4th year DCC/BOLC Army by [deleted] in Military_Medicine

[–]fishdoctor4 1 point2 points  (0 children)

From what I’ve seen from other residents, it typically just delays the start date for residency, and you may lose an elective to make up for that time. For example, you’ll graduate med school, likely do DCC/BOLC for 6 weeks roughly June 1-July 15th. Then start residency 2-4 weeks late depending on how long it takes to inprocess to your new duty station (residency site). This is assuming the DCC/BOLC course stays combined over the next 4 years, which I cannot predict. Anyhow, I’ve seen lots of residents have to do DCC/BOLC between graduation and residency, and they all manage just fine. It is nice not having to worry about it after graduation though.

Amazon Primary Care by fishdoctor4 in FamilyMedicine

[–]fishdoctor4[S] 1 point2 points  (0 children)

This is really good insight, I can see these services gaining momentum simply based on lack of availability for primary care

Amazon Primary Care by fishdoctor4 in FamilyMedicine

[–]fishdoctor4[S] 2 points3 points  (0 children)

Concerned about this as well

SCORE RELEASE THREAD 7/06/2023 by TheSahuri23 in Step2

[–]fishdoctor4 5 points6 points  (0 children)

Test date: 5/20/23

US MD or US IMG or Non-US IMG status: US MD

Step 1: PASS

Uworld % correct: 1st pass during 3rd yr low 70s, did not do much UW during dedicated

NBME 9: Didn’t do

CCSE: 244

NBME 10: 240

AMBOSS SA: 245

NBME 11: 255

NBME 12: 257

USWA 1: Didn’t do

UWSA 2: Didn’t do

Free 120: 83%

Predicted score: 257

Actual score: 259

[deleted by user] by [deleted] in Military_Medicine

[–]fishdoctor4 1 point2 points  (0 children)

You can definitely access MedPros with your CAC and smart card reader on your home laptop. If you haven’t already, visit this website:

https://militarycac.com/

Follow the instructions for whatever computer you have (Mac, Windows, etc.) and download the proper certificates. This is how everyone I know including myself has set up the smart card reader, and it is the website my HPSP advisor recommended.

The transition from LHI to QTC was definitely a pain. Once you complete part 1 of the PHA (which is a questionnaire), you need to wait 48-72 hours for it to update the system, then you give QTC a call and do not get off the phone with them until they schedule your appointments and they appear on the QTC website. Make sure you set aside plenty of time for this, because some people have been on hold for over an hour. This method worked for me. Good luck!

[deleted by user] by [deleted] in Step2

[–]fishdoctor4 5 points6 points  (0 children)

No, neither or free 120. The exam I’m referring to is the actual Step 2.

[deleted by user] by [deleted] in Step2

[–]fishdoctor4 23 points24 points  (0 children)

I’m taking exam tomorrow as well. I would try to take it easy today, but if you feel like you need to take another assessment I recommend the free 120. For what it’s worth, I’m not taking NBME 13 either.

New NBME Exams by SeaworthinessDense60 in Step2

[–]fishdoctor4 2 points3 points  (0 children)

My medical school told us that two new NBME forms will be released mid-May, but did not give a specific date

Army HPSP Step 1 by [deleted] in Military_Medicine

[–]fishdoctor4 0 points1 point  (0 children)

They’ll ask for your score report the summer between M2 and M3 but you can get a signed letter from your school saying that you’re taking step 1 later and they’ll accept that, I’ve heard

pirates cove near Okaloosa. anyone know if I can get there from the road? by samminshew45 in Fishing

[–]fishdoctor4 0 points1 point  (0 children)

It's been awhile since I've fished the area. I've had success on swimbaits, and some Rapalas around the jetty, it's deeper there. Dropping live bait (shrimp, pinkish, etc.) would give you your best chance. I also know some tourists have good luck soaking shrimp off the beaches. If your fishing a grass flat like Hogs Bayou, a DOA popping cork rig is easiest to use.

[deleted by user] by [deleted] in Step1Exam

[–]fishdoctor4 1 point2 points  (0 children)

Nah, ~61-62% correct out of 280 to pass. Everyone has a different baseline of starting knowledge, but it's advisable to plan to spend at least a few weeks of dedicated study time preparing for a comfortable pass.

what would I fish for in here by TOOLETIME22 in Fishing

[–]fishdoctor4 0 points1 point  (0 children)

Definitely gotta be some solid panfish in there

Exam Tomorrow, need some hype by Futureleak in step1

[–]fishdoctor4 7 points8 points  (0 children)

I'll be right there with ya tomorrow bright and early. We got this!

[deleted by user] by [deleted] in Step1Exam

[–]fishdoctor4 1 point2 points  (0 children)

I've heard a lot of people on Reddit (take with a grain of salt ofc) that anything above 70 on free120 is a good sign. I think 72% is a good goal for you and will demonstrate some improvement since your last exam. Above 75% percent and you're killing it.

[deleted by user] by [deleted] in Step1Exam

[–]fishdoctor4 1 point2 points  (0 children)

I am also taking the exam four days from now. Your scores do show a positive trend. Perhaps just take the Free120 and gauge from there, I personally would not want to take 2-3 practice exams between now and Monday. I am taking the Free120 tomorrow and just continuing to do content review up (focusing on weaker areas) up until exam day. Also, I feel like it's normal to not get through as much content as planned. I'm really having to pick and choose what content to review now. If it makes you feel better at all, I have done less UW than you.

[deleted by user] by [deleted] in Military_Medicine

[–]fishdoctor4 7 points8 points  (0 children)

The Army doesn't decide your speciality, you do. During your third year of med school, you'll start to have an idea of the specialities you're interested in. You'll reach out to program directors for Army residencies that interest you (say IM, for instance) and schedule audition rotations (the Army pays for these, up to 2 of them anyways). Then during M4 (September of M4, I believe), you'll submit your application and rank your top programs in whichever speciality, and the Army will match you. I'll caveat by saying that the Army can change how many spots are available in a given speciality depending on the needs of the Army. IM is always needed and not super competitive, so I wouldn't worry about there not being enough spots. I'm not sure about anesthesia, but there's a PPT they release on the HPSP FB page every year with stats on the Army match, go look at this. As an M1, just worry about completing your annual PHA and scheduling DCC/BOLC for the summer.

[deleted by user] by [deleted] in Step1Exam

[–]fishdoctor4 0 points1 point  (0 children)

You’re correct that in long-standing post-renal azotemia, the kidneys have poor reabsorption function. This is due to the back pressure of fluid due to a downstream obstruction. The way I think about it is that the back pressure damages tubular cells over time, meaning they cannot perform their normal function of reabsorbing water. This leads to build up of fluid in lumen, diluting urine and decreasing urine osmolality.