 All right guys, we're just gonna wait for the live to start trickle in but feel free to drop your questions Otherwise just use it as a working kind of hour, which is what I'm hoping to do But hopefully also answer some of your questions as we go through this. Hopefully you guys are having a great day All right guys, hopefully you guys are having a great day if you guys have any questions feel free to drop in the comment section I'm just gonna be using this is kind of like a The work time slash is interact with you guys So feel free to drop it in the chat if you have any questions Otherwise listen in sure people will trickle in and trickle in over time if you're studying on this beautiful Sunday I hope you really wish you were doing something else But let me know if there's any way I can help you guys on your medical journey be happy to do so How should you start? Pharmacology, okay So pharmacology is definitely like a very Fact-heavy class and so I definitely recommend using like flashcards or something to just help you with the repetition So if you are somebody who likes to learn the big picture and then like resources like Picmonic Or sketchy farm are great because they kind of put together All of the topics into one area into one the short video so that's a good way to like start to get the broad overview and then Using flashcards is something that way you can say oh, I remember that let me just make sure it's a constant repetition So he don't have to go too crazy and I recommend you don't his farm requires lots of repetition So for you to get the best bang for your buck find a resource I can teach you all of the kind of the the force from the trees kind of resource either that book or a video resource and then use Flashcards, you know length pharmacology has great flashcards people make very on key flashcards You can make your own if you like In doing those those two combinations Ideally will help you get the big picture details as well as just the ability to Review and remember over time. So that's how I would do it You also get better at it over time as you Actually start using the medications or seeing what medications are used more frequently Though it is a little bit of an experience over time But it just means repetition is truly key when it comes to farm Hopefully that helped If you're just joining in like I said just feel free to drop your questions I'm gonna be using this as a work hour to just get some done setting emails But there's anything I can help you guys at all on your medical journey regardless of how small or big it is Or if you just want to say hi and give it thumbs up. I totally and cool with that as well And but hopefully you guys are having a good Sunday This is actually a meal drink case you haven't had them. They're great for like vitamins caffeine I'm so supplements my daily coffee. They also really taste good in the meantime. What I will do is Yesterday at least if you're on my email list at all I do usually send questions of what kind of things you guys want to see so feel free to drop your questions But I'm gonna go ahead and find those questions and I'll answer them in case you're watching in one of those questions Who is yours? See I also realize I sent all of those answers to that surveilling that I sent yesterday on my emails to my wife's account So I'm having to log into her email to read your questions for them to charity But feel free to drop your questions, but some of the questions that I got yesterday One of them was about how to find research opportunities in med school especially at schools that are not research heavy The thing that I would say there is that you're not tied to the med school that you're doing research on especially with COVID a lot of things are Remote which is beautiful because you work on projects that people are wanting to but because of COVID They just don't have the influx of people asking to do research So reach out to your nearby institutions that are really research heavy There's a lot of projects that you guys can do that are just on your computer That's pretty much all of the projects that I was working on so case studies Retrospective studies were just like reviewing data and charts And so reach out to people and you don't have to be at the same institutions a medical school Research is research regardless of where you are You may have to do a bunch of credentialing stuff But if you don't have opportunities at your school obviously look a little bit harder just in case You can definitely reach out to other institutions all across really the country. So Those would be the things there There you go pessimists. Are there any resources like sketchy or learning muscle innovations functions But having a hard time learning musculoskeletal anatomy Have to double-think. I think the main resource that I really enjoy using For anatomy itself is anatomy zone It's like a 3d kind of u2 compilation of where things are in relation to each other And they also kind of they have a video about muscles. They have the videos about the nerves in the veins of the videos You know about organs and systems and how they're structured. So I definitely recommend checking those out And that's usually kind of my go-to resource when I was learning an anatomy I Think I'm not sure if first aid really includes a lot of the functions But I don't think that they do but I would try anatomy zone out And if I have chance in this video, I'll go ahead and look up something else Because I know one of my coaching students was using a resource that they really enjoyed But I can't it doesn't not on top of my head but try anatomy zone in case that helps you guys out All right next question Was somebody was concerned about not working fast enough and taking too long on their lectures I think that's the problem for probably all of us where you're studying and you feel like you're just You know overloaded with the amount of information you learn but for some reason you take like you're taking to You know too much time to do it The first thing I would tell you to do is to really use a timer of some sense So for example, if you're studying 10 hours a day ask yourself what you would do differently if you had a study eight You don't have to go about doing it But it really forces yourself to say okay What am I doing that I wouldn't do like if the test was suddenly surprisingly tomorrow? How would I change things and that really forces you to Say well if I have a 60-minute lecture and it's taking me two hours study How would I do it if I only had an hour and it forces you to one become more efficient one being? Okay, we're not knowing everything because I usually what slows us down and to also just tells you like these techniques I'm using but they're not the most effective and time, you know conducive And I should be doing more of my time here So I feel like you're not studying fast enough ask yourself What's really slowing you down and one of the best ways to do it is just act like a professor told you test this tomorrow? Holy crap, what would I do? Other questions, I'll be taking step one in July Wondering if you start your world ASAP or do another question bank first and save your dedicated to July you got about three to four months left So I would pick the latter Using your world for a dedicated is really nice because then you get to test yourself on Things that are the most similar to step one related questions So you have similar Rx is good one people use Kaplan people use like Things from boards and beyond so definitely get those practice questions in but you just don't want to be in the situation Where you're prepping for your dedicated and you're getting questions right because you remember what the right answer is and not necessarily what the Right concept is so if you really want to do well on step one the concepts are the most important So I'd recommend using a different question bank and then using your world for your dedicated Renee is asking what's the best way to learn or understand information. So this will really depend on you Renee I mean obviously all of us learn differently But what I would say is you know kind of like what I was saying about five five minutes ago is Ask yourself, you know if the test was tomorrow, what would you do? You know suddenly if your professor said test is no longer in four weeks. It's tomorrow How would you study differently? What what techniques would you immediately go to and then what techniques would you go away from? That already tells you a spectrum of how you learn best And so my answers to that question will be completely different to yours But definitely using a more active kind of thing. So I love flashcards and that everyone does I love having a