Researchsurvivor
Forum Junior
Topics: 3
Posts: 39
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alpha12 wrote:
We've never seen him before in any forum. Judge by yourself! Well you've never seen me either, but I've been reading this forum for the last 6 months and finally decided to subscribe. So please try to be more polite, plus why are you people so shocked and surprised because someone is giving intelligent, helpful advice instead of boasting about how great is her/his Step 1 score?
To askdoc: thank you very much for the advise. Without it I was really confused why FA helps everyone else in the world and their grandmother, but not me. Also why do I find Step 2 questions so easy and there is such a big difference in my scores between clinical and preclinical questions - theoretically it should all be clinically relevant.
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| Shakeels
Forum Guru
Topics: 26
Posts: 468
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Hi askdoc,
I don't know how people can be organized in their thoughts, no matter how long it will gona take to read all your postings, it is worthed, I really admire you for helping us ALL.
Thanks AGAIN
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| alpha12
Forum Senior
Topics: 6
Posts: 70
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Sorry to have offended. Was just trying to use my sense of judgment. Shouldn't say it loud. my bad...Keep up the good work, AskDoc!
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| mjl1717
Forum Hero
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ask doc -you're doing a good job. Unfortunately what I notice about being altruistic (the highest level) is that some people cant deal with it will still take jabs at you, call you selfish, capitalistic, self-centered, whatever.
And the great thing is that you dont hesitate and continue flying ABOVE the clouds ignoring the elementary and human side of man. Great Job!
Edited by mjl1717 on 05/25/06 - 04:26 PM
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| hodgkins
Forum Elite
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Dear askdoc..
I admire your analysing mind and rationale behind whatever you have said so far. I really wonder , I would have ever thought and analysed, like the way you have done or have said. As far as I have read, this is the best thinking/analysing mind I have come across regarding USMLE preparation.
As per the comments here, I would just say, we have our own thinking and analysing capacity, if not to the level of askdoc, still whatever was written is truly an eye opener for many doubts, fears and anxiety of many novice students like us, struggling to do this exam..as long as, its helpfull and makes a big difference in our study method and the way we judge ourselves while preparing for it, askdoc post is so helpful and I endorse with what mjl1717 has to say!
Thank you so much askdoc..keep up the good work and all the very best for your future and God bless!!
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| p53
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mjl1717
you have totally misunderstood what I was talking about! I haven't said that you are bad if you are altruistic - totally the opposite!
WE ALL ARE SELFISH! it's a human nature to be selfish - but some great people are 'maturely' selfish and feel good when they are helping others - it's a very good thing, because you are happy by making others happy!!! if you feel bad when others feel good, you just will not help them!
but I guess that we again have a terminology problem here:
when people say 'selfish', they mean 'caring only about yourself and not about other people'; so, they mean 'immaturely selfish'; when they say 'altruistic', they mean 'caring about and helping other people, even though this brings no advantage to yourself'; so, they mean 'maturely selfish'; actually, 'altruistic' is the opposite term of 'selfish'; in other words, 'maturely selfish' is the opposite of 'immaturely selfish'!
Edited by p53 on 05/26/06 - 03:28 AM
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| spitmetal
Forum Guru
Topics: 25
Posts: 635
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too sad we ALL are..... very often i get disapointed of my humanity...
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| kulmur
Forum Senior
Topics: 1
Posts: 28
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Askdoc has posted by far the best posts I have ever read on any forum..BRAVO.
His analysis is superb and hugely insightful...and will help many reevaluate statergy....
I hope he continues to post as I am sitting here in awe of his words.
To see an old IMG excell and then give back to all of us is truly inspiring.
I hope u continue your rivetting posts and let us celebrate with you when u get your MEGA result!
Kulmur
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| mjl1717
Forum Hero
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Posts: 5,450
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Out of curiosity:
Do psyche books or DSM IV say man is basically selfish?? Some may say that man was not "wired" to think or help others.. I can say this- others and myself ("those who have arrived") admire people who transcend and are selfless! Self less is a word not used very much in this culture.
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| robin082006
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Topics: 471
Posts: 5,125
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AskDoc is either a genius or a university professor.
See what he wrote and the way he did it. It is very academic and organized.
