How to Crush Step 1 with Adeel Yang, M.D. | Picmonic Medicine Webinar

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How to Crush Step 1 with Adeel Yang, M.D. | Picmonic Medicine Webinar

hello everyone my name is Adi yang welcome to pick monix USML East one webinar this is one of the hot topics that we always cover every year and the students are usually very eager to learn more about what the best way is to prepare for someone and we will begin all right hopefully you can see my screen this is me my name is Addie yang again I am actually the co-founder and president of pic Manik I completed my medical degree at the University of Arizona and I’m now working full-time to help grow pic Manik a little bit more about the team were actually a startup based here in Tempe Arizona it’s in Phoenix and we are a team of about 30 people we have been Janiero software engineers we have designers we have artists and just a group of very passionate young hungry entrepreneurs we came together with the mission to really lead and inspire a new era of visual learning in Pequannock was a way for us to really transform education and make learning and really eliminate real memorization so that learning can be more fun and enjoyable and we’re joined by some pretty experienced seasoned entrepreneurs who are helping us grow the company and we’re really excited to be helping you guys out so what are we going to cover today well to do step one justice I figure we can actually cover broadly about what how you manage resources where does pick monic actually fit in and what’s the best way to tackle step one with pic Manik and we provide a little bit of tips around the study plan and actually on that note we’re gonna be you sending a new study plan for all you guys who RSVP to this webinar in a few days here so you’ll have you all have that to follow and lastly I want to just share a few step one tricks that I’ve picked up along the way that’s helped me a lot so managing resources one of the most common complaints we hear all the time is we just can’t get through everything and that’s very common so if you feel overwhelmed there’s so much to learn and too little time that’s perfectly normal and we’re going to show you how to get through it now most of you I assume we’re going to have about a month or six weeks or some of you are lucky enough to have two months off dedicated time for step one so we’re going to keep that time frame in mind everything we talk cover and talk about here will be to address those last kind of couple of weeks or months worth of study the other part that we’re going to really talk about in terms of managing resources is how to focus focus is really important not just on the resources but on your weakness and on the explanations for a lot of the questions and lastly something really important to know is you got to find out what kind of learner you are knowing who you are really makes a difference don’t just listen to anyone else me included but definitely try to figure out what style of learning and what certain resources work for you so we’ll cover that as well and how give that out so you’ll probably recognize most of the resources that I’m showing here there’s just a lot right and we all have limited amount of time I’m so it’s just not reasonable to expect that you can get through everything but that’s perfectly okay because all the motor turns out there are struggling with the same type of problems so with all these high your resources how do you actually hone in on the ones you need well this is what we’ve looked and this is advice not just from myself but our team that have gone through step one and step two but also a lot of our users thousands of users have given us feedback so if we parse these resources into sort of the must-do and the nice to have or if there’s time category you’ll see that you know people always say I’m sure you’ve heard of ufap and it’s actually true personally I utilized first aid and you world which were my primary resources I looked at the DOMA and I used the nbme practice test now I also supplemented that with many other resources like actually early on started doing some Catholic questions which would pray sketchy micro great resources there firecracker osmosis so a lot of really other really great resources I’m sure you’re wondering by now so where does pick monic fit into all of this and really from personal experience as well as working with other students really pick monic is meant to especially during your last stretch of step 1 prep to complement these two primary resources first aid and USMLE world or you world

and you’ll see II that actually pick Manik it’s designed so that you can follow along with first aid very nicely and we’ll talk a little bit more about how that works in a second but keep that in mind now on the subject of everyone’s different something to keep in mind is their different study styles right you have people that love making flashcards like on key flashcards you have people that really enjoy a more audio-visual approach maybe you’re a person who loves to go through textbooks and read or maybe you’re like me were a little bit of structure can really help me continue to move over and I get lost in my own pursuit so lots of different types of learners and depends on you know really who you are and you have to figure that out just by giving it a try but not know knowing that you’re not going to basically try to cover everything across the board and there are a lot of other really great question Bank resources out there like I mentioned Kaplan osmosis has tons and tons of questions and us and we are X which has that came from the authors at first and they have a lot of extra questions as well but the reason why new world is a must-do and I think this is something that most students will agree with they just have such well designed questions their explanations are so money you learn but their questions and reading their explanations and it’s super high yo so we’ll talk about that so how do you use pick models well I’m going to kind of break it down into three categories first is how you 8 through pick monic so that we can provide you a sense structure and how to actually complement that with these other high-yield resources secondly how do you actually search or find topics you need because actually pick Manik covers a lot of different topics and lastly I’m going to show you some ways that you can have a little fun with it so that during your long stretches the studying doing question banks you can actually take a small break use pic Manik when you’re at the gym or you can you know even create your own pic Manik so what we’ll cover that all right so pic Manik actually believe it or not we cover about close to 1200 or thousand and two hundred different topics covered in you know the first two years of medicine and to put that into perspective we cover about eighty percent of first day and last year I think we covered about sixty-five percent so we continue to add more topics to the library so that at some point you can actually have these nice audio visual mnemonics where every single topic could per se and that’s kind of our goal but for now you can actually see that we cover across multiple different topics on pharmacology microbiology biochemistry pathology physiology and all the different organ systems so how do you actually find them well with all those topics we want to make it easy for you so you’re a screenshot of our website and you’ll notice I circled two areas if you are already a subscriber or you’ve already signed up to our platform then on the upper right hand corner you can simply log in but if you haven’t I encourage you to just click on the button that says I’m a medical student and you’ll you’ll come to this page which is basically a breakdown of all the different pathways and we call pathway like Anatomy is a pathway and there are actually ten sub pathways under the Anatomy umbrella and 46 big monix there so courses are basically your general principle so if you recall the curriculums kind of split between two there’s a general principle which is anatomy biochemistry physiology so on and so forth and then you have your body systems and we actually do both so if you navigate to the next bar that’s the body system so you got your cardiology or cardiovascular system and open system and here’s what I want to show you so on the third tab over you’ll see books so what we did was we actually matched we went through our entire library and we mapped our entire content to first aids organization index so to a degree where even the pages within for say we can tell you how many pick monix are on each page so that’s a really great way for you to find topics let’s say you’re using first day you’re on page number 47 and you’re like well I want to have what are the different pick monix on this page and you can actually navigate here and find that and lastly boards so we also try to organize things specific for you if you’re if you’re prepping for USMLE step one versus if you’re just going through your normal classes so with that navigation let’s move on to a more practical scenario let’s say you just did a you world question and this question has something about penicillin and you’re like wow you know I really need a quick review and

