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AACOM presentation on licensure exams
AACOM Annual Meeting 2012 Preparing for Licensure Examinations Lisa Travis, MS, EdS Medical Librarian, LMU-DCOM Chelsea A. Nickolson, OMSIII COSGP Medical Education Representative, LMU-DCOM Donald J. Sefcik, DO, MBA Senior Associate Dean, MSUCOM Co-sponsored by Council of Osteopathic Student Government Presidents Council of Osteopathic Librarians Society of Osteopathic Medical Educators March 30, 2012 AACOM Annual Meeting 2012 Goal of this session From librarian, student, and faculty perspectives, this session will describe the current practices and best practices in preparing for the National Licensure Exams. AACOM Annual Meeting 2012 Part 1 – Librarian Perspective Survey about COMLEX-USA Level 1 Resources in 2010 and 2011 Survey about COMLEX-USA Level 2 Resources in 2012 So many review books and databases Few available electronically COMLEX-USA Level 1 Survey 2010 – 205 students 2011 – 395 students 7 osteopathic medical schools Q1: List the three books that you consider most helpful for reviewing for the COMLEX Level 1 exam. 2010 2011 First Aid for USMLE 47 95 OMT Review (Savarese) 18 61 Rapid Review Pathology (Goljan) 34 56 First Aid 24 53 Kaplan Review Books 26 30 Microbiology Made Ridiculously Simple 8 22 BRS Physiology 5 12 First Aid for COMLEX 4 7 USMLE Step 1 Secrets 1 6 BRS Pathology 1 4 First Aid Cases 1 4 Kaplan for COMLEX 11 4 Step-Up to USMLE Step 1 (Mehta) 3 4 BRS 1 3 3 Kaplan COMLEX Level 2 1 3 Boards Boot Camp Materials BRS Biochemistry 2 Crush 2 Flashcards (generic) 2 Q3: Please identify the board review resource (book or non-book) that you consider to be the most helpful resource. COMBANK First Aid for USMLE First Aid Doctors in Training Kaplan Course USMLEWorld Rapid Review Pathology (Goljan) Boards Boot Camp Question banks (generic) OMT Review (Savarese) PASS Program BRS Pharmacology Flashcards (Kim) BRS Physiology ExamMaster USMLE Step 1 Secrets Wikipedia Microcards Unpublished notes USMLE Consult 2010 2011 3 17 16 2 7 14 3 24 19 18 12 11 11 7 1 4 4 1 2 2 1 1 1 1 1 1 1 1 COMLEX-USA Level 2 Survey Class of 2011 – 13/212 students (6.13%) Class of 2012 – 143/212 students (67.45%) Class of 2013 – 56/212 students (26.42%) 7 osteopathic medical schools AACOM Annual Meeting 2012 COMLEX-USA Level 2 Survey 212 responses – 1 incomplete 7 GA-PCOM 34 LMU-DCOM 46 NYCOM 18 OU-HCOM 43 PCOM 28 UNECOM 33 VCOM-VC AACOM Annual Meeting 2012 COMLEX-USA Level 2 Survey Three most helpful books – 15 responses 1st book (most helpful book) 3 – First Aid 3 – Step Up To Step 2 1 – Step Up To Medicine 1 - Boards and Wards by Carlos Ayala and Brad Spellberg 1 – Case Files 1 – Master the Boards 1 – Crush Step 2 1 – OMT review by Savarese 1 – NMS Series 1 – USMLE Step 2 (not a book) 1 – USMLEWorld (not a book) AACOM Annual Meeting 2012 COMLEX-USA Level 2 Survey Three most helpful books – 13 responses 2nd most helpful book 4 – First Aid 3 – OMT review by Savarese 2 – Step Up To Step 2 1 – Step Up To Medicine 1 – Crush Step 2 1 – Doctors in Training (not a book) 1 – Combank (not a book) AACOM Annual Meeting 2012 COMLEX-USA Level 2 Survey Three most helpful books – 8 responses 3nd most helpful book 5 – OMT review by Savarese 3 – First Aid AACOM Annual Meeting 2012 COMLEX-USA Level 2 Survey – How helpful for CE exam (19 options)? Very helpful – top five 42.93% (82/191) – COMBANK for COMLEX-USA Level 2 CE 40.64% (76/187) - USMLEWorld for USMLE Step 2 CK 34.20% (66/193) - COMQUEST for COMLEX-USA Level 2 CE 26.70% (51/191) – Doctors in Training for COMLEX-USA Level 2 CE 23.91% (44/184) – COMSAE Practice Questions for COMLEX-USA Level 2 CE AACOM Annual Meeting 2012 COMLEX-USA Level 2 Survey – How helpful for CE exam (19 options)? Not very helpful – top five 10.22% (19/181) – Exam Master for USMLE Step 2 CK 8.15% (15/184) - COMSAE Practice Questions for COMLEX-USA Level 2 CE 8.06% (15/186) – Kaplan Qbank for USMLE Step 2 CK 6.56% (12/183) – Northwestern Medical Review for COMLEX-USA Level CE 5.49% (9/164) – Falcon Review materials for COMLEX Level 2 5.39% (9/167) – Falcon Review