USMLE Step 1 Preparation, the exam and after the exam

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1 USMLE Step 1 Preparation, the exam and after the exam Boldizsar Kovacs , Vienna Vienna 1

2 Inhalt My own experience Terms Registration Study material Exam Results Residency match Vienna 2

3 My own experience Summer 2011 applied to the exam October 1th 2011 started 8th semester Preparation sarting october 2011 Traveled to Frankfurt on the 25th january Exam 08:00 17:00 27th january 2012 February 15th score available Vienna 3

4 Terms ECFMG = Educational Commission for Foreign Medical Graduates USMLE = United States Medical Licensing Examination IMG = International Medical Graduate NRMP = National Resident Matching Program Vienna 4

5 USMLE Step 1 Step 2 Clinical Knowledge Step 2 Clinical Skills (in the USA) Step Vienna 5

6 Registration Apply for ECFMG certification (see handout) Apply for USMLE Step 1 (3 months period) Select exam site (Prometric) and exact date Test centers in the vicinity of Vienna: Zagreb, Milan, Frankfurt, Munich, (Geneva, Berlin, etc.) Receive scheduling permit Vienna 6

7 Step 1 the exam Subject: anatomy, behavioral sciences, biochemistry, microbiology, pathology, pharmacology, physiology, interdisciplinary topics such as nutrition, genetics and aging Layout: Interpret graphic and tabular material Identify gross and microscopic pathologic and normal specimens Apply basic science knowledge to clinical problems Vienna 7

8 Study material Books Vienna 8

9 Study material Essential Contains useful information regarding registration, preparation for exam Vienna 9

10 Study material Essential Good audio material available online Not just pathology Vienna 10

11 Study material Less detailed than Silbernagl More about understading basic concepts Vienna 11

12 Study material Detailed but necessary Visual content to aid memorizing Vienna 12

13 Study material Essential Pathways and metabolites in the context of diseases Vienna 13

14 Study material Some drugs different in the US Less detailed than Aktories Vienna 14

15 Study material Essential Various subjects (ethics, psychiatry, etc.) Weakest subject of IMGs Vienna 15

16 Study material Vienna 16

17 Study material Books No book for anatomy Do online research to find suitable book Online question databank USMLEWorld (129$ 219$) (Kaplan) Vienna 17

18 Question database Vienna 18

19 Preparation Use books Start early with Qbank Always come back to First Aid 3-6 months preparation time Vienna 19

20 The exam Duration 8 hours, 7x46 questions (total 322) Per 46 questions 1 hour (1.3 min/q) 45 minutes break (plus whatever ist left from each 1 hour section) Vienna 20

21 Case vignette example A 20-year-old man comes to the physician's office for a scheduled health maintenance examination. His father died of a myocardial infarction at age 55 years. Physical examination shows a tendon xanthoma on the elbow. His serum total cholesterol concentration is 360 mg/dl. A mutation is most likely to be found in which of the following genes? (A) apoa2 (B) apoc2 (C) apoe-ε4 (D) LDL receptor (E) VLDL receptor Vienna 21

22 Results Vienna 22

23 Results Residency match Vienna 23

24 of International Medical Graduates Ranking Specialty First / ble Positions Results Residency match erred Specialty U.S. IMG Non-U.S. IMG All Other Applicants logy ic Radiology mergency Medicine Family Medicine General Surgery Internal Internal Medicine/Pediatrics Neurological Surgery Neurology Obstetrics and Gynecology Orthopaedic Surgery Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Plastic Surgery Psychiatry Radiation Oncology Vascular Surgery Source: NRMP Data Warehouse Vienna 24 s of all applicants to available positions in each specialty. For all specialties displayed in the chart, the

25 of International Medical Graduates Ranking Specialty First / ble Positions Results Residency match erred Specialty U.S. IMG Non-U.S. IMG All Other Applicants logy ic Radiology mergency Medicine Family Medicine General Surgery Internal Internal Medicine/Pediatrics Neurological Surgery Neurology Obstetrics and Gynecology Orthopaedic Surgery Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Plastic Surgery Psychiatry Radiation Oncology Vascular Surgery Source: NRMP Data Warehouse Vienna 25 s of all applicants to available positions in each specialty. For all specialties displayed in the chart, the

26 Anesthesiology Results Residency match Child Neurology Dermatology Emergency Medicine Diagnostic Radiology Family Medicine General Surgery Internal Medicine Neurological Surgery Internal Medicine/Pediatrics Neurology Orthopaedic Surgery Obstetrics and Gynecology Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Plastic Surgery Psychiatry Radiation Oncology Vascular Surgery Non-U.S. IMG Anesthesiology Child Neurology Dermatology Emergency Medicine Diagnostic Radiology Family Medicine General Surgery Internal Medicine Neurological Surgery Internal Medicine/Pediatrics Orthopaedic Surgery Neurology Obstetrics and Gynecology Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Plastic Surgery Psychiatry Radiation Oncology Vascular Surgery Source: NRMP Data Warehouse USMLE Step 1 scores are a measure of an applicant's understanding of important basic science concepts and the ability to apply that knowledge to the practice of medicine. Although such knowledge is only one facet of applicant qualifications considered by program directors in their selection process, a Step 1 score is the only qualification that is universally available for all applicants during the interview season and prior to the NRMP s ranking deadline. Overall, matched U.S. IMGs had Vienna 26 mean USMLE Step 1 scores of (s.d. = 17.0) and matched non-u.s. IMGs had mean USMLE Step 1 scores of 233.8

27 Thank you for your attention! Questions? Vienna 27

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