some memory anchor to help me remember penicillin well most likely if you just go to big Monica you used you’ve log in and on the top here you’ll see this search bar and if you just type in penicillin let’s say will show you all the pic monix that are related to penicillin and you can click on it there and just learn it so that’s a really great way I remember when I was going through my step 1 and step 2 I actually would use my first day to review in the morning take a full year old question when I’m reviewing each of the new world questions I further would search the right topic within pic Manik next world and find the topic and review that real quick so that I actually recall it and retain it forever now a little bit about the fun stuff so Pequannock we know basically how you feel about step one and this intense pressure so what we want to do is actually try to stimulate the other side of your brain you know all day you feel tired that you’re using the left side of your brain you’re just texts you’re memorizing or doing questions it’s very left brain heavy and we’ve learned that the right side of the brain is the creative side and it allows you to have of a different approach to learning something and it’s actually pretty refreshing so this currently we have a quiz feature that’s available for our beta users and so if you log in and you actually there’s a beta button if you click to be a beta user you’ll have access to our quiz and the quiz based typically uses our pick monic images and actually will almost in a game-like way help you remember all the different facts associated with a particular topic so definitely check that out so I mentioned earlier we have this thing called the gym mode this is awesome by the way so I highly encourage you guys to give it a try so we do have both iPhone and Android apps so if you just go to the App Store if you’re an iPhone user or go to Google Play if you’re an Android user and you can actually download the pick Monica app and when you download it you have an opportunity for I for iPhone users you have an opportunity to download a playlist offline but regardless you have this option that says learn all and I’ve highlighted it here so what that is is if you start learning all of them the pic monix will play one after another so if you pop in your headphones if you’re cool you have a wireless headphone doesn’t matter you can actually put it on continuous play and you can listen to it while you’re doing other things for me I you know have to go exercise for 30 minutes no matter you know how stressed out I am because it really definitely helps me continue to say focus and I like to pop in my headphones and just go through like five or six of these stories while I’m at the gym or waiting in line the Starbucks for example and it’s a great way for you to kind of take a break because you’ve been reading all day you’ve been using like I said the left side of your brain and now you can listen to some stories to stimulate your memory in a different way so we call it kill two birds with one app definitely try it out so now let’s move on to the study plan now this is probably something a lot of you guys care about you know you’re I’m guessing about to start you know this intensive probably six week or two month process or maybe a month process and you’re curious how do I actually get into a good study plan and a study rhythm and I can tell you it is all about rhythm and pace and don’t wait you know start figuring that out down and here’s one thing that I wish people had told me because I kind of didn’t think it was a big deal and I just got going right away and I started studying and what I learned was that it was actually at first I couldn’t quite figure out where was the best location to study like I remember starting on a coffee shop because I figured hey you know I don’t have to go to class anymore be nice to go to coffee shop and I tried that for about three days wasn’t really you know doing it for me so then I moved to the library and then I couldn’t really get into a routine there and then finally I found a place like at the very top floor of our of our med school and there’s these rooms that no one ever goes into and that was what I ended up using but realize that I had spent close to like four or five days trying to figure that out and I felt like I could have used those five days more efficiently if I just known where I was going to study so the key here is you want to find a place that you can be consistently focused so if that is a coffee shop for you that’s cool for me I just walk in around and you know it just wasn’t doing it for me sometimes like when I have a fresh cup of coffee I can get real focused but then over time it kind of wears off and there’s too much distraction so consistently focus that’s a place at your parents house that’s fine too time so time is really important now I’ve

