Peds didn't go so hot though, was in the 70s. Why are you filling that bucket with water? This test assumes at an intermediate to advanced level and skips over easy questions. Seriously, can we just sticky some of these topics, so we don't get the same questions over and over when MVPs like u/hiaips went through all the trouble of answering them? I have taken the exam 3 times and I feel that the sheer volume of material you have to master and understand is the hardest part. Keep in mind, however, that how “easy” or “hard” you find the exam depends on factors like your personal strengths and your preparation. Read bits and pieces of SUTM and MTB as I saw fit for topics that I continually struggled with. It worked for me on surgery and ob/gyn. ____________________ the car (I / wash), Call me after eight o’clock, we ____________________ dinner by then. It's too long for some people, but when they throw out wild cards on the shelf (e.g Cornelia de Lange), you've heard of it before. These questions are hard but very similar to questions on NBME exams. 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. COMAT / Shelf Exams. Quiz: Which Anime Character Are You Most Like? What is a Shelf Exam? Take practice exams. 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. Third year is a long road of challenges, including Shelf exams, ever-changing rotations, and preparation for the USMLE Step 2 CK. There was one on my step 1 exam that I probably missed (would have required detailed knowledge of 5 or 6 particular milestones) and one on my peds shelf that I essentially just clicked "C" as soon as I saw what kind of question it was. and I think it is a big part of why any of us passed. This quiz features over 40 questions of English grammar. NMS Casebook provides you with a set of vignettes and then varies those vignettes successively to cover a large amount of material. 96-99th%. 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. PreTest often emphasizes specialized / obscure minutiae or otherwise very specific details of treatment / diagnosis, whereas the shelf exams tend to challenge you with atypical presentations, unfamiliar vocabulary, subtle differences between different conditions, or ambiguous presentations / questions / answer choices. AAFP guidelines for hypertension, DM, and other common problems are also a reasonable way to go here. That’s the only time I’d personally recommend PreTest. There’s companion audio as well. For example, for psychiatry, PreTest has an entire section on psychoanalytic theory, which is low-yield on the psych shelf. Others swore by NMS Pediatrics. I did this for every shelf. Qbanks: UWorld surgery + selected UWorld medicine questions (esp GI and renal) + De Virgilio. Hardest Math Exams. CLIPP cases may be somewhat helpful if you have access to them and have time to go through them carefully. ___________________________, 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. My contention with PreTest is that it isn’t high yield in many cases, and you have but a limited amount of time to prep for these ridiculous exams. Online MedEd: OME has a freely-available set of videos covering a wide range of third-year material. So, read each one of them very carefully, and answer correctly to hit a 100% score. My rotation assignment ended up being 75% subspecialties... including 2 subspecialties that I am very interested in. As with other Shelf Exams, UWorld is the go-to resource. The Hardest Part Of The CPA Exam. Know your congenital heart defects and how they present. The mods will tell you there is a wiki (that no one looks at). Hands down, the hardest part of the CPA exam is putting in the time. UWorld Step 2 for CK: The last thing you want to do so soon after step 1 is to fork over $400 to USMLE World and fire up that wretched application again. The American Neurological Society also has a 100-question qbank for medical students for around $20. Math is by far the most common subject people struggle with. Admittedly, each shelf exam requires a tweak in your study strategy. How to Prepare for Shelf Exams. Additional questions for surgery. By Guest Writer: Andrew T. Colucci, MD (Harvard) 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. Also, I did all three NBMEs. One of the hardest aspects of clerkship year is that your focus is divided. This is all you need. But are you ready to tackle the hardest grammar, punctuation, syntax, and writing logic questions that ACT English will throw at you? This is a relatively new book developed for third-year medical students. Is psych and neuro easiest? Anyone have thoughts on Pocket Medicine for IM? Falls a little short for OB/GYN. If you know for sure you have accomplished enough to be at that level; this test is for you. 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. 