ATTENTION: this is how I personally studied for semester 4C at RUSM, my study methods may not work for everyone. As such, I advise you to take all advice from me and others with a grain of salt and make sure you tailor it to what works for you! My 4C semester was May-September of 2017, so teachers might have changed.

dominica

Welcome to 4C!

Here is a summary of my advice and recommended outside sources for this semester. This is a HUGE semester. I thought, in the end, 4C was the most work I put in and the most stressful compared to other semesters; however, it was one of my favorite semesters. Just be prepared to work for its entirety. You will see me often reference “SP’s” which are study products made from the lectures given. You can often get pre-made ones passed down from upper semesters or you can make them yourself if it helps with your learning!

CARDIO 2: week 1-2.5, followed by 2.5 week break. I used the break to focus in on cardio, which I thought was worth it. This allowed me to do well on the mini and retain cardio information even after I finished basic sciences.

  • Pathology- I tried Sketchy Path, I didn’t LOVE it because it was too long, but I do think it could be helpful if you put some time into it. Other than that, I used study products (SPs) made from the lectures and I used First Aid to review. I would recommend using pre-made SP’s and filling them in with your own info from lecture, or making your own.
  • Pharm- I used SKETCHY, there is A LOT of drugs. Sketchy is really helpful in retaining all the cardio drugs and even helps with some biochem knowledge (lipid lowering agents).
  • Biochem- I used my SP’s and memorized as much as I could. I thought it was a lot to memorize. He asked questions about the types of lipoproteins and the disorders (KNOW THE LONG NAMES NOT JUST “TYPE I”).
  • Behavioral and Clinical Med- these lectures were a HUGE chunk of the unit and they seemed tedious. I used SP’s, and I USED FIRST AID (good summary of the info)! It was important to know the ECGs and heart sounds (murmurs).
    • A big resource I found and LOVED was Osmosis videos on YouTube. They are free videos and they are relatively short. I also liked to draw out the heart conditions to make sense of them, which Osmosis videos help with.

ross university school of medicine

RENAL 2: you will feel like you should take it easy and study renal after the heme and lymph exam is over. I STRONGLY ADVISE AGAINST THIS. I did this and it was a big mistake. If I could go back, I would use the time I had to study renal to try and really know at least the pathology! Then, every day until my renal exam when I was studying and being tested on heme and lymph, I would watch Loy’s rapid review videos or lab video to keep my mind fresh. (I still use Loy’s rapid review videos to study for Comp and Step!)

  • Pathology- I used SP’s and watched the rapid review videos every single day and I was able to answer his questions
  • Pharm- they asked me a BUNCH of renal drug questions at the level and detail we learned last semester (renal 1). I should have watched the renal pharm Sketchy videos again. I got these wrong, because I figured they would be basic, they ain’t.
  • CM- I used SP’s. I did not freak out about her lecture notes much. It was mostly a repeat from path. I reviewed the  radiology lecture right before the exam, because that was 2 easy points.
  • Micro- I used Sketchy for UTI bacteria’s. I had seen them before and this worked. THE HARDEST THING TO ME IS MASTERING THE ANTIBIOTICS. They asked several questions on my NBME and Ross’ test about them and I just didn’t remember them. I think attacking this early and repeating as often as possible, especially if you use Sketchy, is the best way to finally master them.

ross university school of medicine

HEME AND LYMPH: Go to class! And do not be afraid of this unit. Go in and see Dr. J, she walks you through details that students get wrong a lot. You don’t even have to come with questions.

