Category Archives: Boards
Congratulations on finishing second year of medical school! Now what? The dreaded USMLE Step 1 exam.
Discussing all the aspects of Step 1 is easily overwhelming and exhausting. It’s not unusual for medical schools to host stress-inducing class-wide meetings to throw loads of information at med students at one time. It can be a bit much. As we head into boards season, MedStudentBooks.com will provide bite sized posts on how to tackle all the tough topics, through the USMLE Step 1 Series of posts.
In addition to helpful information from senior med students, we will continue to bring you free book giveaways. Earlier in the season, we gave away a free copy of First Aid for the USMLE Step 1 2012. Tomorrow, however, is our largest contest to date. We have collaborated with the fine folks at Lippincott to bring you the 2012 Exam Survival Sweepstakes. Full contest details will be posted tomorrow, but we can’t help but hint that it contains the majority of MedStudentBooks.com recommended titles for Step 1 studying, and some gift cards.
To get all the latest tips and tricks to tackling the boards and getting that extra edge on Step 1, be sure to check back to the site frequently, or follow us on Twitter.
Lange’s Case Files Pathology is a book whose purpose is to integrate our knowledge of pathology for diagnosing realistic scenarios in medicine. There are 50 clinical cases written in clear USMLE-style format. For each clinical case, there are four parts: 1) a summary with straightforward answers and clinical correlations, 2) basic science concepts including objectives and definitions followed by a brief discussion of the topic of interest, 3) a few comprehensive questions that reinforce key points, and 4) “pathology pearls”, which are important take-home points. When going through each case, important information is bolded for emphasis and explanations are concise and precise—eliminating the trivial concepts that should have become second nature by the end of organ systems. This means that this book is not for learning materials, but rather more effectively used as a tool for review, reinforcement, and integration of learnt information to allow for synthesis.
Although all Case Files books may or may not fit the needs of boards review, Case Files Pathology is a book that can only help. With key take-home points and short-and-sweet explanations of case material, you should have little problem learning the essentials—the fundamental architecture of clinical pathology. For example, you may come across a case of ventricular septal defect (VSD), requiring you to utilize your knowledge of epidemiology, embryology, physiology, and the clinical presentations of cardiac defects. Of course, take note that this book is for pathophysiology and not just for lab-based pathology, so a good foundation in second year organ blocks material would make this book much more useful for synthesis of all the loosely connected information.
The downside of Case Files Path includes: 1) lack of pictures and images to allow the medical student to truly appreciate the clinical appearance of certain diseases, 2) lack of explanations for various diagnostic tests that may be useful for understanding the diagnostic and elimination process, and 3) the multiple choice review questions at the end of each case are generally very simple and superficial questions asking more for recall than synthesis, despite the fact that the case itself is pretty good at elucidating the more detailed aspects of disease.
Overall, Case Files Pathology would be great to have for some last minute studying or USMLE Step 1 board review, but definitely not for the initial phase of studying. Get the foundation down solid, and then use this book to cement everything together. As for where to use this book, it is not a useful resource for studying for medical school classes since the cases in the book is written in USMLE format rather than in the format of questions on medical school examinations. However, it is definitely a good book to have at the end of your studies for USMLE Step 1 to get the bigger picture and practice applying medical knowledge to realistic medical cases, uncertainties and all.
For those interested in making corrections to information in your copy of First Aid for the USMLE Step 1 2012, the official FA errata is now posted to the FirstAidTeam.com website. You can check out the webpage to learn more about the process, or RSS subscribe for updates. If you’d like to bypass the site and just go straight to the errata, the document can be found here (pdf).
Keep in mind that you can send in a correction for any mistake you find by clicking on the “Contribute” button on the right side of their site or this post (both bring you to the same place on their site). While they promise $20 Amazon gift cards for new information, someone else has probably already beaten you to any given correction. Nonetheless, making any submission will get your name printed in the preceding version of Step 1.
Has a scholarship or program been asking for a USMLE Step 1 “percentile” even though no such number can be found on your Step 1 score report? Perhaps you’re simply interested in tracking progress of USMLE World practice tests. Whatever the reason, head over to our new USMLE Percentile Calculator to convert between three digit score and percentile.
It uses some recent national data, but can be customized for your specific needs, and extended for Step 2 percentiles. Have a look, and if you find it useful, be sure to share with friends!