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. But if you do it, it helps to know the most important focus areas. for screening/vaccs) but is the best/most comprehensive text. I used Case Files (and honestly didn’t read all it, because I took this clerkship later in the year). Reading about your patients and paying attention on rounds is good preparation in and of itself. Of course, standard disclaimers apply (what works for me may not work for you, YMMV, study according to your strengths and weaknesses, etc). Case Files: Pretty solid resource, across the board. 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. A lot of the qbank is resident level, but a large number of questions are shelf level as well. The success rates of these exams are a flimsy 0.1-0.3%, which earns it a spot on this list. The hardest part about exams is not the actual exam itself but getting back the results! NASBA Membership 150 Fourth Ave. North Suite 700 Nashville, TN 37219-2417 Tel: 615-880-4200 Fax: 615-880-4290. CFA (Chartered Financial Analyst) Exam Texts: The outpatient chapter of SU2M is helpful. Text: First Aid for the Psych Clerkship has a good summary of the diagnostic guidelines and the pharmacology, and it’s a short read. But the fact is, the UWorld step 2 qbank is in some ways the most widely-applicable and useful resource for all of 3rd year. In Summary, shelf exams should be seen not as a threat but as a unique opportunity to shine on your rotations under an objective lens of evaluation. MTB really skims the surface on topics but is a great quick review. But we've seen it done and it's possible. NMS Casebook is a solid alternative to De Virgilio (and a quicker read). Here are some general approaches to these exams. An introduction to shelf exams. 4 of the Hardest Practice Questions for USMLE Step 1. 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. Free Trial Bank Just Released! I recommend using this as a starting point for the surgery clerkship, as you can read it in a day easily. 3. TORCH infections and the various congenital genetic syndromes (Williams, Prader-Will, Cri du chat, trisomy syndromes, et al) and congenital malformations could certainly show up. Rank shelf exams in easiest to hardest order. I found them to be more high-yield than Renal. Archived. Welcome to the world of pediatrics, if you think the shelf is bad, the pediatric board exam is at least 10x worse. Text: Honestly, there isn’t a great one. CFA (Chartered Financial Analyst) Exam The final round is the interview. Qbank: UWorld + Lange, a 700-question qbank with detailed explanations. It is officially licensed by the same body that administers the United States Medical Licensing Exam (USMLE), the National Board of Medical Examiners (NBME). But it's a great supplemental text to OME/UW. And as always, you’ll learn a lot by reading about your patients and asking questions. 1127 s. 2018 entitled "Schedule of Licensure Examination for Prc board of professional teachers. Did I mention 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. You can’t rely as much on your knowledge from other clerkships for doing well on this one. And SUTM has more in depth info but lacks in some of the sections for pathophys -UW is better for this. If you’ve studied for and done well on your shelf exams, UW and Wikipedia will be sufficient for Step 2 CK. The shelf also definitely tests pharmacology, albeit to a lesser extent than I expected (but my experience may be atypical). Because this is my first rotation - do you recommend doing the NBME practice exams for this shelf in addition to the UW questions? In 2016, California had the lowest pass rate of all 50 states, sitting at just 40%. So, read each one of them very carefully, and answer correctly to hit a 100% score. What is the format of a shelf exam? This can be challenging because what you learn on the wards may not have any relevance to how you are assessed on the shelf. So, what are shelf exams and how can you ace them? It helps you to differentiate between / among similar conditions, and has a separate section for complications and ‘areas where you can get into trouble’ related to each vignette. Close. Shelf impressions: Broad and frustrating, because (probably more than any other shelf) it didn’t correlate with what I saw on wards. I did these for IM and surgery and found the later forms to be more reflective of the actual shelf exams than the earlier forms, as you might expect. Since you took the NBMEs, what exactly do the score reports translate to? who the hell told you this? My… We can't. Try to get through all of them at least once, and preferably twice, before you take your Surgery Shelf. AAFP has a ~1400 question bank on their website that’s freely available. Take your shelf exams, nervously wait 1-3 weeks for your scores to come back, and soldier on. For some reason, however, PreTest hit the mark with Neurology. When thinking about the hardest bar exams, it’s hard not to immediately bring up California. 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. 