Do you guys think Surgery, Psych or Internal Medicine is the hardest/most failed NBME shelf? The exams are typically held in a tier fashion; the first tier being an objective style exam, the second, a subjective one. So, read each one of them very carefully, and answer correctly to hit a 100% score. 3. If you haven't done peds or Ob/Gyn yet, you may also need to read up on some of the relevant / high-yield material relative to those areas. My… Hardest NBME shelf exam? When trying to figure out how to approach them, I found a couple of blog entries that provided some information, but nothing was quite as comprehensive or direct as I would have liked. I'm a slow reader, so I planned on De Virgilio + Pestana's. The five most difficult areas of the Emergency Medicine Boards are usually going to be the five areas that you spent the least time reviewing, reviewed in the most distant period, or that you just never quite understood. And honestly...UWorld. And SUTM has more in depth info but lacks in some of the sections for pathophys -UW is better for this. The final round is the interview. I recommend using this as a starting point for the surgery clerkship, as you can read it in a day easily. This quiz features over 40 questions of English grammar. If by some chance you get bored with that, IM Essentials has another 500 or so questions that you can tackle. I’m going to tell you exactly how I went from honoring absolutely ZERO classes to becoming a Shelf exam/USMLE Step 2 CK test-taking wizard. Why are you filling that bucket with water? Toxic syndromes (e.g., serotonin syndrome, NMS, PCP intoxication) are also fair game. I will say, however, that I used the methods outlined below to prepare and did consistently well (93rd-99th percentile) on these exams. Fire it up in ‘tutor mode’, and treat it like an interactive textbook. Great list! Third year is a long road of challenges, including Shelf exams, ever-changing rotations, and preparation for the USMLE Step 2 CK. CLIPP cases may be somewhat helpful if you have access to them and have time to go through them carefully. Whenever you use it, you’ll want to supplement with other resources. Like with all small sample sizes, there will be much more variability. Then at the end of third year, reset it so you can start fresh and use it to study for Step 2 CK. If you’ve studied for and done well on your shelf exams, UW and Wikipedia will be sufficient for Step 2 CK. In general, I find that the questions are easier than those on the shelf exams, but the explanations are pure gold and helped me to answer shelf questions correctly on a number of occasions. Calculus is the hardest math CLEP, for almost everyone. One of the most annoying aspects of third year is studying for (and taking) NBME shelf exams. The success rates of these exams are a flimsy 0.1-0.3%, which earns it a spot on this list. I had a surprisingly large amount of infectious diseases on my Ob/Gyn shelf, and I know that others felt that UroGyn was particularly high-yield. who the hell told you this? OMG and so much biochemistry and embryology. And as always, you’ll learn a lot by reading about your patients and asking questions. Qbanks: UWorld, but I wouldn’t necessarily use it here at the expense of using it elsewhere. I was thinking of substituting Lange with Case Files. The countdown is officially on! It provides you with a differential, diagnostic plan, and treatment plan in the form of 58 common surgical clinical vignettes. Also, I did all three NBMEs. Cramming for a shelf exam isn’t advisable. Then at the end of third year, reset it so you can start fresh and use it to study for Step 2 CK. I used Case Files (plus reading about my patients on the wards). As with other Shelf Exams, UWorld is the go-to resource. If you know for sure you have accomplished enough to be at that level; this test is for you. Be prepared for the Internal Medicine Shelf Exam with these high yield tips and content topics. Since you took the NBMEs, what exactly do the score reports translate to? Text(s): De Virgilio, De Virgilio, and De Virgilio. Note: In March 2020, we published another medical student’s recommendations for building shelf exam study schedules and succeeding in your third year of med school. ____________________ the car (I / wash), Call me after eight o’clock, we ____________________ dinner by then. The qbank at the back (~200 questions) is challenging and contains in-depth explanations. This entrance exam is said to be so tough because it is impossible to revise for and features abstract questions. Is obgyn and peds and IM hardest? Urine Tests. I recommend buying the bank early and doing the appropriate questions during each clerkship. I get it. We are not all born with Hermione Granger’s abilities (I definitely felt more like a Ron at many points), but we can learn how to have her work ethic! Some added thoughts: -- Peds: BRS Peds is somewhat outdated (esp. This test assumes at an intermediate to advanced level and skips over easy questions. Shelf Exams are standardized tests given to medical students across the United States at the end of clerkship to assess their competency in a single specialty. Have a solid differential for respiratory distress in a newborn and for respiratory illnesses in a toddler / pre-schooler. One of the hardest aspects of clerkship year is that you have two related but not identical goals: Demonstrate clinical excellence as a member of the team and demonstrate academic excellence on shelf examinations. I have guesstimated that there are about 100 topics that you need to have an understanding of and there is no way to know what will pop up on the exam. 2. PreTest: If you’re not familiar with it, the PreTest series offers a ~500 question qbank for each clerkship. Made notes on all the questions I missed/annotated the OME notes I had made when applicable. What is a Shelf Exam? By using our Services or clicking I agree, you agree to our use of cookies. Archived. 5 comments. The Lone Step 3 NBME Doesn’t Give a Predicted Score. NMS Casebook is a solid alternative to De Virgilio (and a quicker read). 