2012年3月28日 星期三

關於美國醫師執照考試


到底考美國醫師對我自己有沒有幫助, 我自己也不知道, 但是若有機會我當然要去美國看看, 就是抱著這種最單純的想法, 加上現在擁有最美好的時間, 所以才毅然去準備應考! 不去考的藉口很多, 但是結果就是你沒有踏出台灣的門路!
個人認為華人和白人做事上的習慣最巨大的差異就是:
華人把東西準備好了以後就埋頭去做, 有做下去, 感覺上軌了自然就有計畫出來
而白人(尤其是歐美, 澳洲人我不知道)總是把計畫先擬好在準備東西再下去做

所以Topics就先是讀書計畫, 以下是Eric Edwards(e33@ufl.edu)在2007年的建議
Study Schedule
1.Overall Study Schedule
–Minimum of 3 weeks
–Maximum of 6 weeks
2.Summer vacation
–Last chance!

各科少則三個禮拜多則六個禮拜, 我想他這部分是把準備時間當成至少一年來看
第二部分我得注意我只有一個月(七月)的暑假

Typical Morning
6:30am – 7:30am–Breakfast and personal time
7:30am – 12pm–Review
Noon – 1pm–Lunch/personal time
Typical Afternoon
1pm – 4pm–Review
4pm – 7pm–Personal time
Typical Evening
7pm – 9:30pm–Review subject
9:30pm – ??? Personal time

這部份得勸自己不要熬夜了 要不然你看看, 早上7:30就開始review了, 這是幾個台灣人能做到的…
Eric最後歸納出的表準是:
3.5 weeks
21 study days + 4 free days
17 systems reviewed
210 review hours (>1 week)
8 hours of sleep each night
5 hours of personal time each day (at least)
另外他個人的叮嚀
Try to maintain a 2:1 ratio of reading hours to question hours
Save the last 4-5 days to review First Aid cover to cover
然後別忘了也要花時間休息
Books/Resources
這部分最重要的~Mike Jansen(MJ55swim@ufl.edu)的書單來了
首先First Aid for the USMLE Step 1 一定要有!(這本要花4~5天)
各科書單如下~
  1. Anatomy: High Yield Anatomy
  2. Histology: Section in First Aid is good enough-High Yield has some good pictures you might want to check out
    Neuroscience: High Yield Neuroanatomy
  3. Physiology: BRS Physiology-MUST HAVE
  4. Biochemistry: High Yield Biochemistry
  5. Human Behavior: High Yield Human Behavior
  6. Pathology: BRS Pathology-MUST HAVE
  7. Microbiology/Immunology: High Yield is great-good tips for memorization, LANGE for Immunology is probably your best bet, High Yield is OK for immunology
  8. EBM: High Yield Human Behavior, Section from First Aid is adequate-you will just have finished EBM with Dr. Davidson-so don’t stress this topic
  9. Pharmacology: High Yield Pharm and section in First Aid will be enough-test out on pharm shelf and and adjust accordingly
  10. Kaplan Subject books for all other topics, ESPECIALLY for pathology .
  11. Underground Clinical Vignettes

意外的是他不推薦BRS(除了病理與生理), 說法是BRS太細!!
Rapid Review可能太新他們就沒講吧
另外一直拿資料念還不如Kaplan’s “Q-Bank”+NBME online practice test測一側
如此反向學習也是必要的
原則就是: maintain a 2:1 ratio of reading hours to question hours

Wellness/Copinge
image
Elisabeth Lee(eranew@ufl.edu)的內容前面都提過了, 只有兩句格言要記!
"One important key to
success is self-confidence.
An important key to self-confidence is preparation."
by Arthur Ashe
"Obstacles are those frightful things we see when we take our eyes off our goal."
by Henry Ford
加油吧!

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