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. OME is another viable option. The success rates of these exams are a flimsy 0.1-0.3%, which earns it a spot on this list. It’s often unclear how to prepare for them, especially when just beginning third-year clerkships. Hardest NBME shelf exam? -- FM: don't forget to skim basic psych (especially MDD) if you haven't had it yet! 5 comments. The Pediatric Shelf Exam is generally considered to be a bit easier than the rest of the shelf exams you will face. Text(s): De Virgilio, De Virgilio, and De Virgilio. IM Essentials is also solid, albeit more long-winded. This was my #1 resource. Each Shelf exam is 110 questions, whereas Step 1, which has the fewest questions, has 280 items. report. Pestana is another good (classic) resource, especially for a quick overview of the major surgical topics. Try to get through all of them at least once, and preferably twice, before you take your Surgery Shelf. One of the most annoying aspects of third year is studying for (and taking) NBME shelf exams. The main criticisms of Case Files are that it is rather generic, and the end-of-vignette questions are not very useful (challenging). Qbank: UWorld + UWise (APGO website). The Subject Examinations are used by medical schools to measure their students' knowledge across a broad range of topics. Cramming for a shelf exam isn’t advisable. Be prepared for the Internal Medicine Shelf Exam with these high yield tips and content topics. For OB/GYN, ACOG has a huge question bank on their website. Take your shelf exams, nervously wait 1-3 weeks for your scores to come back, and soldier on. To create this list, we considered the difficulty of the content, the length of the test, and how high the stakes are. May 1, 2012, 13:42, 13:42. Unless you’re a math wiz, it’s also one of the hardest CLEP exams among all the subject categories. This book is gold. This test assumes at an intermediate to advanced level and skips over easy questions. Obviously UW is indispensable, I finished this at like 2 am the night before the test. How Do I Split My Time Between Clinical Duties and Shelf Preparation? I used this bank for Step 1, and right now I'm using it for Step 2 and for my upcoming Internal Medicine shelf exam.” ” … The general consensus is that it … 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.. Psych surgery or Medicine. Can’t fake it, failing it is more costly than most tests. 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! 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. Keep an eye out for zebras. The final round is the interview. (finish), “you really must stay a little longer”, she said to me. If by some chance you get bored with that, IM Essentials has another 500 or so questions that you can tackle. Press question mark to learn the rest of the keyboard shortcuts. If not should I add Surgical Recall? I couldn’t make it all the way through Blueprints (painfully dry) and instead focused on the chapters where I thought I was weak. Shelf impressions: Narrow in scope, but challenging because Ob/Gyn is an entity all its own. The exams are typically held in a tier fashion; the first tier being an objective style exam, the second, a subjective one. Even the Shelf exams themselves are shorter than the USMLEs. PreTest: If you’re not familiar with it, the PreTest series offers a ~500 question qbank for each clerkship. 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. Read the interview here . The qbank at the back (~200 questions) is challenging and contains in-depth explanations. New comments cannot be posted and votes cannot be cast. She insisted that I ________________________, A. I would strongly recommend BoardVitals for everyone who is studying for Step 1, 2, 3 and shelf exams. It’s also a good idea to be able to differentiate causes of joint pain (transient synovitis, JIA, ALL, septic arthritis, LCP, SCFE, et al). The September 2019 Board Licensure Exam for Professional Teachers (BLEPT) were According to the Commission's Resolution No. By using our Services or clicking I agree, you agree to our use of cookies. Keeping a running list of those through the clerkship is going to be really helpful. This thread is archived. I think if … It is officially licensed by the same body that administers the United States Medical Licensing Exam (USMLE), the National Board of Medical Examiners (NBME). With 5 of the 6 shelf exams under my belt, only one more shelf exam and 2 board exams stand between me and my 4th year of medical school. Just took Step 1. I used this bank for Step 1, and right now I'm using it for Step 2 and for my upcoming Internal Medicine shelf exam.” ” … OP-Regarding Lange for psych, do you think it's worth using even if the latest edition is not updated for DSM-V? I will say, however, that I used the methods outlined below to prepare and did consistently well (93rd-99th percentile) on these exams. A. Text: Step Up To Medicine (SU2M) is the standard. It's my first rotation. I planned to take it last. 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.. The most important thing to remember about third year is that you are awesome. Definitely useful for the wards, the OR, and the shelf. They love to test your knowledge of diagnostic criteria (e.g., MDD vs adjustment disorder), so make sure you know these cold. Yeah, we were required to do UWise from the APGO website. Made notes on all the questions I missed/annotated the OME notes I had made when applicable. There is no score given for the lone NBME. 