Target USMLE

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  1. Version 1.0.0


    All physiological changes of pregnancy in one chart, beautifully drawn and explained.
  2. Joining the USMLE Board is just easy. To join first you have to signup to THE DOC. Its always free. Try to signup with your social ID, because it doesn't ask for verification. Once you are logged in, go to the respective board button and click. Once you have signed in now you can see the green encircled join button as below: Click this button and you will be taken to join request. Final step is just to submit it. Please remember only if you join the board, then only you can take tests and download files. If anyone unable to download the file, please read the above guide
  3. This video shows how you or any member of the Study Board can create a MCQ Test Series on this Board. Requirements: You must have a account to login to the site. Here is a Signup link in case you haven't Signup You must join the PLAB Board See here how to Join For further guidance please watch this video:
  4. The USMLE Content Outline organizes content according to general principles and individual organ systems. Test questions are classified in one of 18 major areas, depending on whether they focus on concepts and principles that are important across organ systems or within individual organ systems. Sections focusing on individual organ systems are subdivided according to normal and abnormal processes, including principles of therapy. Each Step 1 examination covers content related to the following traditionally defined disciplines: anatomy behavioral sciences biochemistry biostatistics and epidemiology microbiology pathology pharmacology physiology The Step 1 examination also covers content related to the following interdisciplinary areas: genetics aging immunology nutrition molecular and cell biology Step 1 classifies test items along two dimensions, system and process, as shown in Table 1 below. While not all topics listed in the content outline are included in every USMLE examination, overall content coverage is comparable in the various examination forms that will be taken by different examinees for each Step. Most organ systems are partitioned into Normal Processes and Abnormal Processes, and include subcategories of specific disease processes. In most instances, knowledge of normal processes is evaluated in the context of a disease process or specific pathology. The content outline is not intended as a curriculum development or study guide. It provides a flexible structure for test construction that can readily accommodate new topics, emerging content domains, and shifts in emphasis. The categorizations and content coverage are subject to change. Broadly based learning that establishes a strong general understanding of concepts and principles in the basic sciences is the best preparation for the examination. Step 1 Test Specifications Table 1: USMLE Step 1 Test Specifications* System Range General Principles of Foundational Science** 15%-20% Immune System Blood & Lymphoreticular System Behavioral Health Nervous System & Special Senses Skin & Subcutaneous Tissue Musculoskeletal System Cardiovascular System Respiratory System Gastrointestinal System Renal & Urinary System Pregnancy, Childbirth, & the Puerperium Female Reproductive & Breast Male Reproductive Endocrine System 60%-70% Multisystem Processes & Disorders Biostatistics & Epidemiology Population Health Social Sciences 15%-20% Process Range Normal Processes† 10%-15% Abnormal Processes 55%-60% Principles of Therapeutics 15%-20% Other‡ 10%-15% In addition to being organized by organ systems, the Step 1 exam is organized by physician task and competency, as shown below. More information about the physician task and competency outline is available on the USMLE Web site ( Test items are constructed to assess one of the competencies listed below.Table 2. USMLE Step 1 Specifications: Physician Task/Competencies* Competency Range Medical Knowledge/Scientific Concepts 55% – 65% Patient Care: Diagnosis History/Physical Examination Laboratory/Diagnostic Studies Diagnosis Prognosis/Outcome 20% – 30% Patient Care: Management*** Health Maintenance/Disease Prevention Pharmacotherapy 15%-20% Communication Professionalism 2%-5% Practice-based Learning and Improvement 4%-8% * Percentages are subject to change at any time. See the USMLE Web site for the most up-to-date information. ** The general principles category includes test items concerning those normal and abnormal processes that are not limited to specific organ systems. Categories for individual organ systems include test items concerning those normal and abnormal processes that are system-specific. *** The Step 1 examination includes management questions in only the categories listed in this table. It does not include questions related to clinical interventions, mixed management, or surveillance for disease recurrence. † This category includes questions about normal structure and function that may appear in the context of an abnormal clinical presentation. ‡ Approximately 10%-15% of questions are not classified in the normal processes, abnormal processes, or principles of therapeutics categories. These questions are likely to be classified in the general principles, biostatistics/evidence-based medicine, or social sciences categories in the USMLE Content Outline.
