Yale-G First Aid: Crush USMLE Step 2 CK and Step 3 (8th Edition)

Yale-G First Aid: Crush USMLE Step 2 CK and Step 3 (8th Edition) pdf epub mobi txt 电子书 下载 2025

Yale Gong
图书标签:
  • USMLE Step 2 CK
  • USMLE Step 3
  • 医学考试
  • 临床医学
  • 复习指南
  • 备考
  • Yale-G First Aid
  • 内部医学
  • 外科
  • 诊断学
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具体描述

  ★ 台灣孩子成為美國醫師!
  ★ 美國醫師執照USMLE考試最強教戰守策!
  ★ AMAZON網站同類書籍最高評級與評語!

  真哪噠跨界出版鉅獻!

  1.     本書收集了最新、最全面、最豐富的臨床急診知識。

  2.     對 USMLE  Step 2 CK and Step 3中經常測試的大多數疾病和病症進行系統、全面和簡明的回顧。

  3.     內容條理清晰,格式易於記憶。800道USMLE格式的臨床問題,155張臨床彩色圖像,附帶簡要的診斷特徵,幫助你更深入地消化和記憶相關的基礎臨床知識。

  徹底消化這本書,使用 UWorld.com 和 NBME.org 上最好的 Q-bank 自我評估進行練習,並做筆記,您就可以高分擊敗 USMLE Step 2 CK 和 Step 3,獲得 USMLE 和 ECFMG 的門票!

  本書亦可成為美國和世界各地醫學院教育的強大學習輔助工具。

  ※ 本書內容為英文。

  This new edition of Yale-G First Aid: Crush USMLE Step 2 CK & Step 3 has been continuously updated from the previous editions.

  According to the large volume of feedbacks on Amazon and to our author team from medical students and doctors in the US and around the world, this book has collected the most up-to-date, comprehensive, and high-yield clinical knowledge (CK) for the USMLE Step 2 CK and Step 3 as the best-rated one in the USMLE market.

  This book can be the equivalent of "First Aid for the USMLE Step 1" for the USMLE Step 2 CK. Important features of this book include:

  1. Systematic, comprehensive, and concise reviews of most diseases and disorders that are frequently tested in the USMLE Step 2 CK and Step 3. They are composed of important concepts, etiologies, essentials of diagnoses, differential diagnoses, treatments, and preventive measures.

  2. Well-organized contents in easy-to-remember formats, abbreviations, and more than 100 tables and figures with summaries and differential diagnoses, and with necessary details of high-yield “orderly steps” in the diagnosis and management of major diseases. Most important clinical points are in “PEARLS”, underlined, and bolded as priority contents.

  3. 800 high-yield clinical questions in USMLE format to help you digest the fundamental knowledge.

  4. 155 high-yield clinical color images with brief diagnostic features (in the back of book to cut cost) for deeper digestion and memory of the associated fundamental clinical knowledge.

