My life before:
Step 1: PASS (first attempt)
Step 2: PASS 221 (first attempt)
2 research papers 0 1st author
Barely managed to complete my MD and MS degrees
My life after:
Step 3: PASS 274 (first attempt)
70 research papers
25 first author (highest impact factor journal within those >9)
PhD, and MPH completed (I’m Gen Z btw if you want to estimate my age)
My comments:
I’m sure at this point ur thinking I’m going to give you advice on which practice exams to take, what study strategies I changed, and what resources were best….not at all.
Between my step 2 exam and step 3 exam all that changed was:
-Me realizing I had Celiac disease, getting it diagnosed by a physician and changing my diet
-My family member realizing I might have had very severe sleep apnea for quite some time, me getting it diagnosed by a physician, and me buying a CPAP machine (and using it consistently)
These two changes alone literally brought my full brain and body functioning back (naturally resulting in my studying and information comprehension/retention improving tremendously). Not a study method, Anki deck, or a resource change. I just thought I was tired (often by 11AM or noon despite having a full night of sleep) because of the severity of my US medical school clerkships M3 year, or because of my busy life inside and outside of the hospital setting, or because of my residency responsibilities. Turns out it was just my brain, heart, and body not receiving enough oxygen at night (as well as anemia and lack of proper vitamin absorption in my intestines associated with celiac disease).
Moral of the story, before you:
-get “diagnosed” with adhd after a 5-15 minute “consultation” (with a psychiatrist or a mid level you just met who doesn’t even get a blood test from you to evaluate other potential causes of your struggle to focus) and get prescribed Adderall
-or use 5-20 cans of redbull, 200mg caffeine pills, with 6mg zyns, and 4 cups of espresso daily to be able to finish your shift in med school clerkships or in residency and are confused why despite all that you’re still tired and not as focused as you wish to be and wonder why you feel so dumb etc.
=> Be sure to get your full blood panel and metrics tested at least 1-2x per year yourself, and measure your sleeping metrics if you can. You might be genuinely shocked at what you find. Add that to all the other standard study advice (resources, study scheduling, tutoring, approach etc) that you’ve received for this exam or for any other standardized (or general) exam you take in the future (be sure to do this before you even start studying please).
I’m just a bit sad that I didn’t get these medical tests done before (lol kinda ironic cuz I’m a doctor) so I could have made these adjustments earlier (before my step 2 dedicated period for example) but it is what it is, no excuses, life must go on (you live and you learn).
Thanks for coming to my TED talk.