heard different arguments about when is the best some strongly advocate that if you are taking the exam let’s say from 8 a.m. to let’s say 4 p.m. then you want to you know use that as your study time now what I’ve learned from talking to a lot of students we’re talking hundreds and thousands of students is that you actually want to pick a time frame when you’re most alert because you know if you are a night person don’t try to force yourself to be a morning person for about a month and a half that’s just really painful and you actually should maximize your own personal efficiency now I’ll teach you a trick later in our in our trick section section on how to actually adjust your biologic or sleep schedule to match that of the exam but for now just know that it’s best and I highly recommend that you know yourself to the best find the time frame that you’re most alert for me I’m actually kind of a night person so I would study all the way into like 9 o’clock 10 o’clock and that actually worked out a lot for me break is so important I think you guys all know this but make sure you take at least one break every four hours highly recommend that even if even when you feel like man I’m so in the zone right now you know just force yourself to take some breaks because then it really continuous to keep you in shape nutrition can’t stress enough right you got to eat healthy you know I think I went on went on a fast food binge in the beginning because I was just trying to be I give myself as much time studying as possible and then I realized that that really wasn’t working for me I was actually feeling kind of gross so then I got into a healthy diet and that really got me cruising and then I mentioned earlier exercise and this is actually not just me it’s research proven you guys all know this we’ve all taken that exercise physiology closets it’s really really really important make sure you give yourself at least 30 minutes a day go out sweat it out you know it’ll reduce your stress improve your sleep all around it’s I mean this is a marathon so you want to take these things seriously all right so enough about kind of the background stuff let’s talk about study schedule now this is probably going to look pretty familiar to you guys if you haven’t it’s basically a screenshot from you world it tells you okay this is how you actually select the kind of test you want and so I’m going to tell you a little bit about how to utilize you world in the most effective way and I’ll come back to the screen a second basically from our experience and from again surveying a lot of students what you want is to do about a minimum of 40 questions a day that’s your minimum and keep in mind if you do the math there’s about 2,100 questions a new world so you need about 46 days to get through it so let’s say if you have two months months to go to before your test that’s definitely a nice pace you can you can follow but let’s say you only have is left that’s okay you can actually do 92 questions a day I know it sounds intense but you can actually break it up up you can do 46 in the morning review them and do 46 in the afternoon so it’s still very manageable and you can get through it in about 23 days so that’s that’s very doable and I highly recommend you get through the entire you world Q Bank now here are some tricks timed is better and I’ll tell you why when you’re taking the actual exam you get about a minute and 20 seconds per question that pace is very rigorous and I’ll tell you when I first started you were old I couldn’t even get through the entire test without running out of time but because I kept myself disciplined enough to do a timed every session I was able to then get into this rhythm I know when to move on to a core to the next question I know when to flag it I know when I’m doing well and I feel good because you know the sense of time so doing time actually trains you almost like muscle memory to know how you’re actually gonna handle the pressure when the test day comes around the key here is you want to review the answers okay I’m going to say this one more time you want to review the answers you world is known not just for the difficulty level and the quality of its questions it’s the explanation so this is something that again I wish someone had told me I thought hey you know there’s 20 100 questions I can you know do the math if I just do 46 questions by the way if you do at I’m 46 questions that’s one hour if I just do an hour I can probably do like four hours of questions a day and I can get through it in like no time the problem is I underestimated how much time it really takes to get through and the explanation of each question so my recommendation to you is don’t forget to budget about 5 to 10 minutes per question to review especially

surely in the beginning when you’re still trying to learn and expand your knowledge breadth you really want to dedicate five to ten minutes you want to look up things that you don’t understand like there’ll be stuff in the explanation that you’ve probably never heard before look it up annotated in your essay and then search put monic to help you commit that information to memory and then another tip is you want to flag the question so obviously if you got the question wrong you don’t need to flag it because the you world cue bank would remember the questions you got wrong but there say there’s a question that you got right but you have absolute guessed it so a lot of us you know then that guessing right question sometimes just by eliminating one or two questions or you just get lucky those are the questions you want to flag because you didn’t actually get the question right you just got lucky by flagging those questions you can go back later and actually review those questions again if you have time or if you want so let’s go back here so again on the upper left inside here this is the time so election you can choose the unused questions and I put 46 to remind you that you know it would be nice when you’re doing your dedicated step one studying time to give yourself power long training sessions do 46 questions time and then spent you know comfortable amount of time reviewing the wrong answers all right let’s talk about some new tricks that will hopefully help you get that extra few points on your on your step one so trick number one we talked a little bit about sleep and a little bit about kind of maximizing your day by using the time when you’re most alert but keeping them on I mean your exam actually is gonna force you to have to wake up early get to the exam site you want to be at your prime condition right so from all the research that we’ve dug into and here we present the summary to you is you want to start going to bed early and waking up early about five days before the exam now if you’re already a morning person you’re good you’re doing we have to worry about this for those of you that are kind of night people or night owls you want to give yourself at least five days to adjust your sleep cycle this is this is research proven three to five days is when people how long people need to adjust any time biological sleep sleep cycle so this is a good tip trick number two some of you might be wondering what how how many mbm you practice says should I take and what are the ones that I should be taking this was a question that I personally struggled with I you know this was a brand new subject for me I never knew to like actually take MB any questions until I got into the middle of my studying so I’ve learned from over the last couple of years talking to students that there are a couple of forms that are really great so forms 13 15 16 17 I’ve had really great reviews the other ones especially the new ones I haven’t had as many students take them so I can’t tell you if they’re good or not but these are the ones that I can for sure ouch for and my recommendation is you should take an nvme practice test right now today or you know joking this weekend let’s say you want to set a benchmark I know you feel like man you know I’m not ready I haven’t really started studying yet I’m afraid that if I take it I’m gonna stress myself out I get it but you’ve got to overcome that take an MB test so you know where you’re at and then for every two to three weeks you take another nvm you practice test it really really helps because not only you can not only can you track your progress over time you’ll actually see your scores improve and the mbm you will tell you what are the areas that your week so they’ll break down different topics like microbiology or pharmacology and they’ll say hey you’re you know you’re average or you’re below average on these topics and that helps you focus your next two weeks of studying on your on your weaknesses now remember we talked about focus on the resources so don’t try to master all resources focus on one or two I would say you world and first aid and use pick monic to supplement or complement that and you want to focus on your weakness right so the end any practices will point that out for you now this is what the NBA figured nbme is websites on the left-hand side here you see purchase services and the here’s here are the different forms and you’ll notice I know I guess this question sometimes it’s kind of funny but people will say should I pay for the expanded feedback form or should I pay for the just the form without feedback it’s a ten dollar difference so to be honest just go ahead and get the one with the expanded feedbacks or at least you get some feedback on with the