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. World’s Toughest Tests and Final Exams. Then at the end of third year, reset it so you can start fresh and use it to study for Step 2 CK. One thing you can do to help yourself is to make sure that you know your screening guidelines per AAFP / USPTF / whatever. 3. NBME Practice Exams: You can buy access to retired shelf exams for $20 each off the NBME website. I did straight pediatrics, and my friend did Internal-Medicine/Pediatrics. Like with all small sample sizes, there will be much more variability. CPA Examination Services 800-CPA-EXAM (800-272-3926) 12. 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. Great list! And finally, you’ll probably have at least one question on developmental milestones. UWise questions are topic-appropriate, albeit shorter and simpler than what you’ll find on the shelf. Case Files is one option for a quick overview, but you may not have time for that. 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. However, your biggest threat here is you’ll typically find yourself on a time crunch for this particular exam. All the best! Then at the end of third year, reset it so you can start fresh and use it to study for Step 2 CK. You guys are on your own! I cant seem to find any good guide for how to interpret it. Removing question excerpt is a premium feature, Q. Although the videos are a bit superficial / oversimplified and incomplete at times, for the most part they can provide you with a quick and accurate overview of common conditions and their diagnostics and management. The exams are typically held in a tier fashion; the first tier being an objective style exam, the second, a subjective one. 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. 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. 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. Posted by 2 years ago. You can use the Step 2 CK Qbank, and filter for the Surgery questions. So...I’ve put together collection of tips based on my own experiences and with the hope that it might help someone else. Qbanks: UWorld, but I wouldn’t necessarily use it here at the expense of using it elsewhere. 2. In addition to the fact that life itself is a test, there are a number of other scholastic and professional challenges along the way that would defeat even the best of us. Jump to navigation. According to popular opinion, California might have the most difficult bar exam in the country. Unemployment  ________________ every year until 1985 and then started to fall. 100% Upvoted. Calculus is the hardest math CLEP, for almost everyone. “Topics that you better know. Your hardest CPA exam will be the one with the material that challenges you, and that you aren’t completely prepared for. The good news: it is somewhat limited in scope, though they may throw in a few questions that encompass psych topics and MSK / peripheral nerve lesions. My school required us to complete this during our clerkship (which was only 4 weeks!) -- Surgery: Don't skip the IM Endo questions on UWorld. Is obgyn and peds and IM hardest? I'm a slow reader, so I planned on De Virgilio + Pestana's. Precalculus is harder than College Mathematics and Algebra, but not as advanced as Calculus. Focus on a few key resources for each rotation, incorporating both practice questions and written material, and make a study schedule for yourself at the beginning of each rotation such that you can pace yourself effectively. you should start studying Day -1. yes, negative one. Obviously this played a big role as well. Have a solid differential for respiratory distress in a newborn and for respiratory illnesses in a toddler / pre-schooler. Shelf impressions: The bad news: This shelf is notoriously difficult. 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. Qbank: UWorld has 1400+ medicine questions. Here's a rundown of the basics of shelf examinations. The rest is a hodge-podge of trauma, abdominal conditions requiring surgery, and surgical speciality questions (neuro, vascular, ortho, Ob/Gyn, etc). Hate to necro a topic, but I've been using this thread as a reference... For those looking for the neuro practice test, it's actually from the American Academy of Neurology. did the same fucktard that gave you that advise also tell you to not study for Step 1 before dedicated? The 3 hardest exams in the world If you think there’s nothing harder than an essay question on ‘Mice and Men’ or an OCR Maths past paper, then think again. Much like USMLE Step 1 and UWorld, the vignettes tend to be long, typically about a 1/2 page in length. 