Sunday, September 03, 2006
NBOME, COMLEX and USMLE
The NBOME is the National Board of Osteopathic Medical Examiners. It's a nonprofit corporation dedicated to serving the public and state licensing agencies by administering examinations testing the medical knowledge of osteopathic medical students and interns. The NBOME was established in July 1934. Its website is at http://www.nbome.org
What is the COMLEX?
In order to more accurately measure the knowledge required by today's physicians, the NBOME initiated the three-level Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) to replace the former three-part NBOME examination series. The COMLEX is a three part exam. Each exam is administered over a two day period, and employs an osteopathic primary care approach to patient care fully integrated throughout the examination.
What is the USMLE?
The USMLE is the United States Medical Licensing Exam -- it is taken by allopathic medical students and interns. It is administered by a Committee Consisting of representatives of the Educational Commission for Foreign Medical Graduates (ECFMGSM), the Federation of State Medical Boards (FSMB), the National Board of Medical Examiners (NBME), and the public. The Composite Committee establishes policies and procedures for the USMLE program. The USMLE website is at http://www.usmle.org.
When do medical students and interns take the COMLEX?
The first COMLEX is usually taken at the completion of the second-year of medical school. The next COMLEX is taken during the fourth year of medical school. The final exam is taken during the internship (first residency year).
Why do I need to take the COMLEX?
All states require you to have passed a licensing exam before they will issue you a license to practice. Most osteopathic medical schools require COMLEX as part of the process towards graduation. It is also used by residency programs to make selections of who they will interview and accept for their program. Usually this decision is made only with the scores from the first COMLEX.
Monday, August 21, 2006
Delay in STEP 2 CK SCORE REPORTS
Normal score reporting for Step 2 Clinical Knowledge (CK) usually occurs in 3-4 weeks. However, because of necessary modifications to the test item pool, it will be necessary to delay the reporting of scores of some examinees for an additional 3-4 weeks beyond the normal turnaround period. The target date for reporting Step 2 CK scores for most examinees testing from August 3 through the middle of August will be Wednesday, September 13, 2006.
2006 Match Performance - Number of IMGs Matching Increases
For the fourth consecutive year, the number of first year (PGY-1) residency positions offered through the Match increased. A total of 21,659 first year positions were offered in the 2006 Match, held earlier this month. This represents an increase of 205 positions compared to last year and an increase of 1,057 positions since 2002.
The number of IMGs who matched to first year positions increased by 152, compared to 2005. Of the 8,877 IMGs who participated in the 2006 Match, 4,382* (49.4%) matched. In the 2005 Match, 4,230 (55.3%) IMG participants were matched to first year positions.
There was an increase in the number of matches for both U.S. citizen IMGs and IMGs who are citizens of other countries.
Of the 6,442 IMG participants who were not U.S. citizens, 3,151 (48.9%) obtained first year positions. The number of non-U.S. citizen IMGs who obtained positions in 2006 increased by 64 compared to last year. This is the fifth consecutive year that there has been an increase in the number of non-U.S. citizen IMGs matching to first year positions.
Of the 2,435 U.S. citizen IMG participants, 1,231 (50.6%) were matched to first year positions, an increase of 88 over last year. This is the third consecutive year that there has been an increase in the number of U.S. citizen IMGs matching to first year positions.
There were 51 Fifth Pathway participants in the 2006 Match. Of these 51 participants, 22 (43.1%) were matched to first year positions.
*Note: The total number of IMGs who will fill PGY-1 positions for the 2006-2007 academic year will be higher than this number, since a significant number of IMGs obtain PGY-1 positions outside of the Match.
Source: http://www.ecfmg.org/announce.htm#matchperformance
Friday, August 18, 2006
resources for Step 1 - Highly Recommended
Kaplan Video Lectures - very popular among medical students.
NBME online practice test-there are 150 free questions on the internet plus I think you can buy more. Will make you feel much better about yourself compared to Q Bank. Suggest you take it as 3, 50 question tests towards end of studying. Comparable to actual boards.
