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My Step1 Experience


My Step1 Experience

In the name of Allah I start writing my step1 experience.
First of all I apology for writing in English but I don't an Arabic keyboard right now and it seems that I will not have an Arabic keyboard in the upcoming three months so I need to write my experience in English.
Before I start I should introduce myself: My name is Khaled Alshabani, a 6th year medical student at Damascus University.
I started preparing for the USMLE step1 in Feb 2009 and during that time I had a lot of questions. I received a lot of help from the guys older than us and now is the time for paying back the debt. I think that it is our duty to make sure that the next year get the best updated information and I will do my best to explain everything and give you a detailed plan to smash this exhausting exam.
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In a nutshell:
Start Preparing: Around Feb 5, 2009
Exam Date: March 23, 2010
Total official time: 13 months and a half
Total actual time: 10 months (I did the TOEFL exam which took 2 weeks and the 5th year exams, which took almost 5 weeks, got engaged and did 6 interviews in the 6th year which also took me about 8 months). I still think that I could have done the exam earlier but I got very lazy at the last 3 months and wasted a lot of time. This is actually a very important concept, the more time you spend preparing for the step1 exam, the more time it takes from you and the more time you waste. When I did the exam I wasn't totally prepared and I think that even if I had waited for another 2 or 3 or even 4 months I would have done the same in the exam. Sure there is a crucial amount of information that you need to do the exam, but still there're many other factors that you need to take into considerations. I remember myself during the exam thinking: what was I studying during the last 2 months and what are those stupid board questions are testing me on?
The point is: make a good plan before you start. Make it reasonable and don't postpone your test unless something out of your control happens to you (I was supposed to do the exam on Dec. 2009 but I got into a lot of troubles).
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Studying strategy:
I followed the traditional strategy first but after a while I realized that this strategy is not working for me so I had to try new stuff. This was one factor behind delaying my exam because I insisted to do the traditional strategy first and wasted a lot of time on that.
You should keep something in mind: there is no one good strategy to do the USMLE. Rather, there're many different strategies and every person should have his| her own experience in preparing for this long fastidious exam.
The traditional strategy is the following: You do a first reading for all the books, followed by a second thorough reading with downloading every single important piece of information on the First Aid. After this second read you do the USMLE WORLD and then you do a rapid revision and then the exam. Of course during this extensive reading you should be doing questions with your friends.
This strategy takes usually about 3-4 months for each read and 1 month for the final revision, which makes up to 7-9 months. The main problem in this strategy is that during the downloading on the second reading you are not actually studying. Your whole job during the second reading, which is supposed to be as we will see the main dish in you preparation, is reading the First Aid, reading your book and writing the information from your book on the F.A but indeed you are not studying. You're just reading in a very superficial way. And after you're done with the second reading you discover that you haven't memorized anything.
I had to come up with a solution. There're two; the first one is doing a third read, which is very difficult. And the second one is giving up this strategy and forgets about Tanzeel. I went with the latter solution (except for pharmacology and physiology). I suffered during my final revision; because you are suppose to read everything in one month. I did it in 2 months and this is mean that I will go to the exam with some material revised 60 days ago and there is no way I can remember those materials. Thanks to Allah I did not regret my strategy although it is not a perfect one.
The good thing about the USMLE is that it usually (more than 90% of the questions) tests your ability to analyze and utilize basic information. It usually doesn't test short term memory, of course with some exceptions. As Goljan says:"They assume that you know the "WHAT", they want to know if you know the "WHY"." I think now that the best strategy is downloading some subjects on the F.A and read the others from the original books and I will discuss which is which shortly.
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Studying material:

1) Biochemistry:
My favorite subject during the preparation and the exam. There is no doubt that Kaplan is a very great book. However, the biochemistry stuff is kind of easy to forget so I think that one of the best things to do to overcome this problem is seeing Kaplan DVDs. They are fantastic in biochemistry and you can study chapter by chapter. And don't forget to download every new information on your book because you are not gonna see them again and everything will be forgotten.
HY molecular biology: this book is frightening but if you know how to study it, you will find that it's a piece of cake.
First of all don't do it until you are done with the Kaplan one. Then you will find that this book is divided in three divisions: the first one is immunology and virology which you definitely don't need since you are studying them elsewhere. The second division is some material that you already studied in Kaplan and in those chapters you will find some additional (usually trivial and useless) information. You can simply write those little information on Kaplan and never come back to them in HY again. The third division is some new chapters that you didn't see them in Kaplan and those are the most high-yield information in this book and the information that you really wanna make sure that you know very well, although I did not get any questions from them in my exam but that's not the rule (you may encounter one or 2 questions from these chapters). Anyway, those chapters are only about 40 pages may be and you can study them in 1 day. By the way, in the very beginning of the book there are some chapters that are similar to what is in Histology and you don't need to study them twice.
HY Histology: I think that studying histo with biochem is better than doing it with anatomy. Study only the first 70 pages of the old HY. They are more than enough.

2) Behavioral Sciences:
There are 2 books that you need to master: HY behavioral sciences and HY biostatistics. Kaplan DVDs are EXTREMELY important. You will need to write as much as you can from the DVDs because there is too much important information in the DVDs that are test material and are not covered in the book.

3) Microbiology:
There are also 2 books: Kaplan Immunology and High-Yield microbiology.
You don't need to do the DVDs (total waste of time).
Kaplan is very easy book, the easiest in step1 but the real issue is microbiology. Trust me the question of this subject usually are easy but the problem is how we memorize the stupid book of HY. When I started doing HY in my 1 reading I hated it so much and my life was miserable. Then I did it another 3 times and it became a piece of cake. So I think that the best thing to do with this subject is repeat then repeat then repeat. Don't expect that you will master it from the first reading or even from the second one. I think that this is one of the subjects that need 4 reading (including the revision).
Some of my friends did the Microcards. They said that it helped a lot. You can ask them.
Personally I did the picture from Made Ridiculously simple and they were very helpful.

4) Physiology:
I did Kaplan and many of my friends did the same. Kaplan is good but I think that you need more than Kaplan in physiology. I still don't a solution and unfortunately I think that I screwed many physiology questions in the exam because I simply didn't know some crucial information to have the question right. If I went back, I might do BRS. You can try it in some chapters and decides whether it is better or not (I think that it is much better).
If you do Kaplan, you will find some difficult charts in the book. Don't hesitate to ask students who are older than you to explain them to you, or you can simply watch the part of the DVD that explain the chart you are concern about, but seeing the whole physiology DVDs is a total waste of time.

5) Pathology:
I did BRS and did not regret it. It's a wonderful book but rapid series (Goljan) is better but much longer. Anyway, I think that the best thing you can do in this subject is studying BRS and listening to Goljan audio (twice or one time with writing notes).
Goljan is EXTREMELY important trust me.

6) Anatomy:
This block is kind of complicated and I studied it in the following way:
Did Kaplan DVDs EXTREMELY important.
HY Neuroanatomy Very important and fantastic book.
FA embryology: I did not do HY embryo and I think that I got all the embryo questions right. But FA is hard to study if you don’t do either the DVDs or something else (I am not sure about HY since I didn’t do it).
Gross anatomy: High yield is a good book (not an excellent) but maybe it’s the best book there. I did the whole book (some students only do the first 2 chapters and the upper and lower limbs) and I think that one should do it. There are a lot of pathology materials that you will study in pathology but still there is some additional pathology information that you better know. So don’t do this book unless you are done with pathology (otherwise you will find a lot of pathology note and the book will become miserable). During your studying underline the important material. There is a lot of crab that you don’t need to repeat and waste your time on during your second and third reading.
We agreed to do the first 70 pages of HY histology (the old book, not the new histopathology one) with the biochemistry blocks.