  5. Step 1 assesses whether you understand and can apply important concepts of the sciences basic to the practice of medicine, with special emphasis on principles and mechanisms underlying health, disease, and modes of therapy. Step 1 ensures mastery of not only the sciences that provide a foundation for the safe and competent practice of medicine in the present, but also the scientific principles required for maintenance of competence through lifelong learning. Step 1 is constructed according to an integrated content outline that organizes basic science material along two dimensions: system and process. Step 1 is a one-day examination. It is divided into seven 60-minute blocks and administered in one 8-hour testing session The number of questions per block on a given examination form will vary, but will not exceed 40. The total number of items on the overall examination form will not exceed 280.
  6. Are the radiologists unhappy? Seems the happiness index is going down. Cuts in reimbursement. Busier days. Difficult job market. These trends all have some truth and are largely outside the control of any individual radiologist. There is no question that radiologists are less happy now than in the past. But I find that dwelling on things outside of our control is dis empowering and leads to self-pity. Looking back to Medscape survey in 2011, Radiology as a specialty positioned two in happiness index. But things are not as good today. We do have a choice of what jobs we pursue. Discussions of what a "good job" is tend to focus on income, vacation, and work volume. When I ponder what a "good job" means to me, the above three factors are not the first things that come to mind, though they are important (especially moderate work volume). Rather, I think about the things that are most important to my happiness. I consider a good job in radiology one that allows you to achieve a reasonable degree of satisfaction in all of the following categories, where high marks in one category cannot compensate for a deficiency in another: Yet a number of obstacles stand in the way of achieving happiness in radiology. While I'm no psychiatrist, here's my take on what they are: Overemphasis on salary and vacation in the job hunt, instead of focusing on job quality, people quality, and group work culture. The latter will determine your happiness more than the former. Unrealistic expectations of the type of material lifestyle you can afford, i.e., trying to match the homes, cars, and vacations of most other physicians -- and the resulting anxiety when the numbers don't add up. This forces you to work overtime to pay the mortgage on a house and leases on cars that you can't afford. The assumption that work must be painful, and therefore you should maximize productivity at work to maximize partner vacation time, which is when you hope to truly "live." When your work is reasonable and somewhat enjoyable, you don't feel a dire need for vacation. Not trying to cultivate your enjoyment of radiology. It's what we do with much of our time; liking it should be a priority. Not having a specific plan for professional/career growth, whether this means becoming a more knowledgeable radiologist, a better clinician, a radiology group/hospital leader, an accomplished author, etc. Failure to invest in relationships at work. The greatest secret to making friends is to be willing to show your friendship first, whether with a smile, a compliment, or treating someone to coffee or a meal. These small investments will be repaid to you in spades and will bring you more happiness than that black BMW M5 or Tesla. Ask me how I know. (Yes, I sold it.) Failure to give priority -- and protected time -- to other things in life. Buying the spouse flowers on the way back from work every few weeks; lunch with aging parents; flying a kite on Sunday mornings with your son: These should be recurring events on your calendar in the same way that partner meetings or radiation safety meetings are, and nothing should be allowed to squeeze these "small" things out of your schedule. Give them the priority you know they deserve. Seeking pleasure in owning/acquiring rather than doing/experiencing. It's more enjoyable to spend $800 to take a one-week bicycle mechanic's course -- and spend more time riding a basic road bike -- than to spend $4,000 more to get the high-end, carbon-frame road bike and expensive components that will just collect dust in the garage. Make art, don't collect it. Forgetting to maintain the most valuable piece of machinery you own: you. If you had a Ferrari, you would baby it and make sure everything is oiled and maintained. Your person -- i.e., your body and mind -- is the most valuable piece of operational machinery you have. It can generate a ton of income over the next 30 years. It can bring much joy and benefit to those around you, especially your patients. Maintaining your own wellness is not a luxury, it's a necessity. That refers to getting enough sleep; being in good physical shape; and being of sound mind, unperturbed by unnecessary stressors, with plenty of reserve capacity to deal with whatever challenges arise each day. Fear of poverty. Why someone who makes $200,000 a year -- or more -- should fear poverty is beyond me. Nothing is guaranteed in life except death and taxes, so, sure, you could be Warren Buffett and somehow end up on the street. But fearing it is something else. Dangers are outside you, but the fear is in your head. Live within your means, enjoy things that do not break your budget, plan for the future, and remind yourself that you make a choice every day to go to work: You are not a slave to your bills, nor will you become homeless if you decide today that you want to walk away from a bad job situation. And no, you do not need $1 million saved up in cash to walk away from a bad job. Compared with other humans on this planet, you are relatively powerful and capable, and there is no reason to disempower yourself in your head, such that you feel locked into anything. Finally, a few parting thoughts ... Keep the money in your hand -- to do things with -- and not in your heart. Don't worry, there is enough. Be passionate about whatever you are doing. Life is too short just to go through the motions. If you must do it, then fully own it and take pride in it. If you can't go to where you love, then find ways to love where you are
  7. mcq

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  8. Below is a collection of real Step 2 CK from real achievers. Please feel free to post yours.