blank piece of paper or a notebook where I just say I'm going to recreate the lecture that I just had from memory And seeing how well I do and then identifying those gaps that I don't know how to go from point A to point B That's a great way of saying I thought I'd learned it and here is a good visual representation That here are some of my weak points I need to go back and review them some people enjoy group studying practice questions, but Ask yourself that question of what you would do if time was very limited That's your best way of learning and understanding information and then combining that with some kind of repetition So don't just learn something don't just read something and then say I'm good I'm gonna move on to the next lecture. No instead ask yourself What system do I have to actively learn something and then what system do I have to come back to the things that I'm really We get so I use you know Anki is a very natural way of reviewing things people have used my Excel method that I talk about on YouTube But do you just have to have a way that you learned best? And then a way that you can come back to the things that you don't learn best. So hopefully that helps All right. I am G current COVID situation How can I go for my electives and clerkships in the US especially being international gras and either like recommendations So I'm unfortunately like not to incline to be able to answer that question just because one I'm not doing it And so I don't know What situations are currently open the good thing is is with the current COVID situation improving at least here in the United States With regulations in my opinion we're going to slowly being lifted Just because more and more people being vaccinated I'm hoping that the situation becomes a little bit easier But I would just continue to broaden out and reach out especially in the states where you see those regulations really start to improve And seeing if you can get those clerkships especially for the upcoming months in June July or in states like Texas where I'm living in You know our state governments already done a very fast job of opening up the state and so what the vaccine is rolling out I think you're going to have more ability to do those clerkships. All right Seneeb you are starting school this year. What do students after look when starting med school? Oh about to give me started. I love these questions I think the thing that people overlook is that there is a definition of what you think med school will look like and Everyone will kind of have the same kind of picture is that med school needs to be this busy It needs to spend this many hours and I need to be this happy Which usually is low and I need to make these sacrifices And you continue to perpetuate that and then your grades don't obviously look like the way you want to just because med school It's different and so you won't get the grades you want and then you kind of go into this deadly cycle If I need to spend more hours need to make more sacrifices. I need to be more unhappy Um, but if you go in mindset of saying I am not going to commit to that instead I'm going to say I am going to enjoy myself. I'm going to enjoy my fitness if that's important to him and enjoy the people I love Continue to do the things that I love hobbies and so and I'm still going to get better at my studying over time Then you are in this mindset of these four years are going to be fun. I'm going to enjoy them I'm going to work hard, but I'm going to enjoy it Um and people don't go in with that mindset people usually say I'm going to let med school Allow me to make the sacrifices I need to to get wherever I want to be but you can still be happy You can still do well as long as you go with an impression that I need to go in with a mindset that My life still shouldn't be on the back burner just because I need to go through four years in med school So go in with the mindset of I still want to be able to enjoy myself and I'm going to make those things still a priority I mean I make tons of videos on youtube about how to do that But um go with the mindset that you deserve to be happy all four years You don't need to make your happiness a form of sacrifice. Hopefully that makes sense Um, what's the best way to stand out for residency applications, especially with step becoming pass fail Um, to be quite honest, I'm kind of glad that step one is pass fail. I know it affects a lot of people in international wise um, but One that forces you to study more for step two ck, which I think is definitely more Correlative of what kind of doctor your knowledge base you have So in terms of once you start getting into your clerkships Um, I'm not sure how far you are from residency applications because I have your question but you know as you get closer um to Applying for residency. So while you're in your clinical rotations, I recommend definitely Doing a lot of step one or step two questions Excuse me So through you world and obviously as you're studying for your boards And your shelf exams make sure that your knowledge is always growing so a step two isn't like a worrisome thing It's just a very natural thing you've been doing in the background And then you do well on exam in terms of how to stand out otherwise besides just the grades You know have some kind of story or journey that's progressed to the ultimate specialty you picked You know, all of those don't necessarily have I want to do this and thus, you know in five years Um, it's going to be very obvious that all my experiences have led to it A lot of us will have deviations of saying I thought I wanted to do this these fields And then suddenly this came out of the blue at the very end But I really want to do anesthesiology where initially I thought I was going to be a surgeon Just paint that story nicely like what experience have you done that pointed you to something away from something And now ultimately to whatever experience you're going to do then you have a residency application That ideally is good on the number sense ideally is good from your evaluation sense because you worked hard on your rotations You worked hard on your shelves But most importantly whatever story you're trying to sell of why you want to become a general surgeon anesthesiologist internal medicine Um, it makes sense and really that's the best way to stand out because a lot of people just sound very cookie cutter Um, they've done the same experiences. They've taken the same test as you but their story is where you can really make yourself different Um, so obviously do well on the test so that way you can get your eyeballs on your application But then tell the story of how you got there um Let's see Do you think it's possible to study for step one in six months? I want to give my exam in december. Absolutely um, I'm assuming that you know, you're potentially IMG um And wanting to test but six months. I think it's more than enough Especially if you start to do the background knowledge now, um, possibly even you know Watching all those heavy content things. So if you're going to use patilma if you're going to use sketchy Those things are really time intensive and the latter parts of your study I'd recommend more just doing as many questions as possible and trying to improve your knowledge base and your weakness So if you have six months, I would spend the first two just trying to get through all of sketchy getting all A patilma or whatever the time frame may be and using the latter part to really get honed in on Doing as many practice questions that you do and then the one part that really affects people who get great Step one scores and people who get average scores people who don't Is having a nice system of saying every time you miss a question Here is how I plan on reviewing that for the future. That way it's no longer a weakness on the real thing Um, but six months. Absolutely. Um I'ma said who u.s. Emily or pilaf. I honestly don't know what pilaf is. So you may have to let me Inform me a little bit, but so I can't answer that question unfortunately But u.s. Emily i'm aware of so let me know what that means if somebody else can help, uh, mohammed, that'd be great Um, renee could you link your videos for the excel method? Absolutely. I will try um to put it in But I think if you click on my study playlist here on youtube, you'll probably able to find it Um, and if not, I will link it or you can send me a message on instagram. I feel like I can find it too Um, yeah awesome questions so far. Um, keep dropping them and I'm going to continue to look Um through the chat to see what else we got All right fourth year medical student currently studying balancing rotations with my online classes Do you have advice