7) Pharmacology:
One of the extremely enjoyable subjects in the USMLE step1 IF you know how to study it and one of the ugliest most difficult irrational subjects if you don’t know how to deal with it.
When I start my first reading I did what is usually done: Pharmcards, the stupidest book I’ve ever seen.
Wasted probably more than 3 week trying to memorize it in vain. Then I wasted another 2 weeks during my second reading trying to fix what I was supposed to do in my first reading but again it is impossible for me to study this book.
I had to find another way and Thank to Allah I found the way: KAPLAN DVDS ALONDSIDE WITH THE BOOK. I did Kaplan with the DVDs in almost a week and since that time pharmacology has become one of my favorite subjects not only in step1 but also in life.
After I was done with Kaplan I read pharmcard a rapid reading and took some notes from it and write them in Kaplan. Of course while you are listening to the DVDs you need to underline the important concept he explains in the book and write every single piece of information to your book and I guarantee that pharmacology will be one of the most enjoyable blocks in step1.
Needless to say, some guys can simply memorize the Pharmcards. If you are one of those, you can simply go with that and forget about Kaplan (you still need to study the first 70 pages of Kaplan anyway). But if you are not one of those guys, then you will definitely need Kaplan (with the DVDs, because without the DVDs the book is a trash).
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First AID:
A great book that contain a lot of information. The old strategies depends on reading the FA once during the second reading and once again during the revision (along with the downloaded material). Although this is what I did, I think that FA needs more than 2 reading. Therefore, I suggest that you do the First Aid thrice, one time with each reading.
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Duration:
I will put the duration needed if you the following from the very beginning:
- Read your book
- See the DVDs I’ve told you about
- Read the FA from the first reading

1) Biochemistry:
12 days for Kaplan (with the DVDs) and 4 days for HY and 2 days of FA

2) Behavioral:
3 days for Biostatistics and 6 days for Behavioral (including the DVDs) and 1 day for FA

3) Microbiology:
4 days for Immuno and 10 days for micro and 2 days for FA

4) Pathology:
12 days for BRS, 4 days for Goljan and 2 days for FA (but it is better to mix the material to avoid getting bored)

5) Anatomy:
2 days for the DVDs
2 days for histo
1 day for embryo
4 days for gross
5 days for neuro
1 day FA

6) Physiology:
9 days the book and 1 day first aid

7) Pharmacology:
10 days the book with the DVDs and 2 days for FA
Total (provided that you study 6 days per week):
About 4 months.

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USMLE WORLD:
EXTREMELY important. It really gives you a real idea about the exam but the exam questions are a little bit longer and easier. You need to do it twice: once after your second reading in order to evaluate yourself and once after the third reading in order to get ready for the exam and train yourself on the timing issues. If you get more than 80% after the second reading then you will now that your plan is good and your strategy is working. Nevertheless, don’t worry if you score less than 80%, because the main point of UW is getting new information rather than just evaluation yourself.
YOU DO NOT NEED TO DO ANY OTHER QUESTION BANK IN STEP1. Trust me. Any additional Question bank will be a waste of time and waste of concentration.
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Dawrat Questions (Shabab Questions):
I think that doing 40 booklets is more than enough in step 1. I only did 30 and revised only 15 but it wasn’t a big deal. I only encountered about 20 questions from them. But the main point of them is not to give you information but to make you aware of the material you should focus on the most.
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NBME assessment:
I did the 7th block in Dec 2009 and got 99|247 and I think that it was a good experience. The exam costs 45$. You can do the UW assessment for 30$ (the second exam is the best)
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Register for the exam very well in advance to secure a seat in the period you want. I was late and this in part was another cause behind the delay in my exam
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Be relaxed, do what you have to and then do “TAWAKUL ON ALLAH SUPHANAH WA TA’ALA”. This is the most important thing. Keep in mind that no matter what you do, you will never ever master the Step1. You will still going to the exam with a lot of skipped information and a lot of forgotten material but as I said before the test is not about what you studies the night before the exam. The Test is long preparation, too much effort, a lot of concentration on the exam day and a secret that no one knows it but Allah so trust him and be with him
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I did very well on the exam by the way, still waiting for the result.
I hope that this work answers a lot of your questions and I am open to any further questions.

ولو أن عيناً ساعدت لتوكفت ******** سحائبها بالدمع ديما وهطلا

ولكنها عن قسوة القلب قحطها ******* فيا ضيعة الأعمار تمشي سبهللا

أبو حمزة النووي's picture
by
السنة السادسة

Quote:
I did very well on the exam by the way, still waiting for the result

ان شاء الله بتتطلع أكتر مما تتوقع
والله ينولك اللي ببالك ويكتبلك الخير
وشكرا الك

anooosa's picture
anooosa
السنة الخامسة


MAshallah ,great experience from a great man ,,, I hope that u will get the best score in the exam and allah yajzeek alkhair.........
Eye-wink

mbs2380's picture
mbs2380
بعد التخرج


يا رب...
ارزق هذا الرجل99 بكل امتحان قدمه و سيقدمه...
و اجزه عنا كل خير!

