotator cuff etc.

Biostatistics / Epidemiology /Drug adds / Abstracts: do whatever you can to prepare for these.

UW CK, Step3, U Weapon stat questions. 2 by 2 table was asked in 7068765785668 different ways. NNT, NPV, PPV etc. hard but doable.

1 had 2 major problems i would say:
a) not enough time to read abstracts or drug adds so that, i had big picture and then answer the questions. had to read questions first and search for suitable info
b) ethical and behavioral questions - at least 2 answers looked good to me

baseline - same feeling as i had after CK. staying positive and moving on CCS.

Peace !
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Originally Posted by beka-CTS View Post
Level of difficulty was same as UW and CK
Mostly Down to earth questions, didn't encounter any WTFs.

Mostly PE, Strokes, CHF, MI, Kidney failure.

Step1ish anatomy materials such as Spinal cord levels of several reflexes, rotator cuff etc.

Biostatistics / Epidemiology /Drug adds / Abstracts: do whatever you can to prepare for these.

UW CK, Step3, U Weapon stat questions. 2 by 2 table was asked in 7068765785668 different ways. NNT, NPV, PPV etc. hard but doable.

1 had 2 major problems i would say:
a) not enough time to read abstracts or drug adds so that, i had big picture and then answer the questions. had to read questions first and search for suitable info
b) ethical and behavioral questions - at least 2 answers looked good to me

baseline - same feeling as i had after CK. staying positive and moving on CCS.

Peace !
Sounds like you did really well

In retrospect, do you think UWorld 2-3 times plus MTB 3 is sufficient?

*I'm also solving CK UWorld questions on the side for my weak areas.

Thanks.
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  #151  
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Originally Posted by warfarin90 View Post
Sounds like you did really well

In retrospect, do you think UWorld 2-3 times plus MTB 3 is sufficient?

*I'm also solving CK UWorld questions on the side for my weak areas.

Thanks.
i would be more confident answering that question after receiving my results, but from today's standpoint, yes it is enough to pass and score at on average
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Old 02-24-2015
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Good morning people slept 7+ hours. This never happened before. I hope I don't fail

i was thinking how much money I have spent on chocolates for USMLE .
will walk to the prometric to have more time to eat and build up glucose level.
It would be so humane if we treated ourselves same way every day as we do on the day before exam

so RElative RIsk: divide (cohort study)
ODDs ratio: Anno domini/Before christ
Attributable risk : MInus
NNH = 1/ attributable risk (which is exposed MINUS unexposed)

Attributable risk percent: RR-1 /RR

Absolute risk reduction: MINUS
NNT = 1 /ARR (which is Placebo Minus Treatment event rate)

a cell is diseased and risk factor coincidence: it is Sensitivity calculated vertically
d cell is Spesificity vertically
a cell is PPV horizontally
D cell is NPV horizontally

Raising cutoff increases sensitivity increasing Npv decreasing false positives as sensitivity is TRULY POSITIVENESS on earth
lowering cutoff INcreases Specificity increasing Ppv decreasing False negatives

LR + = sensitivity/ 1- specificity
LR-= 1-sensitivityspecificity

Confidence interval containing 1 is a puupuuuhhh

i think thats all we need

all we need is love love is all we need lalalalala

Last edited by tamta; 02-24-2015 at 04:02 AM.
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  #153  
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Olanzapine STAT !


Quote:
Originally Posted by tamta View Post
Good morning people slept 7+ hours. This never happened before. I hope I don't fail

i was thinking how much money I have spent on chocolates for USMLE .
will walk to the prometric to have more time to eat and build up glucose level.
It would be so humane if we treated ourselves same way every day as we do on the day before exam

so RElative RIsk: divide (cohort study)
ODDs ratio: Anno domini/Before christ
Attributable risk : MInus
NNH = 1/ attributable risk (which is exposed MINUS unexposed)

Attributable risk percent: RR-1 /RR

Absolute risk reduction: MINUS
NNT = 1 /ARR (which is Placebo Minus Treatment event rate)

a cell is diseased and risk factor coincidence: it is Sensitivity calculated vertically
d cell is Spesificity vertically
a cell is PPV horizontally
D cell is NPV horizontally

Raising cutoff increases sensitivity increasing Npv decreasing false positives as sensitivity is TRULY POSITIVENESS on earth
lowering cutoff INcreases Specificity increasing Ppv decreasing False negatives