questions you got wrong versus the basic form it’ll literally just give you a score and you won’t be able to actually review the questions so it’s ten dollars more just do it it’s not gonna hurt it’s not gonna hurt you in the long run and it might benefit you alright another question I get about nbme is that how predictive is the ambience so something you have to know is that the nvme is the sauna and to help people sort of predict their school right give you a practice now their questions come from various different sources some of them are sort of retired USMLE questions some of the questions are sort of rejects like the ones that didn’t quite make it to the USMLE step 1 exam so the nvme is an aggregate of all these different questions and they actually don’t exactly reflect the difficulty level and the style the question of the of the USMLE step 1 exam so I know that’s kind of frustrating right you’re like well I’m doing this practices and it doesn’t even accurately reflect the style and a difficulty level but the reason why it’s so great to do it is because they statistically remember step one is graded on a curve right so they statistically place you in comparison to everyone else was taken the practice test so what that means is if they tell you you were in the 90th percentile then you’re most likely in the 90th percentile and what I’ve learned is that that u.s. Emily the nvme exams predicts your score to about a plus or minus seven points so that is pretty dang good right it gives you some confidence that even though the questions are some say questions are actually a little bit easier the MB have any questions I’ll be easier than the actual step one which personally I would I would agree with that whereas you world all I would say is even a little bit more gold at times then then step one which is really great because it really trains you to think at a high level but that’s some nice kind of something that I didn’t learn about until afterwards I’m excited to share with you make sure that you take the test and don’t doubt it and review the questions but just know that the difficulty level is not the same as the actual USMLE step 1 exam alright now for my step 1 trip number 3 this is something that I was a huge advocate for because it completely changed my speed my pace the way I ask a question and the trick is try to answer or try to read when you have a question in front of you do your best to read the last couple of sentences of the vignette this is something that again changed my trajectory a lot and the reason why I say that is because now you’re gonna get these really long beneath that go through the entire like patients history and talks about the different findings and every once in a while you’ll get a question where just by reading the last couple of sentences you can pretty much figure out the answer which you know would you rather kind of waste two minutes going through the entire vignette or if you can have a shortcut and know the answer right away obviously that’s the choice we want to go with right the other thing that helps me was that even even if I can’t figure out what the answer is I can actually frame my mind so that I know what I’m looking for so if the last question is they’re asking about a diagnosis then when I’m reading the lung band yet I’m thinking about okay what is the diagnosis what is the diagnosed as well as the diagnosis if the last question asks about treatment that I’m like okay I’m looking for a disease that I can treat and what is a treatment so it frames the question it also sometimes gives you a shortcut and find the answer so in this case this is a screen shot in actual simulated USMLE exam so if you read the last sentence it will say what would be the most effective treatment based on this clinical presentation and guess what they gave you a picture and if you’re lucky you would have seen this picture in either you world or when you’re reviewing for Sade and you know it should remind you something like a fungus that’s like and actually based on the description you’ll quickly associate it with a spiritualist and so for me it’s like just by reading the last sentence I’m looking at the image I’m gonna this looks like a spiritualist I skimmed through the question real quick and I said for sure this spiritualist and I know I’m looking for the treatment so immediately right then and there I’m going okay what is the treatment for a spiritualist and if you did a pic monic that Aspergillus picture would have popped our spiritualist asparagus would have popped into your head and you would remember the treatments are either one of the A’s O’s or amphotericin so really

this is how kind of everything kind of comes together you got the pacing down with you world you got the tricks like how do you actually overcome some of these questions with you world forsake covers the breadth of the knowledge and pick mana gives you that memory memory cue alright one more trip for you guys so pacing remember step one is not just a test about how much you know it’s a test about how good of a test taker you are so let’s break that down for a bit to cover to really cover your bases for the breadth of knowledge right you have to be able to actually remember all the different facts so that you can actually recognize the right answer etc so that’s the breadth part that’s that’s your first say that’s pick monic that’s using your world and reading the explanations but then there’s this other skill set you got to have to do really well and that’s test taking ability right test taking tricks and pacing is one of the key aspects of that and what do I mean by that well you got to be able to kind of force yourself to move through questions I have a lot of friends that kicked themselves because they couldn’t get through some of the sections completely remember you have seven seven sections when you actually take the USMLE step 1 you get a small break in between their hour-long sex sessions and for each session you know you’re the clock’s ticking you got to move through the questions and you get about on average a minute in minute and 20 seconds per question so if you do the math you’re like okay if I spend more than let’s say two and a half minutes on a question I have just potentially caused my cost myself a question at the end so we developed a strategy and this is something that you’ll find really warts and you can actually practice this what I’m telling you right here you can practice it when you’re taking your your MVM you practice or when you’re doing the time to you world exams and my suggestion to you is after two and a half minutes so you got to keep that rhythm after two and a half minutes you want to just pick an answer flag the question and move on don’t get stuck reading a question for five minutes because it not only kind of throws you off in terms of timing it kind of gets you all flustered because I go oh my god I just spent five minutes on this freaking question spending any more time here’s another thing spending any more time actually does not increase your probability of getting the question right there’s probably a reason why you’re struggling with that question and I tell your secret everyone else is struggling with that question as well so just by you spending more time than everybody else on that question you’re actually going to end up getting a worse worst or so just because you spend an extra minute it’s not going to increase your probably probability of getting question right because it’s a difficult question so just pick just just force yourself pick an answer and move on so you don’t run out of time and that is my last trick for you just want to end with a little phrase of encouragement so we know that med school is a marathon you’re gonna have ups and downs and hopefully step one is not too much of a downer for you but at the end of the day telling you step one is only a test you know I too was there studying for step 1 and stressing out about it and thinking that it was the end of the world if I didn’t do well but in retrospect you know I did well it was fine now time for the question and answering let me just come over here well his own great all right so let me take a look at these questions so we have one from Brian I take step one in a month what would you recommend that I focus on ok great great question so if you have a month left again if you recall you want to try to get through first aid you want to try to get through your world so you want to do more than one full hour-long set you want to do more than forty six questions a day ideally you get to about ninety two questions a day that will get you through you world in about twenty three days which is amazing right and what you want to do is give yourself plenty of time to review so the best way for you if you only have a month left I would recommend that you start your day with a you world session of one hour and you review the the answers for about let’s say two to three hours you take a break you take another you world question again you review it and while you’re reviewing and this is the key while you’re reviewing you’re double-dipping

