DIP Episode 603 - The Pathway To A High Score On Step 3 (A Deep Discussion)

All right welcome my name is divine this is episode 603 of the Divine Intervention Podcasts into this podcast I've got to be addressing on topic titled the pathway to a high score on step three the pathway to a high score on step three You know many of you don't have made an episode 573 on the pathway to a high score in step two And I've also made a podcast where I talk about how to study for step one where I pretty much layout a plan in 573 layout of plan for step two Some other episode I layout a plan for step one can I remember it off the top of my head if you check that out and then now I'm gonna lay it out for step three a lot of people have emailed me that divine can you just make a podcast targeted just towards step three So here you go, right? So in this podcast, I'm gonna practically layout a plan of how you can use my podcasts and other resources to prepare for step three Literally I'll go day by day week by week. All right, so Oh just as a Briefing reduction. We know that step three is a 2 D exam right so 2 D exam right so for those that are taking step one step two is like Oh, geez step three. Yeah, it's a 2 D exam right day one is six blocks of like 30 to 39 questions So you're gonna get about 232ish questions on day one and then the two is six blocks of about 30 questions Right, that's about 180 questions So between and then you're also gonna do 13 CCS cases 13 CCS cases on on day on day two, right?

You're gonna do 13 CCS cases on day two 13 CCS cases on day two 13 CCS cases on day two all right So 13 CCS cases on day two so if you really really really really add up right if you really add up The number of questions you're gonna see across both days It pretty much comes to about 412 questions plus the 13 CCS cases all right So now what are some differences between step from step two? What are some differences from step two right because again if you're taking step three I hope you've taken step two right number one is there's a lot more biased statistics right there is way more Biostatistics on step three than on step two number two. There is a ton of ethics on step three Although that's kind of becoming a mute point these days. I feel like there's a ton of ethics also these days on step one and step two Right, so all these ethics social sciences quality improvement hospital medicine like oh, why should a patient be when a patient is Discharge with this specific diagnosis. What's the upper diagnosis or when a patient is discharged with this diagnosis?

What kind of follow up should they get you know the infuse those kinds of questions on on step three right and then I've also noticed In my experience because obviously taking step three the vignettes are we be it longer right there quite a bit longer on step three compared to step two And also step three has a fair amount of basic science fair amount of basic science, you know again It's sort of becoming a mute point because there's more and more basic science being emphasized on step two But also we will definitely see a lot of basic science on on step three right now What is the goal of many people taking step three the goal for many people is hey? I just want to pass right I just want to pass and that's understandable if that's your goal then there's nothing wrong with that There's not even with saying hey, I want to pass I want to pass the only thing is sometimes just because of that goal with people They don't take the exam seriously and then the end of feeling and then when you end up feeling you're gonna be in a serious amount of trouble right Sometimes he can be in consequentially if you fail but many times He generates a few issues for people as I'm going to discuss in a bit right so so Some people I will say probably like most of the people that takes step three their goal is to pass They're goal is to pass the goal is to pass but the thing is for some that should not just be your goal that hey I just want to pass.

I mean obviously I want to pass We want to do quite a bit better than pass it right so like for example number one a group of people that should maybe strive to do Decently well on step three are people that are like international medical graduates trying to take it before residency applications Right, so let's say especially your Your person that's coming from a firm for a medical school if you have the opportunity to take step three and get it over with I will do it before you apply for residency if possible again. It's not required Ram so I'm gonna I'm gonna say this again.

