Відео

Yeah, I think that you're definitely not alone in that sentiment.

Hahaha we've all be there Peter!

Awesome - that's a great idea to study for both at the same time. It's amazing when you can master something once and never forget it - it helps immensely with making future exams easier.

Great question - yes, I definitely recommend FA for use in studying for Step 1. You can find the answers to many of your questions here: www.yousmle.com/nail-fundamentals-usmle-step-1-nbme-practice-exams/ www.yousmle.com/first-aid-for-the-usmle-step-1-worst-mistake/

Thank You Sir ​@alec.palmerton_md

Thanks for your support and kind words! Anki can be an absolute game-changer if you use it properly - keep it up!!

Thank you for your support and kind words! Glad you found it helpful!!

Thanks for your support and kind words! Glad they've been helpful!!

Great question - I'm a huge fan of using AI to study, although I've found that when it generates cards, it isn't always the best. My major issue is that AI can't know what we don't know, so when it generates cards they are more generic, whereas if you make your own you can tailor them to the exact gaps that you have.

​@@alec.palmerton_mdis it necessary to use active recall by anki ??? I can do active recall without using anki and I think when you learn something by your hands and write recall the material in your mind without read the book because I used anki too much but I think it is not effective for me I can't see the whole picture so do you agree with me ? And also I read article about that digital learning not the best way to memorization

Thanks for your support and kind words! Yes you can have more lectures like that, both by subscribing here, as well as to our newsletter where we regularly share lectures like this: www.yousmle.com/

Thanks so much for your kind words and support! You're spot on - knowledge is important for maybe half of the score improvement, but the other half is making sure you don't miss questions you have the knowledge for.

Glad they're helpful - thank you for your support and kind words!

Agreed! I had never heard “pedigree” so often until I went to Stanford/Harvard-MGH 😅

@@alec.palmerton_md resident at an ivory tower, went to a generic state MD, yes I see pedigree in coresident selection but not nearly as much as you would think

Thank you so much for your support and kind words!!

Thank you so much for such a heartfelt reflection. I’m so glad that our videos have been able to help you find meaning and inspiration. Profound personal change requires either inspiration or desperation, and it sounds like you may have a little bit of both, which can be a very powerful combination. We are looking forward to speaking with you and seeing your further transformation into the kind of person who can excel on these exams and in your broader clinical ambitions!

I would definitely do questions timed to practice. I also recommend that you practice never spending more than two minutes on a question (set a timer and reset it every question), since often times problems with timing come from perseverating on questions for too long and losing time for the rest of your block. Finally, you’ll improve with timing if you process more information before you step into the test (rather than try and think everything through for the first time during the exam), so you spend less time and energy thinking (using Anki properly is key).

@ thank you so much for your advice doctor! I’ve seen your amazing youtube channel yesterday, unfortunately I knew that failed step 1 last Wednesday and I was looking if I still have some hope or if I should look for another path… your video gave me so much hope…. I know my mistakes and why this happened to me ( didn’t do enough NBMEs timed mode, didn’t do enough UW, and I was too stressed before the exam because of these two things) I am one of those students you were talking about who focus more on memorizing than application the concept by doing more and more questions. I’ve never tried anki, not sure if I should start doing it or just solving questions for like one month or two as soon as I feel ready. Your advice will be very appreciated 🙏🏻

I'm so sorry to hear that you failed Step 1. It's pretty common these days, and it can definitely be the catalyst needed for real change. Re: whether you should try Anki, personally I would focus on trying to do extremely well on your next attempt - not just trying to "get by" and pass - so that you can have as tiny a chance of failing again as possible. Plus, the better you prepare for Step 1, the better prepared you'll be to do really well on Step 2. For that reason, if you were my favorite cousin, I'd tell you to do Anki, and do a good job with learning how to make cards so you can master the underlying concepts (not just memorize superficial details).

I know the timer exists in Uworld. But thats for the entire block. Is there timer per question to answer & timer to review the answer so as not to spend too much time ?

Thank you for your support and kind words! Glad it helps!

Thanks for your support and kind words!

Absolutely! I always found it helpful to see real examples of people doing things that I wanted to do. If they can do it, I can, and you definitely can too!

Great question, I typically recommend for pre-clinical students to use something like First Aid as a filter so that you don’t end up making 200 flashcards on one lecture. Focus on the material that is conceptual/makes sense, and/or that is in First Aid and you can cut down on the number of cards that you make.

Great question. I definitely can relate to wishing that I could only do one thing per day, but I agree with you that doing both simultaneously is the better approach. Generally, I would try to reduce the amount of new things that you do to the point that, you can do your old cards. In other words, at a minimum, you should do your old reviews every day, and any time that you have left over, you can spend learning new things. That, and, if you want to get more done in the day, I highly recommend developing a morning routine / sleeping and waking earlier so you can get more done before your regular day of classes/work/rotations starts rather than studying when you get home.

Thanks for your kind words and support! It means a lot.

Of course! For profound personal change, we need either desperation or inspiration. Seeing others who have transformed their medical careers during some of their darkest times can serve as both.