LR + = sensitivity/ 1- specificity
LR-= 1-sensitivityspecificity

Confidence interval containing 1 is a puupuuuhhh

i think thats all we need

all we need is love love is all we need lalalalala
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  #154  
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I agree

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Originally Posted by beka-CTS View Post
Olanzapine STAT !
it will make me fat.

okay so what to say i did first day. lot of people were taking second day and they were looking exhausted and when i finished they were on CCS beginning part.

it was LIKE uworld exact same very exact same concepts tested. which is logicla u cant event too much new in clinical medicine it is what it is but my suspicions that UW people are the ones who make exam qs has raised upto 70%

nothing from step1 that y should go and look. very simple straight forward stuff that we all know. one two anatomy qs maybe that y won't ever memorize anyways.

40 % UWorld concepts
20% little tough not sure between two answers
5-10% no clue but would probably be doable if we had more time
25% stats.

i finished first three blocks early 7-10-12 mins and had left nice break times for the end.
manage exam time manage break time.
i did not save all statistics qs in the and i did them on the way. because they are not like one or two they are a lot.
so even for drug adds i went superificialy through q stem answer choices drug add and most of the answers i did not change when came back to them.

but i changed couple marked ones to correct ones,
my usual advice is mark only those that y feel y are not getting what y need from q stem, not those that y fluctuate among two answers.

will do ccs next days and go over MTB superficially. i dont think there is much y can do to prepare somehow specifically. and i felt CK was harder. or maybe now my clinical knowledge is just more solid.

no audios, 5-7 ecgs straightforward ones and when i say ecg is straightforward it really is.
here and there x rays, nothing that is not doable for us at this level.

no statistics on second day, last block i really got annoyed drug at next stat w right away more some more statistics. just dont let it freak y out
cause most of them are simple and doable. 2 out of 3. ethics qs didnot seem too annoying to me although there was one w where three answer choices seemed so correct to me. not much psych
simple peds, obgyn

know attributable risk, know rr, nnt, nnh
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  #155  
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I need anybody in New York taking step3 soon to Practice CCS for next 4 days
Im nauseous from just the idea to study couple more days need support
and i was advised to do it like CS and i agree it will be more efficient
somebody out there please show up.
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  #156  
Old 02-24-2015
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Originally Posted by tamta View Post
it will make me fat.

okay so what to say i did first day. lot of people were taking second day and they were looking exhausted and when i finished they were on CCS beginning part.

it was LIKE uworld exact same very exact same concepts tested. which is logicla u cant event too much new in clinical medicine it is what it is but my suspicions that UW people are the ones who make exam qs has raised upto 70%

nothing from step1 that y should go and look. very simple straight forward stuff that we all know. one two anatomy qs maybe that y won't ever memorize anyways.

40 % UWorld concepts
20% little tough not sure between two answers
5-10% no clue but would probably be doable if we had more time
25% stats.

i finished first three blocks early 7-10-12 mins and had left nice break times for the end.
manage exam time manage break time.
i did not save all statistics qs in the and i did them on the way. because they are not like one or two they are a lot.
so even for drug adds i went superificialy through q stem answer choices drug add and most of the answers i did not change when came back to them.

but i changed couple marked ones to correct ones,
my usual advice is mark only those that y feel y are not getting what y need from q stem, not those that y fluctuate among two answers.

will do ccs next days and go over MTB superficially. i dont think there is much y can do to prepare somehow specifically. and i felt CK was harder. or maybe now my clinical knowledge is just more solid.

no audios, 5-7 ecgs straightforward ones and when i say ecg is straightforward it really is.
here and there x rays, nothing that is not doable for us at this level.

no statistics on second day, last block i really got annoyed drug at next stat w right away more some more statistics. just dont let it freak y out
cause most of them are simple and doable. 2 out of 3. ethics qs didnot seem too annoying to me although there was one w where three answer choices seemed so correct to me. not much psych
simple peds, obgyn

know attributable risk, know rr, nnt, nnh
Thank you so much for your post!

What would you suggest is a good source for biostats?

Good luck with the second day for everyone that has taken their first part already (+ beka, steps8186)!!! God bless

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DONE! DONE! DONE!
a quick summary:

day 2 has 6 BLOCKS too, 45 mins each. NO BIOSTATS ( u read it right!!) difficulty level same as uworld/ck/first day. i was super tired by the time it came to the last 2 blocks, but gathered all my energy somehow to do CCS.

