Step 1 Study Tips
It's getting to that time of the year where second year medical students across the US are getting ready to study for one of the most important tests of their careers, the USMLE Step 1 board exam. I had created a google document asking third and forth year medical students what advice they had for studying for the Step 1 board exam and what resources they recommended. I have included the link below as well as a link to share with your upperclassmen so that they can provide advice as well. Please note that all submissions are anonymous. Hopefully this will help some people out and we can grow this document to be a great resources for students in the future as well!
Links to Google Spreadsheet/Form:
>Form for those who have taken the Step 1 exam to give advice
>List of Step 1 Advice received
A (quick) reflection on MS-1
We finished our first year of medical school a few weeks ago and in addition to all of the information we obtained, there are a few important lessons I learned over this year that I would like to share.
Med school tip #1. Life goes by way too fast during medical school.
If you ever thought your life was flying by, wait until you get to medical school. Medical school is a time machine that is set on super fast forward. This past year has easily been the fastest year of my life. With studying all day and night and our schedules revolving around when the next test is rather than the months in the calendar, one year is over before we even saw it start. With knowing that, it is important to use any free time during the days or weekends that you may have to do things that you really enjoy instead of sitting around watching TV (unless, of course, that is something you truly enjoy). For me, making use of this time meant traveling to visit friends that I do not get to see that often but for others, this time may be used totally differently. However, making good use of the little free time we do have makes the time machine slow down just a bit and makes the year much more meaningful.
Med school tip #2. No matter what you think, you do have time to go to the gym.
As medical students, we are studying all of the time trying to fit every fact into our brains. Sometimes this leads to making sacrifices in order to leave enough time to study to the point where we feel comfortable. However, most of these sacrifices made are not necessary, such as skipping out on going to the gym. Not only is going to the gym very important in the sedentary life of a med student, but no matter how much you still need to study, you will always have time to go to the gym (at least during first year). From my experience, as I am guilty as well, many students loose hours during the day to various distractions while studying including consistently refreshing Facebook to see that nothing has changed, watching the same episode of Modern Family again and again on Hulu, or watching updates on the face-eating Miami man on Youtube. By simply being aware of how much time is wasted to these distractions, eliminating them can allow you to create enough time to do the things that are much more important, for example, lifting some weights or getting on the treadmill. Don't use studying as a way to make excuses for yourself.
Med school tip #3. Textbooks can be overrated.
In nine months of med school, so far I have only bought three textbooks and that did not affect my test performance or ability to learn all of the relevant information at all. Every student studies differently so this may not apply to everyone, but if you are not a fan of textbooks, just like in college, make sure you really need a textbook before you decide to buy it. Ask the students in years above you to get advice on which textbooks are worth getting and which will just collect dust. There will be several suggested textbook for all courses but not all of those, if any, will be needed and it is not worth adding more to your student loans. Wait a few days into the course to see if you think you will need the textbook and if you do, Amazon Prime can get you the textbook in 2 days. If you do feel like supplemental information will be helpful, remember that the Internet is full of it. Also, if you have not checked out Syncytia, make sure you do. It is a resource created specifically for the medical school curriculum.
Med school tip #4. Going to class can negatively correlate to test performance.
Once again, this may or may not apply to certain students, depending on study habits. Every day of med school is filled with more information than the last. At some point during the year, following lectures while in class can become overwhelming. You end up sitting in class hearing noises that you believe to be gibberish while day dreaming about sleeping on fluffy pillows. Sometimes this is because there is too much information at once, the lecturer is going through material too fast or there is simply a concept that is not easy to understand the first time you get exposed to it. If you are lucky and your school records lectures or audio to look at later, it may be beneficial to skip class and listen/watch them at a slower speed. For a one hour lecture, this will potentially allow you to finish going through a lecture thoroughly in one and a half hour by yourself while taking good notes rather than wasting one hour in class and re-listening to it for another hour to get all of the missed details. This may only seem like 30 minutes lost, but over the time of a full course of classes, this can add up to a ton of wasted time which means less time for more valuable studying.
Although most of these tips are very common sense, in the fast paced life of med school, they can easily be overlooked and it always helps to be reminded of the simple things.
What are some of the med school tips you would like to share from your medical school experience so far? Tweet them to @MDRoadMap
Although most of these tips are very common sense, in the fast paced life of med school, they can easily be overlooked and it always helps to be reminded of the simple things.
What are some of the med school tips you would like to share from your medical school experience so far? Tweet them to @MDRoadMap
Helpful Neuro Links for Medical Students
Even though the title of this blog is Medical School Road Map, I haven't been posting much directly about the road map during medical school and I wanted to change that in this post. Over the past year I have collected a ton of helpful websites for medical students that have helped me understand the material we learn in medical school much better. Sometimes students prefer textbooks, but for me, I hate carrying around the extra weight when the Internet can be an amazing resource. I have links sorted by organ system as well as topics within organ systems. In this post, I wanted to share the links I had collected for neuro since that seems to be one of the tougher organ systems for first year students. If I get good feedback for these links and students think they are helpful, I will think of the best way to share all of the links I have collected so it can become a dynamic growing list.