on how I can share or not to fall behind? So actually that's an interesting question Just because I'm not used to the fourth year in med school being Associated with online classes, but I'm assuming where your institution is that's natural um so It may obviously need a little bit background information. So I'm making some assumptions here But I would essentially ask yourself how you can get the most efficient Particularly with online classes usually with the rotations at the hospitals your hours are kind of picked for you You know what time you have to show up what time you leave? And so step one would be with your online classes ask how you could get the most efficient with your studying again Kind of like we talked about earlier if the test was tomorrow What would be the one or two things you would do and then remove the rest? So you're gonna have to really get super efficient and super narrow in terms of your study approach And then ideally with your rotations if the whole hour, you know, if you're there from six in the morning to five o'clock pm In the evenings then ask yourself Are there any little times in between those where you can study for your online classes or study for rotations? That when you come home, again, you can get into that really focused mindset of preparing for your classes So if you're starting to notice that you're falling behind ask yourself what you're doing from step one to feeling super comfortable for the exam And find what kind of Techniques you're doing in terms of retention long-term retention for that material that may be forcing you to fall behind so Just a good example would be like usually when you're studying for rotations here in the u.s You're also studying like step two and people are like well How do I do the two and usually my answer is you need to make step two as Natural and as efficient as possible. So just get straight to the practice questions quit reading the books Um, just get to the practice questions that way you can just quickly visually see I suck at this I'm great at this Um, and without like getting further behind so hopefully that helps All right medical science cool name. Um, I am G here six months from step All right currently doing boards and beyond Very low scores on u-world and i'm not able to do on key Because my class is how can I improve and retain the info? Like I said I think the biggest kind of issue with step one is when you get low scores on u-world That's not a point of failure. You know, I think honestly when I was taking u-world I would get tests where I'd do like 35 to 45 percent and my step final step score didn't reflect that Um use that as like a wow, this is awesome Like I've realized 50 of the knowledge that could have missed the actual thing Let me now use this freaking time to Create a list. I love using the excel methods. Whoever asked about it. I can just quickly um describe it, but um, I think it was Renee But essentially the excel method is you have an excel sheet I love using google stretches because you're going to take it with you One column is the topics that you're missing and some kind of reference to it So let's say you miss a question about septic shock You can put septic shock in the column the next thing would be like some form of quick reference Where if you looked at it, you're like, oh, here is the concept that I missed Um, and then you can have another column that can break categories So like if you're missing a question for infectious disease versus cardiology And the final thing would be Kind of how difficult That question is for you and I usually use a scale of one to five So fives are topics that are super hard. One's are things that are super easy I just missed and I just want to make sure I'll miss the future So initially when you're getting low scores on your world You want to just keep growing the list and then having some kind of structure to come back to it Ideally, I recommend that like the next morning before you get into your next year world's session You quickly just do 30 minutes of it not doing A certain amount of them just say I'm going to spend 30 minutes doing my top Difficult questions whether it be all my fives all my fours And over time that weakness will fall and you'll see your your world questions Improve because ideally you'll start being tested on similar topics So it's not about getting low your world scores now You're prepping that's a good sign because that means that you're finding more and more Weaknesses that you can work on in the short term as you get closer to test day So don't be nervous about that instead saying how will I be using these low scores to help raise my score? If you like sometimes we use your world as like an assessment of how I'll do on the real thing But instead you will use your world as an opportunity of saying here's what I would have missed If I hadn't had the opportunity to miss now and now ask yourself What am I going to do to raise that final awareness? So hopefully that helps How to know the high yield sub topics and the particular topic One of the things that I love to talk about when it comes to knowing what's high yield and what's not Is you know, usually we go into class and it's done with a professor who has like a very kind of Focus mindset of what they want to teach you and not all of it's high yield as we know And so the best way to do it honestly is I will use you resources that are meant to be high yield from the very good go So I love watching youtube videos. I'm a very video center person, but That's just one example So let's just say tomorrow you are going to learn about how to identify affib on the ekgs So instead of going into class and like Realizing all the small details and big topics that the professor is going to talk about Maybe watch one or two videos on affib about like five ten minutes on youtube And just get an idea of what's the most important thing because then when you go into class and your professor talks about something You're like, oh, I heard that in one of those videos. That's high yield Even if it's a sub topic Versus if you watch three high yield videos and your professor still talks about something That may be kind of a detailed point that you may still want to know for your class purposes But not necessarily for high yield purposes for affib. So hopefully that makes sense I use a high yield resource that's very quick to consume To get a very broad understanding of what you should be expected to know Then go into class with the understanding of saying, oh if I hear something twice That's a good sign that that's high yield That's usually how I approach how to know what's high yield without doing too much effort And like reading the syllabus because that doesn't really help either I go pessimist good idea to use cubings from boards beyond ambas to study for in lecture exams I learned a lot. Yeah, I think doing practice questions For your input like your actual classes absolutely If your class gives you kind of practice questions Do those first obviously because you want to make sure that material is high But then, you know, definitely a quick example is as you start getting into second year and you're studying for step one Although it's starting to become pass fail now, you know, it's still good to do questions that are not created by your institution To just see how well you can identify high yield information based off what you learned about So I'm all about doing practice questions in a structured way Usually I recommend doing it once in the weekend where like your time commitment is not very high or Using like one day during the weekdays. It's not too busy Maybe like a Wednesday if Monday and Tuesdays are kind of busy and Wednesdays are a little bit lighter You can just say I'm going to do 10 questions on this day and then I'm going to do 20 questions on Saturday And so nothing super committal, but there are great ways for you to test yourself Let's see So I think yogesh asked a similar question about the subtopics and then 260 beyond and why I'm assuming you're from new york How do you manage counter transference with your residents struggling with them? Is hyper critical in my notes giving me feedback So I think you just have to understand feedback for what it is, you know, I there's definitely going to be instances where Your your residents are going to give you feedback that you're not going to like necessarily like and you're going to feel like It was not necessarily the feedback you've wanted My my first step always when you want to build this nice rapport on your rotations Is understand the expectations of your attending understand the expectations of your residents And you'll still have you know Management language a