I am still surprised and cannot believe with his scores for NBME, qbank, and USMLE CD.
NBME form 1: 740 (3 weeks before exam) (1 hour timed per block): the highest score that I've ever heard. Most people with 99 for step 1 got maximum 660 for NBME (kspn, Kingsofke, an..)
Kaplan QBank: 84% (all random, timed blocks no repeat. Answered 1250 questions in groups of 2 to 4 blocks/day over 9 days.): Again, the highest score that I've ever heard, particularly at the first time.
USMLE CD : 46, 44, 48 (2 months before exam): extremely high, really a genius.
Anyway thank him very much for excellent post.
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| p53
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mjl1717
selfless = altruistic, i.e. maturely selfish
robin082006
here are an's scores:
step 1:
NBME 2 - 780
99/253
step 2:
NBME 1 - 770
272/99
Edited by p53 on 05/26/06 - 04:06 AM
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| mjl1717
Forum Hero
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No, i know the vocabulary in my sleep. you are the first one i ever heard to use the term "maturely selfish." (thats a new one for me) Im just saying Id rather be selfless.
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| askdoc
Forum Senior
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to p53: Got you the first time. The reason I mentioned you in my first post is I've always admired your post. Always felt guilty when I see you helping some newbie get their bearings straight. Vowed to help others when in position to do so.
to MJL1717 and others who defended me: Thank you very much, appreciated it.
to alpha12: Can't really blame you. My brother (who lives just next to my house and always drops by) saw me posting and asked what I was doing. I told him and he said that people might think I am faking it. Told him "so what else is new."
Since this is becoming an issue to some, I have my NBME saved in pdf format. Problem is my real name is on it and would prefer to be anonymous. So if everybody would agree, I'll pm it to one person who will confirm the score and the date it was taken but will promise not to reveal my name. Is tolito a senior enough member to be credible? Sorry MJL1717, but with the way you defended me, some people may still be skeptical. If tolito is reading this, and you agree please post here.
I've been reading this forum since August of last year. Have also been to 2 other forums, USMLEforum and Kaplan Forum. Have only posted in Kaplan Forum with the same handle. Was frustrated with my BS score in Kaplan QBank and was even thinking of postponing the exam. KREJ did a yeoman job's of handholding. This was about a week or so from my exam. I guess everybody gets the jitters when exam time comes.
Actually was planning to post this in Kaplan's forum after my result comes out, as a way of thanking KREJ. However when I read gigiMD's post, and all everybody could advise was to do more q's, I felt I needed to try to help. Since August, whenever I see somebody write that they've failed the exam, I asked my brother, why do people take the exam when they're not sure they will pass and he told me, maybe they don't know how. That was reverberating in my mind when I decided to post my advise to gigiMD. I will still post this there after my exam results reach me, after asking permission from KREJ.
Before people think I took Kaplan Course, No I didn't, only did Kaplan QBank. Used BSS and Rapid Review for speed practice. Used selected 2002 Kaplan Notes as supplement, not as main study material. Read FA only once, 3 days before the exam, as final check for recall ability. Kaplan QBank's main use for me was not a KA tool or even my primary KR tool. I used it to evaluate my Test Preparedness and test out some test taking strategies. Subscribed to it on April 9 or 2 weeks before my exam. 9 days after I took my NBME 1 test on March 31.
As for step 2 exams, Have no idea yet since have not taken it. Have read about it from a few postings. Only experience with it was last November or December. Kaplan had some sample Q's of 25 each for step 1 and step 2. Took it and got 68% in Step 1 and 62% in step 2. This was about 2 months after I started preparation for Step 1.
I'll probably subscribe to Kaplan and Usmleworld for step 2 sometime in June when I start serious preparation for step 2. It's hard to review, when you're waiting for your score even if you know you've passed. Meanwhile, I'll research more on the step 2 exam and finish this series of posts.
Will continue main post on Monday.
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Step1 99/256, Step 2 99/258, Old IMG, 1989 grad. A man's reach should exceed his grasp, or what's heaven for. http://blogs.askdoc-usmle.com
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| p53
Forum Guru
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thanks, askdoc - I guess we have something in common.
about NBME score - take it easy, buddy - you aren't obliged to prove something to someone on this forum.
