Sunday, May 27, 2012

USMLE War Journal: 29 Days Until Test Day

So I have been studying for my board exam for just under a week and I have set up Sundays to be kind of a free-for-all day.  I can catch up on stuff if I am behind on my schedule, hit harder on stuff that has been giving me trouble, do chores, etc.  I must confess this was not an original idea of mine but I like building in flexibility when I make schedules. 

I've also scheduled in time for myself at the end of every week day.  I study pretty much from 8 am to 6 pm everyday and then give myself most the rest of the night for dinner, a workout, even reading and tv.  Before bed, I like to go through cases or quiz myself on stuff I need work on.

For my question bank, I use USMLE World, probably the best bank out there.  After two years of medical school, I have (amazingly) a good working knowledge of the medical science out there but what the question bank is good at is helping me hunt down all the little details I may have overlooked and need to pick up on.  First Aid is good but even it does not have all the answers sometimes (although I do have the 2010 edition).  This week alone I already ran into a few USMLE World questions that had no/inadequate information on certain topics like JAK/STAT pathways and direct factor Xa inhibitors (a relatively new class with rivaroxaban as the only FDA approved one currently; older drugs such as fondaparinux have also had Xa inhibitory action).         

In First Aid's defense, there is a ton of information out there and the majority of it has been miraculously summarized into one volume.  Medical information alone is always changing as well.  I cannot even remember all the times I was tested on a current guideline for screening just to hear it get changed next month.  I have begun to wonder how much the USMLE itself has changed since its creation.  Perhaps I will investigate this after I take my own test.

UPDATE: As soon as I finished writing this I got an update on my phone about the US Preventative Services Task Force recommending against using PSA screening for prostate cancer.  They suggest physicians discuss the reliability of PSA with their pateints.  They also admitted we don't have any good tests at the moment for prostate cancer.

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