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re: Calling MD's/Med Students

Posted on 7/21/16 at 6:16 pm to
Posted by Patron Saint
Member since Jul 2013
4191 posts
Posted on 7/21/16 at 6:16 pm to
quote:

If you are a good test taker you will do fine. Some people are just shitty test takers.



Even if you're a good test taker, it takes a lot of preparation to do really well. A good test taker with a solid foundation can probably pass the test on the first try with no additional studying beyond their pre-clinical courses. But to do really well it you have to work hard.
Posted by cwil177
Baton Rouge
Member since Jun 2011
28429 posts
Posted on 7/21/16 at 6:17 pm to
quote:

While Radiology is less competitive among American grads the average Step 1 score still hovers around 240. Programs will take IMG superstars over a dud American grads.


You're right. I still had several people in my class scramble into radiology though.
Posted by Patron Saint
Member since Jul 2013
4191 posts
Posted on 7/21/16 at 6:18 pm to
quote:

Correct. IM has the most people who were AOA and 250+ on Step 1 among its ranks.



That number could be a little skewed because they probably have the most residents. As a percentage, it's probably something like derm or ortho or some other super competitive field. But some of the smartest people I've met are in internal medicine.
Posted by Lithium
Member since Dec 2004
61912 posts
Posted on 7/21/16 at 6:19 pm to
They are not shite just not the big money makers. And when you come out of residency 200k plus in debt that is a big deal. I saw a recent grad of our program and his payments were 4000 a month
Posted by Jizzy08
Member since Aug 2008
11224 posts
Posted on 7/21/16 at 6:20 pm to
quote:

That number could be a little skewed because they probably have the most residents. As a percentage, it's probably something like derm or ortho or some other super competitive field. But some of the smartest people I've met are in internal medicine.



And rightfully so. Do you really need to be the top of your class to be a dermatologist? No. People go into it because of the lifestyle and paycheck. IM doctors have a tough job and I'd be happier knowing my IM doc was AOA over my Dermatologist.
Posted by Parallax
Member since Feb 2016
1449 posts
Posted on 7/21/16 at 6:23 pm to
Failing step 1 twice and being an FMG means you're done.

Step 2 and 3 were still hard exams.

MCAT was harder than the step exams but I barely studied.

-scored >2 SD above the mean on all of my step exams.

Posted by Carson123987
Middle Court at the Rec
Member since Jul 2011
66413 posts
Posted on 7/21/16 at 6:24 pm to
quote:

Looks like your dreams of being the power couple are gone up in smoke. Must have been a nice conversation during pillow talk time.


Posted by Parallax
Member since Feb 2016
1449 posts
Posted on 7/21/16 at 6:25 pm to
Generally, the fewer spots a specialty has the more competitive. Radiology has a ton of spots, kind of remarkable it was one of the most competitive for a stretch.
Posted by cwil177
Baton Rouge
Member since Jun 2011
28429 posts
Posted on 7/21/16 at 6:30 pm to
quote:

Mine was possibly worse because I was running a business in another town and commuting. But OBGYN residency is a bitch.


In my experience rotating as a medical student, OBGYN residents are some of the most miserable. It was recently ranked as having the worst work/life balance of any of the specialties, along with the likes of general surgery and neurosurgery.
Posted by Cosmo
glassman's guest house
Member since Oct 2003
120260 posts
Posted on 7/21/16 at 6:31 pm to
245 here. All i did was a bunch of usmle world online questions
Posted by Scruffy
Kansas City
Member since Jul 2011
72063 posts
Posted on 7/21/16 at 6:44 pm to
quote:

Failing it twice though.....there may be a serious problem. If she can take it again, she may want to get into a prep class or something.
Three is the limit for fails. Three strikes you are out.

You can still match, but your choices are very limited for two fails.

To the OP, she isn't the first person to fail STEP 1 twice. I know a few in my grad class.
This post was edited on 7/21/16 at 6:47 pm
Posted by Suregrow
Member since Jul 2015
18 posts
Posted on 7/21/16 at 6:45 pm to
My wife is a physician and a residency director. I asked read her this post. She said that failing step 1 once and being an offshore student would not severely limit her residency options in primary care fields. If she is looking for more competitive areas of specialty then yes, this will affect her choices/options.
Posted by Patron Saint
Member since Jul 2013
4191 posts
Posted on 7/21/16 at 6:47 pm to
quote:

And rightfully so. Do you really need to be the top of your class to be a dermatologist? No. People go into it because of the lifestyle and paycheck. IM doctors have a tough job and I'd be happier knowing my IM doc was AOA over my Dermatologist.



I don't disagree with you at all. Like I said, IM people are often extremely smart. And if they aren't smart going in, they learn a ton and are probably smart by the time they get out of residency.

I also can't fault people for wanting to go into something with a good lifestyle and good pay.
Posted by 777Tiger
Member since Mar 2011
73856 posts
Posted on 7/21/16 at 6:51 pm to
she should have gone for the zipper at the first inkling it was going south
Posted by Hopeful Doc
Member since Sep 2010
14962 posts
Posted on 7/21/16 at 6:58 pm to
quote:

Do you know how you did on Step 3? I'm currently preparing for it also and wondering how exactly to prepare. Harder to find info about good test prep compared to Step 1.



I think I was 2 points above average (225 and 227 respectively). If you've done half of Qbank and half the cases (from u world), you're more than prepared if you haven't ever struggled with exams.
Posted by cwil177
Baton Rouge
Member since Jun 2011
28429 posts
Posted on 7/21/16 at 7:04 pm to
quote:

double checked before posting, but an old classmate of mine failed Step 1, barely passed on 2nd try, barely passed Step 2, and is currently doing ER in New York despite finding his way off our rank list. I know another guy who had Step 1 and 2 scores >250 and if I'm not mistaken were actually in the low 260s who didn't match an ER spot and had to SOAP into something else.

It's stuff like this that makes me question how straightforward the algorithm is. I know it's supposed to be simple though.
quote:

-scored >2 SD above the mean on all of my step exams.

You got a 270+ on steps 1 and 2?
Posted by Hopeful Doc
Member since Sep 2010
14962 posts
Posted on 7/21/16 at 7:08 pm to
quote:

It's stuff like this that makes me question how straightforward the algorithm is. I know it's supposed to be simple though.


The algorithm is easy- just go to the Wikipedia page on "stable marriage problem" and you'll understand it.

What there isn't an algorithm for is how programs choose to rank people and why. Human factor. You'll never understand it.
Posted by 777Tiger
Member since Mar 2011
73856 posts
Posted on 7/21/16 at 7:10 pm to
quote:

I know a few in my grad class.



damn scruffy, you making a career out of this?
Posted by Patron Saint
Member since Jul 2013
4191 posts
Posted on 7/21/16 at 7:12 pm to
Algorithm is supposedly just that you go to your highest ranked program as long as you are ranked high enough by them. You can't go to your 2nd ranked program if you're ranked high enough to match by your 1st program.

Posted by cwil177
Baton Rouge
Member since Jun 2011
28429 posts
Posted on 7/21/16 at 7:16 pm to
quote:

What there isn't an algorithm for is how programs choose to rank people and why. Human factor. You'll never understand it.


This is probably right. I heard so many stories of people having program directors tell them they wanted them at their program and were ranking the candidate highly only to have them drop to their 5th choice on the rank list. I know people with step scores way higher than me and great evals and extracurriculars (like head of the Texas student branch of the AMA or some shite) who only got a few interviews in the specialty I matched into and ended up matching into something else. None of this makes sense to me. I used to think that we had some say in where we end up but the process has made me pessimistic
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