Life is like a Flower

Timeline High School Undergrad Life Medical School Residency Physician Step 2 CS and CK Step 1 MCAT Step 3 M1 M2 M3 M4 ERAS Match Passing USMLE exams is necessary but not sufficient to become a licensed physician

Brody Most Recent Takes vs. Matriculating US Medical Students Step 1 Step 2 CK MCAT

Brody Victory has a thousand fathers; defeat is an orphan (J.F. Kennedy)

Coaches Corner Conditioning Skills Knowledge Practice Scrimmage Game Day

Coaching for USMLE Conditioning Skills, Knowledge and Practice Pre-medical curriculum Skills, Knowledge and Practice M1 and M2 curriculum Text, on-line resources, notes Scrimmages - NBME Examinations Physiology May 2015 Microbiology January 2016 Comprehensive Basic Science Exam April 2016 Intro to Clinical Diagnosis April 2016 Pathology May 2016

Planning Step 1 study schedule Using the CBSE Results Planning Step 1 study schedule

CBSE Examination Metrics Scaled to a mean of 70 and a standard deviation of 8 Scaling done using LCME accredited end of M2 year examinees Error of measurement is + 3

“Class performance as percentile” Grad year Physiol G - 3 Micro G - 2 Med CBSE Path Step 1 Step 2 G- 1 2012 66 26 32 52 54 44 2013 74 63 49 72 60 58 2014 78 33 59 50 43 2015 57 39 2016 42 30 38 64 2017 70 48 2018 81 1st 4th 36 3rd 2nd Year test was taken indicated in legend as graduation year - #

Coaching for the USMLE Practice, Practice, Practice Game Day M2 curriculum backs off in the late spring Develop a game plan Begin focused preparation Work on weak points Work on skills Work on stamina Practice exam at Prometrics Game Day Execute the game plan

Coach’s Post-Game Analysis Predictive Factors For Brody Students’ Step 1 performance (last year) NBME Physiology Subject Exam r = 0.63 NBME Microbiology Subject Exam r = 0.73 NBME Introduction to Clinical Diagnosis r = 0.72 NBME Comprehensive Basic Science Exam r = 0.75 NBME Pathology Subject Exam r = 0.83

All omens are positive Compared to prior years Build on success MCATs highest to date Physiology subject exam scores strongest Curriculum renewal in progress Build on success First survival Then glory

Be wise Experience is the name we give to our mistakes Intelligence is the ability to learn from your mistakes Wisdom is the ability to learn from others mistakes USMLE Blackboard site

In order to screw up this exam Take it lightly Don’t make a plan Abandon your time schedule Learn everything Use every book/resource Switch plans weekly Go it alone Life is full of opportunities to screw up. This is one of them. Don’t take it.

“Academic Consult” Office of Student Development and Academic Counseling and the Office of Medical Education staff are ready to work with you! Identifying/addressing any learning issues Planning a study schedule for Spring 16/Step 1 Enhancing test taking skills Managing stress/anxiety Providing ongoing personal support Remediation plan if unsuccessful on initial attempt Take advantage of this resource

Plan A: Follow the calendar of a commercial review course 2 to 3 weeks for Doctors in Training Use the remaining time for a condensed UWorld review as described below Plan B: Use UWorld and First Aid as the primary resources Supplement with tests/review books as needed

Using the results to develop a study plan Adapted from Medical University of South Carolina Decide on approach….recommend Systems Determine length of prep-22 to 28 working days 22 if 100 questions/day 28 if 80 questions/day Add break days (1/week) Add review days (1week early, 2/week later) Rank CBSE performance from high to low Sequence topics as 2,4,6,8,7,5,3,1 Allocate time based on # of questions in that block

Register for a test day (June 17 in this example) Setting the Calendar: Register for a test day (June 17 in this example) Back fill the calendar days to Path final and orientation 4 6 Path final Grad’n 13 20 22 27 29 3 5 10 Test Day 17 M3 orientation begins Monday June 27

Add a ½ day CBSE 1 week before exam, Full day CBSE 3 weeks before exam Block 3 days before exam for high yield review 6 Path final Grad’n 13 20 22 27 29 Full day CBSE 3 5 10 ½ day CBSE High yield & rest Test Day 17 High yield High yield

When Completed, it should look like this 6 Path final Grad’n Rest 13 Review Rest 20 22 Rest Review 27 29 Full day CBSE Rest Review 3 5 Rest Review 10 ½ day CBSE Rest Review High yield & rest Test Day 17 High yield High yield Rest

USMLE World Question Distribution by System Updated April 13, 2016 1 Cardiovascular 318 13% 2 Gastrointestinal 237 10% 3 Musculoskeletal & Skin 227 9% 4 Nervous 267 17% 5 Renal/Urinary 113 6% 6 Respiratory 129 8% 7 General Principles 533 8 Multisystem (Endo, Hemato) 450 23% 3 includes Derm (68), EN&T (12) Rheum/ortho/sports (147) 4 includes Opthalmology (10) and Psych/Behav & substance abuse (115) 7 includes Allergy (23) Biostats (46) Gen Prin (62) Infec Dis (137) and Social Sci (45) 8 includes Endo (188) M/F repro & birth(110), Hem & Onc (234), Misc (30), Poison (5)

Sample Student Profile

6 4 1 8 2 3 5 7

Add system topics to your calendar in the sequence: 2, 4, 6, 8, 7, 5, 3, 1. For the example listed, Respiratory (ranked #2) would be the 1st topic studied, Behavioral - Nervous (ranked 4th) would be the second topic studied, General Principles (ranked 6th) 3rd, CV (ranked 8th) 4th, Multisystem (ranked 7th) 5th, Renal (Ranked 5th) 6th, GI (ranked 3rd), 7th and Musculoskeletal (ranked 1st) 8th (last)

# of days per system based on UWorld % If there are 20 study days, each 5% = 1 day If there are 25 study days, each 4% = 1 day If there are 33 study days, each 3% = 1 day

When Completed, it should look like this 4 6 Path final Grad’n Rest 13 Neuro Resp Resp Neuro Neuro Review Rest 20 22 Rest Neuro Gen Prin Gen Prin Gen Prin CV Review 27 29 Full day CBSE CV Rest CV Multi Review Review 3 5 Rest Multi Multi Multi Multi Multi Review ½ day CBSE Musc 10 Rest Renal GI Renal GI GI Review 17 High yield High yield High yield & rest Test Day Rest Musc

Remember: Review resources on Blackboard USMLE Step Survival Strategies course Share your insights when surveyed

Life is like a Flower Nurture and nature interact to produce a beautiful thing Remember the fertilizer