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Usmle/ Comlex Step 1 Plan

This document provides a detailed study plan for the USMLE Step 1 exam. It includes a basic timeline broken into 3 runs through the material with an increasing focus on practice questions over time. It outlines the review books and materials to use for each subject area. Full systems are to be reviewed in the order given, focusing on highest yield topics. The last 2 weeks primarily involve practice questions with dedicated time still spent reviewing weaker areas. Specific advice is provided for question answering strategies and taking practice exams to optimize preparation and performance on the real exam.

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0% found this document useful (0 votes)
295 views15 pages

Usmle/ Comlex Step 1 Plan

This document provides a detailed study plan for the USMLE Step 1 exam. It includes a basic timeline broken into 3 runs through the material with an increasing focus on practice questions over time. It outlines the review books and materials to use for each subject area. Full systems are to be reviewed in the order given, focusing on highest yield topics. The last 2 weeks primarily involve practice questions with dedicated time still spent reviewing weaker areas. Specific advice is provided for question answering strategies and taking practice exams to optimize preparation and performance on the real exam.

Uploaded by

MetsFan09
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

.

USMLE/ COMLEX Step 1 Plan


Table of Contents Basic TimelinePage 2 Review Books and other Study Materials..Page 3 Question SourcesPage Basic SciencesPage ! Systems...Page " #ast 2 $eeks..Page % &'M#()*s+eci,ic -n,oPage ./ 0eneral Pointers...Page ./ Question 1nswering 1dvice.Page ./ $eek Be,ore2 3ay Be,ore2 3ay o, 1dvice...Page .. 41Q5s...Page .2

2 _______________________________________________________________________ _

Basic Timeline:
First run through: (75:25 study:Qs)* .6 &onsolidate all 7ooks into 41 8e9ce+t 0ol:ans Ra+id Review Path and ;< Molecular will 7e used throughout and in ,ull6 26 #isten to corres+onding 0ol:an audio during a++ro+riate su7:ect=system 36 Pa+er >uestion sources directly 7y su7:ect a,ter studying each su7:ect 8as s+eci,ic as +ossi7le..ie cardio +ath2 cardio +hys2 cardiac +harm...all individually6 6 Study ,or understanding2 ie don5t try to memori?e all the details yet !6 Take @BM( Second run through: (5 :5 study:Qs)* .6 Study in ,ull systems using only 41 w= all annotations2 0ol:an RR2 ;< Molec 26 #isten to corres+onding 0ol:an audio during a++ro+riate su7:ect=system ,or 2nd time 36 !/ Asmle$orld >uestions every morning in random and timed 7locks o, !/ !6 Take @BM( 2 "6 Memori?e more and more detail 7eyond :ust understanding Third run through: (25:75 study:Qs)* .6 412 0ol:an2 ;< molec only 26 .// Asmle$orld >uestions 8as a7ove6 36 Take @BM( 3 6 (verything should 7e ,ully memori?ed 7y now !ast t"o "ee#s and $inal % days: details 7elow * the & study:Qs re,lects the amount o, time +er day that should 7e s+ent on each2 with the amount o, time s+ent doing >uestions +rogressing u+ as you move along through each run through the in,ormation and the time s+ent studying material going down

'e(ie" Boo#s and )ther *aterials:


B Asing e7ay2 hal,.com2 ama?on2 etc ,or used co+ies will save tons o, CC + 4irst 1id 8most current edition* comes out each 3ecem7er6 *there are mistakes in this 7ook every single year2 here are the 2//% errataD htt+D==usmler9.word+ress.com=2//%=/ =/E=u+dates*and*corrections*to*2//%*,irst* aid*,or*the*usmle*ste+*.= + Ra+id Review Pathology 87y 0ol:an6 *there were several re+orted errors in the ,irst +rinting o, this 7ook2 so 7e sure to check out 3r. 0ol:an5s o,,icial errata +age atD htt+D==www.healthsciences.okstate.edu=college=7iomedical=+athology=gol:an.c,m F Ra+id Review Biochem *way more succinct and clinical then #i++incott and co*authored 7y 0ol:an B 1lternativelyD the Ga+lan Biochem 7ook 7y ;ansen is e9cellent and 7y ,ar the 7est o, the Ga+lan series....i, you can get it chea+ly.do it F 0ol:an audio and slides 8availa7le in 7ootleg only6 F ;igh <ield Behavioral Science F ;igh <ield @euro 8some sections are too detailed2 7ut 7asics and +ics are good6 F ;igh <ield &ell and Molecular 8.EEE edition* new one has way too much detail6 F #ange Review o, Medical Micro and -mmuno 7y #evinson *only ,or -mmuno section2 which is HE/ +ages F Micro Made Ridiculously Sim+le 8edition 3 is ,ine6 F Savarese 'MT Review 8,or 3' students only6 F BRS Physiology