CCS cases were kinda tricky. they would end even before i wanted to do something further, except one case where i struggled to find the right drug name. over all it was doable but tricky. 4 10 min and 8 20 min cases. had a variety of cases.

let me know if you guys need any other information!

the feeling's the same dreadful feeling u get after every usmle exam. Dont know how it went, don't know if i'll pass, but just glad that its over!
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  #158  
Old 02-25-2015
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believe it my friend and enjoy your life. and don't let the USMLE exams nostalgy kill you cant wait for the same feeling on march 1

we'll pass.
this is experimental time everybody prepares same way. well be above average!!

just tell me should i read mtb stuff or what to do so bored and 3 more days roaming streets of new york looking for someone to do CCS with me hardly went up to 20 cases today forcing myself to do something
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  #159  
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100 CCS Rules
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50 star ccs cases
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  #161  
Old 02-27-2015
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I came out of two day paralysis after day 1. doing additional cases. i think it is beter to go over case managements now than loose time doing cases themselves. will do couple 15 left not done for second time.
tomorrow will go only over bold cases like
dka chf Meningitis. etc

second day seems tougher in terms of question difficulty and how tired and exhausted you are when y start doing CCS. i know someone freaked out and left exam at the time of starting CCS. some others really scared me that its only 15 % UW and other qs very clinically advanced. so doing my best. went over infectious peds hema and GI in MTB just managements and diagnostic tests. tring to keep some medication names in my head too.

wish me luck Im so tired but this is the finish line
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Old 02-27-2015
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Talking Day 2 Impressions

Well i took second part of step 3 yesterday.

exam was planned to start around 8 a.m. but due to "weather circumstances" the prometric didn't open until 10:30 meanwhile someone called from prometric headquarters and told me and my friend to cancel our appointments of the day and reschedule it in near future

luckily we turned out be wise enough not to believe in that guy and waited till 10:30, prometic opened and started taking an exam. (how funked up is that?)



Questions -6 blocks 198 questions.
NO drug adds, abstracts, Step 1ish materials asked. It was heavy on management (as excepted) and many questions required i would say experience of an intern at least. questions which ask about the 5 year or 10 year prognosis of multiple disorders.

these kind of questions were about 30-40% of exam, but they could be answered from our (pre intern) knowledge too. it's just that you don't feel as confident after dealing with these questions as you will do after day 1.

marked 57 in total out of 198 questions, but obviously not superconfident about other 141

i really felt tired after each block and got out for break to refresh (drank 2 red bulls, bunch of snacks, big sandwich)

CCS

it is not super-hard.

practicing after usmle world and overall mtb knowledge will get you there. out of 13 cases, 6 were 10 minutes and 7 were 20 minute cases. be wise about moving clock forward in emergency cases, it might result in ending case prematurely (even without giving proper treatment ). happened only once to me .

i would say out of 13 cases i had diagnosis in 11 and managed as needed.
i think if you discover what they want you to discover and treat it that's it. i don't think that they care about general orders such as ward, ICU, surgery etc. (not saying i didn't do it).

general approach to ccs would be to order broad set of labs (relevant of course) so that you don't miss something that they want you too see.
had one patient with regular appointment, everything seemed normal but after one of the regular tests i ordered he ended up in OR


After being in the prometric center from 7a.m. till 7p.m. i think that step 3 is the hardest usmle exam, but considering the fact that it doesn't have an impact on matching (mine at least) take it easy.


p.s. only stat orders available in CCS software on exam. (weird right?)

when shall we open the thread for APRIL STEP 3 RESULTS ? : )))))

Happy matching everyone
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  #163  
Old 02-28-2015
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Taking exam tomorrow. going over (reading oder and management of all cases 90 total)

just gave a look at percentages in step 2 hand out and so for second day we should expect just prognosis 25% and care management 75%


@beka Start april Step 3 results thread or I will start tomorrow
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  #164  
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I think this is the only important message we need to take on our exam for CCS. I will just happily wait for all my cases to end quickly as it happens on UW even though I sometimes just order surgery and skip lot of trivial stuff I am sure they just need to know if you are a human get the diagnosis and have a bold idea how to proceed with management
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  #165  
Old 02-28-2015
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huh nice... reading IV access IV NSS IV antiemetic and NPO 50-90 times really helps memorizing them

lets see what I will do tomorrow.. happy finally survived until 2d exam day taking 40-50$ snack on exam

can't believe ill be done with USMLEs in 20 hours
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Correct Answer Second day

as this is one of my last meaningful posts on this forum i will try my best.