Students preparing to study for the USMLE Step 2 CK should be well accustomed to the type of question encountered on the boards and shelf exams, and should have a decent sense of their own study habits and strengths. This is immensely important when deciding on a study plan for Step 2. The seemingly infinite clinical knowledge can be overwhelming, and a structured study plan truly helps.
Deja Review USMLE Step 2 CK, now in its second edition, continues to get mixed reviews by students studying for the boards. The format of the book is very straight forward: alternating sections of clinical vignettes, and rapid-fire two-column recall question and answers. The book goes through each of the core clerkship specializations that will be found on the USMLE Step 2 exam, starting with Internal Medicine, and progressing through Surgery, Neurology, Psychiatry, Obstetrics and Gynecology, Pediatrics, and finally Emergency Medicine. It is not a text book, or even a comprehensive review book such as First Aid, and as such should not be relied upon to learn new concepts. Its strength is purely in aiding with recall and making buzz word connections, and it does that very well.
However, the lack of teaching can be frustrating for students who do not already know or remember the material. DejaReview Step 2 CK shouldn’t replace question banks either. There are no answer explanations or experience in testing. Furthermore, the book is often times seen as unhelpful to students who do not learn well with recall type resources.
It is due to these reasons that there exists a split in outlook about this book. People who excel at rapid recall questions can easily carry this in a wide white coat pocket during the months preceding the USMLE Step 2 CK exam, for high yield on-the-go studying. It is a very strong review text that complements First Aid and USMLE World question banks, but it is not for everyone. Learning style really matters with this book, which is why there are such mixed feelings about it. If you are unsure of your learning style, it is recommended that you check out the format of the book before purchase. Try to browse through a copy at your medical library, or if you want to decide sooner, head over to Amazon, which gives a few of the question type pages found in the book. As far as price, Deja Review USMLE Step 2 CK gives a lot of bang in its 300+ pages for a low cost, so finding out it is not for you won’t set you back too far. Check out the links below to see what I mean.
Did you ever wish your course materials had less research-driven material that was bogged down in details? Did you ever wish that relevant information wasn’t presented in a complex and sophisticated manner such that you could spend more time learning and not sorting through the hot mess that is a syllabus?
Lilly’s Pathophysiology of Heart Disease: A Collaborative Project of Medical Students and Faculty solves both commonly-heard complaints with a well-organized and informative text that will be essential for your Cardiology or Physiology course. The book was written by Dr. Leonard Lilly, a Harvard cardiologist, who understood the pains of the first two years of medical school. He gathered 79 medical students who provided insights on how to present and teach pertinent information to medical students. The book itself has received many accolades from around the world and may already be required at your medical school.
There are quite a few benefits to using this book. The content is set up in a way that allows you to read the book, well… like a book (I know it’s hard to imagine in med school). It starts with pertinent information that med students will need to know in order to understand each subsequent chapter. The material in the Fifth Edition covers: 1. Basic Cardiac Structure and Function, 2. The Cardiac Cycle: Mechanisms of Heart Sounds and Murmurs, 3. Diagnostic Imaging and Cardiac Catheterization, 4. The Electrocardiogram, 5. Atherosclerosis, 6. Ischemic Heart Disease, 7. Acute Coronary Syndromes, 8. Valvular Heart Disease, 9. Heart Failure, 10. The Cardiomyopathies, 11. Mechanisms of Cardiac Arrhythmias, 12. Clinical Aspects of Cardiac Arrhythmias, 13. Hypertension, 14. Diseases of the Pericardium, 15. Diseases of the Peripheral Vasculature, 16. Congenital Heart Disease, 17. Cardiovascular Drugs.
If you choose to use Lilly as a supplemental resource, it is structured in a way that allows you to easily reference sections that integrate disease processes with normal physiologic processes. For example, Chapter 2 has a 6 page excerpt with descripitions of all normal heart sounds, as well as pathological causes and explanations of abnormal heart sounds. If a disease is explained later in the book, Lilly places the appropriate chapter number to point you in the right direction.
