00:00
Welcome back to the 2nd Year of Medical School lectures. Now in this video, we're going to
discuss how to set up a dedicated USMLE Step 1 schedule. We'll discuss balancing question bank
time, your reading time, and your peer studying time. We're also going to discuss how to stay
sane while studying. It can be a dizzying process, we've got you covered, and we're also going
to talk about how to use NBME, National Board of Medical Examiners Self-Assessment Tests. So,
in order to come up with a Step 1 schedule, we need to talk about the background required
information to even setting up a Step 1 schedule. So, studying for USMLE Step 1 usually takes
an average of 1 to 3 months. What you need to do is look at your 2nd year of medical school
schedule. Look at when you have final shelf exams or final medical school exams during your
2nd year and then look at when your 3rd year begins. Then, you need to determine when you
will take the USMLE Step exam and how much time you will have in your schedule for full dedicated
study time. All these variables I need you to map out before we can get started on the schedule.
01:17
So, on average, most students study for a dedicated and focused 1-1/2 months. You can use a
service that creates a study schedule for you or you can purchase a video lecture that takes
you through all the resources they have day by day to help you study for the test and you can
even take these pre-made resources but create your own on top of it. What I recommend you do is
actually create your own schedule or just modify a pre-made schedule according to whatever
recommendations or accommodations you need to make. So, creating a Step 1 schedule is something
that's actually debated in medical school. How much time should you study? What resources should
you use? How much or how should you study every day? Well, again the process of creating a schedule
is actually very simple and there are only 2 variables that we care about. How many days to study
and how many hours each day to spend studying various resources? That's all, let's keep it super
simple. Let's actually create a sample schedule together now to show how easy this is. So, we're
going to create a dedicated study schedule together. Since studying for USMLE Step 1 takes about
a month and a half, let's say we have then 45 days of dedicated USMLE Step 1 time, 45 days is
a month and a half in days. Okay. Now let's say that the resources we want to use for this dedicated
study time or a single question bank and a single book or video reference. Okay. You should
base the study schedule around the question bank. Let's take the USMLE World or also called
UWorld Question Bank as our example. That question bank for USMLE Step 1 contains roughly 2000
questions. Over the 45-day period that you gave yourself a dedicated study time, that comes
out to 44-1/2 questions per day. This is a few questions more than a block a day. Recall that a
block of questions on Step 1 is only 40 questions. Given that you will study more than 1 block
per day with the schedule that I'm going to recommend to you, this means that you can actually
finish the entire UWorld Question Bank in 25 days. That also means you could even do the question
bank twice in 50 days. Come on, that doesn't sound too bad. Do the question bank in under a
month? Easy. Let's come up with a strategy. Since we have discussed in the previous lecture
how to study effectively from each question and from question banks and how to use a book and
video resource along with it, let's create a daily schedule together. For our example, we're going
to break it down for you hour per hour. So if you have a pen and paper now is the time to start
mapping it out with us. Let's say you got to, first things first, wake up in the morning. So let's
say you wake up in the morning and you get up around 6 am. Do your morning routine and then
sit down and do a block of questions from your question banks. So let's say it's now 8 am. Recall
that when we do our question banks, we do random subjects. That means, pick from the entire
question bank. I'm not going to just do heart questions or just do lung questions. We do it timed
and we do it in test mode. What are we doing here for this? What's the point? Simulating the
real exam day. We always do this. There's no value in doing anything else. Now, once you've
completed your block, so I gave you from 6 to 8 am to set up and do your morning stuff. Once
you've completed your block, it's now 9 am. Okay. So, 8 to 9 am you did your block. Now what I
want you to do is take the next 3 hours to study that block carefully. Now when I say carefully
we talked about this in the last lecture. How do you go through a USMLE Question Bank question?
Carefully read each question's answers, go back to the reference book, go back to your video
resources as needed. So over 3 hours you should be able to go to a block of Qbank questions.
05:23
So we started at 9, 3 hours have gone by, now it's noon. Take 30 minutes to an hour for
lunch depending on how much of a break you need. If necessary, take a quick nap. Okay. Let's
say you took a full-hour break. Now it's 1 p.m. What are we going to do? Repeat. We're going
to do another block, okay. So now it's 2 p.m. and then spend 3 hours going through it carefully.
05:46
This brings the clock to 5 p.m. Wow! Look at that. It's 5 p.m. and you've carefully done 2 blocks
of a question bank and you've learned well. Now what you're going to do at 5 p.m. is take an
hour in the evening break, give yourself dinner, exercise, whatever is necessary. Okay? Now
it's 7 p.m. What I want you to do now is spend the next 2 hours reviewing material that you
have studied during the day in your books or flashcards. Now like earlier lectures when we talked
about studying for medical school, always review in the evening what you studied that day. So
now it's 9 p.m. We started at 7 p.m., 2 hours of review, now it's 9. Now it's your time to get
ready for bed. I want you to relax for an hour. I want you to head off to sleep at 10 p.m. So
when the alarm goes off at 6 a.m. you've enjoyed 8 hours of peaceful, rejuvenating, and deep
sleep. If necessary, go back to those lectures in the pre-med lectures when we talked about sleep
hygiene to ensure you're doing all the right variables to making sure you're getting the most
out of your 8 hours of sleep. How to stay sane while studying? Now, studying for USMLE Step 1
is physically and emotionally draining. The schedule I just went through, that was a pretty
impacted day. Spending 1 to 3 months studying daily for a single exam can, and to be frank, will
become exhausting. What we need is a strategy to prevent burnout and fatigue and the whole
point is this. The exam can be made fun. Well not like fun fun where you're having a blast but
we can at least make the best out of the exam. If we're stuck taking it and studying for it, we
might as well have some fun while we're doing it. So what a great thing to make it more fun?
