Mastering the OSCE

Step By Step Guide To Mastering The Osce

A Step By Step Guide To Mastering The Osce And Patient Clinical Encounters. Easily Solve The Short Osce Exam Time Dilemma By Simply Practicing the Focused Organized Step By Step Osce home Systematic Approach Flowcharts for Osce Exams Scenarios Achieving Outstanding Scores Stress Free. Seriously . Safe your Efforts and Time . Use Oscehome Systematic Approach Flowcharts to practice Osce Stations' Checklists in your Osce Exam Preparation and Perfect both your Clinical Skills and Communication Skills. The Systematic Approach To Achieving Excellence In Clinical Patient Encounters And Clinical Skills Assessment Medical Osce Exams! Ebooks: 1) A Step By Step Guide To Mastering The Osces & Clinical Patient Encounters, 2) How To Unlock Difficult Medical Encounters, 3)Ecg Interpretation, 4) Chest X-ray Interpretation, 5) Abdominal X-ray Interpretation, 6) Orthopedic X-Ray Interpretation, 7) CT in Head Trauma, 8) Sample Mock Osce Stations To Practice, 9) Calgary Cambridge Guide To The Medical Interview, 10) Clinical Mnemonics, 11) Symptoms & Topics To Study For Osces, 12) C Spine X-ray Interpretation Continue reading...

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The Sequence Of The Usmle Exams

The USMLE examinations are designed to test Basic Science (Step 1), Clinical Science (Step 2), and Patient Management (Step 3) knowledge in an integrative, cross-discipline manner. The USMLE is designed to be a sequential series of examinations, with each Step testing a progressively higher level of knowledge and understanding. Step 1 is intended to certify that candidates have the basic science knowledge to allow them to benefit from contact with patients in a supervised setting. Fundamentals are tested in USMLE Step 1 via knowledge-based questions that test factual information. Mechanisms are tested via clinical tasks in which students are asked to apply Basic Science concepts in the context of a patient encounter. The key challenge is deciding what is the core basic science issue tested on each presented question.

The Purpose Of The Exam

The USMLE serves as a series of licensing certification examinations for the practice of medicine in the United States. It is designed to demonstrate how well you understand and apply concepts integral to the basic and clinical sciences. AU physicians most pass all three Steps of the USMLE before they can practice medicine in the United States. Step 1 tests your mastery of the basic science components of the medical sciences curriculum and your understanding of the scientific principles underlying quality medical care. However, you must keep in mind that the USMLE is different and, in many ways, broader and more difficult than any exam you have ever taken in medical school. As such, it requires more preparation than most medical school exams. More time, effort, and money goes into the creation of the USMLE exams than any other exam you have taken. Remember that a lot of highly paid people have, as their sole job, prepared this exam for you. They are intelligent, savvy people who have...

True False Questions Probing for Basic Recall of Facts

True false questions ask you to read a set of options and select the one that is most likely to be a true statement of feet. These questions, commonly found in older review books and many medical school exams, are becoming increasingly rare on the USMLE exams. They are useful for testing recall of basic facts, but are less helpful in testing your capacity for reasoning and applying learned knowledge. For true false-type questions you must pay careful attention to the exact wording of the options. Faculty usually construct true false questions by writing out a series of true statements and then changing a word or two to make all but one of the statements false. Unlike other USMLE questions, your attention here should be directed to the options (which is one reason why these questions are so rarely used). To emphasize one more time, true false-type questions are increasingly uncommon on the USMLE Step 1 examination. Review books that feature a large number of these questions are...

