USMLE Secrets

About USMLE Secrets

USMLE SECRETS

1. Familiarize yourself with multiple-choice standardized exams
Simple strategies for multiple-choice tests should not be taken for granted. In many countries around the world, standardized exams are not typically given in a multiple-choice format. In European medical schools, especially, students’ knowledge is often tested via oral exams where medical students answer or discuss questions directly with a test proctor. If you are an IMG whose medical school uses this testing model, do not assume that you will immediately be comfortable with a multiple-choice exam.

Aside from being unable to get partial credit on multiple choice questions, one of the major challenges of multiple choice exams is the presence of different (and often tempting) answer choices. These can cause test takers to hesitate or doubt their original thought process, ultimately resulting in getting the question wrong. To better your performance on multiple choice questions, start doing practice questions as early as you can with a trusted QBank such as UWorld; this will help you familiarize yourself with the multiple choice format long before you have to dedicate all your efforts to reviewing the test material.

2. American MS2 ≠ IMG MS2
Most American medical schools follow a curriculum model that allows students to take their USMLE Step 1 at the end of year 2 (MS2) and their USMLE Step 2 CK at either the end of year 3 (MS3) or the beginning of year 4 (MS4). International medical schools do not usually work on the same timeline. In Europe, Asia, and the MENA (Middle East and North Africa) region, it is not uncommon for medical school to last six years or more.

It is thus critical for IMG students to make sure they have actually learned the material necessary for the specific USMLE step prior to their test date. For some IMGs, this may mean waiting until they have completely finished medical school to take the USMLE. However, depending on your school’s curriculum, it may be a better idea to take Step 1 and/or Step 2 CK while you are still in medical school because the content will be fresher in your mind and easier to review. You’ll just want to be sure that your curriculum has covered all the topics on the test.

3. Take an OET Medicine course if you need one
The USMLE steps are timed exams offered only in English, with questions set up by a sometimes lengthy vignette. To gain ECFMG certification to take the USMLE, IMGs must first get a satisfactory score on the Occupational English Test (OET) for Medicine.

IMGs for whom English is their second language frequently report difficulty getting through all the exam questions in the allotted time because ites a loer to read and understand what’s being asked. While most medical terminology is the same or similar across languages, it can be beneficial for students struggling with English to take advantage of the free OET prep resources that will help toward both ECFMG certification and USMLE success.

4. Talk to students who have already taken the USMLE
Assuming you went to an accredited medical school, chances are that you are not the only student at your institution who has ever wanted to take the USMLE. Get in touch with peers or alumni who recently took the USMLE (eg, within the last three years) and ask them about their experience. Here are a couple of insightful questions to ask:


6. Yes, you’re an IMG, but everyone is taking the same test!
In my experience tutoring IMGs, I have found that many worry they need to use different (or additional) USMLE prep resources from those US medical students use because there is greater pressure on IMGs to get a high score. While the pressure is legitimate, ultimately, you are taking the same test as your American counterparts, and the same basic rules for preparation apply.