Buzz_LightYear


ألف شكر خالد... الله يوفقك بمشروعك وعقبال ما نسمع الاخبار الطيبة عن النتيجة

a.ahmad's picture
a.ahmad
السنة السادسة


الله يجزيك الخير يا خالد ..
و يكتبلك كل خير ..

يا ريت شوي بس من الناس تفكر بإفادة غيرها متلك ..

Dr.Caesar's picture
Dr.Caesar
السنة السادسة


موفق و ان شاء الله بتجيب اللي بتتمناه 99 أو أكتر

the.encyclopaedia's picture
the.encyclopaedia
طالب دراسات عليا


sorry for the mistakes ( i didn't revise it )

I forgot something important:

Regarding Tanzeel you should do it ( in my opinion in the following subjects because it saves you a lot of time):

Pathology
Pharmacology
Physiology

you can do it in biochem but I prefer rrevising the whole book

the rest of the books you can underline important material and revise it only. This works very well especially in microbiology, immuno, gross anatomy and molecular biology

you can revise micro in 2 days, immuno in 1 day, gross in 2 days and molecular in 1 day
it also works ( but not as well as in the previos books) in neu, histo
you can revise neuro in 2 days and histo in 1 day,

it doesn't work at all in biochem and behavioral so you need to revise the whole book, but don't worry you can revise behavioral in 2 days and biochem in 3 days

this is a total of 14 days, you still need 10 days to do the FA and another 12 days to do USMLE WORLD and Dawrat. In this way you can do the 3 reading in about 45 days which a very reasonable time

أبو حمزة النووي's picture
أبو حمزة النووي
السنة السادسة


أبو حمزة "عريسنا" والله اشتقتلك Eye-wink
الله يجزيك الخير بكل كلمة كتبتها ..

بس عندي استفسار صغير غير الاتسفسارات الكبيرة اللي قلتللك عنها بعدين بقللك ياها :

Quote:
you can do it in biochem but I prefer rrevising the whole book

أكيد عم تمزح !!
أولاً : الكابلان كتير كبير بالبيو ..
It took more than 17 days for the whole book with the genetics chapters and I don't think revising all of it is a good idea. what do you think ?
another thing: the tips mentioned in FA are really great and I don't want to leave them to the final reading .. I mean for Biochem, what about reading both of FA and Kaplan and Tanzeel the second on the 1st one.. ?

وشكراً كثي مرة تانية عالنصااااااااائح ولي عودااات أخرى ..

DR-MAK

Quote:
MAshallah ,great experience from a great man ,,, I hope that u will get the best score in the exam and allah yajzeek alkhai
Vince Carter


شكرا لك خالد ..Very Happy
موفق إن شاء الله بكل مراحل حياتك ..

Green Wave's picture
Green Wave

Quote:
أبو حمزة "عريسنا" والله اشتقتلك
الله يجزيك الخير بكل كلمة كتبتها ..

بس عندي استفسار صغير غير الاتسفسارات الكبيرة اللي قلتللك عنها بعدين بقللك ياها :

اقتباس:
you can do it in biochem but I prefer rrevising the whole book

أكيد عم تمزح !!
أولاً : الكابلان كتير كبير بالبيو ..
It took more than 17 days for the whole book with the genetics chapters and I don't think revising all of it is a good idea. what do you think ?
another thing: the tips mentioned in FA are really great and I don't want to leave them to the final reading .. I mean for Biochem, what about reading both of FA and Kaplan and Tanzeel the second on the 1st one.. ?

وشكراً كثي مرة تانية عالنصااااااااائح ولي عودااات أخرى ..

___________

Thanks for your nice words

But what I ment by reading the whole book is definitly alongside with the FA

And don't worry you can read in 3 day when you revise it. You are just feeling the way you should feel because you stil in the first reading. This is normal. We all have been there.

