Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview USMLE - Step Exams November 6, 2013

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Agenda Georgette Dent, MD – Presentation Susan Hadler, MD – USMLE Prep Course Michael Adams, MS3 - Firecracker Ann Farabee – Assistant Registrar

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Application Process Apply online – NBME Licensing Examination ServicesNBME Licensing Examination Services Certification/Proof of Enrollment – contact Ann Farabee (Assistant Registrar) – 1001 Bondurant Hall, CB# 9535 – Cost for Step 1 - $580 –Registration Fee’s budgeted in financial aid package – USMLE Study Materials (included in cost of education) –Considered a full time study during the summer, therefore room and board are included in financial aid package –Contact Sheila Graham McDonald – or with questions Testing accommodations available – contact Deborah Ingersoll (Educational Resources Coordinator) – 1050 Bondurant Hall –

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview USMLE Fees For Students and Graduates of Medical Schools in the United States and Canada Accredited by the LCME or AOA Fees are included in Financial Aid Package Half dispersed in the Fall Half dispersed in the Spring Students must be reminded to budget for registration and travel 2014 Fees Effective Dates for 2014 Fees Step 1$580* Three month eligibility periods beginning November 1, January 31, 2014 and ending October 1, December 31, 2014 Step 2 CK$580* Step 1 and 2 CK $65 Eligibility Period Extension (requests received starting January 1, 2014) Step 2 CS $1,230 For completed applications received starting January 1, 2014.

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview USMLE Step 1 Educational Policy Must take prior to starting 3 rd year Must pass by December 31 st of 3 rd year If first attempt is unsuccessful, plan on re- take by November 15 th of 3 rd year If third attempt unsuccessful, reviewed by SPC for dismissal

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Scheduling the test Computer exam offered at Prometric testing centers Testing centers located all over US Contact Prometric when you get the permit Use 800 number or check the WEB Appointments made on a first come first serve basis May also call local centers directly 10 centers in NC –Asheville, Charlotte, Greensboro, Greenville, Raleigh, Wilmington

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Taking the exam MUST BRING ID AND SCHEDULING PERMIT!!! No personal items allowed (leave in locker) May practice exam at Prometic for a fee 7 hour exam administered in 7 blocks of 50 questions 45 minute break allocation time, you decide when to take it!

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Best Practices for Preparing for Step 1 Start preparing for Step 1 by reading the appropriate sections of First Aid with each course as it is in session. Use First Aid and USMLE World electronic question banks as core Step 1 study materials during the May-June study period following second year. Do not wait until you have studied all content before taking a practice test. Develop a feasible plan of study that includes reading/studying, doing questions in question banks, and ongoing review of topics already studied. Identify weak areas and use subject-specific review materials (Board Review Series, Lippincott for pharmacology or pathology). Do random questions in 50 minute blocks (question bank). Review correct and incorrect answers and understand why the correct answer is correct and why others are wrong. Keep a running list of topics that will require additional study.

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Popular Step 1 Preparation Materials

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Step 1 Review Aids and Question Banks cont. Results from the UNC SOM Step 1 Study Analysis – March 2013

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Susan Hadler’s Review Course WHAT : Optional Review Lecture Series based on First Aid for USMLE Step 1 content ~ 15 lectures : a review lecture for almost all of the chapters in First Aid Lectures will be lecture captured This lecture series is designed by UNC medical students Includes on-line self-study quizzes written by UNC MS 3 WHEN : A 2 hour lecture will be given most Thursday’s 1-3 pm During all of Spring semester The schedule has been created with the help of Kyle and Pat WHO : Lecturers are UNC faculty, selected by MS 3 students Dr. Hadler is the course director WHERE : This course has a site on Sakai. MEDI299.ST1.SP14 The site will include the schedule, quizzes, lecture powerpoints The lecture room has not yet been determined. 1-3 pm

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Pros Comprehensive material, detail orientated Organized Covers many topics Great memorization techniques Multiple formats to keep you interested Good if you’re someone who thrives with rigid structure and schedule imposed by someone else (e.g., you just follow along with the recorded lectures) Quizzes reinforce materials and help with memorization Well structured review plan Cons A lot to cover in short amount of time Expensive Time consuming to watch all the videos Workbook (and lectures) lacked SO many of the important, truly high yield topics for Step 1 No explanations – more or less restates the book Boring at times to watch for 10hrs/day Recite Step 1 at times