  9. READING: All you need is Stop watch Cambridge books A blank piece of paper with numbers 1-40 marked on it. Just like real exam answer sheet. How to Practice: Set the watch to exct 60 minutes, and have the Reading Test(Academic) from Cambridge book ready. Start time and pretend you are under examination condition, so much so that when the alarm sounds you stop right there. Now mark your paper and you will know where you stand. This practice will help you manage time during real exam and give you the confidence to attempt Reading section just as you would at home. How to Approach the Passages: Always start with passage 1, as it is usually the easiest and gives you the confidence that you are on track. Always write your answers on the answer sheet. It saves time and gives you those extra minutes you might need for the tougher passages. Write your answers in UPPER CASE letters. Saves you the hassle of Capital and Small letters. For instance, Instead of Agricultural Insdustry, write AGRICULTURAL INDUSTRY. Quickly go through questions of the respective passage first. For MCQs, only read main question and not the options. Read all the True/False questions and where you have to fill in the blanks, just quickly read the paragraph to get an idea so that you can spot that paragraph in the passage. Do not read the 'list of headings' for different paragraphs in the passage. After reading the questions, start the passage. Make sure you keep going back to questions to get an idea what you are looking for in the passage. It is usually hard to find the right heading for different paragraphs. The trick is to read each paragraph and at the end of it go through the list of headings, and choose the one which best fits. When you'd only read the question and not the options in MCQs, you simply have to find the answer and look for it in the options. If you are stuck somewhere, move to next question. Learn how to scan and skim for the answers. These tips will help you save time. You can easly score Band 8 or higher following these simple tips. Finally, Practice, practice and practice. You will only know what is your weakness, if you practice under exam conditions. WRITING: There is only one source I can recommend and that is Ielts Simon. Brilliant Blog. He has explained everything so well. My tips are: Don't show off. If you think fancy words can help you get high score then you are wrong. Keep it simple and to the point. Focus on the four criteria your writing score depends on. This information is available on British council site. I will upload that in the files section as well(for my lazy friends :p) Recent xam questions are posted on Ieltsnetwork. Try to write essay on these. Get someone to check your essays if that's possible, otherwise compare yours with Simon's essay and see what you can improve in your essay. Practice writing 250 words essay, as writing less would cause you to lose score. Make your essays coherent and keep your introduction and conclusion as simple as possible. Google how to compose/write different sentences. This helps you with writing different ypes of sentences, which makes your essay look more academic. Also, learn where and when to use punctuation etc. Very helpful if you are aiming for higher band. Again, go through every post of SIMON in both WT1 and WT2 sections.