It is not required It's not absolutely necessary, but believe it or not in some situations in some circumstances It can give you a leg up on other people right and then another group of people that should you know plan to do Decently well on step three are people that are playing for residency and they have poor step one and step two scores Right or if you're pressing that has a lot of like red flags on your application right having a step three done is just One less red flag right is just one thing like almost like a green flag to cover up a red flag You got right and also another group of people that should do decently well or people that need to match for a competitive fellowship Especially like an internal medicine right so if you're trying to match into like GI or you know Pomecritical care or trying to match into cardio right you should probably try to do decently well on step three Right and then another group of people that should want to do decently well is if you just want to do well Or you know like for example for me Just passing step three was not my goal my goal was to do decently well You know my goal was to do well on step three and thankfully I did in fact do well on on step three right and then I want to say something that's kind of cool here, but maybe helpful right the thing is I've noticed if you prepare well for step three It is Surprisingly excellent prep for many in training exams Especially the internal medicine in training exam right especially the internal medicine in training exam I remember during my transitional year back in the day I don't know for whatever reason the transitional year is in my program The kind of me to stick the internal medicine in training exam and by then it was just like maybe like a few weeks Remove from when I just take in step three and I was like hmm This step three prep was really helpful for this right and fro

m any of you that are going into internal medicine Or you know you've matched or whatever You're probably going to take your internal medicine in training exam like you know sometime in the fall of this year I don't know maybe like August or September or whatever prep in for step three G Preparation really really really well for the in training exam right I was quite surprised So I'm not saying this as a person that never took the in training actually did take the internal medicine in training But if it's one of those weird things divine as done in his in his life alright So now what's the deal with step three thing is feeling is a big reality for many people with step three right you may think It's on her though people don't feel step three.

No Nothing could be further from the truth right I get lots of emails from people Routilly that I feel step three some people are feeling once twice three times right once twice three times and the thing is your step three Pass at least that passing score is important. Why the thing is you cannot get a state license without passing step three That's the truth you cannot get a state license without passing step three number two it may actually Be away again. I'm not gonna make this podcast a political discussion But it may actually be a way to get especially if you're a foreign medical graduate You know you're a person like on a visa or whatever it may be a good way to give yourself a margin of safety giving the Kind of country we live in today with you know Changes happening with immigration and all those things right Maybe having a step three score may just be something that may help you rather than hurt you You never know where the thing is we live in a world where sometimes you may think that something may never help and then out of the blue It may just pop up and be like the deciding factor that Gives you a leg up versus other people. I'm not gonna. I'm trying to be very intentional and very Careful about what I say also. This is a public podcast, right? And then a third reason is many residences require for progress, right?

So you see some residents Residency programs they say that you cannot progress to year two or your three or whatever We won't renew your contract Because you've not passed step three right like literally I kid you not again I've done this for years now. I've seen people that have gotten fired from residency because they didn't pass step three I've seen people get so spend it from residency because they didn't pass step three right? I've seen people You know they have been threatened that hey, we're not gonna renew your contract and see if your contract is not renewed Again, you may never be able to get into a residency program again You may not you may not right and the thing is I've made a podcast on this in the past where I talked about You know in residency the last thing you want to do is getting under the watchful eye of a program director of the attendance in your residency Because you're your problematic residence your president that is struggling educationally again The thing is I know these things. I'm saying some people I'm Some people that listen to this podcast right now.

You know exactly what I'm talking about right your life just gets difficult in residency When you have a feeling step three score right when you have a feeling step three score right So I'll just encourage you to be to be wise about it and and the thing is again You're not shooting to get some crazy crazy high score the thing is in my experience A step two score the analog score on step three is like 20 to 25 points lower right? So a person that gets like in the 240s on step three It's probably the same kind of person that me getting the two like a 260 or 260s on on step two right So just just be careful right and again, why do people fail step three? I mean wonder divine go to get to the plan. I'm gonna get to the plan But I promise you this preamble I'm giving is actually kind of important right? So why do people fail step three?

Number one is just time from the material Excuse me time from the material right you see some people it's been like years since the sort that I am material or obi guy material or whatever Another cause let me drink some water And Another cause is just in sufficient prep right many people don't take step three seriously at all They don't prepare sufficiently for it Another thing you may also see that makes people feel this exam is just poor foundations right You see a person did it polyon step one Deep polyon step two and then they just magically believe that everything is gonna turn around on on step three No, right if you really struggled prepping for step one or step two chances are pretty good You're gonna struggle prepping for step three. That's just the truth right. That's just the truth right you don't just Do polyon step one and step two and magically step through just go a lot better. No actually step three Me go a lot worse for you right step three me go a lot worse for you because you may not have as much study time as you did for step one and step two Right and also another big challenge right and this is probably one of the biggest ones is just limited time right limited time Many people just don't have as much time as they showed to study for step three Given the pressures of of residency right that's why The earlier you can take step three the better right?