I wish you high 99 on your step 1.
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| Researchsurvivor
Forum Junior
Topics: 3
Posts: 39
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Askdoc, can not thank you enough - no one has ever guided me how to study for those exams. Of course I appreciate all the recommendations for review sources, which I got from members of this forum. I was wondering if one of the forum moderators can compile your advise in a file, which can be downloaded ( for future reference ).
Why do you recommend to gigiMD to review Patho, Micro and Pharm as the first three subjects - did you find those to be the most heavily tested? Or are those the ones gigiMD personally had more problems with? I know Pathology is the bread and butter of the exam, I know Pharm is very important, but I didn't think of Micro that much.
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| tolito
Forum Fanatic
Topics: 119
Posts: 2,159
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hi askdoc,
see all the comments you generated. practically everyone who is active on this forum has responded and even new philosophies are being propounded. i will be glad to get the result as you suggested and confirm. i promise not to reveal your name.
i like your style and the altruism too. whatever anyone may like to call it, it takes something out of one to sit down and compose such notes. i am happy that you posted your results cos it was encouraging to an old img like me cos i finished in the same 'realm' and 'dark' ages of medicine before P53 and genetic mapping. i was also very fascinated by p53. two reasons, he would respond promptly to your questions regarding what books to study. he responds to practically everyone. thanks p53. you are worthy of your name as the guardian of this forum. then i just knew the meaning a month ago. i vowed that i shall not miss any question on p53 in any guise it comes.
askdoc, we appreciate your posts and wish you a record score!!
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| mjl1717
Forum Hero
Topics: 955
Posts: 5,450
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tolito wrote:
hi askdoc,
see all the comments you generated. practically everyone who is active on this forum has responded and even new philosophies are being propounded. i will be glad to get the result as you suggested and confirm. i promise not to reveal your name.
i like your style and the altruism too. whatever anyone may like to call it, it takes something out of one to sit down and compose such notes. i am happy that you posted your results cos it was encouraging to an old img like me cos i finished in the same 'realm' and 'dark' ages of medicine before P53 and genetic mapping. i was also very fascinated by p53. two reasons, he would respond promptly to your questions regarding what books to study. he responds to practically everyone. thanks p53. you are worthy of your name as the guardian of this forum. then i just knew the meaning a month ago. i vowed that i shall not miss any question on p53 in any guise it comes.
askdoc, we appreciate your posts and wish you a record score!!
yes ill endorse tolito.
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| ing
Forum Guru
Topics: 45
Posts: 435
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askdoc, thanks for giving great advices to us.
You don't have to prove anything to anybody. Some people still won't believe you if they don't want to. So what?
Appreciate your help and wish you the best.
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| spitmetal
Forum Guru
Topics: 25
Posts: 635
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askdoc where are u from? which specialty(recidency) did u study? when did u graduate from ur medical school? just courius..
im an img from mexico im finishing my third year of seven (im just finihing my basic subjects) im the second best in my genereation (just in grades because theres a lot of people that knows alot but i dont know why they dont get good grades) askdoc or anybody could give please some advise of what could be the best way to me to ace the usmle step 1 thanks
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NEVER REGRET IF U DID YOUR BEST--"THE PEOPLE WHO CAN'T DO SOMETHING WILL KEEP SAYING THAT YOU CAN'T DO IT.....BUT REMEMBER YOU CAN DO IT!!" by Dr. Luck a member of this forum
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| askdoc
Forum Senior
Topics: 1
Posts: 76
| | 05/29/06 - 08:48 AM
2 of 2 forum leaders found this post helpful
| #46 |
We've discussed the concept of Mastery Know and Familiar in our Knowledge level and how this will impact our performance in the exam. Continuing our KA discussion, we will discuss 2 topics that is important in increasing our ability to acquire knowledge.
First we will discuss the difference between the way children and young adults learn versus the way adults (those in their late 20's and beyond) learn. Most people acquire their learning methods while in elem. and high school and continue using the same methods even when they are no longer applicable without some modification.