  • Pathology- these are THE BEST SP’s EVER MADE (made by someone and passed down, they are black and white tables). I used them, and added any random details she emphasized in class, and I tried to know everything in them. I WATCHED HER LECTURES 5-6 TIMES. I watched her lectures so many times, I could hear her saying things during my exam.
  • Pharm- the Sketchy unit for chemo drugs and anti-retroviral drugs is absolutely the best Sketchy videos they have ever put out (well, in my opinion). There are some drugs taught that aren’t in Sketchy, I referred to the pharm charts and First Aid. I memorized these with notecards.
  • Biochem- I created little stories to memorize the inherited metabolic diseases, they barely asked any questions over these on my mini exam, but there were SEVERAL on my NBME final (and they have come back to haunt me through Comp and Step studying). Metabolism of heme, purines, pyrimidines- I did not study enough of this, there were several questions asked about disorders from these lectures. Now, I draw them repeatedly and eventually they stuck.
  • CM- mostly just path review, I would know the PDSA cycle and the radiology!
  • Micro Anatomy- I used the First Aid book, Osmosis YouTube videos and the SP’s for Dr. A stuff. I used Sketchy for malaria, babesiosis, viral hemorrhagic fevers, HIV/Retroviruses, and parasites.

ross university school of medicine

MSK: so this mini exam was RENAL and MSK. It was a stressful week for me to learn it all. I put off MSK and RENAL (as I said, I would learn renal before, that way it is more doable to put MSK mastery off a bit until after heme and lymph mini). Learning both renal and MSK in a week is challenging, but it can be done if necessary. If I had kept up with renal before, this would have been a much easier week!

  • Pathology- I used SP’s, but I had to add a lot to them. I re-watched her lectures a lot.
  • Biochem- I used a concept sheet from the previous exams and found the biochem questions. They were similar on my mini.
  • CM- this was basically a re-do of pathology.
  • Pharm- I used the lectures.

ross university school of medicine

REPRO 2: this unit was a drag for me. I went to class for most of it, but it was just slow and boring in my opinion.

  • Pathology- I used the SP’s and the rapid review video (its LOY!!! Yay!!), I watched it every. Single. Day. And then I watched the pathology lab every. Single. Day. For Dr. Y, I used the SP’s, BUT sometimes his questions were super specific to his lecture. I would add from his lectures, especially the small details, and use the First Aid book too.
  • Microbiology- I used the SP’s, and it was plenty.
  • Pharm- I re-watched the chemo drug Sketchy videos. I memorized the other drugs that were not in sketchy with flashcards, there wasn’t much.
  • CM/Behavioral- this was the biggest slap in the face on the test for me. I loved her lectures during class, but it wasn’t enough to learn everything. She asked abstract questions. I watched Sasso’s lectures (a previous teacher) to supplement, but I would recommend referring to a past concept sheet.
  • Biochem- use the SP’s, Dr. L asked about the topics he liked the most. I used a concept sheet to focus my study. I often used to go in and see him, he is super helpful!

NBME: I used outside sources almost exclusively. I used my checklists for each unit and I watched DIT for each subject. Then, I would read the First Aid chapter and add details from the DIT videos. I re-watched all the Sketchy pharm and micro videos relevant to the semester. I used my SP’s for the CM/Behavioral. I watched Loy’s rapid review videos every day for renal and repro pathology leading up to the test. I re-watched the ABG YouTube video. I reviewed my heme/lymph study products.

Let me know if you have any questions or if you would like access to my study products.

boat miami

Hello there YB to MD fam and welcome to the my very first blog take over. To start this blog off, I want to say thank you for all the love and support you have given Yas and I as we course this journey through life and med school. We are officially able to advance now and continue chasing our dreams. So, no more of those “House Husband?” questions (maybe that is just an inside joke).

Anyways, now its time to talk about my experience dealing with repeated failure and conquering the NBME Comprehensive Exam. I apologize in advanced for how detailed my story may be, but I want to paint y’all a picture- so bear with me.

…Let’s start on Tuesday May 22, 2018 at 6:47 pm EST at the Cinemark movie theater men’s restroom.