holes for your residents who are like not all about the students and that just kind of happens But you just want to make sure you know what their expectations are So if their expectations are you do a b and c you do those and then you look for those subtle clues when They don't like a med student that talks a lot or they don't like a med student that bothers them when they're super busy There's a lot that comes into it and that requires you to just be able to pick up on those cues And if they give you feedback on something that seems that's very hyper critical just take it And use it to improve versus focusing on the person itself So if somebody gives you a very kind of specific. I want you to do a b and c It may not be conducive for how you do your notes in the future But you use it as feedback because you would be silly to have that affect you But always again start with the framework of what would they want you to do what their expectations are Try to live up to those As best you can and then ideally try and out your best to kind of have this negative Environment that's created between you and your residents because then you'll be miserable the whole rotation So it's all about progress So use your expectations of saying what goals do I want to reach to and then what kind of things Do I want to do myself by the end of this rotation? So being a hyper critical of your notes Obviously, it's a little unfortunate But use that as the ability of saying okay like which parts would I really take with the grain of salt? And which parts are true points of feedback that I should improve on in my future notes Or my presentations Erin currently studying for step one lots of step one questions. Um, finding and boss and your world for a second time Loving your For a second time here in a couple weeks. Yeah, I mean, I think that's Completely fine. Um, I think a lot of these questions today are step on related So definitely watch the live stream Again in case you joined a little bit later But I would definitely recommend, you know, if you're doing and boss you're doing your world a few times Just having that list of questions that you're missing and then having a good way of coming back to it ideally daily even if it's just 30 minutes To really just say these are things that I missed. I'm not going to miss it again And you should start seeing your scores go up. Okay Medical science I spend too much time on your world more than six hours on one block. Wow. Yeah How can I review a block faster? Cool. Um, that's a great question actually answer this. Um for one of the med elite, um students the other day but The the thing that I would tell you is that Ask yourself if if it takes you six hours to review one block. That's definitely a lot of time Would five block or five hours for that block really change your your final performance? You may say initially absolutely, but if you could have used that extra hour you to save to do another question blank um You know, what's what's going to be more effective for you definitely it's going to be doing more practice questions in your sense so If it's saying you six hours you won't have to get out of the mindset because six hours tells me that you're so worried about missing something that you're so worried about Missing out in this fomo of like, oh, what if this shows up on the final exam? I really need to can focus Remember step one prep is all about repetition So if you give six hours to 40 questions that means you're not able to give tons of hours to all the other Hundreds of questions that are still left to be shown So one have that mental mindset that it's okay not to know everything Have some way of saying that i'm going to do my best to track everything. I'm not good at Um through excel methods anki, whatever you want to do And then using a personal timer if you personally still struggle with letting go Of saying it takes me six hours to study a block. How would I do it in three? You know, that's a hard challenge Um, force yourself to say i'm going to spend x amount of time per question reviewing and then moving on So either an actual timer on your smartphone a timer on your laptop Whatever may be and just work a little bit at a time So if you're at six hours, do it in five hours So if you're at five hours eventually do it in three and a half and just keep working on it slowly It may seem overwhelming to do but just understand of what you're losing out on by reviewing so long You may be getting great knowledge on that 40 questions But there's still hundreds thousands of questions that you still need to do this on So you have to let go a little bit to get to that repetition, which is truly where the value lies um Did I start med school wanting to practice? I am absolutely not actually um, one of my peers told me early in med school that this is what I was going to do And I told him you're absolutely crazy Um, I wanted to come into medical school did a lot of things. So I was really interested in sports I still am but I thought maybe I do orthopedic surgery and then I realized really quickly I was an interest surgery Um, so I was like, oh, maybe I can do family medicine and then do a sports medicine fellowship And it just didn't seem attractive to do for me for my interest to do a family medicine Presidency because then I'd be doing three years of stuff that I didn't really want to do to eventually do a sportsmen in fellowship So I kind of fell out of water and I thought maybe cancer and oncology would be a cool field And so I did radiation oncology research for like three four years in medical school And I realized that future planning and where I wanted to live and geographic stuff. I didn't like necessarily fit So then I eventually went to internal medicine and emergency medicine And I did a sebi in emergency medicine the start of my fourth year and within three days of like, nope, not for me Um, so ultimately I picked I am and then some parts of that I was also interested in pediatrics because I worked with autistic kids during my gap year and then I worked at a type one diabetic camp For kids as well for two kind of summers in med school There's a lot of pediatric experiences, but the parents that go into Working with kids was definitely super stressful. And so I said, no, thanks and I absolutely love. I am still going to interact with patients Um, you get to take care of a lot of things you get to make diagnoses you get to send people home make them feel better Um, and still lots of career options. You have to completely decide what you want to do even to this point So thanks for asking You have really good insight. How do I maintain active learning from you, uh, your world explanations? So I struggle Reading the answer especially after working 12 hours in the words. Absolutely. Um, so One thing that I usually will do when I'm reading explanations and keep in mind It's been a while since I've done like step two prep I've obviously done step three prep recently, but that was done a little bit differently Um, is when I'm reading the explanations Usually I will use just the highlighting function on your world to just get an idea of like What are the key things I want to take away from each answer choice? So like it was a question about different types of shock I'm like, oh, I just needed to remember that this shock went this way for the cardiac output This shock went this way for the svr and I forgot about that in this question So that is kind of my representation of like what did I initially think about when I was trying to answer the question And what is the explanation to focus on? So before I read the explanation how that mindset of like what I thought I was going to answer And how I thought I was going to answer and then go into the mindset of like, oh This is the things that they consider to be important said quickly Just highlight those without you know reading and you get better at this over time because again mentally I have a timer now that says Within a minute you need to move on to next question Because I don't want to give this question more focus than the last question that I missed on this block Or to be able to sacrifice me doing another block So that's essentially how I would do it have a framework of what you thought Use explanations quickly as a saying a self correction and then having a system again like we talked about a lot and so far of like Recording that on excel sheet or something where you're just like, okay Let me just have this quick, you know, this is what the explanation said. These are the things that I missed Let me just jot that down in excel sheet So I don't forget about it later and then I can refer to it So that's kind of my active way of saying here's my