Second, we will discuss speed reading. Increasing reading speeds 10 to 20 times faster may take years and is impractical for our purposes. However, increasing reading speed by 25, 50 maybe even 100% is achievable within a few weeks and just may be what most of us need to be able to acquire knowledge faster and go through questions faster and fare better in this examination.
When I was in Med School we had a subject called Pedagogy or the science of teaching or learning. It was one of the little 3, Pedagogy, research methods and management which most of my classmates look with disdain and did not take seriously because it is not "Medicine". You see our school wanted us not just to be doctors but also educators, researchers and administrators. In my case, I was fascinated enough with the topics to go beyond what was taught and do my own research, even after graduation. I came upon a discipline called Andragogy, which is a subdiscipline under pedagogy. Pedagogy, root word "Pedia" concerns itself more with how children and younger people learn, while Andragogy root word "Andro" (for Androgens) meaning Man or Adult, concerns itself with how older people acquire knowledge.
To understand why children and adults learn differently, we have to go back to basic developmental neurophysiology. I have not found any book which effectively discusses this topic, however, what I know of it, I've gathered by reading various Journals mostly in Science and Scientific American. Some concepts may even be found in Guyton. I'll present this in shortened form as a whole treatise may be a book by itself.
How do we learn and how does it get stored in our brains? One theory is that when we learn something new, a neural connection is formed between an axon and dendrite which represents that information. When the learning is repeated, the connection is strengthened and we tend to remember that information longer. Therefore, repeated reinforcement will lead to more permanent learning and that explains why we were taught our ABC's by repeated reading. However, some believed that continued repetition increases the number of neural connection we create and that is the basis for stronger retention of the information. My own thinking is that it is a little bit of both.
From birth to about 10 years of age, our nervous system is an empty page with tremendous potential for learning. There is very little neural connections between axons and dendrites. AS the child grows, neural connections are formed and with repetitive learning, neural connections are strengthened and duplicated. However, after the age of 10 or thereabouts, the neural growth pattern changes. Strong neural connections are strengthened further while weak connections are eliminated ruthlessly. This explains why children have the infinite capacity to learn but lacks mastery and tends to be clumsier, while adults lost this capacity to learn, but what they know, they can master to the fullest. This applies to all types of learning including mental, physical etc.
By the time we hit our 20's the process of specialization is almost over. Most of us can still learn by just mere repetition, but usually slower and with more effort than those who are younger. This also explains the rather curious finding that Japanese children who never learned to speak another language until after 10 always have extreme difficulty with their l pronouncing them as r. This is because there is no l in Japanese.
Most people still try to learn new things by repetition, but keeps on wondering why they keep on having problems retaining them. This is because adults have lost the capacity to learn by pure repetition. What they already know they can strengthen their retention by repetition. What they do not know, they will have a hard time retaining by pure repetition. This becomes more so as they grow older.
So how do adults learn? By Association. Since Adults cannot form new neural connection, They have to utilize a previous neural connection to build a new one. This is helped a lot by the development of abstract reasoning ability in adults. This abiltiy helps to learn by association. After that, mastering is by just pure repetition
Children can learn unrelated information by pure repetition. When they learn a new information that links 2 previously unrelated information, they can just correlate and continue. This is akin to cementing a driveway. You can cement different parts of a driveway and connect them later.
Adults cannot learn unrelated information. They need to relate that information to something they already know before they can learn it. It is akin to constructing a building. If you have built the first floor, you cannot build the fifth floor until you have built the second, third and fourth floor first.
To Illustrate:
The biochemistry and genetics section in Kaplan Notes is great. Except that when I first read it, it looks greek to me (If you're greek, it probably looks chinese to you!) Anyway, so I decided to use Lippincott instead. After finishing Lippincott, reading Kaplan was a revelation. There were many concepts you could not master with Lippincott alone, but without Lippincott, I could never learn the concepts in Kaplan Notes let alone master them.
I have a 1996 edition of NMS Genetics, which I read. About 90% didn't show up in the exam and I knew this. However, I needed about 50% of the material in the book to understand the 10% that is tested in the boards. It also helped me understand the genetics section of Kaplan Notes better.
So what implication does it have on our learning process?
1. IF you find yourself having a hard time retaining some information, it maybe because you are trying to memorize information unrelated to what you already know. The solution may be to consult a more basic text so the information could be more readily retained. After that mastery is by simple repetition.