Question Sources:
+ Re,erence and=or write incorrect answers or anything you were even remotely unsure o,41 to review the conce+t again later + use >uestions +rimarily as a learning tool and don5t worry a7out your I til near the test Boo#s: + Ro77ins Review o, Path + Savarese 8'MM6 + Ga+lan Q7ook * this will sound odd7ut its well worth itD the 7ook is su7:ect 7ased 8ie +ath2 +hys2 micro2 etcso take an hour or so to go through this 7ook and mark which system each >uestion ,its into within each su7:ect 8ie under Path mark all the renal >5s2 lung >5s2 etc.6 Reading the last line and answer choices makes it +retty >uick J easy to do. This will 7e worth it when you need system*s+eci,ic >5s during your ,irst run through. ,om-uter Based: + Asmle$orld 8H2///>6 + $e7+re+D htt+D==li7rary.med.utah.edu=$e7Path=()1M=()1M-3).html B+ur+ose,ully not using Ga+lans QBank as most >uestions do not re+resent the current style on the e9am2 are too minutia 7ased and it is way over+riced. <ou will still get the 7ene,its o, Ga+lan ,or under C / w= Q7ook. _______________________________________________________________________ _

_____________________________________________________ _Basic Sciences:


B do in order o, your weakeststrongest su7:ects B KL in the ,ollowing sections means to annotate ,rom one to the other ,or clari,ications BiochemD + Ra+id Review 8or Ga+lan6 41 8use only to clari,y to+ics in 4irst 1iddon5t add to+ics6 +GoljanD &h.*cell in:ury2 &h%*@utritional 3isorders2 any other relevant +laces w= 7iochem 8ie anemia2 dia7etes6 +41 Path -ntro *olec Bio./enetics: +;< 841 is @'T enough in this su7:ect6 +GoljanD &h!*0enetic 3isorders2 &hM*@eo+lasia +41 Path -ntro 0harmacodynamics and 0hysio 1ntros: + 41 8:ust +harmacodynamics and autonomics at this time6 + GoljanD &h"*(nvironmental Path + BRS Phys &h. . and autonomics in &h. 2 +1mmunologyD +Levinson 41 +GoljanD &h2*in,lammation and re+air2 &h3*immuno+athology *icro 0rinci-les and *icro 0harm: +&MMRS41 * ma:or system*s+eci,ic 7ugs will 7e re*visited during their res+ective systems2 ie he+atitis and causes o, diarrhea w= 0-2 +neumonia w= Pulm2 meningitis w= @euro2 etc 2natomy (*usculos#eletal): + 41 only 3m4ryo: +41 only Beha(oral: +HYFA 8clari,ying only..don5t add muchalso know e>uations well6 **+ysch w= neuro later 8only research2 stats2 +atient*care stu,, now6

"

