Best books for 99 score

Tuesday, September 20, 2011

How to pass USMLE Step 2 CS on first attempt

it getting tougher day by day to pass CS on first attempt.i want to discuss few important aspect of this exam. which could help you some way to get your goal.
what to study?
well there are not so many books for CS but most of the people read First Aid and i think thats a great book but not alone.
you should read the USMLE WORLD get it print out every page make a folder. read all the topic starting from history taking, physical exam and all the cases given into it.
reading alone is of no use for this exam even if you study for years. ok so try to practice with somebody again and again.
every case should be on your tips literally.

you will be given 12 Standardized patients. they are not real patients. but keep in mind they are real examiner they will mark your performance. so be nice to them.
every case will be given 25 mins
15 mis for history and physical.
10 mins for writing the history, physical, 3-5 possible D/D and diagnostic work up.
mostly people think thats is the work we need to do and will.
but do u think 15 is enough for history and physical.
try to practice a complete case just like the real exam situation. you will find its not easy.i know.

few advice-
1- feel confident and calm yourself.
2- read the information given at the door. try to make a picture what is case all about. think about the chief
comp and try to make 3-4 D/D BEFORE KNOCKING THE DOOR.
3- now knock the door.
4-give a good smile. m serious.
5- introduce yourself. try to speak with confidence.
ex- hello mr. douglous good morn, myself dr. k i am a physician here. nice to meet you. how you doing today?
ans-  fine.
6- so what i can do for you?/ what brings you in today?-open ended q?
ans-tell chief comp
7-then you need to make eye contact and ask mr. dos would you mind if write down some notes while m talking to you? this cast a impression that u really care about him.
8-then you start the case- ask the relevant q? according to the case.
can use pnemonic-PAIN
     L- OCATION
     I-NTANSITY
     Q-UALITY
     O-NSET
     R-RADIATION.
     A-GGREVATING FACS
     A-LLEVIATING FCAS
     A-SSOCIATED COMPLAINS.- according to the system involved.
        fever, chills, night sweats and et. al.
+
PAM HUG FOSS-
PAST
ALLERGY
MEDICATION
H
URINE
GENITAL
FAMILY
OBS
SEXUAL
SOCIAL

few other points
 1-if pat starts coughing.
give him a tissue and ask would u like a glass of water mr.....
if he say no.
again- are u sure?
always take every encounter as real clinical situation.
 2-if patient is angry bcoz he think you are late.
dont think he does not like you.
try to console him. say i am really sorry mr...for making u wait so long. actually i encounter unexpected
delay with one of my patient.
to be conti...
3- always speak very clearly and slowly. dont rush things because it makes you look that you are not interested in patient problem.
4-lets the pt tell you whatever he want to.
5-once you are done taking history. dont forget to recap every point in front of patient. ask him if want to add something that i might have missed.
6-after taking history tell him that u are done with history and now i need to examine you. say like will u excuse me mr.... while i wash my hands. you can wash your hands while talking to him but make sure you dont loose the eye contacts.

7- wash hands- look what you have at wash basin. is soap available or not ? if not try to use gloves and also tell the patient and ask if he has some kind of allergy to latex.

8-before you start exam- keep few things in your mind.
  consent - what ever u do always ask the permission and reason why u doing it. like mr.... i need to examine your chest, may i go for that?
mr... i need to untie your gown to examine your chest if you dont mind.

wait until he nods yes. then start untying.
try to expose as less part as possible to examine.
once you are done tie the gown up.

be gentle dont be too rough while examination. if patient is in pain be very very careful. and if pt complaints
pain always say sorry.




you can check all the top ranked books for Step 2 CS at this link.......
  

Sunday, January 30, 2011

FREE MEDICAL BOOKS

FREE MEDICAL BOOKS -


MCMINNS ATLAS-
DOWNLOAD THEM ALL THEN COMBINE





















CLINICAL ANATOMY BY SNELL

BIOCHEMISTRY BY HARPER
PHYSIOLOGY BY GYTON-
   GANONG-
ROBINS AND COTRAN PATHOLOGY-
http://hotfile.com/dl/10519583/6a8b208/Robbins__Cotran_Pathologic_Basis_of_Disease_-_8th_Ed.zip.html




























PHARMACOLOGY-
LIPPINCOTT-
WILL BE AVAILABLE SOON.
KATZUNG-

PRINCIPAL OF PHARMACOLOGY



Friday, January 28, 2011

Sending Documents to ECFMG..................


hi folks,
           I am writing this post about what are the documents needed to take dates for Usmle exams and
          participating into Match.

    there may be two cases-
 
        1) you may be a medical student. means you have not completed your internship yet.
         2) you are a medical graduate. done with internship.

     Student- if you are a student then you dont need any extra document to take date for Step 1,Step 2CK
           and Step 2cs. you just to send the print out which you will get at the end of online application. this is  
           either form 183 aka Certification statement  of identification is paper certification required by ECFMG
           for applicants who r students enrolled in medical school that do not participate in ECFMG Medical  
           School Web Portal.


        doc-  Certification Statement (Form 183) only.



    Graduates- if you are a medical graduate then you need to send two copies of your medical diploma( degree) and a recent taken with in 6 months passport size photo along with the print out form that you get at the end of online application. that would be Form-186 Certification of Identification Form.


     doc- 1) Certification of Identification Form (Form 186)
             2)  two copies of medical diploma
             3)  one passport size photo
             4)  ECFMG Medical Education Credentials Submission Form (Form 344).
             5) Medical School Release Request (Form 345) to release your medical school transcript.


             plz review ths guide line for photocopies-  
                                                                                Reference Guide for Medical Education Credentials


             what ever the case you have to sent all these documents to the given address by the ECFMG.
             if you student then you will receive the email cofirmation that we have received your application 
             and after apprx 3 weeks you might get your confirmation of schedule which you had chosen  
              during application.
   
             if you are graduate then it will take bit longer time. because once ECFMG  receives your application along with all five docs then they will send your diploma to your medical college for verification and also the request for release form 345 to release your Medical school transcript.
well if you are lucky your college might do all the steps correctly but if they are not accustom to these stuff then here is a trick.


you try to contact your college and tell them that they gona receive a package with my name. and once they receive it you go there if possible get everything done under ur vision. and you might take all the documents and send them to advised address under college name as the sender.

so that is hectic step but you have to go through it. it just the beginning man.......... you have long way to go.