with for say so you actually have your first state open and when you’re reviewing you’re annotating the answers and the things that you’re not familiar with directly in first aid and then you can look up the really tough topics that you have a hard time remembering you can look it up and pick monic and just nail it like use in our audio Zoar videos are usually less than two minute long so within two minutes you can nail that topic and move on all right next question porphyria’s can we get some picnics on them yes we can I will make sure we get that on the list we have again a whole backlog of thick monix that we’re trying to build for you guys so I’ll make sure I get down a list thanks for asking that question avi what are your thoughts on Kaplan test prep this is from Isabella this is a good question so personally I’ve actually used the capital NQ bank and I’ve also reviewed some of their videos and they’re there they’re great if you let’s say have a particular topic that you just no one’s ever taught you before and you’re like man I like my curriculum never cover this topic Kaplan has these video series that will explain you know the entire disease to you some other resources you can consider Pathan uh again patthamas really great if you haven’t used it before if you only have a month left I would say you definitely want to focus on you world therefore say but if you have let’s say two months left you want to try to squeeze in maybe fethullah and then Kaplan really to me I think the most beneficial part about Kaplan’s whole package is the question banks so if you have room for a few extra questions try Kaplan the Kaplan test prep I would just say that the videos are decent they explain the diseases and they explain the pathophysiology to you but again you know it’s completely up to you you just have to try it out okay do you recommend the resources yeah I think we cover that so forsake you world if that’s all the time you have those would be the two that I go with if you have a little bit more time throw in Potomac throw in a few more Catholic questions and then you have more time than that then you know again you know if you recall there’s a ton of other resources and it depends on your learning style oh here’s a really good question from Yvette is studying for one year too much well I forget the content by the time I take the test this is a really really good question so there was a study by a group of actually learning specialists I’ve talked about how one of the key determining factors of increasing your step1 score is actually starting early so my direct answer to you as know it is not too much it is too much if you’re stressing about it and you’re putting in like four or five hours a day studying for step one for a year long that’s that’s a little quick I mean good for you you’ll probably score I get to 270 but it really doesn’t require that much effort what you want to do again is pace and rhythm so if you have a year and you want to start ahead my recommendation to you is start actually with first aid first aid provides the framework call it an outline that Maps the entire you know kind of high-yield topics on step one for you but the problem with first aid is as many of you already know this they don’t really do a good job explaining everything it’s more of a really condensed very like list based outline the goal for first day is you want to actually master that book you don’t want to just read through it you actually want to own it like I remember I got to a point where I can remember topics when I’m doing like you world I could be like oh I know exactly what cage this this particular topic is covered on for sale like that’s the level of like mastery you want to get through a first day now some people you know you pick Manik to actually help them memorize and help them master those facts and for say so my recommendation to you is you start with verse eight you go through it and you want to annotate and I know you hear there’s a lot annotating first to annotating first thing what is it actually you mean annotating and Thursday it means you want to look up the particular topics in for say that you perhaps don’t have a full understanding of you can look it up anywhere you can look it up on google you can just google it you can Wikipedia you can look it up in your text book once you have a better deeper understanding of that topic you want to write what you’ve just learned in first day underneath that topic so that by the time you get closer to your step one you

can actually open up your first day and all of your notes are already aggregated in one place so that’s what I would recommend now the reason why I also throw on big money if you’re a year app is because if you actually use for say with pick monic those little memory anchors and you know cartoon characters and little like pencil villains and fever beavers like they actually stick in your brain for a really long time we’ve done this research study at Midwestern university that showed an improvement in long long term retention this is we’re talking months at over three hundred thirty percent so the beauty of the clonic is that if you do start early you have a higher likelihood of actually remembering this stuff that you’ve learned now if you don’t use big monic you can still start early you’ll be familiar with it but you may forget the details so that’s the that’s the only con yet okay next question from Hannah it’s studying for sorry will forget right that’s about how would you recommend integrating pic monic with di T wow that’s a great question so di T is a resource that if you recall from my previous slide focus is on what’s called structure if you’re the type of student that says man I really don’t I need someone to tell me what to do and to lay out kind of the plan for me di T is a potential resource I will warm learn that it’s a pretty expensive resource so make sure it’s right for you before you purchase it I’ve had many of many friends who and never used it and they regret it for a really long time because it’s like a thousand bucks so make sure you know that’s right for you now if you already purchased EIT and you know it’s right for you great what you can do is di T actually has again you know kind of a map of topics and that they provide you with like a textbook and each section has like a video explanation so you can go through it now remember when I showed you the pathways and I showed you the search function so the pathways are mapped not just to forsake the pathways are actually mapped to the general medical curriculum right so if you’re using di T and you’re going through cardiovascular you can actually go to pick Manik find the pathway under a cardiovascular and you can follow along now alternatively let’s say you’re using di T and you have a particular topic that you’re like man di T tells me this is important but I just can’t remember it go to our search function type that in most likely we’re going to have a pic Manik for you so then you can just use that pick Manik and then master that topic and remember if we’re good next question how many hours do people usually study per day what about hours of sleep yeah great question so personally I put in consistently about nine hours a day during my dedicated step one study time so what I did was I actually start getting focused right around nine o’clock I was in a early early morning kind of person so nine o’clock was a good time for me I’d go from nine to about like a little bit after noon so maybe like one o’clock so that’s four hours right there I take a break eat lunch you know walk around loosen up and then I have this problem where between three o’clock and 4 o’clock I get really tired like that’s just my normal kind of biological habit I guess so I’d use that time and I go exercise it almost like kick-starts my eye my second wind so from about so from about 9 o’clock to about 1 o’clock I do a 1 an hour you world session and review all the questions I actually you know annotate a first-aid and use pic Manik take a break for about sometimes 30 minutes sometimes an hour it depends on how I feel to eat lunch and relax and then I go from about 2 to 3 on just like these super high you of stuff that I I do either is with reviewing the stuff that I missed yesterday or the pic monix that I want to review quickly for that day or some some of the flashcards I made for certain other you know my new details and then I go exercise and then from about 4 o’clock or about 4:30 to about 9 o’clock that’s my second session so if you do the math I get in about 9 hours a day and I might take about half a day break per week average from talking to other students I’ve learned that people on average put in about 8 to 10 hours some students are crazy they’ll put in like 13 hours but it’s completely up to you I think eight or nine hours plenty if you’re efficient about it if you’re focused that is plenty and by the way that’s how long your actual exam is gonna be so get used to it right in