Understanding Distractors

Test-wise strategies do not usually help with this exam. Test questions that are not careful- ly reviewed often contain subtle flaws that help the examinee discover the correct answer. While previous board exams may have contained items with these flaws, the current exam does not. The USMLE has put great effort into eliminating these cues from the exam. J Many students have learned these test-wise strategies and used them effectively on their medi- cal school exams. But these strategies will not help you on the USMLE. Worse, focusing on these test-wise strategies actually hurts you because it distracts you from doing the mental work you need to do to recall the proper content and think through the question. Remember, the NBME spends a great deal of time and effort in constructing this exam. The USMLE will no longer feature the types of flaws mentioned above. If you're thinking of using these strategies, don't. Tricks don't work on the USMLE. They distract you from the high power...

Highly Effective Study Methods

Use graphs and charts to enhance your comprehension of the material. A picture is worth a thousand words. Many common graphs and charts appear repeatedly on the exam. Practice reading graphs, charts, and tables because this is important for the USMLE examination. Try abstracting the salient facts quickly from a graph or chart. This may be expedited by using a plain sheet of paper to cover unneeded information, lines, etc., and to focus your attention on selected information. 3. Practice paraphrasing materia) to highlight important information. Paraphrasing means processing the material you have read telling yourself what is important and unimportant as you read through it, and summarizing the key content in your ovvn words. Pretend that you are the teacher who is in charge of presenting the content. What would you choose to emphasize What would you leave out if you were short on time How would you explain the concept to someone new to the field Remember, if you can say it in your own...

Proven Routine For Handling Each Question

The mental task of selecting an answer on a multiple-choice exam is different than the task you face when you make decisions in clinical medicine. In the day-to-day practice of medicine, when selecting a laboratory test, arriving at a diagnosis, or finding the best treatment option, you want to carefully consider all of the options and be sure about your choice. A patient's health, and perhaps life, is in your hands. Before making a choice, most people report that they want to feel as close to 100 certainty as they can. For the USMLE exams, you do not have the time to wait for this level of certainty. You must train yourself to make your choice within the time allotted.This often means choosing an answer, even when you are not completely sure. If you wait for that absolute feeling of inner certainty, you will take too long. Don't wait until you are sure. Malce your choice as soon as you have identified a clear best guess. Then move on to the next question. Remember, there is always...

Preparation Materials

Although the test has changed dramatically, many books have not changed appreciably in the past 5 to 10 years. Some review books consist of question types that were used in the old National Boards exam, but are not currently used in the USMLE. Avoid books that feature a large number of except questions or other negatively worded questions, or do not offer clinical case questions. Matching questions are now an outdated format and do not appear on the current USMLE Step 1 exam. f. Providing you with USMLE-type exam questions for practice so you can become familiar with the reasoning required by the exam.


*USMLE is a joint program of the Federation of State Medical Boards of the United States, Inc. and the National Board of Medical Examiners. Editor in Chief of Kaplan USMLE Step 2 Notes Professor of Gynecology and Obstetrics Codirector of Student Clerkship Department of Gynecology and Obstetrics Loma Linda University School of Medicine Loma Linda, California

Section I

Preparing for and doing weU on the USMLE exams are essentia requirements on the road to becoming a practicing physician. This guidebook is intended to help you with that process. The suggestions offered here come from two sources 1) the Kaplan faculty and 2) hundreds of students who are eager to let you know what worked and what did not work for them as they prepared for the USMLE. Take heart, there have been many ahead of you. The USMLE Step 1 is not insurmountable. It only requires some knowledge of techniques, a little planning, a dash of impertinence, and, above all, patience. By sharing the accumulated knowledge of the many students who have gone before you, we hope to prepare you to do your very best and to achieve a score that matches your goals.

Scheduling Your Exam

The USMLE Step 1 is offered at Sylvan Technology Centers across the United States and in 80 countries around the world. Because the exam is offered year-round, you must schedule your exam when you want to take it. You must first apply to the ECFMG or NBME to confirm your eligibility to sit for the exam. On your application, you will be asked to select a three-month target period (for example, May, June, luly) when you want to take the exam. You can send in your application within six months of the target period. After the USMLE confirms that you are eligible to take the Step 1 exam, a scheduling permit will be mailed to you. Using this scheduling permit, select three or four acceptable dates and Testing Centers from a list that will be sent to you. Holidays and the first two weeks of January are not available for scheduling. Note that May through July is the busiest period and you may have more difficulty scheduling a time during these months.