1. There’s still some minutiae, but it’s much closer to the shelf than in the other cases. There isn’t much else out there for this one that I’ve found, unless you want to take the plunge with PreTest. By the time that you sit for these examinations, you have likely already taken the USMLE Step 1 and perhaps even Step 2CK exams. World's Hardest Game at Cool Math Games: It really is. There are great prep resources as well as a lot of available information about the exam. share. If you’ve been hard at work studying for the ACT, you’ve mastered the basics of the test. Fire it up in ‘tutor mode’, and treat it like an interactive textbook. Some of my classmates used Blueprints and felt it to be overkill. Whenever you use it, you’ll want to supplement with other resources. Never studied it for a second from then on. The price of houses ________________ dramatically in recent years. Sort by. Qbank: UWorld (explanations are gold) + PreTest. Two of these i took the OB GYN shelf exam … You can use the Step 2 CK Qbank, and filter for the Surgery questions. If you know for sure you have accomplished enough to be at that level; this test is for you. If there is an area with which you have always had trouble, your success in this area is not going to improve unless you have put the time in to alleviate the difficulty. The term was coined by Dr. Theodore Woodward, who instructed his interns, “ When you hear hoofbeats, think of horses, not zebras. If you’ve studied for and done well on your shelf exams, UW and Wikipedia will be sufficient for Step 2 CK. There’s no feedback (other than knowing which questions you got right or wrong), but these at least give you a sense of what to expect on the real exam. I recommend buying the bank early and doing the appropriate questions during each clerkship. 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. 1 question on development (I think). All the best! Moreover, they love to throw in a few neuro and ophthalmology questions. Proper preparation for shelf exams during rotations is key to establish a solid foundation for Step 2 CK. B. Don’t worry, I __________, We were the only guests at the hotel. 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? It’s often unclear how to prepare for them, especially when just beginning third-year clerkships. Case Files often highlights key differences in clinical presentation between diseases, which can really help you on shelf exams. Are those two enough for OR pimping? The term “zebra” is medical slang for arriving at an exotic medical diagnosis when a more commonplace explanation is more likely. These questions are hard but very similar to questions on NBME exams. And honestly...UWorld. Rank shelf exams in easiest to hardest order. Text: Blueprints or Beckmann seem to be the standards. Text: Case Files, perhaps the neuro chapter from SU2M, and some UpToDate (reading about your patients), and you have a good basis for tackling this shelf. This exam is much harder if you do it earlier in the year, of course. Do you guys think Surgery, Psych or Internal Medicine is the hardest/most failed NBME shelf? “There are high-yield topics,” DeVoe said. Shelf impressions: This is one of the more difficult shelf exams, IMO, because it is so broad that it might as well be a medicine exam with a few surgical questions thrown in. I would strongly recommend BoardVitals for everyone who is studying for Step 1, 2, 3 and shelf exams. Online MedEd is amazing, strongly strongly recommend. Is your subject exam score the percentage? Ended up doing really well (99th Percentile (90%)) on IM shelf so I thought I'd post what worked/didn't work. The countdown is officially on! Shelf impressions: Probably the most straightforward of the shelf exams. 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. Shelf impressions: Broad, and builds on pretty much every other clerkship. That means for the board exam you need to learn a significant amount of "board only" information that you will never see in your lifetime. Don’t focus as much on specific techniques or procedures when studying for this (though in some cases, this level of detail is probably fair game); instead focus more on how you diagnose and manage surgical disease and when surgery is indicated. Shelf impressions: Broad and frustrating, because (probably more than any other shelf) it didn’t correlate with what I saw on wards. Urine Tests. (Wish I had used Uwise more, didn't realize it existed until like a week before). MyTutor presents the shortlist of the hardest exams in the world. Could you pass the 'world's hardest test' from Oxford University? Often referred to as a “torture session” spread over three days, California recently decreased it to two. The Lone Step 3 NBME Doesn’t Give a Predicted Score. My Shelf exam scores went from 68% -> 74% -> 78% -> over 90% for the rest (high honors). Definitely saw some similar questions. They include both the Basic and Clinical Science exams, which serve to assess students at the end of a course or clerkship, and the Comprehensive exams, which help to gauge readiness for the USMLE®. You can use the Step 2 CK Qbank, and filter for the Surgery questions. Some added thoughts: -- Peds: BRS Peds is somewhat outdated (esp. Specifically regarding developmental milestones and pediatrics: early on in med school I was so frustrated by that topic that I just decided to "punt" it.