current representation here is how I self correct move on to next thing I'm having that timer also forces me to focus on the highest bits of the text without getting like two Caught up in the weeds, but even myself will struggle with it It's just my the goal approach of how I would do it Aaron says weakness and biostats epidemiology any suggestions for that topic specifically biostats I would If it's for step one, you know, definitely a lot of the world questions That come with biostats are pretty much really all you will eventually need Excuse me. And so, you know, if you really suck with it, I would definitely recommend just having Certain sessions throughout the week where you're just doing 20 40 questions of biostat because it's really all the same thing It's about sensitivity specificity positive predictive value, etc Being able to read and add And there are some great uc videos that if you watch people will do explanations Of those questions with you live And if you don't find enough step one videos, honestly, you can watch the step three videos because the questions are pretty much the same For step three, they just care more about biostats because you know physicians will use it for research and ability to understand journals But watching a step three video of people walking you through questions about how to answer typical biostat questions Is a great way to do it. Um, but just having Subjects of blocks where you're just saying well on wednesday afternoon I'm going to just do 20 questions of biostats because I suck at it and I just need more practice and repetition Lots of step one questions today. I like it. Um step one Kaplan doctors and training. Which do you recommend? Um, I used Kaplan when I was in medical school And I found the topics to be a little bit harder than a real thing. Um, I really enjoyed us mlee rx I talk about it a lot here. It's a little bit easier than um, the other topics that you use for or the other cue banks, but I definitely found that you know, I sucked at reading first aid and I just wanted something that could test me on first aid And so us mlee rx is made by the same makers and so it was a great way to like combine that so Yeah, and I would recommend us mlee rx if you're studying with your classes people or love boards and beyond an emboss too I can't comment on the latter two just because I didn't specifically use those Um physio is something that I've like we're actually talked about on this channel because I've actually checked out their resources So there's a video on the youtube channel. Um, and they've definitely grown their content too So if you want something that has like videos and practice questions and Anki decks and mnemonics, um, I would recommend those out as well All right How do you retrieve the knowledge when answering the questions? How will you identify that particular points to a particular disease? Um, or condition so my frame approach of answering like a question for step or whatever Is kind of backwards and because I just don't want to follow for the common like, um Traps that people will set up for you when they make an exam But if you think from the viewpoint of the person who creates the exam They essentially have the concept that they want you to understand They're going to put the right answer in they're going to put the right clues in and then they're going to put Traps in to match with one of the other, you know answer choices So if you work backwards, usually you don't fall into those traps as well And so usually I'll read the last line of the question to get an idea of what I'm going to be answering I look at the answer choices to see what my options are and then I usually read like the Last few lines of the paragraph too sometimes the question The answer is specifically there and I don't have to like catch myself in the whole thing yet So last line Answer choices last few lines of the paragraph before I even get to the vignette before I get to the vignette Now if I still can't answer the question then usually I'll say okay What has to be true for this to be right for this to be right for this to be right And kind of thinking about what clues I should expect in the vignette to answer those specific answer choices and now I'm actually looking for the clues versus reading the vignette and Thinking oh, maybe this is a clue. Maybe it's not So that's kind of my active way of answering questions And to know if it's pointing to a specific disease is work backwards So the question is like an infectious disease question and it has multiple different kinds of infections And like one of them is like limes disease limes disease, excuse me Then I may think about you okay, is it pointing is it talking about somebody who's from a specific Region as they talk about their rash, you know, this is about other symptoms that they have Are they confused? Do they have heart block? You work backwards? So if you know a lot about the topic you can easily work backwards and saying that clue is not there This clue doesn't really point to it. So this answer choice is likely not right And then again answering as quickly as possible so you can see the explanation saying oh shoot I missed this part. That's important next time I see this kind of question I'll know I need to add that in so that's my question about retrieving knowledge I usually just work backwards to answer the question How we analyze a question approach I think it Um How to prepare for the ccs cases, I'm assuming uh, you're talking about step three Um Because cs is gone But the ccs cases for step three for you guys that haven't taken or kind of removed from it because lots of step one questions Um Is kind of like this the second day of step three So step three is broken into two days. The first part is like your typical practice questions The the second day is also some multiple choice questions and the latter part are these like simulations But I actually found pretty fun where they like give you a case and you have to like order something work up stuff And ideally treat the patient and so Usually how to prepare for them is like if you're studying for step three and you'll say you have six six six weeks Excuse me six weeks to prepare I would spend about the first three and a half four weeks really focusing on the multiple choice So that way you can understand what you're good at You know from general surgery internal medicine Pediatrics and then using that last part Those last two and a half weeks to really start doing the cases There's about 50 cases that you have to do and then there's some other example cases And so ideally you want us to start doing like one or two a day where you can really start getting practice with the simulation software And similar to the practice questions of like let's say you were doing a question And it was about like a an obi guy and related question like oh crap I forgot to order this or I forgot to do this Then just add that to your list of like oh if it's an obi guy and related question This should be on my mental checklist of something I should order and that's how I prepare for it So each case I'm like personally just doing them and then I'm looking to see what explanations did that I didn't do I'm adding to my that to my list of like okay If it's an obi guy in question do this if the patient comes to the ed Make sure you order these kind of labs and these kinds of like additional things so I'm glad you guys are finding this helpful. I've been what's going on always on my youtube channel I love it. I appreciate it If you guys are enjoying this live stream as you guys some of you guys have done just hit that thumbs up button down below Definitely helps me out Billy Rubens says third year about a star. I am rotation. That's what's up I was wondering if you had an advice how to get better of a presentations. Um, yeah, I think presentations There is a long way to answer this so one I would recommend just watching some of the presentation videos that we have on youtube here But one understanding what expectations Your attending has because some of them would just say I just want you to get to the point as quickly as possible And then that is a different presentation of somebody saying Oh, I want you to traditionally like present the h&p and the social history and the family history So ask what the expectations are otherwise you'll be presenting to what you think the expectation is And then somebody clearly just wants a really quick efficient presentation. So keep that in mind And in terms of how to get better at presentations You know think of every presentation as an opportunity to tell a story So an h&p is an opportunity to say my final diagnosis for this patient is this, you