terms of sleep for me personally eight hours is perfect and actually really loved my dedicated step one time I felt like I actually many asleep whereas during the school year sometimes I have to wake up early to go to class that really threw me off but I felt like I was into such a strong routine that I would fall asleep easily every night I wake up feeling refreshed so it depends on you some students 7 a half hours enough some students need nine so you can you can adjust based on your own preference but don’t worry about other people don’t be like well this my friend is putting in you know twelve hours a day and getting in six hours of sleep that’s what I should do definitely don’t do that all right Oh someone had asked is this talk recorded on PowerPoint can I get a link yeah we’ll definitely I think we did record the sessions so we should be able to send that to you okay so no worries okay here another question what is the average time it takes to memorize a pic mark how many passes do we have to do sometimes I feel like I’m Erised it when I return to review it and I’ve forgotten some details that is very very normal for me it takes me about three times to actually master a pic mark and what I mean by that is the first time I go in a pic malonic I’ll listen to the audio I’ll look at the description and then I’ll try to actually use a review and try to remember it but I know I’m gonna like I know I’m gonna forget some facts so what I do is a week because I because I put these pic monix in playlists so I have playlist group by weeks so my week 1 playlist my way to playlist my week to be playlists and what I do is the following week I spend about so for each victim on the first time I go through it it’s about five minutes I don’t spend more than five minutes on a picnic just because I the audios are short I can get to it really quickly and then the following week I’ll actually look at the playlist from the previous week and I’ll spend less than two minutes perfectly and what I do I just I’ll put it in the master view so it’ll cover the entire pic banach and I’ll just sort of go through it see if I can recall all that other little details and if I can’t I’ll mark it I’m using the software it’ll say do you remember this do you remember this do you remember this and the ones that I got wrong I’ll just mark it and that way then the third week I’ll spend another like less than a minute and now usually by then I have a down pat so three passes each pass no more than you know five minutes and that’s sufficient I think to get you by the way pick monix in pick mommy’s library I think there’s like over 10,000 facts so imagine yourself being able to actually memorize 10,000 fact that’s pretty amazing and I’ve done it so I know it can be done in terms of let’s see there was another question Oh about forgetting details that’s that’s totally normal one thing that can help is potentially listen to the story and try to use the story to connect some of the more kind of odd or bizarre facts the other thing you can do is we actually now have the ability for you to add your own facts and characters to and this is something that didn’t exist when I was using pic banach but now it does and our users love it because let’s say you’re learning something and you’re like man I really have trouble with this FAQ you can actually add your own and that active learning modality helps you reinforce it even stronger like if you added your own character you for sure going to remember okay would you recommend a u.s. Ollie rxq Bank since it comes directly from first aid or have you been told the questions are not as good okay honestly so I recently had a discussion with Tao who was the author of verse aid and he also created the USMLE rx there question banks is great there’s absolutely not nothing wrong with it and in fact they do a good job tying the questions directly to first aid so just there’s no problem with rx again when I talk about all the different resources out there right you can if you have all the time in the world go through everything where I go through our X go through Kaplan the more question you do the better you’re going to be but to be realistic if you only have about a month or let’s say six weeks or two months left if I have to choose between you world and rx today I would say you world the reason for that is because it is tried and true there are so many students that advocate for it me I’ve personally experienced it and in the difficulty level right in the

explanation of how in-depth they’ve gone for each one of their questions and also just the way that they analyze the right and wrong answers and tell you why this question is wrong what and what other setting will you see this answer choice come up I mean it you just can’t beat that the explanations are so money so I would say if you if I have to choose a new world and rx today and I only can choose one I would say you world but if you already have our X and we have a little bit of time maybe use our eggs to help you get familiar with for say because those two are in fact directly correlated I hope that helps let’s see do you recommend learning all the pickmonz I have a terrible memory that’s my biggest problem okay I will be perfectly honest I did not learn all the technics a lot of them right I approached it as a need basis for me there are a lot of topics in first-aid that I just couldn’t memorize otherwise like I couldn’t read it and even if I repeat it like three days in a row I’ll still forget it in about a week so in order for me to actually commit let’s say a list of items in first aid and into memory pick Montag was a my only way out and it was a really great way out so for me there were certain topics and first say that I just I knew I had a down pat like I didn’t even need another form of memory tool so well those I didn’t really use pick warming for but people are different by some facts stick in your brain better that don’t quite stick in my brain so my recommendation for you is really don’t you don’t have to especially when we’re talking about step 1 try to like learn every single one of the pic monix I would recommend you start with first aid and you use pic monic to really hone in on the ones that you need help with that’s what I would do and again this this advice is because of time right we want to maximize your time all right well thank you Catherine we got a get a comment someone loves the add your own fact addition definitely use it it is amazing I wish I could I could have used it when I was studying because there were definitely things that I wanted to add so now you can do it make sure you give it a try it’s gonna change your world let’s see what else oh this is a great question what score on you world will tell you if you’re ready or not oh my god I love Mary Ann thank you for asking a question I’m glad you did so this was a question that I was only obsessed over because I was doing these you real question on random and I was doing a time I’ve always wondered because the new world will give you a score at the end right or say look like 70% 61% and you you think like man I’m going in the beginning by the way you’re gonna score in like the 30s and 40s and don’t freak out everybody starts new world scoring in the 30s and 40s but the trick is you start to progress over time so let’s say you have a month to study and every week you’re gonna notice that your average test score rule is actually going up like you know in a certain pattern which is really really great that’s really important now in my experience I actually got to a level where I was doing random hour-long you were a question and I was scoring in the 80s now that’s I was super proud of that and I think there are a few of my other friends that were scoring in the 90s even like that’s that’s too much I think if you’re scoring above 70 you’re gonna be you’re gonna do great if you’re scoring in the 60s you’re gonna be fine as well you’re gonna obviously be more like the you know the average I think the average is in the 60s and 70s and if you’re in the 40s and 50s make sure you do more questions to get yourself to about a 60 or 70 and if you’re like like really trying to go for that you know that to 40 to 50 to 60 score you want to get yourself to like the averages of like 75% and above so that’s that’s my experience also from talking to some of my colleagues who were super Gunners that’s what they did I also have friends who were scoring in the 50s and they still were able to pass so just know that don’t freak out about it you’re gonna start out in the in the 40s and you’re going to progress over time so just be disciplined do them time do you do your mbm you practice to continue the gay issue you are and you’re gonna be great hopefully that helps all right next question I take SEK 1 tomorrow and I’m trying to build a formula sheet to write down on my scratch paper any

