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kinda confused about this program. would this be good for step 1 preparation rather than during med school? im studying for the step atm. also, is this mainly something that makes you memorize concepts rather than understanding them? there are still a few concepts i need to tighten up on. thanks.
I've been using GT consistently throughout most of M2, however, not in the traditional way following the full spaced repetition schedule .. just couldn't do it at an efficient pace and keeping up with the review kept me from efficiently learning new material, so, I dropped that aspect.
I take Step 1 in a few weeks and will report back. I decided to use it during dedicated time too because I figured if it has worked for me for so long ... why change my ways now, and plus at this point I'm reviewing flash cards I already knew at one point so it's coming back quickly and helping me have an active way of getting through FA. My only regret at this point is not having covered more of GT before dedicated time and not having solidified some of the more annoying memorization subjects - micro, pharm, biochem, anatomy .. etc.
While I did not appreciate/understand the reasoning for some of the questions GT asks, now doing Uworld and NBME's - I do. First Aid is only a starting point ... I think supplemented with GT it is 100% all you need, well, in terms of memorization at least ... it does not necessarily substitute for your core understanding, but it certainly does help. Pathoma is great too to get the understanding/core down, but all the programs like DIT, UsmleRx, etc, are doing is walking you through FA in a way that GT already has walked me through it.
I was a heavy/complete user of GT and I got my score back, so I thought I should write a little bit up about my experience.
I used GT for about 7-8 months, fairly consistently. I started some time in the summer between first and second year and just went through the topics that my school had already covered. Once I got through those, I moved on to second year material that was starting to be presented, and eventually got ahead of the curriculum so to speak. This meant that I was 100% banked before the end of MS2, which was great not only for looking like I knew a thing or two in class, but also for giving me time to get my mastery up.
I think for GT/FC it's far less important to try to nail down some ideal "start time." You can start this program probably as late as the middle of the first semester of MS2 and likely get as much out of it as I did. You basically want to find the intersection of how much you're willing to pay, how far ahead of your test date you want to be 100% banked, and how many cards you think you can handle per day. It's all just simple math; the knowledge portion doesn't really depend on timing so very much.
While I did GT I always tried to keep my mastery within less than 10% of my banked percentage. It's this floating differential that really creates your day-to-day-to-week question load, and if this number is 15-20%+, you're going to have hundreds and hundreds of questions each day and it's not going to feel good. That being said, I used a fairly loose interpretation of "mastered." GT is a way to read FA in an interactive, testable format. Only be as anal about GT scoring as you would be about memorizing FA. Yes, everyone wants to memorize FA. That being said, no one does it. For that reason, there's no reason to try to gain perfect recall on every card and tidbit of GT.
That bolded bit above is really my entire impression of the GT/FC system. If you read FA slowly, deliberately, for 8 months while testing your recall and comprehension, you're obviously going to do well on the exam. Most people, however, use FA for 6-8 weeks. This is why many people criticize GT for being too time-intensive. It is incredibly time intensive, but it does it in such a way as to break down the reading of FA into single-concept snippets spread out over months rather than weeks. This is the power behind approaching the material that way. If you have the money and inclination, I wholeheartedly recommend a spaced repetition approach to learning the material on step 1, and FC is probably the best intersection of convenience and quality that I've seen for any such product. You might be able to get more quality (for less money) from making your own Anki deck, but the time investment will stil be huge, and your time is also valuable.
After I banked and more or less "mastered" GT, I started doing Rx and then later UW. GT was crucial to how I used these two resources. GT is much like FA; it's a raw, unmolded pile of facts. Rx helps you shape that pile of facts into a usable knowledge base of how those facts often get presented, asked, and tested. UW goes on to take your knowledge base and allow you to develop some deeper insight into the material. I believe that this sequence is key to maximizing the utility of these products. You get the facts hammered in (GT), you learn the common ways these facts are utilized (Rx), and then you refine your understanding of the deeper connections and concepts behind these facts (UW). You can absolutely just use FA and UW to do all three of these things, but in my opinion it's less efficient and you're more likely to be left in a jumble of facts, associations, and random ideas about how things work. Doing it in this ordered way made sure for me that there was minimal overlap in these processes. Once I got to UW, I was mostly focused on learning new tricky presentations and new associations that weren't really there in a pure fact memorization form.
I took a few NBMEs to track my progress and took the test when I was happy with where I was. I ended up with a 257, which I'm totally happy with. Please let me know if you have specific questions about anything I've written. I don't come to SDN very often anymore, but I'll try to take a peek now and again. I hope this has been helpful, if scattershot.
@withrye
Congratulations!
How were your question bank performances from the start (and what was your FC progress at that time) and where were they when you finished?
Also was it just Rx and UW that you did?
Also, have you decided to carry on FC for Step 2 or not?
I had completely banked and mastered GT before starting Rx, and I dropped doing GT entirely pretty soon into working through Rx. I don't remember my Rx percentage at all, but for UW I think I started around the low 70s and ended around the high 80s, with a cumulative around 74 maybe?