2. At times, you might have to learn board-irrelevant information to understand concepts tested by the board. Do not hesitate to do so if you think that this is the case.
3. When like me, you are faced with a lot of new concepts that you do not know, do not start your study by trying to master or memorize anything. Start reading first to understand the concepts. If you hit the fifth floor in your reading, continue and by the time you finish, you've already found your second, third and fourth floor that the fifth floor becomes extremely understandable and masterable already.
4. This is also the reason why it is harder to increase mastery of a concept by doing q's alone especially if the problem is KA. The information is isolated and may be unrelated to what you already know and therefore retention is harder without associating it with a whole concept.
5. It is easier to learn different interrelated concepts as a group rather than learning this individually. Although sometimes this is not the way it should be recalled. For example, it is easier learning drugs in groups and as I said previously by 'mastering the prototype, knowing impt. derivatives and being familiar with the more obscure derivatives" But recalling them, esp. in relation to the exam requires you more often to do it on a per drug basis rather than by class, therefore a good recall tool is flashcards. The same can be said of Microbiology. Learn it using books, practice recall using flashcards.
If you discover or know some things based on this learning concept, feel free to give examples and share your experience to help others.
Now we go to speed reading.
The main reason that we read so slowly is the way reading was taught to us when we were younger. The two main reasons is:
1. We tend to read word for word.
2. we tend to subvocalize when we read.
Why we read word for word has to do with how we were first taught to read. We first learned our ABC's. Then we learn to put together letters to form words. We know group of words form phrases, group of phrases, sentences and group of sentences, paragraphs. Most relatively good readers tend to read in phrases than words, however, skilled speed readers can read in sentences, in paragraphs or even in pages. I know one guy who can read at the speed of 1 page per second. At my fastest I can read 3 lines in one glance depending on the difficulty level of reading.
Generally, there is no reason why we should be reading word for word. When our minds processes images in our visual cortex, we can recall random object scattered in our field of vision because that is how we have trained our brain to process that information. We can also train our brain to process the written word that way.
By just expanding our reading from reading words to phrases or phrases to sentences, we can practically increase reading speeds up to 100% faster. There are exercises to accomplish this and I will tackle this later.
We also tend to subvocalize what we read because our teachers taught us to read aloud since this is the only way they can judge whether we have learned to read or not. This has become a habit for so many people that is hard to correct.
Subvocalization means reading like you were talking to yourself. Studies have shown that people actually use their vocal cords when they subvocalize even if no sounds are produced. Others even form the words with their mouth as they read.
Subvocalization slows down our reading so much simply because it involves so much of our brain. If we trace the neural pathways, we start with the eye going to the visual center in the occipital area through the visual association areas that govern reading, then to Wernicke's area which mediates symbolic language. Then this travels to Broca's area via the arcuate fasciculus, to the motor area, then to the vocal cords and facial muscles, then back to the somatosensensory areas, then the somatosensory association areas then going back to Wernicke's area, before it is sent to the hippocampal area for storage. By not subvocalizing we could start reading at the speed of thought. Now wouldn't that be great.
For those who find themselves reading word for word, the best way to improve reading speed is to start reading by phrases. This will also reduce subvocalization.
For those already reading in phrases, expanding to read in sentences is a bit harder. A system taught in speed reading class is to use your index finger to lead your eye across the words. Move your finger at a speed faster than you are comfortable with, after reading a section or a group of paragraph try to write down what you recall of that paragraph and reread the same page at a slower pace to compare how much you've recalled. Initially your comprehension rate will be low as your brain is not used to processing information that way, but as time progresses it will become easier and your comprehension and retention will increase but at 2 to 3 times the speed.
One major limitation of speed reading is the requirement that you be able to think in the language you are speed-reading in, in our case English. The reason is if you have to translate English to your native language everytime you read, this will slow you down considerably. You can be translating this in your head and this limits the speed you can actually achieve.
Improving reading speed helps both in the KA phase and TP phase. By reading faster, we can increase the amount of material we can cover in the same amount of time. Of course in the TP phase, faster reading must be coupled with faster recall and I've discuss a way of doing that previously.