Don't study alone. Find a good study partner. I can't stress this enough. If you just ignored me
saying that, let me tell you again, find a good study partner. When I personally studied for
USMLE Step 1, I studied alone. Okay? Don't do my mistakes, learn from them, and it wasn't fun.
07:51
I spend hours working alone in my apartment without anyone to talk to, absolutely boring. However,
when I studied for USMLE Step 2 I studied with one of my good friends in the library every single
day. We would both get to library in the morning, we would occasionally talk to each other
throughout the day but we worked hard everyday. It made studying much more manageable and fun
and frankly when you see someone else sitting there studying, it kind of reinforces you and
gets you excited to get back in there. Another great benefit of having a study partner is that
the two of you will keep each other in check. You will not, you know, keep each other from
goofing off. Right? So it's a friendly way of making sure you keep studying and stick into your
schedule. You'll look over there and if you start goofing off you know you came back, you know
what he is being quiet studying, I should do it too and vice versa but if you're studying alone
try to make sure you study in open places. Go to the library, go somewhere where it's quiet
but there are other people and students and kids studying. You don't want to study alone in
your room. I did that, it was miserable. The second half of my Step 1 time I went to the library,
made life much better. You're around other people. Now, studying all day it's going to get
challenging. So you need to take breaks according to your schedule. Right? If it's necessary in
your schedule, you can take a half day off. If you feel that you're burning out or you're not
paying attention like you should when you're studying. There is no point to studying if you're
not going to give it your all and that's very true for Step 1. If you're not sitting and going full
blast, figure out a way to refresh yourself and frankly refreshing it or filling yourself as
necessary with breaks and with fun social interaction. Okay? You can't build at these very unique
variables into schedule but you can shift hours and blocks easily in the schedule that's based
on the 2-block system that we discussed. Okay? So maintain fun, maintain breaks as you need
to to rejuvenate yourself. Studying is going to become exhausting and I don't want you to get
burned out. Now, the question becomes "What about these NBME Self-Assessments Mo?" People talk
about them all the time. You got to pay for this National Board of Medical Examiner Test but what
are these things and when should I do them. So like we said earlier, Step 1 exam is composed of
6 blocks. Since you're studying from a question bank 1 block at a time, you need to take full-length
test to allow yourself to assess and prepare for the fatigue of taking 6 blocks back to back.
10:20
Also, you can take a full-length NBME Test to assess your performance. So, the NBME Test or
full-length test that are pretty easy to incorporate into your schedule. As of today's recording,
the NBME has the following forms. Form just means like test form that you can buy, #11, 12, 13,
15, 16, and 17. Don't ask me how they got those numbers and why we skipped 14, they do what
they do. Okay and these are self-assessment tests sold by the NBME for USMLE Step 1. So, that
6 practice tests and each practice test that you divided into 4 sections with 50 questions each.
11:03
So, when you take these NBME Tests, they allow you to take them under standard conditions or self-pays.
11:09
I am going to guess you kind of get the gist of what I'm going to pick here. You should always
pick standard conditions since we always want to simulate a real test testing environment.
11:19
Thus, you could incorporate this practice test easily into your month and a half schedule. The
question is "When in your schedule should you put them in?" And I recommend putting these
self-assessment tests on the day prior to studying for your dedicated study time. So when you're
about to transition from medical school to hardcore USMLE time put a self-assessment there.
11:42
Kind of give yourself a baseline. Okay? Whatever the score is don't let it get you too down or
don't let it get you too excited. If you did horrible, okay, it's the beginning of your study time.
11:53
If you did great, don't get too cocky on me, stay calm, I want you to keep studying hard. Okay,
just take the exam score for what it is, it's a baseline. I also want you to then pay attention to
what subjects you scored well on and what subjects you did not score well on on the NBME
Self-Assessment Form that we'll give you. As you take more of these NBME Self-Assessments about
once a week, so at the end of every week I recommend you take one, you can see how you're doing
in each subject and see "Am I improving where I need to?" Now, the value of the NBME Test is
that the performance on those practice tests actually correlates extremely well with actual exam
day performance. Thus, if you want to make sure that your scores are going up as you take one
every single week, that's how you'll know you're going in the right direction and of course you're
you're going to get a passing and hopefully very high score. So take the NBME Test very strictly
and take the exam scores as you go on becoming more realistic. The exam score in the beginning
of your study session we're going to ignore but towards the end if that score is not where you
want, you need to reconsider where you're going. So let's summarize what we've talked about.
13:09
What I want you to do before you can even start to develop a Step 1 study schedule is to review
your 2nd year schedule, how much dedicated step time you'll have to studying for USMLE Step 1 and
when your 3rd year begins. Plan this daily schedule according to the 2-block-per-day system that
we described and the weekly NBME Self-Assessment regimen. You need to stay sane while you
study during your dedicated USMLE 1 study period. I want you to take routine breaks and have
a good study partner with you who pushes you to work harder and this prevents you from getting
burnout and study fatigue. What I want you to do is stick aggressively to your pre-plan study
schedule. Don't move things around because you're just tired. If you're putting in more NBME Test
in, that's okay to move around but stick to your schedule and live by that schedule. The best
confidence and peace of mind that you'll have is a planned out and dedicated Step 1 schedule
that you just have to stick to everyday and that's a recipe for success. Thank you.