Friday, March 20, 2015

D- Day. YIKES!!

D- DAY:-

Woke up at 7 a.m., well rested.
First thought: Oh my God it’s today! IT IS HAPPENING!!
I felt so sick in the tummy I thought I’d throw up. It always happens to me on the mornings of exams when I’m particularly nervous.  Managed to push some breakfast down my throat, and packed my lunch. My dad dropped me at the center at 9 am.
I started my test at 9 30 am. Checked my headphones and skipped the tutorial, making my total break time 1 hour.
I found the first 4 blocks to be just like the Nbme’s. I would be unsure of about 8 to 10 questions per block. I took a break after each and every block. Took my lunch break, of 15 mins, after the 4th block. I still felt fresh and full of energy.
After the 5th block I started to get tired and had to kind of shake myself up to stay focused. But it was under control, the exhaustion was manageable.
The 6th block was naturally even more tiring but I was nearing the end so I got another round of adrenaline rush then. I was actually pretty happy until now as all the blocks seemed okay, nothing crazy tough yet.
And then came the 7th block.  The questions were very challenging. One after the other! Almost all of them were tough. I tried not to panic, made my best guess and kept moving on.


Soon enough, the ordeal was over.

The Results:-

Score: 222
My results were announced on the 18th of March, 2015. And I had aimed for something between 225 to 230 since I got 222 in my last Nbme (two weeks out). But Nbme Form 16 turned out to predict way too accurately in my case!
But the score is decent. And I will try to do much better in Step 2, build my CV well, and get into the residency of my choice.

Finally:-

Some suggestions that may come in handy for your step1 preparation:
  •     First Aid has to be carved in your brains. Every word in there can be asked as a question. Rote learning will not help.So make sure you understand all of it.
  •     Uworld qbank is a great learning tool. Start it early. And don’t get disheartened if the scores are not high enough. They will get better eventually. Read the explanations well and annotate the important points in your FA.
  •      Do the Nbme’s online. That gives you the real feel of the exam, with the timer ticking, and of course, the advantage of the score correlation in the end.
  •      Work on your weak areas. We tend to keep revising what we know well because it’s comfortable that way. But take the Nbme result analysis seriously and concentrate your efforts on your weaknesses.
  •      Be a part of some forum. It definitely helps as people discuss questions and important topics. But be careful about not wasting too much time on them.    
  •      Make a schedule and stick to it. Keep realistic goals and always keep time for leisure as well.                                                                                                                                                                                                                                        
Take care of your health, eating habits and sleep. It’s not a sprint. It’s a marathon. So follow a healthy lifestyle that will help in keeping your spirits up.   Always remember that you can do it. Set a target, and work towards it. If you get stuck somewhere, ask for help If you feel low, talk to somebody. But remember to get back on your feet and follow that dream. I wish you all the very best for your journey. J
   


How I prepared for the exam

Statistics:-

Preparation time: 7 months
Number of reads: 8
NBME 7 on Jan 6th ‘15  : 207
NBME 13 on Jan 19th   : 213
Free 150’s on Feb 2nd   : 74%
NBME 16 on Feb 12th   : 222
Final Step 1 score (taken on Feb 25th 2015) :   222


A Brief Introduction:-

I am an IMG looking at getting a residency in either Family Practice or Psychiatry in the US. I graduated from medical school in May 2014.


Books/ Preparation material:-

·        First Aid
·        Kaplan series along with lecture videos
·        Pathoma
·        BRS Behavioral Sciences
·        USMLE World question bank


The Grind:-

·        1st Read: I started my preparation in August, 2014. I went through the whole Kaplan series, subject-wise. I saw all the lecture videos too simultaneously. It took me 3 and a 1/2 months to finish one run of aIl subjects. 


·        2nd Read: Mid November onwards I picked up my First Aid and went over the course system-wise. I also did microbiology, pharmacology, behavioral sciences/ biostats and biochemistry from FA. During this time I also studied pathology from Pathoma. I did not do Goljan as it was very time consuming. My basics in pathology were weak and Dr. Sattar’s Pathoma videos saved my life! All of this took me about one month.


·        By this time I had also bought my Usmle world question bank and I would do a timed test of 30 questions everyday. In the test I included all the systems that I finished revising from FA. So I added a system/ subject each time that I revised one. I continued taking these tests till the very end of my preparation. Of course, after reading FA once I would just include all subjects and systems in the tests. Initially my scores were very low, averaging only around 40% in the first few weeks! But I tried to be patient, and soon enough, they rose steadily and so did my confidence. :) 


·        3rd Read: Now that I was done with FA properly once, the 3rd read took me much lesser time. In two weeks I finished going through FA and Pathoma. For every subsequent revision I only went through these two books and did not read Kaplan anymore. Except, if there was something I had a doubt in, or some areas that were inadequately explained in FA, I referred to the Kaplan books.
So from 20th Dec to 5th Jan I finished my 3rd  read and I took Nbme Form 7, on 6th January 2015, and scored 207.
Honestly, I was really happy with my score! Probably because it was only my first Nbme and I was just happy seeing that I had passed comfortably and also, because knew I had enough time to crank it up considerably for the main exam.
By this time my Uworld qbank scores were averaging around 55%






·        4th Read: 8th to 18th January. This time too, I just revised my FA and Pathoma. This time I focused more of my time and energy on my weaknesses, as pointed out by Nbme 7- Behavioral Sciences/ Biostats, Pharm, Renal system and Respiratory system. Then I took my second mock, Nbme Form 13 on 19th January 2015, and scored 217. The ten point jump was good and motivated me further. But I was 5 weeks away from my exam now and time was flying at break-neck speed!










·        5th Read: 19th Jan to 1st Feb- Again, revised only FA and Pathoma. But in Nbme 13 I had only one weakness- Behavioral sciences. I had managed to improve the others. So I bought BRS for Behavioral Sc and Biostats and went through that as well.
On 2nd Feb 2015 I took the free 150 questions given on the official website and secured 74%. A bit of a let down. I would have preferred something closer to 80! There was no correlation to the three digit score so I had no idea how I had fared.
Now 23 days left for the big day. By now I had exhausted all of the Uworld qbank questions so I was doing them for the second time and was averaging around 88%.



My Uworld qbank Performance Graph



·        6th Read: 3rd to 11th Feb- I revised everything  (FA + Pathoma + BRS Behavioral Sciences) and took my third and last mock, Nbme Form 16, on the 12th of Feb, 2015, and scored 222.
Now I just had two weeks of revision ahead of me and I was now hoping to get a score in the range of 225 to 230.







·        7th and 8th Reads: 12th to 23rd Feb- I revised everything twice! And I finally felt like I did remember most things in those books. Phew!


·        24th Feb : One day before my exam, - Heart sounds/murmurs, Normal values, decided what I’d wear, decided what lunch to take with me, got my permit and passport ready. And, well, tried to calm down! Packed my bag for the next day with water, permit, passport, Tylenol, watch,  chap stick, energy bars, Frappuccino, ear plugs, an extra sweater, and my FA! 





Went to bed at 11 p.m. And thankfully fell asleep soon enough.