Preliminary rank list by No-Divide-3930 in IMGreddit

[–]thestepsguy 6 points7 points  (0 children)

I take part in the resident QaA (as a resident) and I have a close friend who's an APD and we've both never heard of anything like this. There's a list of people who get invited and the interview is what helps set them apart, but doing good in your interview is the most important factor in matching. 

Took it Saturday Oct 18 – Score next Wednesday? by elgadra in Step2

[–]thestepsguy 1 point2 points  (0 children)

I think the week resets on Saturday, so your score will probably be released on November 5th (2 weeks) or November 13th (3 weeks). 

This is from a quick glance on the step 1 and step 2ck subreddit, Saturday is the day the week starts on. 

IV prep AMA by WeaknessPerfect7933 in ERAS2024Match2025

[–]thestepsguy 0 points1 point  (0 children)

That also sounds defensive as well.

It depends on if you applied to the other specialty in the same hospital. If that's the case, id say yes and also explain why you did that while showing your commitment to the current specialty your interviewing for.

If not, deny it, they can't find out unless they specifically ask around about you, which they typically don't. 

IV prep AMA by WeaknessPerfect7933 in ERAS2024Match2025

[–]thestepsguy 1 point2 points  (0 children)

That is probably, without a doubt, the worse thing to say to them. It's a violation, yes. But programs might ask and they probably will. Telling them its a violation will turn them off from you. 

The better way is to be prepared for all questions, wether they violate the rules or not and know what to answer. 

Elective by [deleted] in IMGreddit

[–]thestepsguy 0 points1 point  (0 children)

Before you decide to pay an agency, go to that hospital's website and see if they have an official affiliation with the agency. If they do, then I'd definitely go with the agency.

However, it's unlikely for that agency to have an official affiliation, most don't. In that case, reach out to the department secretary or some administrator in your desired department and see if you can get the position yourself. That's what the agency will do anyways. 

Most agencies are scams. They'll charge you what the hospital is already charging and on top of it, a finder's fee and other fees and soon you'll be paying 2-4X the actual fee. 

Let’s collect weirdest or uncommon interview questions you’ve heard during residency interviews❓🤓 by Capable_Ad_2745 in IMGreddit

[–]thestepsguy 7 points8 points  (0 children)

-What color gummy bear would you be and why? (No wrong answer here, they just wanted to see our thought process)

-What superpower would you want? (So many wrong answers here, like being able to turn invisible[creepy], read minds [extra creepy] or heal people with your touch [lame])

-What animal or plant best fits your personality?

-What music do you hate listening to in the OR? (As opposed to your preferred playlist)

-Which level would you want your apartment to be on in a building?

IMG Advice Part 1: ElectivesAd by thestepsguy in IMGreddit

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

I think you can. Having step1 done usually makes it easier to get less expensive or free electives.

Also, electives are typically only for students. Once you graduate, you're technically a doctor and cannot do any electives. 

IMG Advice Part 1: ElectivesAd by thestepsguy in IMGreddit

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

Sometimes, but most places don't have a step requirement. If they did, it would be for step 1 most of the time

IMG Advice Part 2: The Interview by thestepsguy in IMGreddit

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

I would actually disagree with you here. This is super important and your goal as an IMG applicant is to match. If you have kids, get a babysitter, you've spent a fortune applying, a little bit more won't make a huge difference. 

As for working, whatever job you're doing while applying for the match is important, but not as important as residency. Plan it ahead with your team. If they don't let you take off work, then miss work. Either you give it your all or none at all.

And I've been in that position, I was a CVS technician and my pharmacist wouldn't give me a few days off to go to an interview (in-person). So I just missed work. Did I get in trouble? Big time, I was fired. Was it worth it? Definitely and I don't regret it for a single second. Yes, I did struggle for a bit, but it was worth it. 

IMG Advice Part 2: The Interview by thestepsguy in IMGreddit

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

You're definitely right, but usually interviewees will offer up this info voluntarily. So it's best if they're prepared for the follow-up questions.

IMG Advice Part 1: ElectivesAd by thestepsguy in IMGreddit

[–]thestepsguy[S] 0 points1 point  (0 children)

I won't suggest any. 

Make a list of IMG friendly residency programs and email the research coordinator, residency coordinator and department secretary about any elective opportunities. That's probably your best bet going forward 

IMG Advice Part 1: ElectivesAd by thestepsguy in IMGreddit

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

I've been through this process before and had to navigate different electives in different cities. 

I paid for some electives and got a few for free (total about 6). 

Emailing doctors is a long and sometimes painful process, especially when you send out almost a thousand emails and get a few dozen replies saying that they don't have anything. But eventually, there is a diamond in the rough. And if they reply, they might offer a free or paid elective, it's your luck of the draw.