100% Upvoted. (Wish I had used Uwise more, didn't realize it existed until like a week before). NASA Astronauts exams both to get in and stay in. Qbank: UWorld + UWise (APGO website). Hardest Math Exams. They’ve _______________ a lot in the last few years. World’s Toughest Tests and Final Exams. Moreover, they love to throw in a few neuro and ophthalmology questions. ___________________________, I’m busy right now, but I’ll be with you ___ a moment, House prices are very high. I thought BRS was great when I needed more info on a topic or was getting hung up. You can use the Step 2 CK Qbank, and filter for the Surgery questions. I used Case Files (and honestly didn’t read all it, because I took this clerkship later in the year). Definitely useful for the wards, the OR, and the shelf. Keep in mind, however, that how “easy” or “hard” you find the exam depends on factors like your personal strengths and your preparation. hardest CTs hardest to understand - probably CT4 for me, but the exams are ok hardest to pass - CT8 - the material isn't too bad, but its quite wide ranging and the exams are usually horrible easiest to pass and understand - CT2 and CT7 were my favourites. B. Don’t worry, I __________, We were the only guests at the hotel. What is the format of a shelf exam? Obviously UW is indispensable, I finished this at like 2 am the night before the test. Text: Step Up To Medicine (SU2M) is the standard. The interface is kind of stupid and some of the questions are too detailed for a shelf question, but they are still mostly excellent preparation. Shelf impressions: Broad and frustrating, because (probably more than any other shelf) it didn’t correlate with what I saw on wards. This is a relatively new book developed for third-year medical students. Reading about your patients and paying attention on rounds is good preparation in and of itself. A lot of the qbank is resident level, but a large number of questions are shelf level as well. If you’re reading this, welcome to third year: a magical time that will make you remember why you applied to med school in the first place. Hands down, the hardest part of the CPA exam is putting in the time. UWise questions are topic-appropriate, albeit shorter and simpler than what you’ll find on the shelf. Shelf impressions: As with peds, this shelf is ridiculously broad, such that there is really no way to know what to expect or to prep for it fully. Psych surgery or Medicine. It’s often unclear how to prepare for them, especially when just beginning third-year clerkships. -- Surgery: Don't skip the IM Endo questions on UWorld. In 2016, California had the lowest pass rate of all 50 states, sitting at just 40%. Shelf exams are where med students in their MS3 taking clinical rotations get examined and assessed of their mastery and practical application of medical knowledge within the actual clinical setting.. I think if … With Pediatrics even if you work at a prestigious academic hospital you will only really see 50-60% of what is going to be on the peds boards. (finish), “you really must stay a little longer”, she said to me. Don't ask us how to beat it. Precalculus is harder than College Mathematics and Algebra, but not as advanced as Calculus. So...I’ve put together collection of tips based on my own experiences and with the hope that it might help someone else. When trying to figure out how to approach them, I found a couple of blog entries that provided some information, but nothing was quite as comprehensive or direct as I would have liked. and I think it is a big part of why any of us passed. Keep an eye out for zebras. Peds didn't go so hot though, was in the 70s. AAFP has a ~1400 question bank on their website that’s freely available. I would strongly recommend BoardVitals for everyone who is studying for Step 1, 2, 3 and shelf exams. So, read each one of them very carefully, and answer correctly to hit a 100% score. These questions are hard but very similar to questions on NBME exams. I just finished third year (w00t) and thought I'd pass along some tips... One of the most annoying aspects of third year is studying for (and taking) NBME shelf exams. One thing you can do to help yourself is to make sure that you know your screening guidelines per AAFP / USPTF / whatever. An introduction to shelf exams. The general consensus is that it … There isn’t much else out there for this one that I’ve found, unless you want to take the plunge with PreTest. If you want to reuse the qbank for actual step 2 prep, you can reset UWorld completely (i.e., wiping out all prior answers), if you have a subscription lasting longer than 6 months. The main criticisms of Case Files are that it is rather generic, and the end-of-vignette questions are not very useful (challenging). I did straight pediatrics, and my friend did Internal-Medicine/Pediatrics. The National Board of Medical Examiners (NBME) Subject Exams, or “shelf exams” as they are colloquially referred to, are a challenging but important milestone for all medical students in their clinical years. She told me that studying for the IM board exam was easier than pediatrics because you end up talking about or seeing 80-90% of what is going to be on the IM board exam during residency. One of the hardest aspects of clerkship year is that your focus is divided. Case Files: Pretty solid resource, across the board. There is no score given for the lone NBME. Did I mention De Virgilio? Each volume of the Case Files series consists of 50-60 clinical vignettes that introduce you to common problems / presentations, providing a differential for each, and going through the diagnosis and management plan. Some of my classmates used Blueprints and felt it to be overkill. Has anyone gotten through all their shelf exams with similar results by not any reading books but just from doing the question sources mentioned by hialps? NBME will find something -- and most likely ~10 or so somethings -- that you haven’t seen before or thought about before. The term “zebra” is medical slang for arriving at an exotic medical diagnosis when a more commonplace explanation is more likely.