recommendations for formulas yes go to first say go to the end of the first aid there’s a section I think it’s called like hi you up FAQs or something there there’s like basically I think like 10 pages worth of just super high your path facts like literally like Orphan Annie I and boom you need to remember what that this Kaiser fishery well you gotta remember what that is so it’s the super high yourself at the very end be sure to go through that if you’re taking a test tomorrow good luck I’m super excited for you but I’m also super proud that you’re listening to my webinar the day before we’re step 1 so I will be wishing you best of luck and I think the formula session is back there as well so hopefully that’ll help if not you can email me or email us and we’ll get you we’ll get you something feedback epic Montcalm if you can’t find it behind first aid hit Missa okay oh you’re welcome about someone had mentioned about sleeping okay yeah no problem it’s my pleasure so again you sure you go by the schedule that works best for you don’t worry about trying to bend your natural kind of tendencies a month before the test really you want to be in your best studying condition so if your night owl just embrace it and then give yourself about five days to adjust before the actual exam okay break the question break what constitutes a break bathroom break or our lawn Netflix session a little bit okay drones of course don’t forget that any suggestions ok so this is this is something that actually there’s research behind it so what you want to do is you want to be able to take your mind off of the whatever it is that you’re intensely studying because it you want to give you the neuroplasticity you want to give some time to form the shape we don’t want it to actually you know continues to overcharge right so a break I would recommend personally so bathroom breaks are now are not breaks to me they’re just your what you got to do you know if you gotta go you gotta go but what I mean by breaks and I’m talking about every four hours at least right every four hours minimum you want to take a break and you want to take about you know 15 of 30 minutes minimum so 15 minutes minimum and by the way just something something to know that again I’ll be brutally honest here I wasn’t given the advice to manage my breaks when I was taking my actual step 1 and I kind of screwed up I regret it to this day so don’t do what I did I basically you get about 45 minutes I believe a break for your entire step one more thing to do would be to take 15 minute break or sorry 10 minute 10 minute guys do like two sessions take do two sessions take 10 minute maybe take a 15 to 20 minute for like lunch within another 10 minutes you want to manage that break what I did was I was like well you know I didn’t really think about 45 minutes I thought man 45 minute that’s a lot of time so I didn’t like watch my clock or like actively manage it so my first two breaks I took like 15 minute breaks and I was like oh man completely screwed up and so my last the last six session of my of my actual USMLE step 1 I was only able to take about a a few minutes of break and it totally fried my brain so don’t do that actually learn like give yourself a little bit of training beforehand to be like alright this is I’m gonna manage and shape my break during my actual step 1 and by the way for for our user who is taking step 1 tomorrow listen to this think about how you’re going to use those 45 minutes and even like I know people now that I’ve talked to some people they even like will say oh it’s during this break I’m gonna eat this during this break I’m gonna drink this and you don’t want to drink too much caffeine before the break because then you get a full session in and then you want you you start to feel the go to the bathroom in the middle of your exam and that’s the worst feeling in the world so manage your break and you’re in your bathroom breaks and that’s just something where you just have to think about before the exam you have a game plan and you’ll be good now in terms of your study break I would say 15 to 30 minutes minimum because again it’s a marathon so don’t feel bad for taking a 15 or 30 minute break and you can actually don’t don’t do I would recommend any more reading because you’ve been reading most likely all morning or all night so what I recommend is actually go outside get some sunlight