know, obviously in iam They have multiple things going on but usually they have one problem that brought them in So if somebody comes in with abdominal pain and nausea vomiting You can say my final diagnosis for this patient is I think that they have dka From not taking their insulin. So that is your final diagnosis And that's all ultimately the punch line you want to get to Now everything that you tell from that point on Ideally should be a bullet point kind of structure chronologically of why you want everyone to convince to be convinced that They have dk and not that they have a mass or that they have like all sort of colitis or that they just ate something bad You know, think about your presentations as kind of a back front way instead of saying this is what's going on Here's their social history. Here's what meds are taking. That's really boring And you one if you can tell a story that's really like very convincing to your final diagnosis You get away with including facts that people don't care about. It's okay to know the facts on your piece of paper But not necessarily say them So again, if I was trying to sell a story that somebody had a pulmonary embolism because they came in with chest pain Attending is going to want to know, okay, like how long did it start? What features are they're having? And why do you not think that it's a heart attack, right? So their their troponins were normal when they came to the emergency room They got an ekg which looked fine, but they got a ct abdomen or they got a ct of their chest Which is concerning for a clot. So my final diagnosis is a p So if you work backwards, all the stories that you tell will be very easy They'll feel very fluid The technique is going to want to listen to you because it feels like your story is actually going to be helpful Versus somebody who's just like listing facts. They can look up the labs of a patient, right? So that's not really helpful. They can look up there. You can literally read your h&p as you talk That's not super helpful So if you work backwards of trying to sell a story of like this is why I think it's this and not why I think it's abnc You can get better your presentations. So use that as kind of a framework and then every day Asking your residents of saying how is that presentation? What would you have included? What would you have not included and just taking the feedback Always of with the mindset to improve because you'll definitely talk about things there stuff I talk about now as I'm approaching third year residency that I realized in hindsight That was total useless information But you get better at it over time So having that backwards mind mindset of president presenting is How I do it also just making sure you keep in contact with who you're presenting with versus like trying to look at your notes Maybe have your notes in like a bullet point structure in the way you want to present it That's how I did in medical school. I would be like You know here is the brief things on the hpi. I want to talk about here the brief things in the social history From the labs and then you just keep moving forward So work backwards use a bullet points to refer keep eye contact with the person you're talking to It's really hard not to pay attention to somebody that's looking at you So just don't be awkward. But that is one thing that I would say you could do. So hopefully that helps All right, okay recommendations for shy students who are starting medical school. It's okay to be shy I think I considered myself to be more shy than not. I know I seem Very outgoing on youtube because you just kind of have to be but if you put me in an environment with four other physicians I would be the last person to talk And there is a little bit of practice that goes into being okay speaking up And so if you're somebody who answers every other question or like I'll just say you Speak up once a week when you're asked something from your like mentor and like you're in a big group setting Challenge yourself that's saying tomorrow. I'm just going to Say the answer without worrying about the consequences of feeling wrong and ideally get better at this I don't think I got better at this until the fourth year medical student. So Being shy is not a hindrance It's more of a challenge because you're going to have to be confident in your ability to help patients And being shy is completely fine, but it's you can still be shy and confident And so really you're asking how can you develop that confidence despite being shy? And that just comes with a practice of saying i'm okay with speaking up over time And if you're wrong realize that the consequence of being wrong is not very high when you're a medical student So it's okay of saying something and saying oh, that was actually not correct Now I know and two I realize that it's not a big deal speaking up and you get better at it over time I was asking how would you re review pq questions understand what you got wrong? Oh practice question. So I talked about this a little bit understand what you got wrong. Um I would definitely say, you know Just to review what I talked about earlier is to Before you kind of look at the explanation think about like what you thought you were answering and why you thought the answer You put ultimately was correct and then usually use the explanations as a quick reference of saying Oh, this is where I missed the mark or I was completely off here or actually this is perverse from what I thought So having that framework of what you thought the question was going to be What you thought the explanation was going to be and then quickly looking at the explanation of saying Here are the bits that I missed. Let me have a Frame a reference an excel sheet an anky card or something that I can quickly use in the future to refer back to this That's how I would do that Did you Follow any high-yield information continued books for each subject? Um give or take, you know, I think if it's for step one Then I basically use your world. Um First aid, but if it's for classes then brs does a great job Um now that there's more and more companies that make, you know Med school resources picmonic does a good job physio does a good job Um online med ed is starting to release more and more information for Early med students So I would I would definitely consider, you know videos are your thing To check out the companies that make the videos because they usually will have associated texts with it Usually when I find that people are going for books to answer their questions They're not only trying to read their syllabus now They're trying to read a high-yield resource and it just starts to like compound on itself on how much time you're using So that's why I like using videos and most of the videos are pretty short. Um, so Even if it's simple as saying I'm just going to watch a youtube channel Or a youtube video and then find channels that I keep coming back to for like this specific topic That's completely okay, but I use brs for things like physiology and really enjoyed it But then an anatomy I use like anatomy zone. So um, a lot of these are free resources. So it'll come with practice What are the best resources to build clinical knowledge and good understanding of the material? So I guess it depends on if you're talking about rotations and like actual like day-to-day clinical knowledge, um You know, I think from a broad spectrum like look Um, all I met it is a really good job of like talking about really every topic and kind of understanding broadly what to do Um in terms of apps things that I literally did this morning are things like human dx. I'm not sure if it'll show up, but let's see um In case you guys aren't familiar like with podcasts like the clinical problem solvers, it's great on your drives Um, if this thing will load, but basically what human dx is is that it's a free app. You can create it And so let me see if that shows up, but it'll give you a vignette and It'll tell you kind of their main problem and it'll give you a story and then you can kind of put your guesses So if you think that this person with dyspnea 46 year old had cancer You would put that on your diagnosis and then every time it gives you a little new bit of information Um saying like oh here is their vitals and then you can use that information to like add to your diagnosis So that's a good way of just like having real-life examples to answer your questions. So I love using human dx Clinical problem solvers is a great way to like use a podcast on my drive into work I like reading the new English journal medicine. There's usually like a copy that sits here On my desk, and I usually just review the review article because it helps me like understand the