I watched Pathoma twice, just listening with no notes or anything. I also watched the Kaplan lecture videos for Biochem and Pharm, which were great.
I've thought about doing FC for step 2, and I still might, but right now I'm just enjoying some free time. I haven't looked closely at the material yet, and I have no idea how applicable it'll be for me in the future.
How useful was FC's anatomy and embryo? That is the one big section I have left to bank (minus a few cards here and there from other sections) and it sure is a pain. I just finished banking Micro, too, so that's two huge sections of blaaaaaarghhhh
Well I guess I'm asking... I don't remember much from anatomy. I understand things like injuries are significant, and MAJOR landmarks, but as for where collateral vessels run, etc. Is that worth it, even by gunner standards? lol
How'd your Step anatomy experience go?
Oh actually had a content question. Could someone please explain this:
During a cosmetic surgery, a patient becomes hypotensive and requires multiple boluses of epinephrine to maintain her blood pressure. The patient is known to have rheumatoid arthritis and takes prednisone but has no other medical issues. She reported no medical allergies. Surgical blood loss has been minimal. What may explain this sudden hypotension?
A The patient had unrecognized bleeding
B The patient had a pulmonary embolus
C The patient had an unspecified anaphylactic reaction
D The patient had an adrenal crisis
E The patient suffered a pericardial effusion
Answer
Patients who are on long-term steroid therapy may present with an adrenal crisis if they acutely stop taking their steroids or become acutely stressed. Acute stressors include infection, surgery, and injury. In the above situation, unexplained intraoperative hypotension in an individual taking long term steroids is concerning for adrenal crisis.
...Something's not clicking but I honestly don't know why this is the answer.
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Also:
A 66-year-old Jewish male presents with progressively worsening pain in his right hand. His symptoms are unrelated to ambient temperature or the time of day. His past medical history is significant for hypertension, diabetes type II, and chronic obstructive pulmonary disease. He has been a one-pack-a-day smoker for over 30 years. On exam, he has intact light touch and proprioception over the majority of both the upper and lower extremities, but the fingertips of his right hand are cyanotic. The tip of his right fifth digit is black and insensate. What is the diagnosis?
A Electrolyte disturbance
B Diabetic neuropathy
C Thromboangiitis obliterans
D Peripheral vascular disease
E Raynauds disease
Answer
Thromboangiitis obliterans (aka Buerger disease), is a painful ischemic disease that can lead to claudication and gangrene of the hands and feet. It most often occurs in Jewish males who have long smoking histories. It is a segmental thrombosing vasculitis that affects small and medium arteries.
Diabetic neuropathy would have decreased sensation/proprioception on both hands in a glove like distribution. Peripheral vascular disease can also result in claudication and gangrene, but this is more commonly seen in the lower extremities and is associated with loss of light touch sensation early in the disease course. Raynauds disease is recurrent vasospasm of small arteries, with finger pallor and cyanosis that worsens during cold weather.
> Just to clarify: according to FA and Pathoma, Raynaud phenomenon IS associated with the Buerger's. Yet, the patient was cyanotic of his fingers, but unrelated to temperature (=not Raynaud)... why then were his fingers cyanotic? Or do they just mean that it should be Raynaud phenomenon (which it is) and Raynaud DISEASE (the answer choice) is indeed incorrect. But then, shouldn't it still be temperature sensitive? lol, hope that makes sense.
I had completely banked and mastered GT before starting Rx, and I dropped doing GT entirely pretty soon into working through Rx. I don't remember my Rx percentage at all, but for UW I think I started around the low 70s and ended around the high 80s, with a cumulative around 74 maybe?
I watched Pathoma twice, just listening with no notes or anything. I also watched the Kaplan lecture videos for Biochem and Pharm, which were great.
I've thought about doing FC for step 2, and I still might, but right now I'm just enjoying some free time. I haven't looked closely at the material yet, and I have no idea how applicable it'll be for me in the future.
I'm an incoming MS1 this year, and I'm thinking of using GT during the year, alongside my courses. Is this advisable? From this thread, it looks like most people start in their summer between MS1/MS2, but I'm just wondering if anyone has had any experience with using it right from MS1 and if it worked for them. Thanks.
Edit: Just found an allo thread talking about exactly this, so never mind.
So I've skimmed some of these threads and I'm reading a lot of angst about firecracker vs. gt, a changing algorithm (?), etc. It's the beginning of summer between M1 and M2 for me, I think I can dedicate an hour or two a day to this, and want to get started, but I'm not sure what the differences between FC and GT are, or which one month trial I should try, etc. etc. Any help would be awesome!
Would you mind giving a loose time frame for all of this? What are your thoughts on when to drop GT and start the Rx? If you can't remember that's understandable. Way to go with the 257.
I think I started Rx around 2-3 months before my exam, and stopped GT around the same time. I'd seen all the GT questions so many times that it wasn't worth it anymore to do the reviews once my exam got close enough.