or you know if you want to watch a little YouTube video to like laughs laughing is a great way to take a break if there’s a particular I wouldn’t go as far as watching the whole Netflix series because the problem I know about you guys I’m like super addicted to shows the moment I start I actually get more distracted because now I want to I wanna watch the next episode so I would not start any Netflix series before your step one so highly recommend after words you can binge watch like you know Tyler Game of Thrones like six seasons if you want that’s totally okay but if you’re if you’re about to start your step one don’t do that but you can let’s say watch a music video some people like that go outside I walk around the building you know go maybe call your mom and have a conversation with your family that’s that’s usually a great time to do so don’t go calm your nerves that’ll help you nurse you through the process so that’s what I recommend for breaks alright next question how many to test should we take before taking this step well I think I’ve covered a little bit of this previously so remember every two to three weeks is what I would recommend if you take it every week it’s a little too much and it’s actually a little bit of waste of time and I’ll tell you why you make it an incremental improvement or you may even just flatlined and it doesn’t mean you’re not making progress and that’s what bothers me is that if you don’t give yourself enough time to improve taking these practice tests back-to-back doesn’t really help the other thing about the practice says is it’s gonna suck up four hours of your time of your day and when you take these practices you don’t actually get to review those questions and depth just because of the way nvme is set up they don’t let you go and like hyper analyze these questions and they don’t provide you very in-depth explanation so actually you world is better for that like if you just take for you world like hour-long sessions its equivalent of taking a practice test but it’s just not you know meant to predict your score so MBA mean take it for the purpose of predicting your score you know I would recommend take it every two to three weeks personally I did it before because I had a six-week study schedule so I did the beginning I did the middle and I did it just before my my step one so I did it that way and saw my score improve each time that I took my MBA me and that was super motivating and if you try to do it like one week intervals you might not see that improvement and it can be a little demotivating and it doesn’t really tell you much because you’re like well obviously I’ve only I’ve only studied for another week I’m not gonna see this huge improvement in my step one score so I would recommend taking at least two MB Emmys before your step one like one in the beginning and one closer to the end know if you have like let’s say four weeks or six weeks you can do in the beginning the middle and the end so that’s what I would recommend okay I think we’re approaching the one hour mark but let me see if I have get a couple more questions in and by the way if you guys have more questions after the we welcome it just email us feedback epic Montcalm we’ll be happy to help we want to make sure all of you have your questions answered and let’s see I’m currently I’m in a pre internship do you think I should study the subjects related to the course I’m taking as I go along from the first yes absolutely if you’re if you’re in your pre internship and you’re you’re on a particular subject let’s say you’re on cardiovascular or cardiology then what you can do is you can open up your first-aid go to the cardiovascular system and go through cardiovascular system while you’re getting through your cardio cardio course and then you can actually start using the pic monix within them oops now if you’re like far away from step one and you don’t want to start using new world yet that’s okay you can actually use like let’s say Kaplan and just do like let’s say or use rx and just do the cardiovascular questions but highly recommend and if you’re in your pre intern year and you’re you’re going through cardiovascular system use for say cardio do the pic mounting for that and then do some questions I’m planning on doing simulation test for USMLE will they provide me percentile feedbacks if so how accurate would this be to an actually Yosemite so I’m hoping a simulation test for us and you mean the nbme if it is then it is highly predictive so nbme just Google nbme go to yeah I’ll go back to here so go to nvme there’s nbme their website the purchase services you have these

comprehensive basic science forms use one of these again it’s if you take it they’ll provide you with the percentile to provide you with you know what that percentile translates into actual USMLE step one score and i would say it’s about a plus or minus five to seven points to the actual exam score so it’s highly predictive feel free to use them how soon before step one would you suggest setting getting a you world subscription so personally my I highly recommend if you’re asking that question you should and you have your step one coming up you know definitely start now even if you’re like three months ahead so my regret was I started my new world so my dedicated selling time was six weeks I started my you world about two months before my exam and I felt a little rushed giving through the entire twenty one hundred questions again the reason I felt rushed was that I totally underestimated how much time it takes to review every single question and that’s where the money is right like the explanations for the question that’s the money so you want to give yourself plenty of time to review the answers so my recommendation for you is if you have the luxury of having more than two months you should get it you should get you world start doing these questions and spend plenty of time reviewing and I know like I didn’t do you rule twice I have friends who’ve done you rule twice I don’t really know if they actually did the entire question Bank on random time twice but for me at least I was able to review the questions I either got wrong where I flag so I call that twice well so give yourself again you can start even three months before the exam if you have that much time if you’d have two months left I would do 46 questions a day if you have one month left I would do at least ninety two questions a day that’s how you get through okay I hope okay one more last question did you feel like you reached plateau for your studying during your step 1 prep yes many times so this is how it works you’re gonna study you’re gonna get this huge bump in the beginning because that’s when you finally got focus so for the first week or two some people even three you get this bump from like maybe you’re scoring in the in the 50s low 60s on you world maybe you’re here your nbme tells you you’re scoring like a 200 or 210 and you’re freaking out you I don’t my god that’s such a low score maybe it’s going to one 90s and I go my god I’m gonna fail that’s totally normal in the beginning that is very very normal so don’t freak out you can hit this huge bump for some people it’s like one week for some people three weeks but you’re gonna hit this bump and you’re gonna be like wow I mean like the two 20s and you feel good like alright at least I know I’m gonna pass and now the next kind of set of plateaus is what you have to overcome so you’re gonna hit multiple the plan shows the first plateau is literally in the very beginning where you’re like yeah how it’s it’s more the fear and the pressure than it is really the plateau it’s like psychologically you feel like you’re hitting the wall and then you’re gonna break through that wall everybody does trust me you’re gonna you’re gonna hit that one you’re gonna miss your great I’m gonna break through the first plateau the second plateau is gonna hover around like the average score like 227 or 220 in the two 20s like that’s your next plateau and to break through that Plateau for me it was when I actually got through the entire first egg once when I got through the entire first day once I broke through that Plateau and I was in like the two 30s and two 40s and that felt great and the reason why I broke through is because once you go once you get through the entire first first aid book you actually start to connect the dots you remember oh shoot you know I remember learning about this drug and this let’s say cardiovascular section and now I’m learning it again in this you know pharmacology section and you kind of tying it together that bridge is what breaks that second Plateau and then for me I was able to break one more Plateau which is when I actually got through the entire you world you world questions and again you know gone through all the big monix that but I mean needed for first aid and that’s when I really got to like you know my high and at that point you know I probably could have had another plateau but I was pretty much psychologically ready to get it over with so hopefully you have at the same experience if you’re hitting a plateau don’t worry everybody does and what you need to do is to keep in mind like there’s still a lot of things you haven’t done and just by doing them you’re gonna break through it well that helps I think we’re officially out of time I really appreciate you all for joining us and sticking through and hopefully

this is something that’ll help make a difference get that extra 10 20 even 30 points on your on your step one work we’re here we want to help you feedback at pic Montcalm and let me know how I can help it’s a pleasure talking to you guys talk to you later you