I remember I graduated from Hopkins, you know from Johns Hopkins um at the tail end of like around the end of May right the end of May of the year I graduated and I took step three about two months later literally about two months later You may wonder divine way where you rush to take this exam. No, I was not really rushing to take it Although I guess I kind of was but there are two benefits to that number one is The earlier you take it the the less removed you are from the contents that you need to prepper for that exam That's number one number two is Residency is not gonna get easier as you go through Let me now see the the thing is you begin to feel more comfortable with the tasks you are given As you go on But the thing is what is expected of you increases? It doesn't decrease as you go through residency So it's better to take it early when there's not much in the way of expectations from you right?

It's better to take it earlier then and just be done with it Right and then you don't have to worry about the USMLE's ever again literally literally you don't have to worry about it ever again Right, but you see some people the Take it in their second year or whatever when they now have to work many night shifts Or wedding where they have to become a senior and a team right where they have just more responsibilities It's just much harder They tend to take things easy on residents for the first few weeks of residency Right, but not so much as time goes on right so the earlier you can get it the the better right? So what's the ideal length of time to study first if they have about six weeks right? So this is referring to a person that may be like a resident right or even if you're not a resident But honestly I was about six weeks is a decent amount of time to study for this for this exam right? So how should you study for the exam? So this is where we go into the plan right? So the thing is for this plan. I'm gonna give you some standard daily tasks So these are things you should do every single day right literally every single day So I'm not gonna keep repeating myself. You should literally do these things every single day So what are your standard daily tasks the standard daily tasks are number one Find the paper micro deck the paper microbiology deck. I think it's about a thousand cards or something like that And do 20 new cards a day right?

That's your job do 20 new cards a day keep up with the reviews That's a standard daily task right your resident the thing is don't get me wrong in residency. You're busy But you have a phone right and the good thing is you're gonna have bits of downtime many people think the many people are not efficient In the use of timing residency. That's kind of why they struggle But that's a conversation for another day right while you're having lunch you can be doing these on key cards Right when you're having lunch you can be doing these on key cards right you drive to work Don't be doing obviously don't do on key cards while you're driving to work But that actually provides time for you to do the second standard activity I want to talk about so what's the second standard activity the second standard activity is to listen to two podcasts Two podcasts from the list on their exam topic clicks list on my website Uh for step one from ecology.

So I have a complete series on my website that addresses Like from ecology for step one, which is obviously extremely useful for step three I have a series right so literally go to my website divine intervention podcast.com Click on exam topics list click on the google sheets document and then click on the step one tab You'll see a section that says from ecology Listen to the podcast in that in that series right listen to the podcast in that series right Listen to the podcast just take it from the top just do two per day Just make it a standard part of your day And you may say divine what if I'm don't listening to all of them if you don't listen to all of them take it from the top and start again Those podcasts are from ecology podcast, but you're going to learn a lot of physiology from them a lot of pathology from them A lot of very very useful things for your exams right especially like that basic science bent that step three has That section is going to be extremely helpful to your prep for for the exam right for the exam all right so Those are your standard tasks those are your standard tasks and then the third standard task is study one ccs case per day right study one ccs case per day Study one ccs case per day study one ccs case per day right study one ccs case per day And I will encourage you to just maybe write down like a five cent in summary of the case Like just the key facts of the case like this was the presentation. This was the diagnosis This was the workup.