When I was in the first reading a put 7 days in my plan to revise each subject in the the 3rd reading, but then I did it in 2 days for wach subject, except for pathology 4 days and biochem 3 days

أبو حمزة النووي's picture
أبو حمزة النووي
السنة السادسة


Again guys I want to emphasize on something

Do The First Aid in your first reading and second reading and third reading

أبو حمزة النووي's picture
أبو حمزة النووي
السنة السادسة

Quote:
جزاك الله خيراً أخي خالد..
و أرجو من الله لك كل التوفيق في النتيجة و ما بعدها
ابن الشام's picture
ابن الشام
السنة الخامسة

Quote:
Goljan is EXTREMELY important trust me

?Where can we get this audio
...
And as Buzz said Very Happy :

Quote:
يا رب...
ارزق هذا الرجل99 بكل امتحان قدمه و سيقدمه...
و اجزه عنا كل خير!
never_give_up's picture
never_give_up
بعد التخرج


ما شاء الله جهد عظيم تشكر عليه
بالتوفيق بأعلى الدرجات في الدنيا و الآخرة

Al Durra's picture
Al Durra
بعد التخرج


خالد...الله يجزيك الخير وينولك اعلى الدرجات في الدنيا والآخرة

quu's picture
quu
السنة السادسة


خالد ,أول شي الله يوفقك و يوفق كل الشباب...
بس كم سؤال الله يخليك علما إنني حددت الموعد بعد 20 يوم تقريبا..
1.أنا ما ساويت غير BRS Pathology ...و عم جاوب من الWORLD كل البلوك إلا شي سؤالين أو ثلاثة...بيلزمني إرجع على الأوديو؟ يعني اسئلة الفحص أصعب؟
2.كمان ما عملت بالbiochemistry غير الكابلان .بس بهالمادة لسه عندي أخطاء بسبب أنو المعلومة لسه غير مكتملة.في شي نسيانه أو مو واضح تماما بالكتاب أنو high yield info .بلحق أعمل الدي في دي و هل ممكن يفرق معي كتير الموضوع؟

AngelicSky's picture
AngelicSky
السنة السادسة


الله يوفقك وييسر لك

Angel Anas's picture
Angel Anas
السنة الثالثة


بالتوفيق في الدنيا والآخرة.

pearls-3's picture
pearls-3
بعد التخرج


الله يوفقك أخي خالد وعقبال أعلى العلامات بكل مشاريعك وباستاجك.

كم سؤال إذا بدنا نعذبك معنا شوي:

هلق التنزيل على الـ FA هو فقط عبارة عن شوف الزيادات من كتب الوجه الأول ونزلها وإلا في شي تاني ؟ وفي شي ملاحظات معينة مشان طريقة التنزيل ؟

شو رأيك بالتنزيل من الوجه الأول ؟ بعرف إن ممكن ياخد وقت والوجه الأول يمكن ياخد وقت أكتر يعني ممكن ما نلحق أكتر من 3 أو 4 بلوكات .. بس يمكن بكون الوجه التاني فقط دراسة !! فشو رأيك ؟؟

هل التنزيل بيختلف من شخص لشخص ؟ يعني ما أفضل لو أستعرنا كتاب أحدهم ونقلنا اللي هو منزلو أحسن ما ننزل من أول وجديد ونضيع وقت ؟ والا كل واحد وله طريقته ؟

شكرا كتير.

Dr.mTm's picture
Dr.mTm
بعد التخرج

Quote:
كم سؤال إذا بدنا نعذبك معنا شوي:

هلق التنزيل على الـ FA هو فقط عبارة عن شوف الزيادات من كتب الوجه الأول ونزلها وإلا في شي تاني ؟ وفي شي ملاحظات معينة مشان طريقة التنزيل ؟

شو رأيك بالتنزيل من الوجه الأول ؟ بعرف إن ممكن ياخد وقت والوجه الأول يمكن ياخد وقت أكتر يعني ممكن ما نلحق أكتر من 3 أو 4 بلوكات .. بس يمكن بكون الوجه التاني فقط دراسة !! فشو رأيك ؟؟

هل التنزيل بيختلف من شخص لشخص ؟ يعني ما أفضل لو أستعرنا كتاب أحدهم ونقلنا اللي هو منزلو أحسن ما ننزل من أول وجديد ونضيع وقت ؟ والا كل واحد وله طريقته ؟

I think that Tanzeel from the first reading is better than in the second. It's still has some disadvantages (like you maybe still don't know what are the most high-yield information to download) but you can try it. It's a brilliant idea.