i dont know what i did wrong but i finished exam 2,5 hours early.
I started at 8 did 2+1+2+1 blocks in between breaks with typical bathroom privileges drinking and peeing simultaneously. by 12:30 i was done with 5 blocks.

questions were very short and i calmly read through marked typically 7-10 per block came back to each quickly and as usual almost never change answers if i dont have sudden enlightment and find something new in vignette stem. such usually happens 3-5 during whole exam day. no stats 1-2 behavioral type qs 20% prognosis type qs others management qs. nothing out of this world. i had more difficult management or differentials qs on first day. in a big picture same struggle between 2 choices as always. but worrying about that never changes anything i always go with my first choice

i was very scared that it would be hard and i guess that worked. i had 4 days between exams and did nothing. yesterday just went over explanations of ccs additional and 52 uw qs. didnot even do any cases not to lose time and i think i did correctly.

im not sure if i spent an hour on ccs total maybe yes with one break that i took in between first 4 and another 9 cases. i really wanted to be thoughtful calm slow but its impossible once y start CCS it goes on like roller coaster. first case was little tricky but i think what i was thinking was the diagnosis and what i treated finally treated what appeared to be real diagnoses well anyways diagnosis that y type does not count so dont kill yrself on that. i also didnot bother to type anything much for consultants. cases of course ended early in about 5 minutes on average and i felt i did what i should and thats why they ended. i think i have managed above average. and i have not practiced as i should have uworld. lot of cases were pretty straightforward i would say. but some wrapped up. quick quick screening thorough case i forced myself to read but as always just went very superficially but i always know what i need and where to look for it cause one single phrase can change whole scenario. there is no time for counseling and blabalbla make sure y are familiar with DKA, cardiac management, be comfortable and not be scared to decide to take pt to surgery, dont be scared if y miss some analysis and y remember it do it cause it can change your management. it felt like real adrenaline rush.

i answered couple maybe 5-10 qs because i have some clinical experience outside Internal med but i also almost missed something that i should not have as it always happens. we will miss something we will get something unusual and in the end we gonna pass this exam on average as other 50-70% of people will.
i did not read mtb in between and i would not gain anything more that would help me today. so just do uworld study thoughtfully and be like crazy on exam.

i feel so relieved. i don't believe i am out of this USMLES.

wish you good luck everyone.
our hard work pays off.

hope i dont get score report delay because i took second day on march 1.

lets see.

Good luck with Match everyone!

I met amazing people from forum, amazing people on interviews! we are great hard working people! i am happy to get back to life have to get rid of all this oversaturated glucose that i have accumulated and enjoy my life for which i have sacrificed lot of my everyday routine!

yes and I would add that as in real life be so familiar with diagnoses differentials be able to rule out diagnoses and not scared to make a choice towards: reassurance, no further management etc.

Last edited by tamta; 03-01-2015 at 12:54 PM.
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  #167  
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Hello everyone!
I just wanted to share my experience with you.
I took step 3 on November 3rd and 6th (new format). I studied during one month (part-time) and I used UW (both question bank ad CCS), and my notes for CK (based on MTB2 and 3). The questions from UW are being updated daily, at least by the time I took the exam.
Day 1: during the first day I had a bunch of step1 questions, but easy ones, very straigthforward, no complicated issues. Also, I saw a lot of epidemiology/biostatistics/drug ads/abstracts questions that were tough, and in one block I almost run out of time (even though I have never had any issue with time management)... Bottom line, the questions are longer during th first day.
Day2: Questions seemed easier, just management questions, more similar to UW questions, and I did much better with time (I had at least 5 min left in each block). CCS are very similar to UW cases, so I think this didn't change a lot.

My advise, if you can, take the exam close to Step1 and CK, cause that way you can remember things more easily. If you cant do that, then I would recommend to go quickly through FA for step 1 or if you wrote any notes that would help too. And third, try to have some time left when doing UW, just to make sure you dont run out of time.

If you have any question, feel free to ask. I cant tell exactly how I did until April 2015, all I can say is that I probably passed.