These were the critical things that had to be done These were like critical like a person that has a PE right getting the ccs andogram is kind of a critical thing Giving ivy apron is kind of a critical thing right examining their legs is kind of a critical thing If you're doing a ccs case and those things are not among the list of things you do a chance is are you you're going to fail that case right So do one ccs case per day you can do it from your world you can do it from ccs cases calm That's totally fine right and I will encourage you also before you take every practice test listen to episode 400 Okay, before you take any practice test listen to episode 400 all right So now let's go week by week. So what are you doing week number one week number one day one Review my internal medicine video that's on You Tube and the notes right the notes for the video also my website Right if you go to episode notes right this is big Google document of people that have you know crowdsourced and you know Transcribe these these notes right so I'll encourage you to watch the video to get the understanding down Right watch the video review the notes that's episode 29 and then do 20 year old internal medicine questions right They too I am video number two.

That's episode 30 go through the notes as well do 20 year old I am questions day three I am video number three and the notes right episode 31 and then do 20 year old I am questions They four right so the Thursday of that week I am video number four and the notes that's episode 32 episode 32 on my website right and these videos on You Tube as well on my You Tube channel Plus 20 year old I am questions and then day five. What should you do? Obi-Gai in video episode 21 and the slides my Obi-Gai in video actually has slides where basically the slides that I go through in the video I also have those right go on my website.

You're gonna find the slides under this respective episode number It's hyperlinked right so the pizzo 21 and the slides plus 20 year old piz questions as the five the six It's gonna be the Obi-Gai in video episode 22 and the slides right plus 20 year old Obi-Gai in questions right I know some of you will be like define the number of your questions we're doing is is very limited See if you have more time you can do more questions But the thing is I'm being cognizant of the fact that many of the people that are gonna be taking this exam They're residents right they don't have all the time in the world to study right and then day seven I would really hope is like an off day like one of the weekend days you have off All day you should do the psych video right episode 23 with the slides and the surgery video episode 24 with the slides Plus 20 year old psych and 20 year old surgery questions and then on that You should also listen to episode 315 on the circle of willis episode 315 on the circle of willis Okay, let's go to week number two. What are you doing week two? They won Review the notes for i m videos one and two just review the notes this time episode 29 and 30 Do 20 year old i m questions?

They too Review i m video number three and four the notes alone plus 20 year old i m questions They three review the peds and obi guys slides Plus 10 peds your questions plus 10 obi guys your questions they four Review the psych slides episode 23 i believe and the surgery slides episode 24 i believe right plus 10 psych Your questions 10 surgery your questions and then day five I wanted to review my bio stats podcast right episode 143 right listen to it I promise you don't just say i'll just review the slides no their slides for it We should really listen to it bio stats is one of those things that demands explaining right listen review the bio Starts episode right and the slides and they're also review episode 173 on immunodeficiency diseases If you want to improve immunodeficiency diseases and then day six I'll review the first four of my November 2020 changes podcasts So how do you find those again go to divine intervention podcast.com Click on exam topics list Click on the google sheets document and then click on the step two tab and then just keep scrolling I label each each each each each section you're gonna see a section that says November 2020 changes I believe they're a 10 podcast they review review the first four of those podcasts right and then on day seven Which will again hopefully be on of the update of week two take you world self assessment number one and review it All right now let's go to week three week three day one Review the notes for i m 1 and two right do 20 world i m questions, but now also Listen to episode 326 on pth cardiology.

They too Review i m the notes for i m videos three and four To 20 year old i m questions and then listen to episodes 180 and 226 right those podcasts talk about like iron labs and hematology Those things actually pretty high yield for first step three right some of these select podcasts You see me recommending a very very high yield for step three right and then day three of week three review the pills and no big slides right episode 21 and 22 and then do 10 peds your questions 10 to begin your questions and then listen to episode 349 on psych pharmacology and then on day four review the psych and surgery slides right that's episode 23 and 24 Plus 10 psych do 10 psych your questions 10 surgery your questions right and then listen to episode 233 on shock Shock is heavily tested on step three and then on day five Of week three review my bio stats slides again right from episode 143 and then listen to episode 100 on clutch micro on clutch micro I believe you can also find notes for clutch micro on my website on that those that google doc with all those notes You can actually review those and then on day six Review the next three right so you've done the first four from week one of those or sorry from week two of those November 2020 podcasts and week three review the next three of those podcasts right from those November 2020 changes and then day seven which is an off day for you take mbm 6 and go ahead and review it mbm 6 for step three and review it right now let's go to week four week four they want review the notes for i m 1 and 2 right as we said for week two and three right and then do 20 World i m questions and listen to episode 251 on thyroid thyroid is heavily tested They two of week four review the notes for i m 1 and 3 i mean sorry i m 3 and 4 to 20 euro die m questions and then listen to episode 244 on vascular disorders And then on day three of week four revi