Tanzeel is exactly what you said: you read the book, then the FA, then you write the missing information on the FA.

I don't think that borrowing someone's FA is a good idea. I did that but I wasn't able to solve his handwriting because when you download you don't have enough space in the FA. so you need to write very small letters and use a lot of symbols that even you would not be able to read in the future. Besides, when you download, you usually have the ideas in your mind and you're just writing some clues to remind you of the idea. So other persons will not be able to understand what you ment by this sentence or that one.

Anyway, some people did that, they studied an old First Aid. You can try that

أبو حمزة النووي's picture
أبو حمزة النووي
السنة السادسة

Quote:
خالد ,أول شي الله يوفقك و يوفق كل الشباب...
بس كم سؤال الله يخليك علما إنني حددت الموعد بعد 20 يوم تقريبا..
1.أنا ما ساويت غير BRS Pathology ...و عم جاوب من الWORLD كل البلوك إلا شي سؤالين أو ثلاثة...بيلزمني إرجع على الأوديو؟ يعني اسئلة الفحص أصعب؟
2.كمان ما عملت بالbiochemistry غير الكابلان .بس بهالمادة لسه عندي أخطاء بسبب أنو المعلومة لسه غير مكتملة.في شي نسيانه أو مو واضح تماما بالكتاب أنو high yield info .بلحق أعمل الدي في دي و هل ممكن يفرق معي كتير الموضوع؟

Thanks Mohammad
first, sorry for being late, I thought that I wrote the answer

I am really not sure what to say in your case. according to my exam experience I didn't have a trouble with pathology at all. and you seems to be doing very well in pathology. so I think that doing the biochem DVDs is better for your situation

you can do them alongside with the book ( I mean outting the put in fron of you and revise it while watching the DVDs ) in about 3 days. so if you have time do that. otherwise, just focus on the chapters you feel you need to work more on them.

I hope that helps and all the best

أبو حمزة النووي's picture
أبو حمزة النووي
السنة السادسة


بس ملاحظة صغيرة لمحمد : الفيديوهات طويلة كتير فحاول المخططات تمرقهم بسرعة وتركز بس على العوز الموجود بكل مخطط وشو بيسبب أمراض ..

شكراً مرة تانية

DR-MAK


سؤال:
review questions في الphysio kaplan شو وضعهم ,, وشو رأيك فيهم , ساويت منهم شوي , بس صراحة بديقو الخلق , ومالي حاسسهم usmle oriented ,, شو رأيك؟؟؟

mbs2380's picture
mbs2380
بعد التخرج


They are very tough yes but you need to do them

I did them in my first and second reading and maybe I made the same mistakes.

But as I said before I wasn't very good at the physiology questions and I really advice you to do theBRS instead of Kaplan

أبو حمزة النووي's picture
أبو حمزة النووي
السنة السادسة


رجعوني عينيك لايام اللي راحوا ....متل ما بتحكي ام كلثوم
I miss those days when I was studying for USMLE , the detailed manner in which you wrote your exp suggests that you probably nailed the test with a stellar three-digiter , and the fact you got engaged during the prep is fabulous , good luck , post your score when it is out

Regards

Dr_Ayyad
بعد التخرج

Quote:
رجعوني عينيك لايام اللي راحوا ....متل ما بتحكي ام كلثوم
I miss those days when I was studying for USMLE , the detailed manner in which you wrote your exp suggests that you probably nailed the test with a stellar three-digiter , and the fact you got engaged during the prep is fabulous , good luck , post your score when it is out

Regards

thanks dr. Ayyad

I appreciate your participation a lot

أبو حمزة النووي's picture
أبو حمزة النووي
السنة السادسة


الله يجزيك الخير دكتور
و إن شاء الله أعلى علامة يارب

loover
السنة الخامسة

Quote:
But as I said before I wasn't very good at the physiology questions and I really advice you to do theBRS instead of Kaplan

I will inshallah ,, thank u very much

mbs2380's picture
mbs2380
بعد التخرج


أبو حمزة..... أحلى تحيات..
وربي يوفقك.. ويرجعك سالم غانم....

dr.ceaser rome's picture
dr.ceaser rome
ابق على تواصل مع حكيم!
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