1. Life is like a Flower

2. 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

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

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

5. Coaches Corner Conditioning Skills Knowledge Practice Scrimmage
Game Day

6. 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

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

9. 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

11. “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 - #

12. 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

13. 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

14. 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

15. 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

16. 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.

17. “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

18. 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

19. 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

20. 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

21. 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

22. When Completed, it should look like this6
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

23. 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)

24. Sample Student Profile

25. 6 4 1 8 2 3 5 7

26. 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)

27. # 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

28. When Completed, it should look like this4 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

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

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