Session 04

Every year med students around the world prepare for their boards. Many of those students are making mistakes preparing for USMLE Step 1 and COMLEX Level 1.

Once again, we’re joined by Dr. Andrea Paul from Board Vitals. Be sure to check them out because not only do they have the Level 1/Step 1 QBanks, but all of the shelf exams as you continue to move forward through your medical education!

[03:03] Mistake #1: Not Giving Your Full Attention

Students can find themselves doing so many stuff that they forget to focus on what they really need to focus on. If your mind starts to stray away, then that’s a signal that you need to take a rest or break. Reset so you can get back to focus instead of just pushing through. Otherwise, you may just miss how many important points. So get up. Take a stretch. Take a minute. And then come back and be fully focused again. Slow down and it will help you in the long run.

[04:35] Mistake #2: Studying Too Many Days in a Row

There’s a lot of data looking at how many days the students study per day and interestingly, once people went beyond 35 days, the scores started to go down. This is related to inefficient studying or maybe fewer hours per day. But there’s a strong correlation that you can’t study for too long. Hence, dragging out the day and staying up all night is only going to hurt you.

Board Vitals recommend studying for about 20-25 days with about 8-10 hours a day of studying. All of their data show that below or above it is just going to give them low scores. that said, it really varies depending on how your scores are looking. If you’re already on the high range of your goal, then you probably don’t need to spend the whole month rehashing everything again. Otherwise, doing so may only hurt you. So recognize where you’re at then make a plan on the length of your study based on that.

[07:25] Mistake #3: Going Through Content Too Quickly and Missing to Review

Have a spreadsheet or notepad beside you so you can keep a list of what you missed and why. Was it an error or did you misread the question? Was it the way that question was worded that tricked you? Maybe you need to pay more attention to questions worded that way. Or it can be a specific piece of knowledge that you missed. Then go through the list at the end of each day or the week and you’ll start to see patterns.

Board Vitals provides feedback so you can see which areas you may be stronger or weaker.

[09:45] Mistake #4: Thinking It’s an Insignificant Amount of Pressure

Unlike in high school or undergraduate where you just want to be competitive against others, this is different since it’s an individual goal. It’s something that’s going to affect your life. But you just don’t have one option. You may really want to do a certain specialty, but you may be just as happy doing something else. So it’s not the be all and end all of life.

People who are scoring so high on their question banks, they get to exam day and the pressure is just so intense. So breathe and relax. Medical school is already an accomplishment. So just do the best you can.

The boards actually don’t allow retests like they do for the MCAT. For the MCAT, you can void it at the end of the test. I wonder if people are doing this on the boards as well. In fact, Andrea has received questions on whether this is a good strategy to take Step 1 and purposefully fail it to see if they could go in and get a strong score. Unfortunately, the rates for residency matching for people who fail on their first attempt is quite low. So no matter what you get on that second attempt may not outweigh that failure. So it’s always best to do the best you can.

[14:15] Mistake #5: Spending Too Much Time Studying in Ineffective Ways

Several students still use textbooks to prepare but this strategy has never yielded high scores for those Board Vitals has spoken to. Those are not clinically focused but only basic science textbooks meant to get you through that course. That’s the purpose of the school component, but not the purpose of the board exam. Instead, focus on things that are meant for preparing for this test. And do it in a way that does the highest yield for you.

As you go through this process, you need to be self-aware of where you stand. Are you solid enough with your foundation? One of the best predictors is doing well in your classes. Did you do well on those or did you struggle? Do you have that foundation to jump in and do questions and review? Or do you need something more substantial to get you up to the level to get you prepared to do those?

[18:57] Be Realistic!

If you didn’t score well, remember that not everyone is a great test taker or study-er. So if you didn’t do well in your preclinical classes, maybe keep a more realistic goal for Step 1.

Additionally, don’t look at what other people are doing. By your second year of medical school, you should know what works and what doesn’t for you and do that. Don’t try and do something completely different now for this test. Stick to what’s worked for you in the past.

Links:

Board Vitals