Step 1 Experience - 261- Hesham Ezz - October 2014.

Al salamoAlykom,



Hello everybody, My name is Hesham Mohammed Ezz. Im a 6th year medical student in Tanta Uni. in Egypt. I took step 1 exam on 15th October 2014 (Wednesday) and got my score report exactly 21 days later on 5th November 2015 (Wednesday).

I'd like to thank everybody on EAMTAR's step 1 preparation group who provided help to others by answering questions , posting his experience and providing guidance to his/her fellow colleagues .. you are the real heros and may Allah provide you with those who will help you as much as you helped others .

So as you sow so shall you reap.



First of all I d like to confirm that I dont (and I think No one) has the ultimate right path for preparing and acing step 1 but eventually you just examine and evaluate the experiences of others and have your own experience and hope for the best.



I dont consider my experience a good one to follow as I did A LOT of mistakes in my preparation so I will only write some tips to take into consideration and some mistakes to avoid so that you may have a better preparation.



Sources:

1-Anatomy: Kaplan videos(and yes I liked the kaplan Neuroanatomy vids!!) , a PDF called ”anatomy shelf notes” someone uploaded it into the group, FA14.



2-Physiology: Kaplan videos, BRS physiology , FA14.



3-Pharmacology: Kaplan vids , FA14.



4-Microbiology: TA7 videos , Kaplan HY videos , FA 14



5-Immunology: Kaplan vids , FA 14



6-Behavioural, statistics and psychiatry: Kaplan vids , BRS behavioural , physician patient relationship and defense mechanisms from High Yield (tables of quoted examples) , 100cases of dr.Fischer , FA 14.



7-Pathology: Pathoma vids and book , Goljan slides PDF , FA 14 , Goljan tapes in heamatology and muscloskeletal.



8-Biochemistry, Molecular biology and Genetics: Kaplan vids and LN , FA 14.



Q. Banks:

1-USMLE World 2014.

2-Kqplan Q bank (but not pharma and pathology).

3-rx Q bank (only biochemistry, Mol. Bio. & Genetics)



Study strategy:I would listen to videos or read a book and annotate into FA and if a topic was quite large or not written at all in FA I would write the page number or take notes from the video or take screenshots and revise it every time with FA and I did the same with UW I would take notes or write a Q number so that I revise it later, I followed this method in all subjects and in the end I had the ultimate study source (annotated FA with a huge load of extra notes and sticky notes + certain topics from pathoma or BRS or Kaplan LNs.... + number of UW Qs + a lot of screen shots from different sources)



NBMEs:

Form 7 - 620/254 - 4+ months away

Form 11 - offline , 11Qs wrong - 2 months away

Form 12 - offline, 12Qs wrong - 4+ months away

Form 13 - offline, 13Qs wrong - 4+ months away

Form 15 - 630/256 - 3 weeks away

Form 16 - 620/254 - 7 weeks away

Real deal - 261

Score report : imgur.com/vjsJ0XN



Here is the most important part in my experience ; the mistakes I ve done and how to avoid and some tips and tricks:



1-Start preparing seriously from the beginning don't procrastinate. put a plan and stick to it but also try to be flexible not to lose hope , this is to avoid taking a very long time in the 1st read that will make u feel bored , overwhelmed and disconnected from the subjects you did earlier.



2- the main goal of the 1st read is understand everything (NOT memorize) , annotating FirstAid and adding extra notes to make your ultimate study source that will be the main source of revisions to avoid the need to re-listen and re-read kaplan vids and LNs again after the 1st read.



3- Solving UW and reading the detailed explanations helped A LOT in the exam so dont deprive yourself from this amazing source of explanations and try to solve it multiple times (I did it 4 times) to truley grasp the concepts and how to reach the aim of the question.



4- The ultimate determinant whether you are ready for the test or not is the NBMEs self assessments especially the latest ones 15 & 16 not the number of reads , If you can get your goal score in 2 or 3 self assessments then you are ready.



5-The path is really long and tiring so try to remain motivated , refreshed and confident that you can do whatever anybody could do....and may be better.



Some Tips regarding subjects :



Anatomy - The 1ry source I did is Kaplan and then revised FA and remained to revise Kaplan (with FA) till just before the exam as FA is deficient in anatomy.



Biochemistry - also the 1ry source was Kaplan and it helped me A LOT especially in molecular biology and genetics and even in metabolism and nutrition I wouldn't have understood FA without studying Kaplan and also kaplan videos were super amazing.



Neuroanatomy - Despite what everybody said , I did kaplan videos in neuro and actually it helped me a lot, the guy might not be the best but he is ok, if u listen to the vids and directly annotate into FA and try to understand everything then solve UW I think you will be fine (at least thats what I did and I had absolutely no good base in neurology)



Pathology - Pathoma is super amazing especially if u have a weak background knowledge but also I would advice listening to goljan's tapes he is much more experienced and familliar with the board concepts more



Pharmacology - Kaplan videos are extremely important , every word said by dr L. Raymond is very important , I ve met so many concepts explained only by kaplan ( not in FA)



Biostats - Try to understand biostats not only memories the equations but also know what relative risk =5 means and what to conclude when OR is 4 ...etc.



Behavioural - I actually still dont know what's right and what's wrong regarding behav. I ve always got borderline/low performance till 3 weaks before the exam in it in the NBMEs (you may notice that Ive read almost every available source because it was my persistantly weak subject) but in the exam I felt that the Qs are easier in behavioural than nbmes and I got high performance in the score report....may be Im just lucky.



Kaplan Q bank - it was kinda helpful ( any Qs solving is definitely helpful) but also it has large number of super wierd questions that you shouldn't waste a lot of time in.



NBMEs - try to solve all the nbmes especially those on the online site to give u an idea of how the board Qs are layed out and they are about 1200 Qs , that is a really good practice...(UPDATE) Offline NBMEs I didnt consider them accurate assessment , just to give idea about the general performance and also a great practice material ... It is advised that you do 2-3 online ones to actually assess yourself.



Slides : Goljan slides pdf helped me a lot in the exam ..also did slides in FA14, Pathoma and UW... and also did Slides from HY neuroanatomy book



Time management : Every Q shouldnt take more than 1 min and ofcourse there will be Qs needing more time u should just mark the answer of your initial thought and mark it then revised it in the last 10-15 min of the block , I used to mark 14-18 Qs each block and revise later and by this aproach I never had less than 12min (and in some blocks 18min) at end of the block to revise.



Finally Im not posting how long I took perparing not to disappoint any body as I did alot of mistakes in early preparing and almost total 2 months stops but If I would do it again it wouldnt take more than 10-12 months.



Here is some discussion about the exam day experience that -may be- of help

www.facebook.com/groups/usmlesteponeeamtar/permalink/974935015866081/



 This is a file I got from a friend of mine then I edited and added some topics (fron goljan RR , wikipedia, WebMD....), Hope it helps.It helped me and my friends who took the exam. It has the following topics:
1-Urinary incontinence
2-Kegel exercises.
3-Nabothian cysts.
4-Postparum Thyroiditis.

www.facebook.com/groups/usmlesteponeeamtar/985409488151967/?notif_t=like



Regards,

Hesham Ezz.