Full Systems *'rder in each systemD anatomy+hysiomicro+ath+harm 8add others where


needed or s+eci,ied 7y 416 5eme.)nc: +Goljan: &h...*.! ,ardioD +GoljanD&h *,luids8only edema to end62 &hE*Nascular 3?2 &h./2 ;eart 3? + BRS PhysD &h3*cardio 'enal: +GoljanD &h *,luids 87eginning to edema62 &h.E*Gidney disorders +BRS +hysD &h!*renal and acid=7ase 'es-iratory: +GoljanD &h."*u++er and lower res+iratory +BRS PhysD &h *res+iratory /1D +GoljanD &h.%*0-2 &h.M*he+ato7iliary +BRS PhysD ch" 'e-roducti(eD +GoljanD &h2/*male and lower 0A2 2.*,emale +BRS PhysD ch%*endocrine 8only relevant sections6 3ndocrine: +GoljanD &h22*endocrine +BRS PhysD ch%*endocrine S#in: +GoljanD ch2 and the one +age in the MSG cha+ter o, 41 *usculs#eletal 6 ,onnecti(e Tissue: +GoljanD &h23 msk disorders 7euro: +GoljanD ch2!*nervous system +HY @euro41 8don5t add much2 :ust e9+lain well.also Radiology in ;< is use,ul6

% +BRS +hysD &h2 neuro +hys 0ysch: + ;< Behavioral41 Pysch

The last 2 "ee#s


2*: .// A$ Questions2 in random=timed 7locks o, !/2 then go over all e9+lanations in ,ull 0*: " hours o, studying as divided 7elow * get through everything in ./ 3ays * ,inal 3 day +lan at the end
8a 9 hours BiochemD + 41 + GoljanD &h.*cell in:ury2 &h%*@utritional 3isorders + 41 Path -ntro 84 2 hours Beha(oral (all e:ce-t 0ysch): F41 2a ; hours *olec Bio: +;< +41 +GoljanD &h!*0enetic 3isorders2 &hM*@eo+lasia +41 Path -ntro %a 2 hours 0harmacodynamics and 2utonomic 0harm: +41 +harm section +GoljanD&h"*(nvironmental Path %4 9 hours +1mmunologyD + 41 +GoljanD &h2*in,lammation and re+air2 &h3*immuno+athology + aids +harm +immuno +harm in msk section o, 41

M 9a 9 hours *icro 0rinci-les and *icro 0harm: +41

Full Systems
94 2 hours 6 5a 2 hours 5eme.)nc: +Goljan: &h...*.! +41 54 9 hours ,ardioD +GoljanD&h *,luids8only edema to end62 &hE*Nascular 3?2 &h./2 ;eart 3? 41 ;a 9 hours 'enal: +GoljanD &h *,luids 87eginning to edema62 &h.E*Gidney disorders F41 ;4 2 hours 6 7a 2 hours 'es-iratory: +GoljanD &h."*u++er and lower res+iratory F412 Bugs 74 9 hours /1D +GoljanD &h.%*0-2 &h.M*he+ato7iliary F412 Bugs 8diarrhea2he+2worms6 <a % hours 'e-roducti(eD +GoljanD &h2/*male and lower 0A2 2.*,emale F412 AT-=ST3 7ugs <4 % hours 3ndocrine: +GoljanD &h22*endocrine F41 =a 5 hours *usculs#eletal 6 S#in 6 2nat: +GoljanD &h23 msk disorders F41 MSG anatomy 8in neuro section6

E +GoljanD ch2 *skin +look at some 0-=thoracic &T5s = 4 8 hour 3m4ryo: +41 8 a 9 hours 7euro: +GoljanD ch2!*nervous system +412 7ugs +Radiology in ;<=online 8 4 2 hours 0ysch: F41 8some in 7ehav section too6

%rd to last >ay * O o, margin 87lue6 notes in RR Path J slides * cramma7le ,acts in immuno 8&3 markers2 etc6 * all o, Biochem 2nd to last >ay * O o, margin 87lue6 notes in RR Path J slides * molec J genetics in ,ull * all o, +harm* go through all systems in 41 * some 7ehavioral=7iostats 8non*+ysch6>uickly review high yield areas !ast day * 41 ;< section 8at end o, 7ook6 J Pics * ,ormulas and la7 values one last time * +harm sides in 41 8those 2 +ages in the intro to +harm section6 * @' ;(1N< STA3<-@0

./

)(erall Studying 2d(ice and Boards 1n$o:


,)*!3?@s-eci$ic in$o:
+ Between ASM#( and &'M#()D Savarese J Bugs n 3rugs + More o,D Micro2 Pharm2 'MM2 (9tremity 1natomy2 @euro + #ess o, 87ut not non*e9istant6D Biochem2 Molecular2 0enetics2 Biostats

/eneral 0ointers:
+ know the meaning o, all 7u??words 8won5t see the actual word o,ten6 + know all charts=gra+hs=diagrams in 41 inside and outwill 7e tested a7stractly + start with weakest su7:ects + only know e>uations in 41 + memori?e all la7 values 841 has a list o, most commonly used6 + learn Tutorial on usmle.org and location o, all 7uttons2 la7s2 etc + always kee+ scheduled 7reaks during studying + study like a :o72 clock in2 clock out2 when you5re done ,or the session you5re done + @BM(5s P must start within 3/ days o, registering and have 2/ days to com+lete once start them !C each on n7me.org7uy in Kun*timedL mode so you can review and study ,rom >uestions 8answers and e9+lanations are not given6

Question ans"ering ad(ice B w= a long +assage2 read the last line .st then always read ,rom 7eginning and in ,ull B +ractice doing >5s in . minute B H ! seconds read Q2 H.! secs answer B only read >uestion once B always +ara+hrase a,ter each sentence in Q B don5t look at answers til have read entire +assage and thought o, answer B i, you think you5re taking too long on a Q2 you are.guess2 mark it and move on B never change answers on anything e9ce+t KmarkedL >5s B only check answers o, >uestions marked ,or review B i, you think you know answer2 7ut not .//I2 +ut it and move on2 no time to 7e .//I B Ste+s o, answering a QD .. Read Q and +ara+hrase a,ter each sentence 2. Para+hrase entire >uestion and think o, the answer w=o looking at answers

.. 3. Select your answer and >uickly make sure it5s the K7estL answer . -, didn5t get answer yet2 eliminate answers and narrow down to 2*3 then guess !. -, couldn5t narrow down2 select ,avorite letter then guess * do not re*read the >uestion 7=w any o, these ste+sthere is no time Aee# Be$ore Test: B @' new material B slee+ on a set schedule that will 7e the same as test day2 no na+s B review the tutorial 8you can download the so,tware on usmle.org6 B call +rometric to con,irm time=date >ay Be$ore: Rela92 work out2 watch a movie2 etc.nothing stress,ul..you wouldn5t run a +ractice marathon the day 7e,ore the real race..so rest your 7rain Test >ay 2d(ice * only mark a ,ew Q5s +er section ,or review and mark Q5s on white 7oard B during 7reaks clear your head2 don5t think a7out test or +revious >5s B @ever +ress 1ltR&ontrolR3elete B <ou can highlight and=or strike*out in,ormation in the Q and answers B la7 values are categori?ed2 7ut still memori?e 7e,ore B com+uter shortcutsD (nter or S+ace7ar S ne9t >uestion2 (sca+e S closes la7s or other +o+u+ 7o9es2 1lt TS shows timers B There is no warning a7out going over your 7reak time on the screen2 you have to kee+ track o, your 7reak yoursel, B Passing is usually around "/*%/I correct B no digital watches2 analog only B take a 3/ second 7reather at your seat during a 7lock in you5re really stressed. Score 'e-ort: + 3*" weeks ,or score re+ort2 always comes on a $ednesday