Good luck everyone!
Nice to read someones experience who took Step3 in the beginning of reconstruction as opposed to us who took it in the end i guess after Match its time to open April Step 3 Results thread
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  #168  
Old 03-10-2015
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Taking exam tomorrow. going over (reading oder and management of all cases 90 total)

just gave a look at percentages in step 2 hand out and so for second day we should expect just prognosis 25% and care management 75%


@beka Start april Step 3 results thread or I will start tomorrow

good luck to you
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  #169  
Old 03-12-2015
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I am about to finish Kaplan Qbank, have only 100 questions left. I felt that it was in some way confusing and low-yield is some areas, does anybody else share this thought or am i the only one?
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  #170  
Old 03-13-2015
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I am about to finish Kaplan Qbank, have only 100 questions left. I felt that it was in some way confusing and low-yield is some areas, does anybody else share this thought or am i the only one?
only one wasting your time on kaplan maybe stick with uworld . you will be surprised how tiny similar concepts are tested on real exam. its very very similar
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  #171  
Old 03-13-2015
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what to do in ccs in case a patient declines a procedure?..curative procedure.

i think they changed this recently coz i was doing this case before and earlier it used to accept.
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  #172  
Old 03-13-2015
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Thumbs Down Feedback on Kaplan Qbank for Step 3

Having completed the Kaplan Qbank, I would not advise anyone to waste their time on it, unless they its for pure practice purposes. IMO, it has some good questions, but many are very low yield, with poor feedback that cannot even be found in MTB.

Now on to the famous UWorld
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  #173  
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what to do in ccs in case a patient declines a procedure?..curative procedure.

i think they changed this recently coz i was doing this case before and earlier it used to accept.
you won't have that on your exam
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  #174  
Old 03-17-2015
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Nice to read someones experience who took Step3 in the beginning of reconstruction as opposed to us who took it in the end i guess after Match its time to open April Step 3 Results thread
Agree! Still waiting for results, but luckly I matched
I'll let you know my results!
Good luck everyone! And congrats to all of those who matched.. For those who did not, stay strong and persevere!
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  #175  
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Agree! Still waiting for results, but luckly I matched
I'll let you know my results!
Good luck everyone! And congrats to all of those who matched.. For those who did not, stay strong and persevere!
Likewise. We did a good job, taking step 3. We have almost nothing else left then to perform excellent in our residencies.
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  #176  
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Default Step 3 Result