ew the pizza no big-end slides that's episode 21 and 22 Do 10 p 0 questions 10 no big-end you work questions and listen to episode 343 on primary or plastic syndromes and then day four of week day four of week four i will encourage you to I really encourage you to review the psych and surgery slides and then do again that's episode 23 and 24 The slides are hyperlinked on the those respective episodes and then do 10 Psychi World questions 10 surgery world questions and episode 331 on long cancer 331 on long cancer And then on day five on day five i will encourage you to find my podcast that talks about bias and Bios statistics and cognitive errors right so but i think bias is episode 198 and then have a podcast on cognitive errors you should listen to those two i can't remember the exact number so Do a search on my website google google search you're gonna find it and then also listen to episode 100 on clutch micro again Right or at least listen to it or review the notes again that's something you should do and then on day six review the final three of the November 2020 Podcasts right so there's 10 podcasts in that series and we took you listen to four week three you listen to three We four you listen to the last three right and then listen to episode 135 on electrolytes This is a fru-maw-rigly high-oh-de-episode is gonna put so many things together for you Listen to episode 135 on electrolytes and again i believe there's notes for that on my website again I'll encourage you maybe like oh divine there is no so i would just read the notes no you're not helping yourself Listen to get the understanding first and then after that review the notes and in the seven we should hopefully be an off day for you You know take your self-assessment to an review right so these these self-assessment try to take them on And on the off day you have during the week right so you may have t

o restructure your your weeks according all right That is what week five we're getting close to the end here so week five Again review the day one review the notes rm one and two and then for this day You're not doing any new work question actually for this week.

You're not doing any new work questions You're not doing any actually you're not doing any new work questions again right for the rest of this plan right so In addition for day one in addition to reviewing the notes for i m one and two what should you do? Review the first state pathology section Right so first aid for step one has a pathology chapter I'm not saying read the whole chapter Basically find the section of the chapter that talks about oncogenes and then read from there to the rest of the chapter Read from there to the rest of the chapter.

I know why I'm specifically Recommending this specific part of first aid for step one all right A lot of that stuff is tested on the exams all right day two review the notes for i m three and four I saw episodes 31 and 32 And then a review 25% of first aid micro for step one the first aid micro chapter for step one review a quarter of it on D2 on D3 review the pizza no big-eyed slides right that's episodes 21 and 22 and then review another 25% of first aid micro for step one Day four review of psych and surgery slides episodes 23 and 24 and they review another 25% of first aid micro for step one And then on day five review the bio statistics slides again episode 143 and then the final 25% of first aid micro for step one The final 25 percent the final 25 percent right the final 25 percent right so keep keep keep that in mind keep that in mind Keep that in mind keep that in mind right so the final so basically across these four days from Tuesday to Friday From Tuesday to Friday.

You are pretty much listening to uh 25% 25% 25% 25% right so kind of keep kind of keep that in keep that in mind right and then on day six I want you to listen to episodes 37 97 184 239 37 97 184 239 these are risk factors podcasts you literally have to Commit these to memory they're heavily tested on step three and then also listen to episodes 460 and 461 on antibiotics 460 and 461 on antibiotics right and then day seven We should hopefully be a off day take mbmi 7 for step three and review review that all right now week six week six So what do you do on day one of week six?

