
Originally Posted by
competitor
GX225 - empty your private messages, your inbox is full.
Just a little clarification over some confusion regarding 5th semester:
On your first day of 5th semester in Maine, you will take an 8 hour full-length Step 1 Exam. It will be identical in style (but not content) to your exit exam. You do NOT need to study for this, and frankly, I would suggest you do not.
There is no use in spending the time you should be unwinding between semesters to cram for this exam. You need that time off. Please relax, as 5th semester is the biggest trial to date. In addition, studying beforehand or cramming will only distort your results, and take away from the exam's value as an evaluative tool. Without studying it indicated how much you mastered during basic sciences (highlighting your strengths), and pointing out your specific weaknesses, in a subject and systems based manner. You need to appreciate that it is NOT held against you in any way.
In addition, I do not think that the highest score on the entrance exam gets the "best" preceptor placement. I cannot comment on this with certainty however, as I don't know and obviously wasn't involved in the process of matching students to preceptors. I DO know that I was placed in the preceptors office that I requested (everyone fills out a form with their preferences).
In addition, it is difficult to even state that any preceptorship is better or worse than the others. It is completely subjective. I was at the largest hospital in the state - that doesn't mean it was the best learning opportunity. Because it offers residencies, has many other students, observers, and is more closely supervised, there was little autonomy. This is in comparison to others in my class who were at other preceptors, perhaps less glamorous placements, but were given the opportunity to scrub into the Operating Room, help deliver babies, and do full hands-on physical exams.
With respect to failing the Kaplan Exit exam. I do not know what happens when you fail the exam three times. I have been asked if you then have to return to the island to repeat basic sciences. While I do not know the answer to this, it sounds like another tall tale unfounded in truth. It probably stems from the true fact that if you fail the USMLE Step 1 three times, the school has the right to academically dismiss you. For the record, I have not heard of anyone failing the exit exam three times, nor having to return to the island under those circumstances.
With respect to "Repeating 5th semester":
Semester 5 is really two parts; there is ICM II (which includes its own exams, clinical and written, lectures, virtual patients, preceptorship, etc.), and then there is the board review/Kaplan segment, which culminates with the Exit Exam.
If you pass ICM II, that credit is applied to your transcript with a grade. You do not have to repeat that segment of the semester, regardless of your exit exam result.
Again, if you fail the Kaplan Exit exam, but pass the ICM II portion, you do NOT have to re-take ICM II.
However, you do need to pass the exit exam before the school will certify you with ECFMG to register for the USMLE Step 1.
Why so much importance placed on the Kaplan Exit exam?
It is a mechanism to protect both the student and the school - the school uses data it and Kaplan have accrued to set the score that they believe makes you "safe" to pass the USMLE Step 1. It is not in the school's interest to have people failing Step 1, as Caribbean schools are often judged by their Step 1 pass rates. It is also in the student's interest not to hurry along the process to take Step 1, and to only write when there are objective indications that they are ready. A failure on Step 1 is more damaging to the student and his aspirations than to the school's.