Does anyone know on what date in April are we getting the Step 3 results?!
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  #177  
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Does anyone know on what date in April are we getting the Step 3 results?!
I have no clue my friend, but I would really appreciate getting it ASAP... As I understand it, they can give us the results any date after April 1st... Perhaps May, I dont know...
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  #178  
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Does anyone know on what date in April are we getting the Step 3 results?!
Now, double-chcking FSMB website I found this: "Based on historic trends, we estimate that the first scores for Step 3 exams taken on or after November 1, 2014 will be released during the first week of April 2015"
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  #179  
Old 03-18-2015
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Now, double-chcking FSMB website I found this: "Based on historic trends, we estimate that the first scores for Step 3 exams taken on or after November 1, 2014 will be released during the first week of April 2015"
Yeah we double checked that on phone too. and they said after nov 1 and last week of February they should be released together. not sure its APril 1 or next week. also not sure about m report my second day was on March 1 it was sunday.. so will see. we are matched. nothing can bring us down now. and provided our performances on previous exams, there is no logical possibility no matter how much we didnot mass up we could not mass up in the way that we fail.
@Rfrmd and I am not relatively comparing my score expectations to yours, provided your skyrocket scores. are you human? Good luck to everyone.
It will be interesting how we performed..
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  #180  
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Yeah we double checked that on phone too. and they said after nov 1 and last week of February they should be released together. not sure its APril 1 or next week. also not sure about m report my second day was on March 1 it was sunday.. so will see. we are matched. nothing can bring us down now. and provided our performances on previous exams, there is no logical possibility no matter how much we didnot mass up we could not mass up in the way that we fail.
@Rfrmd and I am not relatively comparing my score expectations to yours, provided your skyrocket scores. are you human? Good luck to everyone.
It will be interesting how we performed..
Thanks so much! Hahaha totally human and regular lady.
Glad to hear results are coming sooner than what I was expecting not really looking forward to a specific score, just want the result to be eligible for H1b (if at all possible).
Good luck everyone!
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  #181  
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Thanks so much! Hahaha totally human and regular lady.
Glad to hear results are coming sooner than what I was expecting not really looking forward to a specific score, just want the result to be eligible for H1b (if at all possible).
Good luck everyone!
Good luck i know how important H1 is. as I know programs said they would wait for results in april and grant visas accordingly
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  #182  
Old 03-19-2015
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For those of you who have already given step 3, in retrospect what would you focus on? Just uworld and mtb? And how much time of prep do you think is required. I will be able to study only part. Ck taken in November.
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  #183  
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I have no clue my friend, but I would really appreciate getting it ASAP... As I understand it, they can give us the results any date after April 1st... Perhaps May, I dont know...
I found this on the USMLE site people!! Good luck all .
Posted: March 18, 2015
As previously announced, a restructured Step 3 examination was introduced in November 2014. Scores for most Step 3 examinees who tested on or after November 3, 2014 through late February 2015 will be reported on Wednesday, March 25, 2015.
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  #184  
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Originally Posted by neurotransmitter View Post
I found this on the USMLE site people!! Good luck all .
Posted: March 18, 2015
As previously announced, a restructured Step 3 examination was introduced in November 2014. Scores for most Step 3 examinees who tested on or after November 3, 2014 through late February 2015 will be reported on Wednesday, March 25, 2015.
huh nice news!!! I hope my March 1 goes into late February
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  #185  
Old 03-19-2015
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Quote:
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For those of you who have already given step 3, in retrospect what would you focus on? Just uworld and mtb? And how much time of prep do you think is required. I will be able to study only part. Ck taken in November.
Simple as that just Uworld and MTB. i only managed relatively full time 1 month. you can do UWorld in one month if you do full time 35 blocks. 1,5 times would be good. MTB couple times
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  #186  
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Thanks! all the best for the results!
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  #187  
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Originally Posted by jean View Post
For those of you who have already given step 3, in retrospect what would you focus on? Just uworld and mtb? And how much time of prep do you think is required. I will be able to study only part. Ck taken in November.
Just UW and MTB, that's enough. It took me 1 month studying part-time.
That was my experience, let's see what others have to say.
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  #188  
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I found this on the USMLE site people!! Good luck all .
Posted: March 18, 2015
As previously announced, a restructured Step 3 examination was introduced in November 2014. Scores for most Step 3 examinees who tested on or after November 3, 2014 through late February 2015 will be reported on Wednesday, March 25, 2015.
That's awesome!!!
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  #189  
Old 03-22-2015
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taking my step3 day 1 tomorrow..lets see how it goes.
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  #190  
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taking my step3 day 1 tomorrow..lets see how it goes.
Good luck!!! you'll be fine, fist day is more time pressure and tricky but im sure you will manage time and triage questions appropriately to get the highest pints possible out of each block!!
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  #191  
Old 03-24-2015
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Help help

I have a question for those who have taken step 3 recently. How was the basic science stuff in the exam? I mean, was it like step 1 basic stuff or Ck level??

second, did you guys watch archer's ccs workshops??

Please help..
Thanks.
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  #192  
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I have a question for those who have taken step 3 recently. How was the basic science stuff in the exam? I mean, was it like step 1 basic stuff or Ck level??

second, did you guys watch archer's ccs workshops??

Please help..
Thanks.
it was like you dont need ot review any step1 things
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  #193  
Old 03-24-2015
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Hi people! Can anyone suggest about the uworld banks step 2 and 3? which one is harder?
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  #194  
Old 03-25-2015
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Guys post your results who's experience is on this thread
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  #195  
Old 03-25-2015
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That's awesome!!!
did yo get your 247?
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  #196  
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Got 227. not so bad for 3 month studying of MTB and Uworld! Bye bye Usmle
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  #197  
Old 03-25-2015
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221 UWSA 227 UWORLD 59%

strange score release at 3-4 AM no email notification got it later, should have checked nbme fsbm website where we download permit

yayyy!!!
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  #198  
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Hi people! Can anyone suggest about the uworld banks step 2 and 3? which one is harder?
its not a correct question. use each one accordingly to each exam.
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Old 03-25-2015
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Default Step 3

Kind of shocked.... 268
UW simulat 265
% I think was around 79% or so...
Congrts evryone! And best of luck for those still on the road.
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Old 03-25-2015
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Congrats guys, you are done with USMLE dragon!
Now relax, enjoy the last months before busy residency years!

Any input or advice regarding step 3 will be highly appreciated.

Thanks in advance
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