Ten minutes prior, Yas came into the movie theater full of joy and tears, I knew that she had just gotten her score and that it was a success. She immediately came up to me and said “Babe I passed, that means we passed…I know you passed, because I passed”. At that moment, a chill came over my body. It was like butterflies, but not the nervous, happy ones you get right before opening the last Christmas present that must contain the gift you have been waiting for. No. This was a feeling of “damn I forgot to do the dishes” and you hear the door opening and you know it’s your mom. Straight fear. Yas asked me to check my email again; it had to be there. I checked it and there was still no email. Nervously waiting for my email, I could no longer focus on the movie. Fast forward eight minutes and I am walking into the men’s restroom. I felt the vibration of my phone and I knew that this must be it. I opened up my inbox and there was the email I had been waiting for. I looked and I looked and I could literally feel my heart drop and there it was the message I felt was coming “We Regret To Inform You…”. I paused and immediately said to myself “this can’t be, how will I tell Yas?”. I walked back into the theater and as I walked up the stairs she could see the disappointment in my walk. She asked “did you get your score?” and I said “yes, I failed”.

nbme comprehensive

On the ride home I felt numb. Was this happening again? I had been studying day in and day out since March. I felt like I deserved to pass. I put so much effort and time into studying and preparation so I could destroy the exam and finally move on, and yet again I had come up short. I was in such disbelief. I called Ross to asked if it would be possible to request a regrade, because I just felt like I knew a lot of information on the exam and that there was no way I didn’t pass this test. I felt inferior. Yas had just passed with an amazing grade and I literally felt like I was a dummy and not capable of passing. I will be honest with y’all, I got a 67. While my score did increase from the last two exams, it was still not enough.

Yas started shooting off ideas about what we could do differently. She talked about how this is not going to stop us from moving on and that whatever I needed she would be there by my side to make sure I had the best environment and space to focus and zone in for my next attempt. While I sat there nodding my head, on the inside I still felt like a complete failure. I felt like I was the one holding us back, like I was messing up all of our plans and our lives together.

Later that night, we got home and Yas started to create a study checklist/calendar that would allow me to cover all the material from First Aid (FA), Pathoma and Sketchy multiple times before my exam. She designed the study plan to focus on my weaknesses (biochem, pharm, cardio and micro). I felt like that is what I was missing from my study process.

THE STRATEGY THAT FAILED ME

First, I want to talk about what my study process was like before and how that held me back from unlocking my true potential and then touch on how I changed my approach to increase my score by almost 10%.

Previously, I would do UWorld questions on tutor mode to start the day off- this would take almost half the day. While this was effective in quickly pin pointing concepts I didn’t understand and potentially use the info on other questions that were similar in the question block, it did not allow me to get the full picture of the concept and what I needed to know to be able to distinguish between the concepts. It was like I was constructing a jigsaw puzzle and I had all of the border pieces matched up, but none of the middle completed. To supplement the UWorld question blocks, I would read about the topics that I got wrong in FA book and annotate my book with in depth info from UWorld. Once again, adding to the puzzle around the border but never filling in the middle void.

Don’t get me wrong, I felt like I knew things; at least, way more than I knew from the time before that. I felt that this process was working, but in the end it didn’t. What was ultimately missing was solid foundation of material and knowledge, what I like to call the meat and potatoes.

THE STRATEGY THAT HELPED ME SUCCEED

So now, for all of those carnivores out there- let’s talk about that meat and potatoes and what I did differently this time that allowed for me to zone in and tap into a knowledge stream that I didn’t know I had.

The key factor was having a study schedule. Thank GOD for Yas, her Microsoft skills and her ability to whoop up an effective schedule in no time (“She da Plug”, if y’all need one, stay tuned). I feel that this made the biggest difference in my approach. My day consisted of waking up around 8 am, eating breakfast while watching a leisurely video or two on YouTube. After that, I would start with a timed block of 40 questions on UWorld. I would review all the questions from the block, referencing FA and annotating in things that were important. I would then switch over to watching Pathoma. My study plan spread each high yield organ system chapter over two-three days depending on the length and amount of detail. Here is an example of what my schedule looked like:

This schedule allowed me to take my time and rewrite things that I hadn’t mastered. There is something about writing things out that allows you to pick up on those little details that you would normally miss when you speed read, or in my case slow speed read. While reading First Aid and writing out the details, I started seeing details that had been asked in previous questions. The most important notes I made were distinguishing physiology and pathology features, even the most minute details, between different diseases. This was key to being able to utilize the process of elimination.