I think that everybody plays this game a little differently and I am not sure there is a right answer. Personally I try to keep my mastered percentage around 85%-90% to keep my total daily questions reasonable. This means that sometimes I go through periods where I don't bank for awhile. That said I am also pretty loose on my percent mastery, don't hold it at 3 until you completely memorize every detail or you will never make any progress. The beauty of the system is that you see the cards enough over time that they really get drilled in. Good luck and just use the tool the however, works best for you.For my distribution of recall, I currently have 35% at 3 with the rest at 4 or 5 (40% and 25% respectively). I am worried I am not learning these concepts well enough.
Should I keep plowing through and flagging new topics or try to learn the 3's well enough so that they are marked as 4/5s?
What percentage should my 4 and 5's be for recall?
For my distribution of recall, I currently have 35% at 3 with the rest at 4 or 5 (40% and 25% respectively). I am worried I am not learning these concepts well enough.
Should I keep plowing through and flagging new topics or try to learn the 3's well enough so that they are marked as 4/5s?
What percentage should my 4 and 5's be for recall?
I think that everybody plays this game a little differently and I am not sure there is a right answer. Personally I try to keep my mastered percentage around 85%-90% to keep my total daily questions reasonable. This means that sometimes I go through periods where I don't bank for awhile. That said I am also pretty loose on my percent mastery, don't hold it at 3 until you completely memorize every detail or you will never make any progress. The beauty of the system is that you see the cards enough over time that they really get drilled in. Good luck and just use the tool the however, works best for you.
How many questions do you have banked currently? If you just started, I would keep banking, but remember to bank at about a maximum of 50 questions per day. As long as your reviews are not 300 or 400 questions, you should be in pretty good shape to keep banking right now.
Thanks. I'll try to increase my mastered percentage, not worry about the 3's, and keep banking.
I have about 350 q's banked and 55 topics flagged. So far I'm hovering around 30-60 per day, with a 90 in a week.
Why would you limit yourself to 50? Is it because it will increase the reviews over 300/400?
It also appears as if errors/poor phrasing corrections are not being updated as frequently as people have noted earlier in this thread. The 5 star "rating" system accompanying feedback also doesn't make contextual sense, considering we are submitting corrections that may not correlate with whatever "rating" we want to give the overall presentation of the question/answer. Even unrelated to error submissions, I really don't see the value of the 5 star rating system, and it just makes FC look cheesy.
I started the free trial 2 days ago and hit that I wanted to include all topics that I covered in first year. It says I need to get through 2,000 questions... :/ I start my next term next week. The first couple weeks should be ok commitment-wise, but is this still something that's doable this late?
I've seen people say starting during the summer between M1 and 2 is fine, but this is essentially the end of it. I've also seen people say they loved it for keeping up during first year, but that once path comes around it became too much to keep up with. Any thoughts?
I started the free trial 2 days ago and hit that I wanted to include all topics that I covered in first year. It says I need to get through 2,000 questions... :/ I start my next term next week. The first couple weeks should be ok commitment-wise, but is this still something that's doable this late?
I've seen people say starting during the summer between M1 and 2 is fine, but this is essentially the end of it. I've also seen people say they loved it for keeping up during first year, but that once path comes around it became too much to keep up with. Any thoughts?
Agreed. I just wish they'd allow us to share errata we find in each topic with other users in a little box. The ratings system is useful in that I look especially carefully when a topic has a 1-3 star review, and every now and then I find some surprisingly stupid errata.
Is anybody's review question count stopping on the calendar prematurely?
i.e. My question count only goes until July 6 (been like the for a while) but I KNOW I have been scheduling questions beyond that date. I'm assuming that maybe it will change once the month changes, but that's a pretty weird date to stop. No other numbers show up past July 6th...
I really wouldn't recommend blindly flagging that many topics all at once. It just becomes overwhelming and you don't end up using the system.
I would recommend to unflag them and then go through again in smaller chunks. Read the cards, flag the cards, do the questions, and as you master the questions, flag some more.
The system is pretty flexible, so you can decide how fast you want to flag, but if you just flag everything you'll never get to a point where you see a benefit.
(just my 2 cents)
Sent from my Galaxy Nexus using Tapatalk 4 Beta
I kept up just fine during second year, and I think you can start as late as December or so (or whatever 5ish months pre-test is for you.
Does the FC app work on iPod touches?
What is the fastest that any of you have gone through and banked material all at once? I read a lot of posts that talk about banking all of MS1 during the summer - this seems very difficult. In order to do so, I'd have to go through all of the basic sciences (460 topics) as well as 5 organ systems (221 topics) in 6 weeks. This means I would have to flag/do around 16 topics a day, every day.
Could anyone who has banked all of MS1 during the summer post about how difficult it was, how much time it took, or any advice on how to approach it? Thanks in advance.
do you guys think FC is lacking a bit in the neuroanatomy / neuro embryology area?
do you guys think FC is lacking a bit in the neuroanatomy / neuro embryology area?