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done with step 3 - jahnavi34
#1
Dear all,
I thought I should share my rather long and frustrating usmle experience, as I got a lot of support from this forum for several yrs and I have seen real downs in this journey. I hope some people atleast get some relief and strength to fight back in this battle from my story. I used to be a very active member on this form during 2005-2006 and latter became a silent member.

I am a very old grad, (2002) and an IMG. I am from a reasonably good medical school from my country. I took step 1 in 2003 and step 2 in 2004. first attempt for step3 i gave in jan 2005. I failed it and I again failed it in my second attempt which I took immediately. The only good or bad part of my life was i joined PhD in neuroscience, which my performance didnot match as I was taking and retaking steps and so I had to leave the PhD program too. After my second failure in step 3, I changed my PhD major to biology and restarted my life in PhD. I was so frustrated and gave up on medicine, as I thought I was not fit for it. After my graduation from PhD in 2009 I was able to get post-doc in a IV league univ. i wanted to retake step 3, I took it again in 2010 and failed. By now I have seen that there is a lot of change in the medicine when I studied medicine in 2002 and at 2010. Finally I again retook in 2011 and passed it. More importantly after 2005 residency matching I never tried for residency and didnot go through matching. Even now I wanted to just get rid of step 3, as that monkey of failure was haunting me more than my wish to join residency.

Regarding the material I studied almost all the available material you can name in 2005-2006, Kaplan, PR, swanson, Uworld. But I always failed with scores between 72-74. Now I passed with reasonable low 80s. This time the change was not in the material but mainly the study strategy. Previously I used to read with a timetable like complete CVS in one day, neuro 1 day, 100MCQs/day. I could achieve keep up with my time table. More importantly due to my PhD course work, my time per day is pretty limited. This time I read only kaplan step2 CK material, and that too only IM and gyneco. But read each and every word in an analytical approach. Constantly quized myself in an honest way more than quizing on a feel good way. May be I am not explaining it well, but I think people in my boat can understand what Iam trying to say. This single change in my strategy if at all anything helped me. Its not MCQs or CCs which one is important, both are important. especially for people like me who have left clinics 9yrs back. for my attempt in 2010 I mainly concentrated completely on CCS Uworld all 88 or 90 cases. But still I failed.

Finally just to wanted to everyone there who are struggling with step 3, it is definitely an achievable exam. Which material you read has little significance. But try to read each and every word and more importantly analyze each and every word. That helps in the final exam. Unless you are extremely comfortable with one format (Especially old grads) concentrate on both MCQs and CCS, spend the study time accordingly (75% and 25% of study time). Now I still have some visa issue to handle before i apply for my residency.

But again I thank the forum, I dont think I am the correct person to answer your Qs, but if any one of you have any I will glad too. But my important message dont give up. Living life as a given-up loser I lived it and its just unbearable dont do it, work hard and get it over with.

Good luck to everyone.
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#2
congratulation Jahnavi..thats Inspiring to those who are struggling for passing step-3..wish you best luck in yr journey..
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#3
Congrats Jahnavi
You have been through a lot and I am sure all this gave u good experience and LOTS of lines in ur resume!!!!!
So hope you get residency this next match

wanted to ask a question...did u feel in the exam that whatever u read is not enough...like there is so much info that u need to know and it will depend on ur sense...is that true?

thanks
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#4
Congrats Jahnavi
can you tell us what were your NBME and UWSA scores when you took the exam.
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#5
jahnavi - congrats -
ur story is inspirational to many ,

i am also old grad 2000 passed struggling to finish exams
thanks for sharing experience and i wish u all the best

vijayosthu
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#6
Thanks you guyz.
I didnot do NBME, but my UWSA was 82 and in real exam I scored a little above that.

a2011: yeah i did add a lot of lines on resume but at a very heavy price. I frankly think its not worth that price but i dont have a choice.
Although I am not the correct person to tell this anyway I will tell it, but this is just my opinion and plz interpret it accordingly: Also I was of the opinion there is a lot of stuff to memorize etc, and I am just not fit for it and that kind of stuff... But after I talked with some knowledgable people and changed my study strategy, I found out there is not a whole lot to memorize. Mainly that tinge I got from my PhD and research, There just a few facts in research, and what is needed is the permutations and combinations of it.
Similarly if you see there is a very limited stuff needed for the exam and thats what I felt in final exam too and I totally missed it out in my previous attempts. Like CVS has just 7-8 high yield topics and each topic has 25-30 points to remember. GI has around 12-15 topics and each topic has around 15-20 points to memorize. In that way it covers almost 75-80% of the exam. Most important is among these limited facts, the spontaneity with we can identify the various permutations and combinations, that too within 70 seconds. That was really difficult for me given my old grad status. That is the reason why I thought reading a lot of and multiple kinds of material is not as important as reading one material but with in depth analysis.
Of course all this is just my opinion. This might not apply to young fresh grads ... but i think this holds true with majority of old grads.

Best wishes....

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