I don’t know about y’all, but Biochemistry and Immunology are my arch enemies. In other words, their colors are maroon and their mascot is an Aggie (for y’all that don’t know, I am a UT Longhorn Alum). Knowing that these two were my weakest subjects, I made up my mind that I was going to master them and the best way to do that was repetition. Biochem, Immunology and Micro were sections in First Aid that got the most attention on my study schedule. The schedule allowed me to get through all the material in First Aid twice and my weakest subjects up to four times.

I also incorporated anatomy concepts from a document called 100 Anatomy USMLE Concepts. Anatomy has always been my strong suite, but adding these concepts into my study schedule allowed me to review the high yield anatomy (like that Colles fracture we all forget about).

Yas suggested creating flashcards by hand for high yield details I missed often and I got hooked (you will be amazed at what can happen when you listen to your fiancé). The last two weeks before my exam, I created flash cards for some of the High-Yield General Principles and pharm I still struggled with. I had never done this before. I would usually just grab someone’s Quizlet deck, add it to my study folder and never use it. The process of putting it in my study folder made me feel like I was learning it (WRONG). I took my flash cards with me everywhere and during any downtime I was reviewing them. This was the first time in my NBME Comp prep career that I was able to recite info, visualize pathways and understand sometimes overlooked concepts. The benefit of this effort started to show when I would do question blocks- I was finally able to differentiate between ALL the answer choices and explain why one is right and the others are wrong.

I was now able to fill in the middle void and complete my puzzle.

Mind you, there were definitely times during my dedicated studying that I took days off to catch up on material that I fell behind on and some half-days that I would just relax. Since this was my last attempt to take the NBME Comp, the most important thing to do was to make sure I wasn’t letting my anxiety overwhelm me. Mental health was crucial. Every Tuesday, Yas and I would go on a date to the discount movies. We would go to Orangetheory Fitness every day of the week except on Tuesdays. After I finished all of my assignments for the day, I would be done for the day. No looking at anything else study related or starting on the next day’s schedule. By the time I was finished, it was already 7:00-8:00 pm and my brain was done anyway. It was pertinent that I kept my physical and mental health a priority, because it would have been easy to fall into a funk where there is doubt and the urge to give up. However, the mental breaks and the study schedule suppressed those negative thoughts and showed me that I have time to get through everything I need to. I began to trust the process!

orangetheory fitness orangetheory fitness

GAME DAY

It is Friday July 27th, 2018 at 2pm EST and I am done with my fourth attempt at the NBME Comp. I don’t feel complete. I got in the truck with Yas and started to go over questions with her and I started to get upset. As I look up some of these questions that I was in-between on, I was seeing that I was missing them. Now I am starting to feel the stress and the worry. In my head I count 20 questions that I know that I got wrong. My rule-of-thumb when it comes to tests is that the amount of questions I think I got wrong is most likely doubled or tripled in reality.

I low key started to panic…

The only way to get my mind off of the questions I missed was to occupy my mind with some other kind of stimulus. What better stimulus is there than Netflix? Over the course of the next three days, Yas and I (and Lulu the cat) binge watched TV shows, movies, cupcake challenges. We enjoyed some comfort food and a few games of 2K. The gloomy, rainy weather made it very easy not leave the house.

 

THE MOMENT OF TRUTH AKA JUDGEMENT DAY

Tuesday finally came. The day I knew would be either a day of cheer and joy, or a day of sadness and dismay. I woke up, showered and while I was showering I had this moment of peace. It was in that moment I said to myself “you passed”. Doubt made its way out the door. After breakfast, Yas and I had planned on going to Starbucks to try and do a UWorld question block and then catch a movie for our traditional discount movie Tuesday date.

As I finished putting away the dishes from breakfast, something told me to check my phone. I opened my email and there it was:

“Congratulations…you passed”

nbme comprehensive

I couldn’t believe it, I had to read the email twice because I didn’t think it was real. I ran to tell Yas and she burst out in tears. We both read the email again to make sure it was saying what we thought it was saying. We then called all the parents and told them that I had passed. Everyone was so relieved and excited to hear the news. We spent the day celebrating by going to some foodie spots in Wynwood and going on a boat tour in Biscayne, and, of course, our Tuesday discount movie date night.

biscayne boat cruise

I can honestly say that the past seven months have been a humbling journey. From taking the Becker course for eight weeks (total bust in my opinion, as Yas has probably discussed), to moving to Miami and staying 5 months longer than anticipated. I learned a lot about myself. I learned that I can bounce back. I learned to not compare myself to others and to focus on the end goal. I also learned to never give up, even when faced with failure over and over again. If its something worth having, its worth working for, because that feeling of succeeding is like no other.