Kaplan webprep (online lectures) and lecture material
University of Utah’s “Webpath”-some students thought it was helpful
Books - highly recommended for USMLE Step 1
Histology: Section in First Aid is good enough-High Yield has some good pictures you might want to check out
Neuroscience: High Yield Neuroanatomy
Physiology: BRS Physiology-MUST HAVE
Biochemistry: High Yield Biochemistry
Human Behavior: High Yield Human Behavior
Pathology: BRS Pathology-MUST HAVE
Microbiology/Immunology: High Yield is great-good tips for memorization, LANGE for Immunology is probably your best bet, High Yield is OK for immunology
EBM: High Yield Human Behavior, Section from First Aid is adequate-you will just have finished EBM with Dr. Davidson-so don’t stress this topic
Pharmacology: High Yield Pharm and section in First Aid will be enough-test out on pharm shelf and and adjust accordingly
Must have books for Step 1
If reading only one book, this would be the one.
Good overall subject review with advice on all aspects of taking the boards.
Room to fill in extra notes (may want to get your own to scribble in)- This book can only take you so far. I encourage you to take notes from other sources and transfer into this book. Therefore, your last few days of studying you will have all the highest yield info in one book.
Good review of most available books and resources (gives all the other review books a “grade”)
Which USMLE Step One materials/courses did you use?
% of Class Study material/course Score
97.6% Online Qbank 3.74
34.4% Northwestern 1.64
31.1% What You Need To Know 3.34
12.9% Kaplan Live 3.11
0.5% Falcon Review 2.00
94.7% First Aid 3.69
76.1% BRS 3.21
5.7% Other 3.33
Understanding Funding opportunities: Student Jobs, Scholarships & Assistantships
How do we fund our education while studying at an American University ?
There are three standard sources for Masters and PhD students, which are often clubbed together in a single concept "Financial Aid"
1. Student Jobs: These are the various student jobs that one can on-campus such as Dining services, Library, Book stores, Computer Labs, etc. These jobs typically pay about 6 to 10 dollars an hour and have NO fee waivers.
2. Scholarships : This refers to either partial or complete fee/tuition waivers (i.e. discounts) with or without a monthly or semester scholarship money. These are highly variable and are granted either at the department level or the University level. There are official deadlines for these, so look them on the websites!
3. Assistantships: These are the most sought after funding opportunities because they make life much easier and look good on the resume too.
Assistantships are of two types : Research Assistantships and Teaching Assistantships. Now, each of these assistantships can either be half-time (20 hours a week) or Quarter-time(10 hours a week) & typically pay about 11.5 to 15 $ per hour. Besides a monthly stipend, assistantships normally include a complete tuition waiver (i.e. complete academic fees discount) AND in most universities now include a free health insurance
A teaching assistant teaches some parts of a course (especially assisgnment discussions and paper gradings) to the undergraduate students. So people, if the department you are applying to, does not have any undergraduate courses, there wont be a teaching assistantship offered !
In many universities, assistantships are often offered automatically to some admitted PhD students. In other cases, they may be reserved only for the students of that particular department. In such cases, some students have known to opt for a dual degree to be eligible for these. For example, I knew a student who came to my university for a Masters in Electrical Engineering and signed up for a dual degree in BioEngineering to get a Assistantship from the BioEngineering Department ! [which obviously also means an extra year - but two Masters :-)]
Top Residency Programs
The Top THREE Residency Programs in Internal Medicine (2006 US News Report)
1. Johns Hopkins University
2. Harvard Medical School
3. University Of California - San Francisco
The Top THREE Residency Programs in Family Medicine (2006 US News Report)
1. University of Washington : Website
2. University of North Carolina-Chapell Hill
3. University of Missouri-Columbia, University of Wisconsin-Madison
The Top THREE Residency Programs in Pediatrics (2006 US News Report)
1. Harvard University
2. University of Pennsylvania
3 . Johns Hopkins University
Saturday, August 12, 2006
Looking for free USMLE Step 2 CS cases
Try here:
http://usmlestep.com/usmlecsa-step2cs.htm
Pass Program Videos - Dr. Francis empowers you for USMLE
The breakdown of those materials are as follows:
DVD1: Endocrine, Gastrointestinal, Hematology, and Immunology 1 & 2, Goljan Audio and Notes
DVD2: Metabolic physiology, Pulmonary functions, Renal functions and Muscle physiology, Biochemistry 1 & 2,
DVD3: Microbiology, Cardiovascular, Cell & Membrane Physiology, Neurology and Vitamins, 300+ pages notes.