new stuff that's going on Um while still being good at the old stuff. So Hopefully that answers that You guys are enjoying this livestream. I appreciate it If you guys are I remember just hit that like button just supports the channel Also tells me that you guys like want more live streams in the future because I haven't done one of these in quite some time Um, mainly because of time constraints, but um, I will have a whole month where I will be more home I will be home more often than I have in the past So I'm going to use that to make more content for the youtube channel more for the medallin academy And obviously we can do more live streams if you guys like it There have been some amazing questions so far and I really didn't expect all these So I really appreciate you guys coming and just dropping your questions and going from there Um, I'll probably we'll go until one so I'll answer a few more questions. Um Let's see. I'm going to med school this year. Congratulations. Pooja. Um, but I'm nervous. Please tell me about med school life Uh, I answered this question a little bit Earlier One it's okay to be nervous To understand that there is going to be a part of you that will Have a certain expectation of what you have to do what you have to give up And that is going to really be kind of the start of your medical school experience So what I mean by that is when I started medical school Somebody asked me what I wanted out of those four years and I said I wanted those four years to be memorable And not just a stepping stone a residency to fellowship to a future career If you go with that mindset not saying it's the right mindset, but when I use that mindset Every up and down in med school was simply What it should be an up and down but I still in the background was enjoying myself working out hanging out with now my wife um and working on side projects like the empty journey, but those are all things are important to me and Still being okay with the ups and downs. So like the test not going well That is going to happen just because one the information is extensive You will require time to learn it And sometimes the first time will not be the right time And being okay with that Two you will feel like you have to sacrifice everything to do well and that's not the answer if anything more time And I'm sure a lot of you guys Uh, let me know like you just put a thumbs up or something If you know if you fall into this if you've told yourself that you needed to spend more time doing it And then you realize that extra time really didn't help you if that's you go ahead and say like yes been there um because I have um and if you think more time is the answer to um You your your struggles the answer is probably not. Um, so it's okay to be nervous. Um It's in fact, it's important to be nervous because that just means that you are aware that this is going to be a hard challenge Um, but just walk in with it and saying I am not going to give up a b and c in my life. I'm not going to give up working out If that's important, I'm not going to give up my significant other if there's one or you know your family I'm not going to give up my favorite show on Thursdays or that come out for me as a flash I don't know if you guys watch the flash It's like not a great show But I watched it for so many years that I just needed to watch it when it came out Um, and also when LeBron played because I'm a huge basketball fan And those are my like absolute I can't miss you know those last two seem ridiculous, but I was happy in medical school because Those things were still part of my life. So I could be nervous about all the tests and information You get better at saying over time of saying, okay Yes, every class every new material every new rotation is going to feel odd It's going to feel strange But you just get okay with feeling that strangeness. Um, but again the back part of your life the things that matter the most We're still there. Um, so Um, that's that's how I would attack that so if you're nervous, that's totally fine Just take the challenge. Um, enjoy the experience and whatever you don't want to give up. Don't give it up Uh, all right, let's see All right, uh How are medicals useful medical journals useful medical school probably not very much? Um, I Like to use review articles But honestly I would just like if you're trying to use class material And then you're trying to use medical journals on top of it. I wouldn't Um, just learn the knowledge the first time around And you can use medical journals when you're like in rotations to like help better understand what's going on with your patients Um, or when you're in my shoes and like actually practicing as a physician You're like no one's testing you on things. You're like, uh, I don't know what this is you wing sarcoma Which I don't really take care of this much, but make sure that I I know that topic so I can read about it um All right Is a high step one score really a validator of the ability of as a physician. Absolutely not. Um, I think your val validation of or like your determinator of how good of physician you'll be Is how over time you get at using less amount of time to learn something that's complex and broad um So what I mean by that is step one knowledge is very kind of detail oriented for things that honestly I just don't care about anymore as a physician because it doesn't really help me day to day I'll take care of my patients what does it's saying? Last time I took care of a patient with this. I struggled on knowing how long I should take care of them or what antibiotic I should give them or how long um, or what kind of vitals and labs I should have looked at But now because I've gotten better at pattern recognition the first time wasn't the best experience to take care of them Um, you know, the patient did well. I learned through not not my shortfalls But just my delay in giving them the adequate care and so now I want to have a patient with the same diagnosis I already know a b and c what to do and then still with that patient There are going to be things I still forget Maybe I'm taking care of a dk a patient and I know I need to give him a ton of fluid because somebody told me to give Me a ton of fluid and that's what you should do. Uh, but I forgot their potassium think about the potassium So the second time if I still forget the potassium third time my first thing is going to be make sure the potassium is okay So getting better at pattern recognition Uh Getting better at pattern recognition All this talking is definitely make my mouth dry because mio is not helping But getting better at pattern recognition is really what I think makes amazing physician because one you become super humble to the fact that You won't know everything the first time you won't do everything correct the first time but if you're on constantly looking for ways Of where your shortfalls were not as a criticism to yourself as an opportunity to improve That's really where I find that the physicians that I worked with are just amazing There's people that I've worked, you know with or have been physicians for 40 50 60 years And they're still always saying oh, I don't really know that really well I'm going to go read up on that as a doc that's like a doctor that's you know been doing this 20, you know three times longer than I've been alive Uh, and they're still humble with the fact that there's parts of the information that they don't know And they're going to fill those gaps in So that's what I would say about that Uh, I really don't want to give up sleep. You don't have to Um, you know, there are going to be some days where you're going to have to study late into nights because You wanted to prepare for the test and there are certain things that you still have left to review. That's okay um, but you know For personally for me Sleep was important. Those were kind of one of those like three things that I care for So I although I enjoy waking up really early into the day. Um, I personally didn't want, um To you know work into the very late parts of the night I hated that feeling of saying I'm going to get home. I'm going to study until like 10 o'clock I'm going to go to bed and then repeat so instead I would say I finished at 7 or 8 30 at night and I'm going to spend 8 30 to 10 Um, you know enjoying myself watching tv watching netflix watching youtube and then going to bed because I felt like there's a part of me That still got to enjoy the parts of life that matter to me Um, so you don't have to give up on sleep. Um, they're going to be some days We're going to be sleep deprived just because you have a lot of things going on But as long as sleep deprivation is not your normal. Um, it's okay Uh, what is your