WE CAN RELATE…

I want to thank you all for your time and letting me do this blog take over. I hope that this is of help to some of y’all. We both understand the unrelenting pressure that comes with being a Caribbean med student, taking and passing the comprehensive exam with a limited number of attempts, and having no financial stability during the dedicated study period. We to feel the stress and anxiety that has resulted after the hurricane-the constant relocation while still striving to pass. We know how hard it is to try and flourish in a relationship while maintaining the majority of your focus on studying. The purpose of this blog is to connect with people like us by telling our stories honestly.

Do you need help creating an effective study schedule? Do you just need someone to talk to who understands the struggle?

PLEASE REACH OUT TO EITHER YASMINE OR I ON SOCIAL MEDIA OR IN THE CONTACT FORM BELOW

 

After getting engaged in April, we only had a few weeks until our NBME exam, so we had to put wedding planning aside for a few weeks. On our daily breaks, we started brainstorming together and discussing aspects that were the most important to us for our wedding. Of course I already had a Pinterest board filled with ideas!

wedding planner austin, texas

  • GET A WEDDING PLANNER

Our first decision we made was to get a full time wedding planner! Since we are moving around so much, it would be difficult to figure out all the details of a wedding by ourselves. We set up four meetings with different planners to interview. We wanted someone who would understand our vision and would be able to make it possible with our budget in mind. We also wanted someone we connected with and we could work with since we both want to be involved in the planning process! We found the most wonderful planner at In Her Shoes Coordination.

  • CHOOSE A VENUE

We decided to get married in Texas! Mostly because my family lives all over the states and the world, so they would have to travel regardless of the location and Denzel’s family mostly lives in Texas. We knew we wanted to meet certain criteria when choosing a venue: an outdoor ceremony space with a great view, an indoor reception space that was modern, a venue that had both in one place, a venue that did not set many restrictions so we could bring in our own vendors, and a venue with great reviews that was easy to work with. We toured about eight venues and decided on our favorite place- Canyonwood Ridge. When we were looking for venues online, Denzel expected this venue to be his least favorite, but when we saw it in person we knew it was definitely the place to have our wedding. Photos just do not do this place justice! It was large enough for our 250 guest count, new and modern, had a beautiful view at the outdoor ceremony area and even had a backup ceremony space for rain that was just as beautiful as the outdoor space. We loved it so much, we booked it the next day!

canyonwood ridge dripping springs

  •  ASK THE BEST MAN AND THE GROOMSMEN 

I think the hardest part of wedding planning so far for us has been choosing a bridal party. After getting engaged, sometimes it is shocking how people react. We were surprised to find people we thought would be super excited and involved to be opposite of that. We also had pleasant surprises, friends who showed an outpouring of love and interest. We have so many people in our lives that we love and care about, but we obviously had to narrow it down to a reasonable number of groomsmen and bridesmaids.

To ask his best man (his brother, Jordan) we wanted to do something a little different. We were home for his college graduation, so we made him a gift card bouquet for his grad present. One of the gift card holders was actually a note that asked him to be the best man. It was a good surprise!

graduation gift

We wanted to ask Denzel’s groomsmen while we were in Texas and in a unique way. Denzel really wanted it to be medical related, so he came up with a few ideas and I ended up creating a card that looked like a prescription pad. We invited his friends to dinner and asked them there, we also had a few we had to send out! Thankfully they all said YES!

tacos and tequila austin

groomsmen proposalgroomsmen proposal

  • GUEST LIST AND REGISTRY

Overall, we had a productive few days of wedding planning while we were in Texas. When we got back to Miami, we decided to spend time making a guest list, collecting addresses, and registering. All of this actually took a lot more time than we though! Making a guest list is hard- you want to invite everyone, but you also have to realistically narrow it down and sometimes make hard decisions.