Read more about Pass Program Videos from Dr. Francis here
Saturday, July 22, 2006
42 day Study Schedule for USMLE Step 1
http://4usmle.net/forum/index.php?showtopic=51
Many USMLE takers consider this as one of the MUST HAVE for Step 1 preparation.
Sunday, July 16, 2006
ECFMG (Educational Commission for Foreign Medical Graduates) Information
The ECFMG is the organization charged with ensuring that physicians who have graduated from foriegn medical schools are qualified to pursue a medical license in the United States. Being certified by the ECFMG is a pre-requisite to applying for the USMLE Step 3 exam, and a pre-requisite for entering an ACGME-accredited residency program. Visit ECFMG.org for details and official requirements.
Eligible Medical Schools
Only students who attended medical schools listed in the International Medical Education Directory (AKA IMED) are eligible to apply for ECFMG certification. The standards are even more strict than simply being listed: a student's year of graduation must also be listed in the IMED database. That is, if you graduated from a medical in a year that your school was not accredited by IMED, you cannot apply to the ECFMG.
Examination Requirements to Apply for ECFMG
In addition to the medical education portion of the requirements, applicants must pass USMLE Step 1, USMLE Step 2 (clinical knowledge and clinical skills). As long as you are eligible to take these exams, you may take them in any order. For detailed information on requirements visit the ECFMG official site.
Residencies can be hard to find for international medical graduates. A variety of resources are available to help with the match and scramble, we recommend the IMG Residency Guide.
Saturday, July 15, 2006

USMLE score distribution
Most applicants have a general impression of how competitive their USMLE scores are, but it's difficult to get data to support their impressions. We've compiled some data on how competitive USMLE scores are for different situations. Since residency programs are notoriously tight-lipped (and appropriately so) about the USMLE scores of their residents, we can't guaranty any of the conclusions - but we do think they are in the right range. Let us know what you think after you visit this USMLE scores page.
- top internal medicine programs are looking for step 1 scores of 230 or better.
- the average usmle step 1 score for applicants who matched in ophthalmology had a score of 224 (those who didn't match had an average score of 206).
- Passing score (as of 1/16/04) is 182 according the NBME official USMLE site.
- The average score is about 214 (estimate from the score distribution).
Saturday, July 08, 2006
Medstudy Videos sale
1 Version is 20 DVDs - in raw MPEG format -they can be played on any DVD player.
2 Version is 4 DVDs - in DIVX format (MP4 container) - they can be played on computer with the help of software DIVX player. You can read more about DIVX format here.
If you look for a place to buy Medstudy Videos - try looking here
Change in Minimum Passing Requirements for Step 2 Clinical Skills
| Change in Minimum Passing Requirements for Step 2 Clinical Skills | |||
| |||
Read more about this at:
http://www.usmle.org/step2/Step2CS/Step2Indexes/Step2CSIndex.htm#change
What are the most popular Step 2 CS Physical Exam Videos
- University of Washington Physical Exam movies
- University of Virginia Physical Exam movies
- Connecticut Physical Exam movies
http://usmlestep.com/usmlecsa-step2cs.htm
Google keywords leading to this USMLESTEPS blog
It is really funny to check my stats and track down which google keywords land people on this site...
Perhaps you also used one of them to get here.... Some of them are very very funny!
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Friday, July 07, 2006
Looking for Canada Medical Exam Study Materials (MCCEE or MCCQE)?
To be eligible for MCCQE Part 1, IMGs must pass the Medical Council of Canada Evaluating Examination (MCCEE). The MCCEE is held in various locations throughout Canada and the world, and is open to all IMGs holding an acceptable medical degree.
Passing the MCCEE gives access to MCCQE Part 1. For access to Part 2, both a pass standing on Part 1 and previous completion of twelve months of postgraduate training are required. This training may be taken anywhere in the world.
There is a lot of overlap between USMLE and MCCEE/MCCQE - try http://www.usmlestep.com for more information about USMLE materials.
Monday, July 03, 2006
Kaplan Webprep - vs. Kaplan Video Lectures
- Immunology (3 hours)
- Behavioral Science (10 hours)
- Pharmacology (10 hours)
- Biochemistry (11 hours)
- Physiology (10 hours)
- Anatomy ( 13 instead of 6 hours)
- Pathology (12 hours)
- Microbiology (6 hours)
- Medical Genetics (6 hours)
Kaplan Notes for USMLE Step 2
There a 6 books covering the following topics:
Cardiology
Endocrinology
Gastroenterology
Hematology
Infectious Diseases
Nephrology
ObGyn
Preventive Medicine
Psychiatry
Pulmonology
Rheumatology
Surgery
There are 2 editions of USMLE Step 2 Notes available: US and international.