diet and health? How will you be? So My diet and vegetarian um diets Plus or minus now, you know, when you in a residency depending on how well your residency feeds you Um, mine feeds me really well. So I take a opportunity on that but then I come home saying I shouldn't have ate that Um, but I do work out a lot. So yesterday I went for a four mile run Today I'll probably do something similar. Um, and so I think right now I have the benefit of age You know a good workout routine and also I tend to not eat breakfast Just because I like to keep my calories for the other big meals and snacking that I do the rest of the day um electives in medical school so Most electives I think are kind of fit into your third fourth year of medical school And I would use those as an opportunity to one kind of if you know what you're going to do for sure Find things that are kind of corollatory. Um, so for example, if you're going to do Anesthesia do a pain management or a p.m. In our rotation because there are some very similarities of what you may be doing You know futures anesthesiologists that p.m. In our physicians do as well Um, or if you're going to go into er or do an ultrasound rotation because that would be a great kind of correlative of something that you get to do If you have a medical spanish Elective and you're going to do residency ultimately in a place or do your your practice ultimately a place that has Very big hispanic population. That would be great. So that's how I would use electives either to explore an interest or if you know the interest then use things I'm saying what skills would I love to have a year from now? What I'm actually doing this for a future Echtha says Met school in july any advice for a first year? What kinds of things should I get involved in right away? Research organizations study advice time management tips. Cool Um, so I would slow down on the initial parts to get involved right away. This is not kind of like your college CV building opportunity I would use your first semester for sure of just saying my first semester Is all about figuring out how to study and how to manage my life in a bit of busy medical school day So I didn't do any research until like my second semester For sure even like remotely get involved into it because if you're trying to do all these things and you figure out You're studying still not working. You're going to it's a reps to the p to stress yourself out So use the first semester to really figure out your studying And in terms of advice, there's lots of videos that I have on youtube and To avoid making this kind of live stream longer than it is But what I would say is um and kind of a tip that I gave early on the live stream is saying What um, would you do differently if the test was tomorrow? And I really will force you to say these are the techniques I love using and that are most effective for me This is what I need to double down on and then constantly keep evaluating that answer because you may find that This technique is no longer as useful as you thought it was when you're in college compared to when you aren't now So maybe flashcards that I answer now where they weren't in med school or vice versa Maybe you just really enjoy writing on a whiteboard and that helps you I've answered the questions and then time management tips Really like have a visual representation Of what your week will look like when your classes will be and then when your non-negotiable time will be So before I like actually Schedule in my studying. I will have certain times scheduled in for when I'm working out during that week When I'll be watching my favorite tv shows and I'll be hanging out with then my fiance and now my wife um And that way it didn't feel guilty when I was spending an hour watching a tv show because that was time that was already scheduled Then you get really efficient on back to your initial question of how to get better at studying If you have one less hour to do it you have to spend that one less hour Being efficient and not wasting it and so those are time management tips. Um that I would give but lots of other Uh videos on the channel over the last five six years that we've made now So hopefully this will help you out, but congrats on getting into school. Hopefully It starts off on a good note All right, last few questions until he says first first year med school in uk Exam in two months. I've been anxious that I'm not preparing well So for your first exams, um if you want to go into it with a sense of confidence and so Let's say You know the test is in four weeks under your exams in in two months But essentially what you want to do is over time as you are going through your class material as you're going through practice questions Or whatever you're using the study You want to create a list of what knowledge you're expected to know or you think you're expected to know for the final thing So let's say you have your test in two months and you start to accumulate this list of like 500 topics You need to know that's overwhelming But you know that if you knew those 500 topics you would do really well in the exam, right? So essentially what you would do is every single day have some form of review Again practice questions whiteboards group studying writing it out pick your pick your technique of choice and saying I'm going to work 30 minutes on this list and you don't have to say I'm going to do five things I'm just going to work 30 minutes And cross things out off your list as they become more of a confidence booster As you get closer to test day again, your goal is to knock that list down until everything has been seen a few times And everything feels like it's a little bit natural not everything is going to feel like a strength But at least not everything will feel like a weakness. So then when you go into test day, you're like, I know all of these topics to some extent And ideally you'll go into test day saying that I shouldn't get tripped up because I've seen all of this Then you can evaluate based off of how the exam goes and saying, okay You know, I thought I did well on this topic But I really didn't understand it as well and then you can use it as kind of Self-correction for exam number two But if you have a test in two months and you're really stressed out Just create a list as you go through your class material as you go through your lectures as you go through your notes Of what type of things you should know and then having time in your day and your week to review that list And then just build that confidence over time So 500 topics over the span of two months is overwhelming But you know, it'll be 495 after day one and 490 and eventually as you get close to test day It'll be something that I've seen everything on this list and these things aren't so bad These things will definitely give me trouble. So let me even spend more time reviewing this again. That's kind of how I would do it All right, how are your questions between your studying time and getting back to studying? Refresh, so I love working out. I live and listening to podcasts. I love listening to books So two of my favorite apps that I currently use Is I love using kendo unlimited to read Scribe in case you guys haven't heard talking about me talk about that on my On my email list if you aren't you guys can subscribe down below But it's like 999 and you get audiobooks. You get podcasts. You get Ebooks so I can listen to those I like 2x since I use those to just listen about things I just don't get to learn about in medicine and then I just live listening to google podcasts So going for runs are really nice too Because then I can like listen to one of those podcasts or just jam out to drink, which is what I did yesterday So I'm not sure who you who y'all's favorite artists are but Just those are the small things that I would do to refresh and then I have my computer or my TV back there. So every so often I'll just turn a game on of nba2k and that's usually how I'll spend my time But yeah, that was awesome. There's a lot more questions than I thought there would be For this first live stream in quite some time But I'm gonna end it here guys. If you guys did enjoy it and you're still watching go ahead and hit that like button And hopefully we can do another live stream in the future And if you haven't done so already go ahead and subscribe because that way you'll know Next time we do a live session, but I appreciate the love appreciate all the questions Hopefully this was helpful. If it was just let me know And we can try to do this again in the next few weeks But hopefully you guys have a great day. Happy sunday or whatever it is wherever you are But I'll talk to you guys in the future. See y'all later