Read the farm sections at the end of first aid immunology and psych right so first aid first step one the immunology and psych chapters read the pharmacology sections at the end of those chapters right the pharmacology sections for every first aid for step one chapter I kind of comes at the end so read those day two read the farm sections at the end of the cardio and respiratory chapters cardio and respiratory chapters day three of week six read the farm sections at the end of the first aid endocrine and g i chapters Before of week six read the farm sections at the end of the first aid he monk and MSG chapters the five of week six read the farm sections at the end of the first aid renal and repro chapters And then on day six on day six read the entire rapid review section in first aid first step one right so Step one first aid has a rapid review section at the end read that entire section And then also you can read the pharmacology section, but this is optional We can read the pharmacology section at the end of the Neurology chapter just focus on the anti epileptic drugs Don't try to memorize all those arrows and stuff just know the key side effects of each of those drugs That's it And then also listen to episode five thirty nine from my website on on steroids five thirty nine from my website on steroids And then on day seven take the free one thirty seven the step three free one thirty seven And then listen to my podcast series on it actually have made a series where I go through every single Question in the free one thirty seven for step three um Okay, and that's why I'll encourage you to maybe take the exam with the pdf because I follow the order in the pdf Right, and again trust me this series is worth the listening to is worth the listening to even if you have to Add an extra day or two to your dedicated period just to listen to the series.

It's worth it. It is literally worth it Right, and then obviously you you go ahead and take your test and on your way to your exam room You know the day before you examine try to take that day off right the day before you examine try to literate So, you know, let's say like we have a week seven. I would maybe let's say you're taking your exam like day one on I don't know like Wednesday and day two on Friday or whatever, you know take the day before day one off right that That's a smart thing to do and then I will also encourage you as you're going to your exam center for these one and two respectively Make sure you listen to episode 400 listen to episode 400 right and then I'm not gonna also say to kind of keep at the back of your mind is this I think I will strongly strongly Encourage you that Before you take your exam do the practice CCS cases on the usmly website So so far through all your study plan you've been doing like the URL CCS cases on the ccs cases.com CCS cases Do the practice cases on the on the usmly website the thing is why should you do that it will give you a very strong idea of how many things you need to um Like the level of detail that the usmly is require of you in the ccs cases right and it also gives you some familiarity with the interface You should absolutely do those practice cases absolutely do those practice cases all right now What are some optional things you can do if you have the time again?

These are completely optional right Before you take your exam getting a final read of those I am one two four notes and the slides from those my shelf review videos That's a smart thing to do right also if you got the time the free one twenty first step two and step one Right you can take those that's extra good practice and I've actually made podcast series where I address All those things where I address all those questions. I literally have a free 120 series for step two free 120 series for step one Again, if you go on my website go on example picks list For step one there's a header step one free 120 series step two there's a header step two free 120 series And I kind of break all these things down like the podcast for each of those of those things right Um, so that's a good thing to do right and then if you have the time Right in BME 14 and 15 from step two if you're a step three taker chances are those exams were released after you left mid school or whatever You know after you've taken step two Consider taking those taking those are practice exams right and also try to get another lesson of my November 2020 changes Podcasts and episodes 37 97 184 and 239 right those risk factors are episodes right now You likely will not be able to finish your own with this plan. Uh, that's that's totally okay. Right. That's totally okay Right, that's totally okay. That's totally okay. That's totally okay. That's totally okay. That's totally okay.

Right You won't be able to finish you very likely won't be able to finish you with this plan. That's that's fine Right, that's fine. Right and another I guess optional thing I can recommend is if you some don't mention in the optional things Right, but I also have a bunch of rapid review podcasts right have made like more than 120 of them right if working out or driving So the working out so the ortho bros or gals right though if working out is a part of your day I'll a lot of driving is part of your day Crowned those up listening to those as you're as you're kind of going going to work on coming back right now That's probably a smart thing to do right and then if you can swing it if you can swing it I highly highly recommend taking my test against strategies class. It's a two and a half hour class Um before you can take it before your dedicated period begins was early as possible in your dedicated period right Or even if you've gone through a big chunk of your dedicated period.