They are same in terms of content - the onyl difference is the quality of paper used for printing.
You can get scanned notes or hardcopy notes from here:
http://usmlestep.com/kaplan-step2-notes-2005.htm
Sunday, July 02, 2006
Usmle Step 1 Kaplan Video
Anatomy and Embryo- Dr. David Seiden- ~12.5 hours
Genetics- Dr Vernon Reichenbecher - ~6.5 hours
Histo- James White- ~3.5 hours
Physiology- Dr. Robert Dunn- ~30.5 hours
Immunology- Dr. Don Dunn- ~5.5 hours
Micro- Dr. Don Dunn ~ 14.5 hours
Biochemistry- Dr. Lionel Raymond ~20 hrs
Neuro- Dr. James White ~11 hrs
Pharm- Dr Anthony Trevor ~35 hrs
Pathology- Dr. John Baron ~23 hrs
Behavioral Science- Steven Daugherty ~11 hrs
Great for USMLE Step 1 Review:
Read here for more information:
http://usmlestep.com/2005-kaplan-step-1-dvds-lectures.htm
Computer-Based Testing (CBT) and the USMLE
The United States Medical Licensing Examination (USMLE) is a three-step national competency test required for physicians before they can practice medicine. Step 1 is traditionally taken by second-year medical students, and tests basic physiologic mechanisms and principles. Step 2 emphasizes clinical diagnosis and disease pathogenesis, and is traditionally taken at the end of medical school. Step 3 tests first year residents in clinical management.
Those seeking ECFMG certification can take Step 1 and Step 2 in any order, but must pass both in order to take Step 3. Since their introduction (Steps 1 and 2 in 1992 and Step 3 in 1994) each has been administered twice annually in a two-day format consisting of multiple-choice questions (MCQs), either "one best answer" or "extended matching."
Until last year the USMLE was only administered as a written exam, commonly referred to as pen-and-paper testing (PPT). In March 1999, the National Board of Medical Examiners (NBME) -- after years of study and development, accompanied by much controversy -- launched computerized-based testing (CBT). USMLE Step 1 was computerized in May, Step 2 in August, and Step 3 will be computer-administered in mid-November of 1999. By the end of November, a great many medical students and physicians-in-training will have experienced national standardized CBT.
General Surgery: possible for IMG?
It's surely tougher than IM or FP, and it usually is a 1-year "preliminary" position that is granted.
However, ground work is needed - observerships count a lot ! surgical research too counts. Fellowship options after General Surgery ? These include cardiothoracic surgery, vascular surgery, surgical oncology, plastic surgery, etc.
Here are some places that are knowned to have offered General Surgery Observerships in the past:
St. Luke's Hospital of Bethlehem (PA)
Thomas Jefferson University
University of Buffalo
University of Iowa
University of Michigan
University of Nebraska Medical Center
University of Pittsburgh
University of Tennessee
University of Vermont
University of Wisconsin
Vanderbilt University
PLASTIC SURGEON - how much can you earn
Here's are some average plastic surgeon salaries :
Houston: $ 299,000/-
Los Angeles: $ 326,000/-
New York: $341,000/-
Seattle: $317,000/-
How to get into Plastic Surgery ? Let me quote text from the Harvard Program:
"There are two tracks : (1) an independent three-year program open to applicants who have completed at least three years of a general surgery residency or other approved prerequisite residency, and (2) an integrated six-year program open to applicants who have completed medical school. In the six-year program, the first three years will be spent in a general surgery residency with general surgery rotations and rotations specifically relevant to plastic surgery; the final three years will be spent doing a program identical to that of the independent three-year program residents."
Obviousle very difficult for IMG - but there have been a few who made it with proper planning, clinical exposure, knowing the right people and ofcourse - superb surgical skills !
NOTE: Salaries here are the 50th Percentile Salaries and may apply to mid-career levels - the lower percentile salaries (for fresh physicians) may actually be lower by 30,000- 40,000 $