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Pros Excellent review Satisfying explanations for a lot of the tough pathologies Clever mnemonics for remembering some of the key features Can speed up the recordings to at least 1.5x. Great to use in parallel with the clinical parts of FirstAid (in fact, I found that NOT using the pathology section of First Aid, but relying on the corresponding section of Pathoma instead was a more efficient use of my time. Good pictures and diagramming by the speaker. Cheaper than DIT Cons Doesn’t cover ALL the pathologies you’re responsible for Recorded lectures are largely a verbatim recapitulation of the text

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Pros Same format as real thing Great companion to First Aid! Lengthy explanations to each question that provides lots of important learning points Great learning! Has Iphone and Android apps so you can do questions from anywhere Supplements First Aid very well Questions that were probably a little harder than the actual Step 1, but they had good explanations for the answers and it highlighted important facts that need to be memorized for Step 1 MUST have for Step 1 (and Step 2, for that matter) Cons Expensive, though worth it!

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Pros Questions help teach you how to really read every word of question stems and answer choices Cons Little more esoteric and unrealistic Seemed to focus on trying to trick you instead of increase your Step 1 knowledge

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Pros Cheapest qbank Biggest qbank Cons Many questions slightly easier than UWorld counterparts—stems have more of the obvious keywords you’re trained to look for

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Pros Good way to gauge how well your studying is preparing you for realistic questions very similar to those on real USMLE Step 1 Provides a score that is very predictive of your actual step 1 score Cons Somewhat expensive ($60 each) Keep in mind that scores are not an exact predictor and could be a little higher or lower

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Spaced repetition flashcards: flashcards that you rate how well you remember it, then computer figures out when to show it to you next

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview After the exam Scores available online within 8 weeks Minimum Step 1 passing score – 188 Maximum Step 1 – approximately 280 Recommended Reading (for understanding what score means relative to the Match) see link below for 2011 Charting Outcomes in the Match the-match/ the-match/ AAMC Careers in Medicine

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Highly Competitive Specialties Ratio of US Seniors:Position Median Step 1 Scores Matched Students Step 1 Dermatology 244 General Surgery 228 Med/Peds 229 Orthopedic Surgery 240 Otolaryngology 243 Plastic Surgery 249 Radiation Oncology 240 NRMP Results and Data 2013 Main Residency Match

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Moderately Competitive Specialties Ratio of US seniors:position Mean Step 1 Score Matched Students Step 1 Step 2 Anesthesiology Emergency Medicine Obstetrics/Gynecology PM & R Radiology NRMP Results and Data 2013 Main Residency Match

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Less Competitive Specialties Ratio of Seniors:Position Median Step 1 Scores Matched Students Step 1Step 2 Family Medicine Internal Medicine Neurology Pathology Pediatrics Psychiatry NRMP Results and Data 2013 Main Residency Match

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Resources and Contacts USMLE Web Site – National Board of Medical Examiners –The National Board of Medical Examiners ®The National Board of Medical Examiners ® Prometric web site – AAMC Careers in Medicine –

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Third Year Core Requirements Internal Medicine (inpatient) – 8 weeks Internal Medicine (outpatient) – 4 weeks Surgery – 8 weeks Neurology – 4 weeks Family Medicine – 6 weeks Obstetrics and Gynecology – 6 weeks Pediatrics – 6 weeks Psychiatry – 6 weeks

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Plan for EPIC Training Will be able to sign up for training during the time period of April 14-June 28 Training will be at facility in Morrisville Training will take approximately 8 hours Training will not interfere with class time (schedule for afternoons, evenings, weekends) Must complete training by 6/28/14!

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview 3 rd Year Calendar 2014 to 2015 Required Transition Course: June 30 th to July 3 rd, 2014 Clerkships start: July 7 th 2014 Winter break: Dec. 20 th to Jan. 4 th 2015 Spring break: March 28 th – April 5 th OR April 25 th – May 3 rd 2015 Clerkships end: June 26, 2015

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview Fourth Year Curriculum Acting AHEC Internship – 4 weeks Critical Care Selective – 4 weeks Advanced Practice Selective – 4 weeks Science of Medicine Selective – 4 weeks Electives –12 weeks total –Offered in 2 or 4 week experiences –One 4 week block can come from preclinical years CPX Capstone course

Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam 3 rd Year Preview 4 th Year Preview QUESTIONS?