Registering for the wedding was quite the experience. It took 3-4 days to complete our registry (which is still ever changing). We have never argued as much as we did when we were registering! At first, there were many items we agreed on. As we got to picking the products that were more “styled”, we found we had different visions of what our home would look like. After going back and forth for days, we finally settled on a design we liked so it became easier to choose the items we wanted! We ended up registering at Macy’s and at an online registry called Zola. We registered at Crate & Barrel, but ended up deleting it, because it didn’t really fit our style.

We also started working on our wedding page where you can find the information about our wedding! (This is definitely a work in progress as planning continues to progress).

That is the majority of what we accomplished so far! Next up on our planning list- picking our vendors, our officiant, and, of course, MY BRIDESMAIDS!

engagement photos

 

engagement biscane beachWhen we got back from our Europe trip, we were back to studying for the comp. We had just moved to Miami and we were studying all day, everyday! I had gone home to Colorado for a week and came home on Wednesday. All four of us had been talking about going to the Museum of Ice Cream for a while and I wanted to go since I first saw it on Instagram. Denzel and I talked about it, but decided not to get tickets at the time. When I first got home from Colorado he told me he ended up getting tickets for us! I was so excited.

That day I was busy making dinner and I asked Denzel to run to Sam’s Club since I had forgotten an ingredient. He was gone for a while that day, but I was busy talking with Raj and Victoria (our roommates and good friends) that I didn’t think much about it. He came home and surprised me with a new bike! I didn’t know then, but he actually went to pick up my engagement ring!

Fast forward to Sunday, I woke up in the morning to study and Victoria called me into her room to help her pick an outfit. She was planning on going to a nice brunch so she was wearing a dress and heals! She suggested I dress up too since they were meeting us at the museum later that evening. She said we could take cute pictures all dressed up! I looked through my closet, but I could not find a dress that worked for the occasion. Naturally I had a little freak out, so Denzel suggested we just go get a new one. He took me shopping and we picked out a couple different dresses and he picked out a shirt. We came home and got back to studying like usual until it was time to get ready for the evening!

engagement museum of ice cream

I got all dolled up and we headed to the museum. It was the cutest place, we went through each room and the guys took cute pictures of Victoria and I. We got through the sprinkle pool room, the milkshake room and the ice cream fan room before we entered the pink forest with the banana swing.

engagement museum of ice creamengagement museum of ice cream engagement museum of ice creamengagement museum of ice cream

We continued taking pictures- on the cherry wrecking ball, on the banana swing and in the mirror room. The room was absolutely PACKED with people waiting in line for each photo op. Then the guys suggested we take pictures as a couple on the banana swing, so we waited in line for our turn.

engagement museum of ice cream

Once it was Denzel and I’s turn, I went and sat on the swing. He asked me “do you have room for me?” and I said “of course I do, come sit down”. He told me I should stand up, I thought it was because he wanted to sit down before I did for the picture. I stood up and he got down on one knee. I was so overwhelmed with happiness, I asked him “are you serious!?!”. I saw the whole room of people pull out their phones and crowd around. Then everyone disappeared and all I could see was him and all I could think was “YES” and “is this real”. Denzel spoke his piece and asked me to marry him and I said YES! Everyone around clapped for us, it was a surreal moment.

engagement museum of ice creamengagement museum of ice creamengagement museum of ice creamengagement museum of ice cream 

Afterwards we walked through the rest of the museum and people congratulated us. I was in tears and I could not wait to tell our family and friends. As we drove home, we called our parents and brothers. The only people who knew were both of our dads, Denzel’s brother Jordan, and a few of his friends- so the moms were very surprised and happy!

Raj and Victoria knew the plan so they had taken some wonderful photos and videos for us. We are both so thankful for friends like them and for making that day so special!

engagement museum of ice cream

It has been about a month since our engagement and we are waiting for our comp scores and diving into wedding planning! (Both comp and wedding planning posts coming soon)