materials for USMLE Step 2 CK AACOM Annual Meeting 2012 COMLEX-USA Level 2 Survey – How helpful for CE exam (19 options)? Not familiar with the resource – top five 95.81% (160/167) - USMLEWeapon 95.18% (158/166) – Score95 93.33% (167/180) – MasteringBoards.com for COMLEXUSA Level 2 CE 92.86% (169/182) – Premier Review for COMLEX-USA Level 2 CE 91.26% (167/183) – PASS Program for USMLE Step 2 CK; will design a program to meet a student’s needs as well AACOM Annual Meeting 2012 COMSAE Practice Questions for COMLEX-USA Level 2 CE (19 options) 23.91% (44/184) - Very helpful 20.11% (37/184) - Helpful 21.20% (39/184) - Somewhat helpful 8.15% (15/184) - Not very helpful 26.63% (49/184) - Not familiar with resource AACOM Annual Meeting 2012 COMLEX-USA Level 2 Survey – How helpful for PE exam (9 options)? Very helpful – top three 14.59% (27/185) – COMSAE information for COMLEX-USA Level 2 PE 13.71% (24/175) - USMLEWorld for USMLE Step 2 CS 5.11% (9/176) – Kaplan materials for USMLE Step 2 CS 2% or less - All other resources AACOM Annual Meeting 2012 COMLEX-USA Level 2 Survey – How helpful for CE exam (9 options)? Not very helpful – top five 10.81% (20/185) – COMSAE information for COMLEXUSA Level 2 PE 6.36% (11/173) – Falcon Review materials for USMLE Step 2 CS 6.36% (11/173) – PASS Program for USMLE Step 2 CS; will design a program to meet student’s needs as well 6.25% (11/176) – Northwestern Medical Review for COMLEX-USA Level PE 5.11% (9/174) – Premier Review materials for USMLE Step 2 CS AACOM Annual Meeting 2012 COMLEX-USA Level 2 Survey – How helpful for CE exam? Not familiar with the resource – top five 93.71% (164/175) – Ximedus for USMLE Step 2 CS 91.48% (161/176) – MasteringBoards.com for COMLEX-USA Level 2 PE 91.38% (159/174) – Premier Review materials for USMLE Step 2 CS 91.33% (158/173) – Falcon Review materials for USMLE Step 2 CS 90.91% (160/176) – Northwestern Medical Review for COMLEX-USA Level 2 PE AACOM Annual Meeting 2012 COMSAE Informationfor COMLEXUSA Level 2 PE (9 options) 14.59% (27/185) - Very helpful 20.00% (37/185) - Helpful 12.43% (23/185) - Somewhat helpful 10.81% (20/185) - Not very helpful 42.16% (78/185) - Not familiar with resource AACOM Annual Meeting 2012 Best Review Resource – Book or Non-Book (15 responses) 4 – Doctors in Training 3 – First Aid 3 - COMBANK 2 – Kaplan Qbank 1 – COMQUEST 1 – Boards Boot Camp 1 – USMLEWorld Survey Results [email protected] AACOM Annual Meeting 2012 Part 2- Student Perspective • COMLEX-USA Level 1 is the unknown – How to study? – What to study? • Time commitment – Keeping up with coursework – Maintaining balance • Stress increase – – – – Consequences of not passing Length of exam Attaining competitive score Cost of exam and prep materials AACOM Annual Meeting 2012 Stress Effects on Learning and Memory • Varies with type of learning – ↑Simple Recall – ↓Problem Solving • Other Effects – – – – Health and fitness Relationships Psych and mood BALANCE! AACOM Annual Meeting 2012 Mentorship • Students – OMS-III/IVs – National Organizations (COSGP!) • Faculty • Physicians • Administration – Correlations • Mentorship ≠ Sharing items from past/ future exams • Stay Positive! AACOM Annual Meeting 2012 COMLEX-USA Level 1 Survey 2012 • Designed by COSGP Research Representative, Kevin Ku, OMS-IV • 458 Student Participants, OMS-IIIs only • 14 Schools Represented • Participation Window: 2/27/12- 3/27/12 • Data from April 2011 available for COMLEXUSA Level 2 AACOM Annual Meeting 2012 Time To Study How much time off from classes did your school provide between second and third year for board studying? 69% 7% What were you doing academically at the time you took COMLEX-USA Level 1? 