To end this discussion, I would like to quote my English Professor, Professor Concepcion Dadufalza, " If there is only one thing you take with you when you leave this University, that is, Learn How to Learn, I will consider it our biggest success in educating you."
Our next topic for discussion will involve, the use of books in reviewing. I will introduce a way of classifying books and how to use them. Of course, I will confine myself to books I have used, or those which I have bought but have decided not to use. That will be the last topic in KA, then we will proceed to KR. To Arrhythmia, the next post will answer your question and more.
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| askdoc
Forum Senior
Topics: 1
Posts: 76
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To ResearchSurvivor: The 3 most tested subjects is Patho/Pathophysio, then Pharma and Micro-Immuno about equal. Behavioral Science Next. This is followed by Biochem/Genetics, Physiology and Anatomy. Most of Physiology is Pathophysiology, pure Physiology is relatively less, about equal to Biochem/Genetics and Anatomy or even slightly less. had only about 12 Q's in Mol. Biology. To be clear, there is less Micro then Pharma, less Immuno than Pharma, but Micro-Immuno combined about equal to or slightly more than Pharma.
To spitmetal: Sorry about not answering you. But just posting my score is enough to stir controversy. Posting the other information may create even more problem. I'd rather my post be judged for it's content so that it can help anyone who needs it, rather than be judged by who I am. I've made mistakes of posting information about myself unrelated to the main posts and I fear that that may jeopardize others perception of my post.
My desire is to post a road map or guide which people can follow as they go through their preparation process. Where they can identify where they are in the process and proceed from there. It was never intended to tell people to follow it hook, line and sinker or to insist that this way is the only way. I've always kept this proverb posted on top of my study desk back when I was still in school. "There is no one road to success, there are as many as there are men willing to build them." This is my way, and people should feel free to follow them if they want to. There are other ways and people have the freedom to build their own and hopefully share them with others, so that others may benefit from them.
till next post!!
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Step1 99/256, Step 2 99/258, Old IMG, 1989 grad. A man's reach should exceed his grasp, or what's heaven for. http://blogs.askdoc-usmle.com
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| p53
Forum Guru
Topics: 51
Posts: 804
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very interesting, askdoc, especially about reading speed - though you haven't yet explained to us HOW exactly we can switch from reading words to reading phrases and so on - I'm still reading words when I'm reading; yes, you said 'There are exercises to accomplish this and I will tackle this later' - so, I'm looking forward for your next post.
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| ninety_nine
Forum Newbie
Topics: 6
Posts: 17
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To Askdoc : I have trouble focusing for 8 hours . After 4 hours i really get bored (on exam) and i dont care any more .M sure this happens to many of us (or mayb not) , so how do i train myself to increase my endurance, what is ur suggestion? Thanx.
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| Researchsurvivor
Forum Junior
Topics: 3
Posts: 39
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p53 wrote:
very interesting, askdoc, especially about reading speed - though you haven't yet explained to us HOW exactly we can switch from reading words to reading phrases and so on - I'm still reading words when I'm reading;
I also read slow - subvocalizing words in my mind. SO I bought a book through Amazon.com on Speed reading ( the forum says no advetisements). Anyway - you can check the titles yourself. The exercise which I use is to first say "one" and move your index finger from left to right on the page in one second. Say "one" like this following each line and try to move your eyes along the line. Do this for the whole page - you wouldn't be able to read anything at first. Than move your finger at approximately the same speed along the line w/out saying "one", but trying to read the line. You'll see that you'll be able to read few words. Keep trying this and always use your index finger as a "motivator" to move faster along the line. Eventually this teaches you to read faster. In the book on Speed reading there are many more examples of exercises, but that's the main one.
Honestly - I have hard time studying and speed reading. But I definetely managed to read few science fiction books and novels since last fall - something I usually never had time for since High School. Read "the DaVinci code" in couple of days for example. I do think this also increased my reading speed in general, though I have hard time studying Pharmacology for example and speed reading - doesn't work for me.
As far as I remember from that book, Winston Churchill used to be able to read a book during breakfast time. I think was Churchill! Or was it GWB 
Edited by Researchsurvivor on 05/29/06 - 10:52 PM
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