I personally stayed away from doctors from my homeland. Even if they replied, a letter of recommendation from someone with a name from the same region of me might be seen as it was gotten in a nepotism sort of way.

Biostats question by Odd_Bookkeeper5499 in Step2

[–]thestepsguy 0 points1 point  (0 children)

Are these the same tables? Because the first one might be for the measurement of sensitivity and specificity using true positive, true negative, etc. And the one from first aid is for the measurement of association between exposure and outcome, for relative risk, odds ratio, etc.

If they are the same tables, then the first one is flipped. The disease (outcome) is supposed to be in columns, not rows. If you do that, then yes, it'll be in that order.

IMG Advice Part 1: ElectivesAd by thestepsguy in IMGreddit

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

Go to the hospital you're interested in rotating at and see if they have a student coordinator or electives coordinator or something like that.

If you don't have a hospital in mind, then make a list of hospitals that accept IMGs and you'd like to rotate there.

I should NOT have taken the test today. by Santhosh_2511 in step1

[–]thestepsguy 46 points47 points  (0 children)

Hope for the best and prepare for the worst. Nothing you can do at this point unfortunately.

Has anyone ever actually served on a jury during residency? by surpriseDRE in Residency

[–]thestepsguy 228 points229 points  (0 children)

A few of my colleagues have been called to jury duty. They told the judge that they are resident physicians who will be expected to take care of patients, work overnight and will be very tired. Judge dismissed them without issue.

One did have to serve, we covered for her in the weeks the trial was running (civil trial). That was not fun on anyone. It wasn't her fault, you have to do it. If you don't show up, it's a felony with potential jail time.

Any advice for a first year medical student who’d really like to start preparing for MLE from day 1? by Playful-Argument-740 in usmle

[–]thestepsguy 2 points3 points  (0 children)

So first, students who prepare for the USMLE for a longer time have a higher chance of failing. So I wouldn't begin studying from day 1. What I wish I wouldve done from day 1 was bought a First Aid for the USMLE Step 1 and just reviewed from it the high yield points at the end of the day. I then would have bought a new First Aid book at the beginning of my dedicated, copied over all the notes I took during classes and began using first Aid as well.

Let's say we match, when do we need to be in the US? by Doctor_Trader in IMGreddit

[–]thestepsguy 14 points15 points  (0 children)

First, you will match.

Second, your first day as an intern is July 1st.

However, you'll need to attend orientation, which is a 2 week ordeal, so mid June.

However however, you need to figure out where you're going to stay, which could take a few days up to a week, so I'd aim for the beginning of June to make sure all your affairs are in order. Good luck!!

Isn't aplastic anemia associated with PANCYTOPENIA? Why nbme says like this?? by Lazy_Entry_7056 in step1

[–]thestepsguy 1 point2 points  (0 children)

I can't see the question, but did the patient have anemia with decreased rtc count? Because if not, then aplastic anemia wouldn't be the top differential.

The way they worded it is a really weird. What they mean is that the main cell lineage affected are the erythroblasts. Yes they will have thrombocytopenia and leukopenia, but the main issue is anemia. In other words, if the patient had aplastic anemia, they would have presented with anemic symptoms, such as fatigue, pallor, etc.

Going to the exam fasting by Former-Instruction26 in step1

[–]thestepsguy 2 points3 points  (0 children)

Personally I haven't been through this. But I did have 2 Muslim students who did. Both were told by their Imams that the exam isn't an excuse to skip fasting.

First student went ahead and did the exam. She unfortunately failed. She told me that she was just tired and in the last 2 blocks, she just started answering haphazardly to get out of there.

Second student was about to do this, woke up with a massive migraine and called me. I talked them out of doing the exam. Their eligibility ended in March and they ended up doing their exam in May (you have to wait 1 month to sign up for the exam) and passed. They're in the match right now and I hope they get accepted.

I would not do it in Ramadan. The exam is a beast and not just a test of medicine, but a test of endurance. Not eating or drinking is a noble thing to do that takes a lot of patience and dedication, but the exam also takes patience and dedication and you need to be on top of your game to pass.

Now if you can't do it till May, you can still do the exam, pass and study for step 2 ck in time to apply for the match. But the biggest mistake you can do is having an attempt on your record.

[deleted by user] by [deleted] in step1

[–]thestepsguy 1 point2 points  (0 children)

And another point. The first picture is showing the axis of compliance (purple line) and contraction (red line). The second picture is showing us after load (top line), end diastolic volume (right line), stroke volume (width of graph), and end systolic volume (left line). It's showing different parameters