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Material that seemed difficult to understand then was made clear by the lectures. So far I have only used the internal medicine content, but the way Dr.
Williams breaks down and presents the information works really well for me. I sing the praises of OME to my classmates! Thank you for all you do! I really recommend OnlineMedEd.
I feel my mind is organized and ready for a !! The lectures contained philosophy and real world knowledge for the art of healing in combination with the science of medicine. Still University Kirksville College of Osteopathic Medicine, Class of OnlineMedEd is one of the most useful and reliable sources of information throughout my physician assistant education. Dustyn has a wonderful and thorough way of approaching medicine that hits so many of the right educational notes needed to appeal to the many learning styles out there.
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Williams almost always presents the information with a heavy emphasis on clinical reasoning. As a result, the didactic knowledge within the lesson is much easier to learn, practice and retain because the relevance of that information to the patient problem is obvious from the beginning. Although I am challenged by the clinical medicine, I never feel lost or disinterested with Dustyn's lessons like I have been with many too many lessons and reading assignments in my program.
Come exam time, you will spend valuable time trying to remember the exact step by step by recalling all the other details when you just need the next best step. For example, you have a case of a patient who came in with chest pain and you suspect it to be a case of Acute Myocardial Infarction. In a next best step questions, all 5 choices are correct choices in the diagnosis and management of AMI but you need to decide which of the five is the next best step.
Give streptokinase, hook up to a cardiac monitor, extract blood for cardiac enzymes, give nitrates, etc. Unless you know the exact step-by step diagnosis and management of Acute MI, you will be lost as to the best answer.
The best way to study next best step in management type of question is to construct algorithms that outline the diagnostic and management steps you need to take for any particular type of clinical situation. You can answer the next best step in management type of question without using algorithms but it will take longer and more analysis to be able to answer them.
I will write more on how to write algorithms in a future post. I will also recommend some books that contain diagnostic and management algorithms. Third, Knowing too little Pathophysiology or Mechanisms of Diseases. That is the biggest reason why I emphasize studying pathology and pathophysiology really well when prepping for Step 1 as it is not only the biggest subject in Step 1, it covers significant portions of Step 2 CK and Step 3.
Also in Step 2 CK, the pathophysiology tested are more clinical in nature, i. If you did algorithms for diagnostic workups and patient management, you may know the next best step in management, but applied pathophysiology helps explain the reason why.
Why this test, not that. Why they may look the same but actually are not. I will write about applied pathophysiology in more detail in a future post. If you really have to take Step 2 CK first, then make sure to cover this well. Even if you took Step 1 first, this becomes a problem if you did not study pathology we and did poorly. The solution is therefore to make sure that you are solid in pathophysiology.
In order of frequency, they are 1 common diseases with typical presentation, 2 common diseases with atypical presentation, 3 rare disease with typical presentation and 4 rare diseases with atypical presentation. They also occur roughly in the same number in Step 2 CK with slightly more type 2 cases than normal.
In Step 1, most of the cases you will encounter are presented classically.
But in real life you rarely see classical cases where all the key signs and symptoms are present. Even in Type 1 cases, not all the signs and symptoms will be there. However, enough will be present so diagnosis is not so difficult. The big problem in Step 2 CK for most people is type 2 cases where common diseases presents atypically.
For example, although sarcoidosis is most common in young, black female. They do occur in males, older people and other races. So in Step 2CK a sarcoidosis patient may be an old, white male instead. This is usually a problem with medical students with limited clinical experience and old grads who have not practiced medicine for some time. Other ways clinical cases are tougher in Step 2 CK is the addition of both relevant and irrelevant normal findings and the addition of irrelevant abnormal findings that will not change the diagnosis.