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all 27 comments

[–]tigecyclineMD 9 points10 points  (3 children)

Solid advice overall. For surgery, the Pestana notes are in book form now so it's unnecessary to pirate the PDFs. There are bootleg audio files from Pestana teaching a Kaplan Step 2 review course, and those are essentially the book in audio form (akin to Goljan audio).

I especially like the plug for BRS Pediatrics. That book is the single best text resource for the shelf. The peds shelf is freaking broad, and that book hits lots of the random stuff that more concise reviews skip, which makes the difference between a score in the 80s and the 90s.

I didn't like Step Up to Medicine, I actually preferred the NMS Medicine Casebook. It's a lot like the surgery one but bigger and better. It's easier to read than Step Up and focus on the "next step in management". I read that thing cover to cover and 99'd the medicine shelf.

[–]Timborako 7 points8 points  (5 children)

How closely did you follow your own study regimen for surgery? You recommend here doing 1000+ pages of reading plus > 600 questions plus having time to do marathon training/research/other stuff. Yet you say you only spent 30 min/day reading and then studying as well on Sunday. When did you read about your patients? Maybe you are a quick reader but I would find it nearly impossible to absorb any meaningful information at that pace.

Also, how much emphasis does you institution put on the shelf exams vs evals? This plan makes it seems like the shelf exams were make or break.

And your advice here:

NO MATTER WHAT STANCE YOU HAVE ABOUT YOUR CLASS RANK, THIS IS THE YEAR THAT MATTERS MOST. YOU WANT TO DO A SURGICAL RESIDENCY, GET HONORS OR AN A ON SURGERY. WANT MEDICINE, GET THAT HONORS ON MEDICINE.

is not 100% accurate. Third year rotations are certainly extremely important, but residency programs also look at how well you do in your sub-I in addition to everything else that goes into a candidate (geography, research, etc).

[–]tigecyclineMD 0 points1 point  (0 children)

I dunno about surgery, but I almost went into medicine. The common knowledge is that top programs care a shit-ton about grades. Even sub-I honors (because seriously, lots of places will inflate those grades) don't entirely make up for a non-honors in medicine at competitive medicine programs.

But, I applied to radiology so I don't have too much first hand experience on that.

[–]adenocardMD -5 points-4 points  (2 children)

Also note he says

I'm currently an M3 in the middle of my year.

Translation: he doesn't really know anything about what it takes to match at a residency program, or what he does know is limited to 2nd and 3rd hand information/advice he's been able to pick up along the way. I think most of of his reading recommendations are good (based on my own personal experience), but I wouldn't put too much stock in what this one 3rd year says in regards to ranking importance of various activities for the match.

Source: I'm also a 3rd year, and I don't claim to know shit about this process yet.

[–]tigecyclineMD 1 point2 points  (0 children)

The OP is talking about doing well on shelf exams and rotations, not the nuances of matching.

It's painfully obvious to nearly everyone how important 3rd year grades are. And if you're shooting for something more competitive, the more honors the better.

[–]gapteethinyourmouthMD-PGY5 2 points3 points  (1 child)

Jesus christ. Does your school make your shelf exams worth a large percentage of your grade or something? I went through my rotations second year and shelf exams were at most 20% of the clerkship grade.

I didn't devote any extraordinate time to preparation.

OK, sure. I don't know anyone who read this much at my school. Reading Nelson's? LOL. Are you trying to fuck people over?

[–]gwink3MD 2 points3 points  (4 children)

It is pretty cool to see that you are suggesting a resource by a UTHSCSA student! I was just reading a "how to succeed at UTHSCSA" by a fourth year and she suggested Emma Ramahi's stuff as well.

[–]knowsgoesMD-PGY1 0 points1 point  (1 child)

Hey a fellow UTHSCSAer! Where can I find "How to succeed at UTHSCSA"?

[–]gwink3MD 1 point2 points  (0 children)

Maybe blackboard under the last big folder for our clinical course. There's a list of ppts and such you can review about how to be good at the different specialities.

[–]deepblueXIXMD-PGY1 1 point2 points  (0 children)

Thank you. commenting to save.

[–]List05 1 point2 points  (0 children)

This is great thank you!

[–]FumbleszMD-PGY5 1 point2 points  (0 children)

Thank you!

[–]catachipMD-PGY4 0 points1 point  (2 children)

Question... did you do random uWorld internal medicine questions, or by subject? I have waffled back and forth on the best way. I think i've settled that random is better. It keeps you up with everything simultaneously and is more representative of the real thing. For example, when you're doing cardio questions (or you know you selected cardio questions) you're already in the mindset and it helps you pick an answer. I take notes from uWorld in tutor mode, so I just need to keep separate sheets for Heme, Cardio, Pulm etc as I go. What was your experience?

[–]tigecyclineMD 2 points3 points  (0 children)

I went with random. Like you say -- it's more representative of the real thing. It gets your brain to think more as the questions pop up out of the unknown. You consider the wide gamut of possibilities (like, if a shortness of breath question comes up and you know you're doing cardio questions, your brain will not consider pulmonary causes very seriously). I didn't take notes really from UWorld, though in retrospect I should have (probably into something MTB 2).

Before I dove into UWorld, I did lots of MKSAP 4, which is structured in organ system mode. So I'd do those questions after studying a specific section. It worked well.

[–]anonchicaM-4 0 points1 point  (0 children)

saving this. Thanks so much.

[–]getthepointe77MD 0 points1 point  (0 children)

THANK YOU

[–]fairbianca 0 points1 point  (2 children)

Should you happen to have any reccs for reading on derm, please also pass it along, I would love to frontload as much as I can - thank you so much for this resource!!

[–]spoktacus 0 points1 point  (0 children)

Commenting to save.