Yes very good question. According to program directors I’ve spoken to, if you have a weakness on your application, you should try to address it directly. So if you failed one of these tests, your best bet is to do as well as possible on one of the scored ones, like Step 2 or even Step 3.

@alec.palmerton_md thanks for answering that question Dr palmerton

Absolutely!

Yes it is pass fail but the single best predictor of Step 2 scores are Step 1 scores so what you learn for one definitely affects the other

Haven’t taken it, although I’ve coached students who have tried it

Great question, the tutoring depends on your needs, so it’s best for us to be able to learn more about your specific situation first so we can provide the best recommendations.

Agreed! I’d be curious to see what people in emergency medicine have to say, but I think that the bad rap comes less from the number of hours that they work, and more the fact that those hours can be at any time of the day, and for many providers isn’t at a consistent time (eg you might have 2 nights shifts, and a couple days shifts in a given week). Shifting your schedule can be really challenging, especially as you get older

Thanks for your question. Personally, I think minds maps can be useful I just haven’t figured out an effective way to make them work with spaced repetition so don’t use them much. Where I stopped using things like mind maps was when I realized that so much more of my performance depended as much/more on how much I remembered rather than how well I could organize it in a mind map. When I started using Anki and combined it with other techniques of applying concepts, my improvements were dramatic.

@alec.palmerton_md do you mean that I use mind maps + anki ? Don't rely on one thing only but combination between them ?

If you were my favorite cousin, I would say spaced repetition (if used properly to reinforce mastered concepts) is much more powerful for retention than mind maps, and so I would put all of my energy towards figuring how to do that well.

I got a 270. Average Step 1 scores were (and probably still are) lower than Step 2, where you need 280 to get to the top 0.1%. www.yousmle.com/step-percentiles/

Thank you for your support and kind words! Great job, focusing on refining your study strategies. Learning how to use spaced repetition effectively is a game-changer - keep it up!!

Thanks for your kind words and great question. Yes I'd use small blocks of five unused (if available) practice questions on the subject you're learning as an early measure of how well you're learning it. If you can't get 80-90% on that, it's highly unlikely your overall score on a mixed block will be even close to that. I've seen lots of people take an NBME after weeks (or even months) of studying, and only find out then that their studying isn't really working. Much better to shorten the feedback interval so you can keep making adjustments. When you hit a tennis ball, you want to know immediately where it goes, not weeks later - the same is true for studying.

Thank you for your support and kind words!

Great idea, we’re working on adding timestamps

Thanks for your support and kind words!

Sorry to hear about your results. To be honest, your chances for orthopedic surgery residency are not good. Even for US graduates they automatically reject many applicants who have failed any of their exams. That said, if you are already an orthopedic surgeon, you can apply to fellowships in the United States, I believe, where they care much less about your board scores. You still have to pass the USMLEs, however.

@alec.palmerton_md Thanks for your reply! I'm still a medical student, I'm in my final year. But should I consider retaking the exam or maybe change the specialty I want to go into? I just want to know what truly my options are :(

@alec.palmerton_md Thank you! I'm in my final year of medical school. But I'm planning to retake step 1, if I pass will it help in any way?

@@joserobertorodriguez73 It will help to pass, but I suspect that is the minimum standard they expect. You can see more about statistics on how programs view failed USMLE attempts here: www.yousmle.com/step-1-fail/

Thanks for sharing your perspective, I didn’t know that about computers now being better than computer/human combinations, although it makes sense. I agree that financial pressures will certainly play a role. One reason why doctors can be harder to replace from a financial standpoint is for liability reasons. I’m curious to hear others’ perspective on this, but I’ve heard that one reason why physician anesthesiologists can be hard to replace is that the liability if something goes wrong with the anesthesia falls on the physician in the room, who would be the surgeon in most cases. No system is perfect, and when things get missed or mistakes get made, I wonder who would be liable. I doubt it would be the maker of the AI system. I think Dr. Cho may have mentioned this off camera, but one thing that is certainly possible is that radiology reads become more like how EKGs are done now. You’ll have an initial read that’s done by a computer, but then it still has to be checked by a physician. Obviously there is a lot that we don’t know yet, but I’ve also been surprised by how little apparent fear there was of being replaced by AI (in fairness, medicine tends to change pretty slowly)

Great question! We have an article here: www.yousmle.com/physician-salary-per-hour-by-specialty/

Thanks for your thoughtful question. Honestly, my opinion is less informed on this topic than an actual academic radiologist's (and one who is Harvard-trained to boot) - if you haven't seen it, I'd highly recommend this interview where we talk AI, radiologist salaries, and much more: ua-cam.com/video/zLOXyZ7ruAw/v-deo.htmlsi=p_6AXTnkSv_CFJ8G

Thanks! Agreed - hearing a real academic radiologist's views on AI was eye-opening.

Thanks so much for your support and kind words!!

Thanks for your support - I actually don't do the editing for my videos, but I'll be sure to pass along your kind words!