Neuroanatomy Pictures and Labeled
http://www.biocfarm.unibo.it/aunsnc/images/Brain%20Dissections/Labeled/
Epi/Peri/Endoneurium
http://www.backpain-guide.com/Chapter_Fig_folders/Ch10_Recover_Folder/Ch10-1_NerveStruct.html
Neuroanatomy Lecture Notes
http://accweb.itr.maryville.edu/myu/Bio321/321frame.html
Cranial Nerves
http://www.neuroanatomy.wisc.edu/virtualbrain/BrainStem/01Pyramid.html
http://anatomy.uams.edu/anatomyhtml/reviewcranialnn.html
http://thalamus.wustl.edu/course/spinal.html
http://www9.biostr.washington.edu/da.html
http://www.med.yale.edu/caim/cnerves/
Neuroanatomy with Picture of Real Brain and Labels + Quiz
http://medicine.creighton.edu/medschool/neuroatlas/
Mnemonics For Cranial Nerves
http://en.wikipedia.org/wiki/List_of_mnemonics_for_the_cranial_nerves
Foramen of the Skull for Cranial Nerves
http://www.edoctoronline.com/medical-atlas.asp?c=4&id=21621
Weigerts and Pathways
http://www.pixelatedbrain.com/Home/pixelated_home.html
http://www.meddean.luc.edu/lumen/meded/neuro/frames/nlBSsL/nl40fr.htm
http://isc.temple.edu/neuroanatomy/lab/atlas/cmev/
Spinal Cord Pathways
http://library.med.utah.edu/kw/hyperbrain/animations/pathways/index.html
Eye Movements
http://www.youtube.com/watch?v=Vw1rPgc3Brc
Lesions Activity
http://www.csus.edu/indiv/m/mckeoughd/learningmodules/SCLesionsModule.pps
Cranial Nerve Foramen On Skull Labeled
http://www.whitetigernaturalmedicine.com/wp-content/uploads/2011/01/skullbase.jpg
Medscape: Vestibular System
http://emedicine.medscape.com/article/883956-overview#a1
Vision and Visual Pathways
http://camelot.mssm.edu/~ygyu/visualpathway.html
Brain Dissections
http://brain.phgy.queensu.ca/pare/assets/Central%20Pathways%20handout.pdf
Washington State School of Medicine - Neuroscience Notes/Summaries
http://thalamus.wustl.edu/course/
Neuroanatomy Images
http://da.biostr.washington.edu/cgi-bin/DA/PageMaster?atlas:Neuroanatomy+ffpathIndex/Master^Frame+2
Clinical Neurology Exams
http://www.neuroexam.com/neuroexam/
Neuroanatomy Pictures and Labeled
http://www.biocfarm.unibo.it/aunsnc/images/Brain%20Dissections/Labeled/
Epi/Peri/Endoneurium
http://www.backpain-guide.com/Chapter_Fig_folders/Ch10_Recover_Folder/Ch10-1_NerveStruct.html
Neuroanatomy Lecture Notes
http://accweb.itr.maryville.edu/myu/Bio321/321frame.html
Cranial Nerves
http://www.neuroanatomy.wisc.edu/virtualbrain/BrainStem/01Pyramid.html
http://anatomy.uams.edu/anatomyhtml/reviewcranialnn.html
http://thalamus.wustl.edu/course/spinal.html
http://www9.biostr.washington.edu/da.html
http://www.med.yale.edu/caim/cnerves/
Neuroanatomy with Picture of Real Brain and Labels + Quiz
http://medicine.creighton.edu/medschool/neuroatlas/
Mnemonics For Cranial Nerves
http://en.wikipedia.org/wiki/List_of_mnemonics_for_the_cranial_nerves
Foramen of the Skull for Cranial Nerves
http://www.edoctoronline.com/medical-atlas.asp?c=4&id=21621
Weigerts and Pathways
http://www.pixelatedbrain.com/Home/pixelated_home.html
http://www.meddean.luc.edu/lumen/meded/neuro/frames/nlBSsL/nl40fr.htm
http://isc.temple.edu/neuroanatomy/lab/atlas/cmev/
Spinal Cord Pathways
http://library.med.utah.edu/kw/hyperbrain/animations/pathways/index.html
Eye Movements
http://www.youtube.com/watch?v=Vw1rPgc3Brc
Lesions Activity
http://www.csus.edu/indiv/m/mckeoughd/learningmodules/SCLesionsModule.pps
Cranial Nerve Foramen On Skull Labeled
http://www.whitetigernaturalmedicine.com/wp-content/uploads/2011/01/skullbase.jpg
Medscape: Vestibular System
http://emedicine.medscape.com/article/883956-overview#a1
Vision and Visual Pathways
http://camelot.mssm.edu/~ygyu/visualpathway.html
Brain Dissections
http://brain.phgy.queensu.ca/pare/assets/Central%20Pathways%20handout.pdf
Washington State School of Medicine - Neuroscience Notes/Summaries
http://thalamus.wustl.edu/course/
Neuroanatomy Images
http://da.biostr.washington.edu/cgi-bin/DA/PageMaster?atlas:Neuroanatomy+ffpathIndex/Master^Frame+2
Clinical Neurology Exams
http://www.neuroexam.com/neuroexam/
Interview: From Idea to App for the Medical Professional
A couple of weeks ago I had posted a review on an iPhone app called RxmindMe. RxmindMe was created a few years ago and since then been on Apple's "What's Hot" for Medical chart consistently and recently acquired by Walgreens. Since my post, the original creator of the app, Harold Smith, has contacted me and agreed to do an interview discussing how a medical professional, whether it be a medical student, resident or physician, should go about taking their ideas for medical apps and bringing them to life. Hopefully, his advice can come in handy to those looking into entering the mobile health world.MDRoadMap: Can you tell us a little about yourself and your background.