.2

F2Qs
Qs that 1 ha(e 4een as#ed a4out the guide: Q8) ;ow do you +hysically consolidate everything into 4irst 1id without the +ages 7ecoming un*reada7le with little scri77led writingsT 1lso2 do you mean you used 41 mainly and re,erred to some te9t 7ooks as you went through to+ics in the 41T 28) - ,ound that a good way to get all o, my clari,ications=in,o=good charts=etc into 41 was to get the 7ook 7inding cut o,, and have it 3*hole +unched 8!C at kinkos6 and +ut it in a 7inder. This way you can add loose*lea, and whatever other +ages you want and truly have everything consolidated into one +lace a,ter your ,irst run through o, the in,o 8e9ce+t RR +ath and ;< molec6. That5s 7asically what - did and what my +lans outlines how to do. The areas where more in,o is needed 7eyond what5s in 41 are indicated in my +lan. The goal is to use other sources to hel+ you com+letely understand everything in 412 down to all the im+lications o, all the little details in it. _______________________________________________________________________ _ Q2) ;ow long did it take you to get through each run throughT 22) -t5s really an individual thing and de+ends on how much time you have to study. The ,irst run*through should take as much time as you need to make sure you com+letely A@3(RST1@3 8not necessarily memori?e6 everything. Most 7asic sciences took me around *% days and most systems were 7=w 3*! days. $hen youUre done w= this you need to take a look at how much time you have le,t and how many days you think you realistically need to get through each su7:ect the ne9t time around. Pull out a calendar and ma+ this out while making sure you leave around 2 weeks at the end ,or the ,inal review. This is what - did2 7ut it totally de+ends on how much time you have overall and how much you need ,or individual su7:ects. - know this wasnUt a concrete answer2 7ut 7oards studying is a very individual thing and only you know how much time you need ,or certain to+ics 8which is also why - wouldnUt rec. taking a review course6

Q%) - do not ,ully understand your 3 +rong +lan. So in the ,irst run throughD 8%!D2! studyDQ5s62 its here that - am consolidating all my in,o in ,irst aid2 7ut does that mean the

.3 7asic science run 1@3 the systemsT -5m asking 7ecause in your +lan2 you se+arated B1S-& S&-(@&( and S<ST(MS * so should - go through B'T; in the ,irst runT -, yes then what am - su++osed to do in the 2nd runT Vust go through 7asic sciences and systems againT 2%) Both systems and 7asic sciences are in the .st run through.....then during the 2nd and 3rd time you go through (N(R<T;-@0 again. The only di,,erence is during the 2nd time through you are done consolidating into 41 and are doing more >uestions. 3uring the 3rd time you are s+ending most o, your day doing >uestions 7ut you are still going through all o, the in,o. _______________________________________________________________________ _ Q9) 3o you have any suggestions on how to 7est KannotateL ,rom the various review 7ooks to 41T 29) - ,ound it very e,,icient and 7ene,icial to do the ,ollowingD .. Quickly ,li+ through the 41 cha+ter that you are a7out to study to 7asically :ust see what5s in it and how its organi?ed. 2. '+en u+ your other review 7ook ,or that su7:ect and read a short section 8ie a ,ew +aragra+hs or +ages. 3. 0o 7ack to 41 and ,ind the small section that corres+onds to what you :ust read in your review 7ook 8usually :ust a small +ortion o, . +age or so6 and make notes to ,urther e9+lain=clari,y what5s in 41. - indicated in my +lan where you will need to add in,o to 41 vs. :ust clari,y it. This way2 during your 2nd and 3rd runs through you will 7e a7le to easily streamline your studying towards what5s im+ortant and will ,ully understand every detail in 41. . Rinse and re+eat until you are ,inished with the review 7ook and section in 41. !. <ou now never need to o+en that review 7ook again 8e9ce+t ,or RR Path and ;< &MB6 a,ter the .st run through. _______________________________________________________________________ _ Q5) -, youUre +lan was over 2.!*3 months then how long did you take ,or each real run throughT -, each run through S 2! days )3 S %! days S H 2.! months R 2 weeks ,or the crunch S H 3 months total2 does that sound rightT - really like the idea o, multi+le reviews o, the to+ics2 as -Um :ust not one o, those +eo+le that can see something ,or one day o, my +re+ and remem7er it ,or ! weeks until the test. 25) 1s ,or how long to s+end on each run*througheach one should take less then the one that +receded it. 1s ,or e9actly how longits really gotta 7e an individual thing. Some to+ics on the ,irst run*through took me a week...some 2 days. _______________________________________________________________________ _