18% 5% AACOM Annual Meeting 2012 Methods Used None Independent Study 3 1% 401 90% Informal Group Study 141 31% Schoolsponsored, noncommercial review course 73 16% Commercial review course/ program 243 54% Commercial question banks 377 84% Other 16 4% AACOM Annual Meeting 2012 Most Useful Source Of the following, please indicate the #1 resource that you found the MOST helpful in your preparation AACOM Annual Meeting 2012 2nd Most Useful Source AACOM Annual Meeting 2012 Least Helpful Source Which resource did you find the LEAST helpful? AACOM Annual Meeting 2012 In Retrospect…PLANNING “More questions and setting a higher personal goal. I met mine, but then afterwards wondered what would have happened if I aimed for a 700 or 750 instead.” –Score of 602 “Study over a longer period of time, not try to memorize it all too late. Do more practice questions. Needed more time to study.” – Score of 380 “Started using my board review book during systems courses and more questions.” –Score of 500 AACOM Annual Meeting 2012 In Retrospect…ANXIETY “I honestly believe I failed the first time not because I was under prepared but because I had too much anxiety and was way too 'in my head'. Perhaps if there was a course on handling stress during these exams or even just an assembly of solid facts on how much our board scores affect our residency applications.” –Score of 390 AACOM Annual Meeting 2012 In Retrospect…TIMING “I started USMLE World too early, I think it would have been more beneficial to work through it closer to my exam date” –Score of 674 “Focus more last week ... Was burned out when I took my test and couldn't focus” –Score of 570 "Taken the test later so I had more time to study after classes were done.” –Score of 487 AACOM Annual Meeting 2012 What Else? COMLEX-USA Level 1 Student Survey also included: • Percent of lectures attended • Percent working (hours included in inc. of 10) • Specialty Choice • USMLE scheduling vs. COMLEX • USMLE scores • Requirements of COM/SOMs to take COMLEX-USA Level 1 AACOM Annual Meeting 2012 Interested? Contact COSGP for more survey data. • Chelsea Nickolson, OMS-III Medical Education Representative [email protected] -or• Kevin Ku, OMS-IV Research Representative [email protected] AACOM Annual Meeting 2012 Part 3 – Faculty Perspective Standardized Tests AACOM Annual Meeting 2012 Part 3 – Faculty Perspective Standardized Tests Roadmap - Where can you find it? Test Blueprint Table of Specifications Bulletin of Information www.nbome.org AACOM Annual Meeting 2012 Part 3 – Faculty Perspective Standardized Tests Roadmap – How does it help? What you will see When you need to be there How you should get there Why it’s important AACOM Annual Meeting 2012 Part 3 – Faculty Perspective Standardized Tests Roadmap – Greatest Utility? What you will see When you need to be there How you should get there Why it’s important Content Context AACOM Annual Meeting 2012 Part 3 – Faculty Perspective Standardized Tests Content and Context What you study How you study Determines your score!! AACOM Annual Meeting 2012 MBTI and COMLEX Scores Sefcik, Prerost & Arbet, JAOA 2009 AACOM Annual Meeting 2012 Importance of Vignette Examinees with Examinees with Higher Scores Lower Scores No Vignette 99% Short Vignette 98% Long Vignette 98% http://www.nbme.org/pdf/itemwriting_2003/2003iwgwhole.pdf AACOM Annual Meeting 2012 Importance of Vignette Examinees with Examinees with Higher Scores Lower Scores No Vignette 99% 90% Short Vignette 98% 82% Long Vignette 98% 66% http://www.nbme.org/pdf/itemwriting_2003/2003iwgwhole.pdf AACOM Annual Meeting 2012 Standardized Tests Stimulus Content = What Rehearsal Techniques Inadequate because SAME Context ~ 30% Facilitation Outcome AACOM Annual Meeting 2012 Standardized Tests Stimulus New Context ~ 70% Stimulus* Stimulus^ Metacognition A Outcome B C AACOM Annual Meeting 2012 Standardized Tests Metacognition = Thinking about Thinking How to study? Associations Retrieval AACOM Annual Meeting 2012 Standardized Tests More than content! Study with context in mind!! Don’t skim / Strive to Clarify Avoid - Illusion of Competence Annotate / Summarize Create your own questions Practice Recall Study with Peers (with a PAL) Be aware of your MBTI type / impact AACOM Annual Meeting 2012 Take-Home: Standardized Tests Content Blueprint ST Scoring Items Skills Timed Guessing Test-Wise Test-Takers: First Step in Preparing SOAR R E S O U R C E S Selection Attention Storage Organize Encoding Associate Jairam & Kiewra (2009) AACOM Annual Meeting 2012 Thank you! Are there some questions?