There are a few disadvantages to this review book. Lilly admits that Pathophysiology of Heart Disease is not meant to be a resource for in-depth questions prompted by the burning minds of future cardiologists. For example, although the book goes to great lengths to describing the mechanics behind an EKG, it falls short of providing the best explanation and a more exhaustive list for pathologies seen in different EKGs. However, to make up for the lack of detail inherent in a review book on cardiology for a med student, Lilly does provide additional readings that he cites at the end of each chapter.
Nevertheless, Lilly is a must-have to help you sort through the massive amounts of information thrown at medical students during Cardiology. It breaks everything down into concise, but understandable text that is rarely found in medical education. The Fifth Edition of Lilly’s Pathophysiology of Heart Disease can be found at the below links. If you want to save some money, the fourth edition (above) covered practically everything needed for my Cardiology course. Regardless of the edition that you choose, Lilly will not disappoint!
Board Review Series (BRS) Physiology, now in its 5th edition, is the leading resource on physiology concepts crucial for the foundation of medicine as well as those highly tested on the United States Medical Licensing Examination (USMLE) Step 1. This book, written by the esteemed Linda S. Costanzo, Ph.D, provides very clear and concise explanations of essential physiological principles of each organ system as well as those of cellular physiology. This text contains many clinical examples and sample problems to help medical students test their understanding of these concepts and their application in clinical scenarios. Each chapter concludes with a review test, accompanied by explanations and references to sections from which the question arose. To further aid appreciation and long-term retention of these key principles, many full-color illustrations, flow diagrams, and tables as well as a summary page of “Key Physiology Equations for USMLE Step 1” are included. Additionally, each book features a scratch off code which provides access to supplementary online resources, such as a question bank and a comprehensive examination with an image bank, on The Point.
This book provides a clear outline with appropriate breadth and depth of high yield material that is most commonly tested on USMLE Step 1. It is recommended that this book be read in conjunction with corresponding physiology courses throughout med school or as part of review for the boards. Because this book presents the material in a very straightforward manner, it helps to simplify difficult concepts to better understand medical physiology.
Despite the many benefits of using this book as part of any study plan for the USMLE, there are a few drawbacks which should be noted. Many of the questions featured in the chapter Review Tests and Comprehensive Examination are not written in the style of the USMLE Step 1. Rather, most are short questions that are aimed to test the knowledge of key concepts and should not be relied upon to gain familiarity with the format of the USMLE Examinations. The review questions are also simpler than most found in question banks and the exam itself. Lastly, this book is designed to be a review book and as such should be used in conjunction with more comprehensive resources such as textbooks, classroom lectures and syllabi.
The material in this book is organized into seven chapters by organ system, each of which ends with a review test and explanations. The first chapter provides a general overview of Cell Physiology followed by chapters on: Neurophysiology, Cardiovascular Physiology, Respiratory Physiology, Renal and Acid-Base Physiology, Gastrointestinal Physiology, and Endocrine Physiology. This Board Review Series book culminates in a 99 question comprehensive examination which is followed by explanations and page references.
Overall, this book is highly recommended to medical students for learning the physiology of the major organ systems, and especially in conjunction with Tao Le’s First Aid for those who are preparing for the USMLE Step 1. This reasonably priced review text will provide any medical student with a clear understanding of the most frequently tested physiology concepts and to provide a solid foundation for a career in medicine.
Congratulations to user Buding, an MS-II at Kansas City University of Medicine and Biosciences! He is the winner of the below free copy of First Aid for the USMLE Step 1 2012. This contest is now closed.
We’ve gotten so much traffic and positive interest in our First Aid Step 1 2012 review that we just couldn’t hold onto it. For those of you taking Step 1 closer to the spring, this offer is definitely for you. All you need to do is to leave your e-mail address in the comments section to win a free copy of First Aid for the USMLE Step 1 2012 (now in full color). You can say whatever you’d like in the comment itself, but the winner of this giveaway will be selected completely at random. We do however request that you click one of the social buttons below, although this is not necessary to win.
Be sure to subscribe to the RSS feed or check back on the site over the next few months as we expand our posts dedicated to Step 1 tips, schedules, calculators, and online applications.
As with previous contests, this is open only to US students, and e-mail addresses are never displayed on the site, used outside of contests, or given away (we’re all med students and understand the value of spam-free inboxes). Limit 1 entry per med student. The contest follows our usual rules and will close in one month, on February 15, 2012, so drop your comments by then. Good luck!