. Q;) ;ow long did it take you to get through the 7lue margin notes in RR and are you ha++y you did itT -5m trying to decide 7etween 7lue margins and 3"+g gol:an high yield ,or my last ,ew days o, studying. 2;) - decided to use the margin notes over the 3"+g ;< mainly 7=c - had read the margin notes several times as - went through the main te9t o, RR2 so - knew - wouldnUt 7e seeing any new=,oreign in,o during the ,inal days o, studying. Being ,amiliar w= the ,ormat also allowed me to go through it really ,ast 8H2 hours6. - had +reviously randomly ,li++ed through the 3" +g ;< and didnUt see any in,o that wasnUt in the margin notes 8or main te9t6 and thought the ,ormat would 7e too cum7ersome to get through >uickly. $as it worth itT -5m not sure i, it added many +oints to my score2 7ut it was nice to have the meat o, the test very ,resh in my mind _______________________________________________________________________ _ Q7) -n your +lan you mention 41 +ath intro2 what do you mean 7y thatT - have 41 2//" right now 8annotated with e9tra +ages and all errata ,i9ed2 so - donUt want to u+grade to 2//%6. -s +ath intro in the 2//% editionT 27) - donUt think the se+arate +ath intro is in the /" version2 7ut all that in,o should still 7e in the 7ook w= other cha+ters somewhere... its all the 7asics o, in,lammation=cell in:ury=neo+lasia=etc _______________________________________________________________________ _ Q<) Regarding RR PathologyD - read through it once already and liked it a lot. -Wm not sure i, -5ll 7e a7le to work through 412 .// Qs each day 1@3 the whole RR Pathology again. &an give me some advice how to divide my time a++ro+riately and also suggest what the high yield2 must read +ortions o, RR areT 2<) - wouldnUt read the entire thing again word*,or*word. 'n to+ o, the charts2 summary ta7les and side comments...-Um assuming that you underlined=highlighted=etc the +oints that were crucial and that you wanted to go over again. -, you havenUt done any o, that2 then - would try to use what he goes over in his audio and what 41 hits on as a guide ,or what5s high yield. 1s ,ar as what cha+ters2 it5s tough to say as all systems are +retty im+t. 1lso2 de,initely donUt neglect the intro cha+ters on the 7asics o, in,lammation=cell in:ury=neo+lasia=etc. Q=) 3id you really ,eel that 41 was enough ,or em7ryo and anatomyT 2=) <es2 - did. - would consider ,li++ing through ;< 1natomy ,or the P-&TAR(S '@#<....:ust to review some classic cross*sections. 1s ,or em7ryo....- mean i, you want to s+end a week learning tons o, cra?y little details2 have at it2 7ut -Ull take what - got ,rom 41 and leave it at that. - had 2 em7ryo >Us on my test and 7oth were in 41 _______________________________________________________________________ _ Q8 ) $hat is the online +ortion o, XRadiology in ;<=onlineXT

.!

28 ) - meant that 7eyond the +ictures in ;< @euro... - think it5s a good idea s+end an hour or 2 looking through mri=ct=angioUs etc o, the 7rain ,rom one o, the many online radiology sites. Some sites to check out areD htt+D==www.med.harvard.edu=11@#-B= htt+D==wwwE.7iostr.washington.edu=cgi*7in=31=image,orm htt+D==www.med.umich.edu=lrc=course+ages=M.=anatomy=html=atlas=atlasYinde9.html _______________________________________________________________________ _ Q88) <ou mentioned Ga+lan as a +ossi7le review 7ook ,or 7iochemistry. -s a com+lete review 7y Ga+lan an e>ually2 +oorer2 or 7etter way to a++roach studying ,or the e9am. $hy not :ust use all o, their 7ooksT 288) Ga+lan 7iochem is a really solid 7ook2 7ut there are sim+ly 7etter o+tions then Ga+lan ,or the remaining su7:ects.

Q82) $hy did you choose those s+eci,ic to+ics ,or the last ,ew daysT 282) 1s ,or why - chose 7iochem=molec=genetics=+harm=etc....- tried to +ick things that had a lot o, small details to memori?e2 which tend to 7e ones that only stick in my short* term memory. (veryone has a di,,erent to+ic that ,its that criteria and youUve :ust gotta honestly say what you need to look at one more time 8and not have XeverythingX as your answer6

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