I will still recommend it right see the earlier You take it even if you take it months before you exams the better you will be right because it's gonna give you more time to practice the principles With as many questions as possible the principles that I teach right Really, I'm telling you that genuinely that this class will really help you become better At going through mbmi questions very successfully right this is a broad recommendation I have for everyone taking the exam strongly consider taking my test taking strategies class right because the thing is there are so many changes that I've come to the USM You know, this class will really help you get your mindset right for these changes right many change that I've come since you know Late summer last year to the present time. I've really updated the class to really address many of those changes that we have seen Right and then I also say that put a plug in you know many step two step three takers Define my other classes to be very useful right my 20 hour class. They find you to be like a very amazing review for step three And also for step two obviously right Super so sing just perfect for their needs and then obviously I also have a 50 hour class Taking place in the first two weeks of June.

There's still a few spots remaining That again, we're really really help you prep well for these exams Then obviously I have a biostatistics class that's far as long Really helps you were prepping for bio stats for your exams and a five-hour social sciences ethics qi Class you know hospital medicine class that again many people take and they find to be extremely helpful Find to be extremely helpful right now. I guess the question I get from people is can you swap out your world for ambos? That's fine. You can totally do that right nothing wrong with that Your world is just you know my personal preference, but nothing wrong with using a ambos right and again Don't forget rest the day before your test right and obviously if you're doing very poorly on your practice exams Then you may need to take a longer study period so that you can maybe run this plan for a few more weeks Just to prepare yourself right and the thing is be like a farmer be like a farmer right the thing is you see some people They expect to start getting two seven days from the beginning. No, you may actually be doing very poorly in week one With your practice test and in week two, but you notice that by the end of week three Hopefully things should start kind of turn you should kind of start turning a corner Around like the end of week three right because by then you've you've had more passes on the rebel right a farmer Doesn't just throw a seat in the ground and expect that by the next one in the crops.

I don't pop up No, that's just not the way life life works right. That's just not the way life works All right, so I'm gonna go ahead and stop here again I offer all these review classes have made podcasts where I talk about these review classes They all over zoom again many people have taken them found them to be extremely helpful Also for one-on-one to learn from all the USML Es all the complex exams And I help with errors applications personal statements more interviews and things like that And then I have this podcast on Apple Google and Spotify and also have a You Tube channel Where I post the videos that I make and then finally I have another website called divine intervention life lessons.com Divine intervention life lessons.com Every week I post like one or two Sometimes three podcasts where From a biblical perspective address a life lesson, you know many of you know, I'm a Christian Christ follower so I do make these life lessons podcasts that are based on the Bible every week I literally just put up episode 333 this morning. There's actually an Apple podcast associated with that Call the divine intervention life lessons podcast So thank you for listening to me today. I will see you in episode 604. I believe so wonderful day. God bless you and Bye for now. Thank you

It is a 2 D (Day 1 and Day 2) examination.

There are 13 CCS cases.

Biostatistics and Social Sciences/Ethics (e.g., QI, discharge planning).

Doing 20 new Micro cards and studying one CCS case per day.

Because while clinical expectations increase throughout residency, dedicated study time decreases as responsibilities mount.

It may prevent obtaining a state license or progress within a residency program (e.g., non-renewal of contract).

20 new cards per day.

Episode 135 on Electrolytes.

Two podcasts from the exam topics list (e.g., using the "From Ecology" series).

Risk factors (Episodes 3797, 184, 239), Biostatistics (Episode 143), and Electrolytes (Episode 135).

Try to take that day off/rest.

They cannot expect results just because they did well on Step 1 and Step 2; sufficient prep is mandatory for Step 3.

20 new cards per day.

Episode 135 on Electrolytes.

Two podcasts from the exam topics list (e.g., using the "From Ecology" series).

Risk factors (Episodes 3797, 184, 239), Biostatistics (Episode 143), and Electrolytes (Episode 135).

Try to take that day off/rest.

They cannot expect results just because they did well on Step 1 and Step 2; sufficient prep is mandatory for Step 3.