MDRoadMap: How did you come up with RxmindMe?
Harold Smith: I have to take Prevacid every day and I had about a 25% success rate. So, I started from the ground up writing RxmindMe to help myself. After getting and initial version done, my now fiancée convinced me to put it on the App Store - which I did. It originally had about 4 reminder types of and when acquired by Walgreens it had 9.
MDRoadMap: What was the single most important thing that you think made RxmindMe so successful besides the idea itself?
Harold Smith: The execution of the idea. Anyone can write an App (Seeing as there are 500,000 on the Apple App Store - anyone can) - but to make one that is great takes time, patience, and lots of work. Concentrating on the User Experience (UX) is key. Listening to user feedback, responding to emails, and putting out constant updates drives user satisfaction. We executed the idea well and were also lucky enough to be featured in Apples "What's Hot" for Medical for 12 months straight. We sat at pretty much #1 the entire time.
MDRoadMap: What advice would you give to a medical student, resident or physician to go from "an idea to an app?" What is the process should they follow?
Harold Smith: A few things. Solve small problems is probably the biggest one. RxmindMe solved a single problem: taking medications. It wasn't trying to be everything for everyone. People asked to put appointments in it, making it a "Health Vault" type of product, but it wasn't where it should have gone. You don't need to build an EMR for the iPhone - you just need to figure out one problem to solve. Even if you have an idea, getting it completed is the hardest part. You have to be willing to pay for it is what it boils down to. You can use sites like vworker.com to find programming talent. But, vet the developers. You aren't going to find many people anymore willing to work for "equity" - so don't count on that.
MDRoadMap: Any suggestions on where to look for capital to pursue the idea?
Harold Smith: There are Family/Fools/Friends, Angel investors, Venture Capitalists, or even your own checking account. More established physicians may have a bit more personal money to invest in their idea. Medical students will have a tougher road to travel. Yesterday, I just found out about Healthbox too, which is something to look into if you want to pursue an idea. The "best" part about Medical Apps are, there aren't a whole lot yet - and some of the ones available aren't terribly well executed. It has the least amount of products in it, within the App Store.
MDRoadMap: What are common mistakes not to make along the way?
Harold Smith: Do a lot of planning up front. Know exactly the problem you want to solve. Be as detailed as possible when coming up with use cases, scenarios...everything. Understand HIPAA compliance and how it applies to you and what you are doing. And, you must be passionate about it. Also, ship as soon as you possibly can!
MDRoadMap: What were some successful marketing strategies that you used to make your app well known in the medical world and adopted by patients?
Harold Smith: The most successful marketing strategies were, just developing a really good product, listening to customer feedback, and enabling customers to spread the word. I spent a lot of time refining the App, killing bugs, refining the user interface, and seeing what did and didn't work. Within the App's main screen, I created a tab for "Contact Us" - allowing users to email our support email address directly. This enabled users to contact me through the App instead of through a the App Store review process, which helps no one. Also in there, I stuck a "tell a friend" button that allowed people to reach out and engage other people, without me doing a thing. We got picked up by a few blogs and big sites like Gizmodo and that helped tremendously. But, being picked by Apple to appear in the "What's Hot" speaks for itself.
MDRoadMap: How was your app purchased by Walgreens and what is your relationship with them now?
Harold Smith: My relationship with Walgreens is amazing. Their acquisition was a breeze and it has been fantastic working with them this entire time!
Harold Smith Twitter: @haroldsmith3rd
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All responses in this interview are directly from Harold Smith and except for grammar edits, the responses have not been altered . These responses represent his opinions.
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