Score Reporting

When you receive your performance report after the test, your score report will include a pass fail designation and an individual score. A passing score for Step 1 is 179 (or 75 on the two digit scale). This score will be sent both to you and, if you are a U.S. medical student, to the medical school that sponsored you for the exam. The exam was constructed to have a theoretical mean of 200 (82 for the two-digit score) and a standard deviation of 20, although in recent years the actual mean has been a bit higher. The USMLE exams measure performance with an accuracy of plus or minus 6 points. A passing score usually consists of getting about 60 of the questions correct. Keep in mind that the USMLE is a criterion-referenced test. This means that you are scored relative to a preset standard, not on a curve relative to other examinees. The USMLE determines a minimal competency level, and everyone who achieves that level or above passes. Unlike medical school exams, you are not competing...

The Day Of The Exam

No matter how well prepared you are for the USMLE Step 1 exam, you will get many questions wrong. This is not an exam where you should expect to know every answer. Remember, 70 correct puts you well over the mean Knowing this, your test-taking strategy should be somewhat different than it may be when you take other exams.

Step 1 Content

The table below presents our estimate of the percentage of questions from each of the core subject areas based on the reported results from the USMLE Step 1 in 1997 and 1998. Questions for the USMLE exam are written by selected medical school faculty from across the United States. It is considered an honor to be nominated to write questions for the exam. Each of the seven core basic science areas has its own committee that reviews submitted questions and evaluates their suitability for inclusion on the test. As a general rule, inclusion on the exam requires a consensus from each of the members of the subject committee. In addition to the seven subject committees, the USMLE has formed a number of Task Forces to focus on constructing questions that reach across traditional subject boundaries. Inclusion of integrative questions that draw from a number of separate disciplines has been a priority for the USMLE over the past several years.

How To Use This Book

This series was originally developed to address the increasing number of clinical vignette questions on medical examinations, including the USMLE Step 1 and Step 2. It is also designed to supplement and complement the popular First Aid for the USMLE Step 1 (Appleton 8c Lange McGraw Hill) and First Aid for the USMLE Step 2 (Appleton & Lange McGraw Hill). Each UCV 1 book uses a series of approximately 100 supra-prototypical cases as a way to condense testable facts and associations. The clinical vignettes in this series are designed to incorporate as many testable facts as possible into a cohesive and memorable clinical picture. The vignettes represent composites drawn from general and specialty textbooks, reference books, thousands of USMLE style questions and the personal experience of the authors and reviewers.

Step 1 Format

As of May 1999, the USMLE Step 1 exam is a computer-based exam (CBT). The exam is no longer being offered in its previous paper-and-pencil format. This means, among other things, that not all students will take the exam on the same day, or even in the same month. Pay careful attention to the instructions sent to you by the National Board of Medical Examiners (NBME) or the Educational Commission for Foreign Medical Graduates (ECFMG) on scheduling your time and location to take the exam. The details of scheduling your exam are now left up to you. Take special care to follow the instructions that you are given. In die future, this may change. In the next several years, the USMLE will become an adaptive exam, in which question difficulty will change based on student performance. Under this future system, if a student does well on one block, the next block may be more difficult. If a student does poorly, then the next block may be easier. Question difficulty will be determined by recording...

Table of Contents

These seven volumes of Lecture Notes represent a yearlong effort on the part of the Kaplan Medical acuity to update our curriculum to reflect the most-likely-to-be-tested material on the current USMLE Step 1 exam. Please note that these are Lecture Notes, not review books. The Notes were designed to be accompanied by faculty lectures live, on video, or on the web. Reading these Notes without accessing the accompanying lectures is not an effective way to review for the USMLE. USMLE Step 1 Biochemistry

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