  10. I am trying here to give you a rough idea of how much expenses you might need to meet from the date you start preparing for USMLE until you join residency in the USA. This blog is applicable for International Medical Graduates only. These values and figures might not be exact and also it might change from time to time. Essential expenses USMLE STEP 1 : Exam fees $ 600+ $280 (if taken outside US or Canada) (Click here to check the fees in ECFMG website) USMLE WORLD MCQs for STEP 1 : (highly recommended) $90 (30 days) (Minimum plan. For calculating our total expenses, I will be adding $90) $125 for 60 days $175 for 90 days $299 for 180 days $399 for 360 days Its better to buy it online and get a real exam experience rather than using a pirated UW stuff. You can also keep track of your performance if you do it online. Sharing a UW account with somebody will not help you know your actual performance or improvement. I have included other study materials in "other expenses" below. USMLE STEP 2 CK : Exam fees: $ 600+ $280 (if taken outside US or Canada) USMLE WORLD MCQs for STEP 2 CK: (highly recommended) $90 for 30 days (I will use this value to calculate the total expenses) $125 for 60 days $175 for 90 days $299 for 180 days $399 for 360 days USMLE STEP 2CS: Exam fee : $1280 or $1535 (if taken outside US or Canada) International round trip flight : $1200 (average. Might vary considerably) Boarding and lodging for exam : $ 60 (average per night)(might vary considerably) You might have to fly within the United States ($125 per flight) (average) Other living expenses in the United States: (not taken into account for calculating the total) If staying in hostel: ($25-$30 per night) If staying in hotel : (starting from $60 per night) You save your wallet if you have a relative or friend in the US. USMLE STEP 3: Though it is required initially only for H1b aspirants, I have included it here because anyway one has to take this exam before completing PGY1 or PGY2 (Different programs have different guidelines regarding STEP 3 deadline) Exam fees: The fee for the 2016 Step 3 is $830 for all state medical boards. USMLE WORLD MCQs STEP 3 : (highly recommended) $95 for 30 days (Will take this value for calculating the total expenses) $125 for 60 days $175 for 90 days $299 for 180 days $399 for 360 days USMLE WORLD CCS practice: $40 for 30 days(Will take this for calculating the total) $60 for 60 days $70 for 90 days USMLE STEPS123 CCS Simulation : 1 week subscription (7 days)$59 ( Will take this for calculating) 2 week subscription (14 days)$79 1 month subscription (31 days)$99 3 month subscription (93 days)$169 USCE : Paid observerships : Start from $500 per month Boarding and lodging per month (Minimum $500 per month if staying on own) ERAS Application fees: ERAS token fees payable to ECFMG : 65$ USMLE Transcript fees : 80$ Number of Programs Per SpecialtyERAS Fees Up to 10$60 11-20$8 each 21-30$15 each 31 or more$25 each So for example, if you apply to 75 programs in one specialty you pay $1415. Nowadays, IMGs apply to minimum 100 programs in Internal Medicine - $2040. So lets take this to calculate the total expense. NRMP: Registration fee: $40 Registration entitles the applicant to the following NRMP services: Access to the NRMP R3 System; Processing of up to 20 different program ranks on the primary rank order list at no additional cost (for each additional program over 20, the fee is $30 per program); Processing of up to 20 different program ranks on supplemental rank order lists at no additional charge, regardless of the number of supplemental rank order lists having combinations of those programs (for each additional program over 20, the fee is $30 per program); Each partner of a couple may rank up to 30 different programs on the primary rank order list and up to 30 programs on all supplemental lists combined at no additional charge. Each partner of a couple also must pay an additional $15 registration fee. Attending interviews: You need to fly to attend most of your interviews. Flight - $125 single way Boarding and lodging -$ 65 (average) per night. Taxi, subway or bus charges will be extra. Flights might be very expensive if you book late. Once I paid $1300 two-way charge for a domestic flight ticket in the US to attend an interview! I dont regret because that is the place where I have signed a prematch contract. Book early to get cheaper fares. On an average, you might have to spend $200 for every interview you attend. Let's assume you need to attend 10 interviews (just for the sake of calculating the total expense). It comes to $2000. International flight ticket for Step 3 and interviews: Usually we need to fly to the US at least twice. Firstly for the CS exam. Then to attend the STEP 3 and interviews. Flight charge - $1200 round trip (average) US Visa fees : $131 Medical insurance while you stay in the US : Though not everybody takes medical travel insurance, it is highly advisable to have this as health care is very expensive in the US. Average - $2 per day. You will have to stay in the US for minimum 3 months in total to take CS, step 3 and attend interviews. So the total medical insurance would come to minimum $180 After signing contract: State License Application: Varies from state to state (I will add this to 'other' expenses) H1b visa application- $1500 (some residency programs might sponsor this amount for you) H1b visa interview - $270 ACLS/PALS/BLS - $100 (minimum) (In India) TOTAL EXPENSES (Minimum) (Excluding Miscellaneous expenses) expected for an IMG from STEP 1 to a Residency on H1b visa: $ 13,671 Please note that the actual expenses might be considerably higher than this especially if you have to attend more interviews and if you plan to take up Kaplan or other courses. Other expenses: USMLE STEP 1, STEP CK, STEP 2CS, STEP 3 preparation materials (Books, Videos, Kaplan courses etc.). Note that kaplan courses are expensive. State License Application Conferences Other Diploma courses (for Eg. Apollo Medvarsity) Postal charges for Medical education credential verification, ERAS documents etc. Leisure activities and tourism Visa extension (in case) Please let me know if I should add/minus any of the above expenses from the list. Thanks. Good luck.