  After thorough digestion of this book followed by practice with the best Q-bank on UWorld.com and NBME.org Self-Assessments, with note-taking, you are ready to crush the USMLE Step 2 CK and Step 3 with high scores! 
征途漫漫:内科住院医师与执业医师考试的全面攻略与精深准备 在医学教育的宏大图景中,从医学院走向独立执业的医师,必须经历数个关键的知识与技能的检验,其中,美国医师执照考试(USMLE)的Step 2 CK和Step 3无疑是里程碑式的挑战。这两项考试不仅考察对基础医学知识的融会贯通,更侧重于临床决策能力、患者管理策略以及对医学伦理和法律框架的深刻理解。 本指南,旨在为那些正步入临床轮转、筹备Step 2 CK,或已进入住院医师阶段,准备迎接Step 3的医学生与住院医师提供一个高度结构化、侧重于临床思维建构的复习框架。我们深知,市面上充斥着大量碎片化的知识点汇编与纯粹的题海战术,但真正的临床能力,源于对疾病本质的洞察、对复杂病例的系统性分析,以及在压力下做出最佳判断的信心。 本书的独特视角与核心目标: 本书并非传统的、按学科划分的百科全书式知识点堆砌。相反,它被设计成一个“临床整合思维的催化剂”。我们的核心目标是帮助读者实现从“知道疾病是什么”到“知道如何管理患有此疾病的病人”的飞跃。 第一部分:Step 2 CK——跨越知识广度与临床精度的鸿沟 Step 2 CK,通常被称为临床知识考试,是对已习得的医学知识如何在真实世界中应用的终极测试。本部分将重点解决以下几个核心问题: 一、系统性疾病管理流程的重建: 我们不只是简单罗列症状和体征,而是深入剖析每一个常见和重要的疾病(如心血管疾病、感染性疾病、内分泌失调、血液肿瘤等)的诊疗算法。 初步评估与鉴别诊断的艺术: 强调如何根据病史采集的细微线索和体格检查的发现,快速构建一个合理的鉴别诊断列表。这包括对“红旗”(Red Flags)的识别,即那些暗示需要紧急干预的临床指征。 诊断策略的优化: 探讨各种检查(实验室检查、影像学、病理学)的敏感性和特异性,以及如何运用成本效益原则,避免不必要的过度检查或延误关键诊断。我们将详细分析何时选择CT优于MRI,何时首选超声,以及如何解读复杂的病理报告。 治疗方案的阶梯化选择: 针对慢性病和急性病,本书提供清晰的治疗路线图。例如,在管理新诊断的2型糖尿病患者时,从生活方式干预到一线药物(二甲双胍)的选择,再到二线药物(如SGLT2抑制剂或GLP-1受体激动剂)在特定合并症(如心衰或CKD)存在时的优先排序。 二、跨学科整合的深度挖掘: Step 2 CK的难度在于其高度的临床情境化。本书在每一个章节中都强行穿插不同学科的交叉点: 产科与内科的交集: 妊娠期高血压疾病的管理、妊娠期感染性疾病的筛查与治疗。 精神病学与普通内科的融合: 躯体疾病引起的精神症状(如甲状腺功能异常引起的抑郁/躁狂),以及常见精神药物在患有特定内科疾病(如QT间期延长)患者中的应用禁忌。 外科急症的识别与术前准备: 如何识别需要紧急手术干预的腹部急症(如憩室炎穿孔、急性胰腺炎的严重程度分级),以及患者的围手术期管理。 第二部分:Step 3——从知识掌握到独立决策的蜕变 Step 3考试标志着医学生向独立执业医师的过渡。它不仅考察知识,更考验临床推理的成熟度和对系统性、长期患者管理的把握。本部分将聚焦于“系统性故障排除与连续性照护”。 一、基础科学的临床应用回顾(The Clinical Translation): Step 3要求考生能够回溯到基础科学层面解释临床现象。 药理学与毒理学: 重点关注药物相互作用的机制(酶诱导与抑制)、不良反应的生物化学基础,以及常见中毒(如对乙酰氨基酚、一氧化碳)的拮抗剂选择与给药时机。 微生物学与抗生素策略: 不仅仅是记住“什么细菌对什么抗生素敏感”,更重要的是理解在特定患者群体(免疫抑制、肾功能不全)中如何调整剂量,以及如何根据当地的流行病学数据制定经验性治疗方案。 二、住院医师日常的核心能力模块: Step 3的案例题(Multiple Case Simulations, MCS)是其难点所在。本指南将提供应对这些模拟场景的结构化思维模板: 1. 优先级排序(Triage & Stabilization): 在一个多患者或单患者病情急剧恶化的场景中,确定最需要立即干预的生命体征或实验室异常。 2. 风险分层与监测: 学习使用成熟的评分系统(如SOFA、APACHE II、CHA2DS2-VASc等)来客观评估病情严重程度,并制定恰当的住院监测计划(如ICU升级、降级标准)。 3. 出院规划与患者教育: 深入探讨慢性病(如心力衰竭、COPD)的长期管理,包括何时可以安全出院、需要哪些门诊随访、以及对患者进行何种关键的依从性教育(如降钠饮食、戒烟)。 三、临床伦理、法律与医疗系统管理: Step 3极大地增加了对非技术性临床技能的考察。 知情同意的深度理解: 在涉及高风险手术、实验性治疗或拒绝治疗的场景中,如何确保患者的决策是“有能力”(Competent)且“知情”(Informed)的。 处理冲突与医疗错误: 学习在发生医疗差错后,如何进行系统层面的反思(而非仅仅是个人道歉),以及如何与难缠的家属或同事进行专业沟通。 结语:构建终身学习的基石 准备Step 2 CK和Step 3的过程,本质上是构建一个“以患者为中心”的、可信赖的临床决策树。本书提供的不仅仅是知识点,更是一种思考的范式:面对未知或复杂的临床难题时,如何系统地分解问题、应用循证医学证据,并最终为患者制定出最安全、最有效的管理路径。通过精研本书提供的深度整合内容,读者将能够自信地迎接考试的挑战,更重要的是,为未来在临床实践中肩负起更大的责任做好充分的准备。

著者信息

作者簡介

Yale Gong


  貢雲華,醫學博士,碩士,持有美國醫師執照考試(USMLE) 證書及美國醫學博士資格。為美國神經與臨床科學家,擔任科學顧問近30年,曾任聯邦軍醫大學(USUHS)神經內科助理教授、賓夕法尼亞大學醫學院神經內科資深研究員、聯邦醫學研究與發展指揮部科學顧問。

  Yale-G First Aid: Crush USMLE Step 2 CK and Step 3 (臨床醫學精華) 第八版是集其十年心血之作,主要基於美國醫學界權威的美國醫師執照考試委員會的要求和Current Medical Diagnosis and Treatment等內容,第七版在同類書中獲得AMAZON 的最高評級與評語 (https://www.amazon.com/Yale-G-First-Aid-Crush-USMLE/dp/1637957580)。

  本書堪稱全球醫學生畢業與執照考試的最佳工具書之一。

  Yale Gong, MD, MS, USMLE-Certified, has been an Assistant Professor of Neurology in USUHS, Senior Research Investigator in the University of Pennsylvania School of Medicine, Neuroscientist, Clinical Scientist, and Army Scientific Advisor for the past 30 years in the US. The latest 8th edition of Yale-G First Aid: Crush USMLE Step 2 CK and Step 3 under publication is the intelligent fruits after the author’s ten years of persistent efforts, based on the requirements of USMLE.org and authoritative Current Medical Diagnosis and Treatment, etc. The 7th edition has gained the best rating and reader’s reviews among all similar books on amazon.com. This book can be one of the best tool books for all medical students’ graduating and licensing examinations around the world! 

图书目录

Chapter 1: INFECTIOUS DISEASES (Suggested range according to usmle.org: 7-8%)    1
PEARLS—High-yield Applications of Antibiotics    1
EYE, EAR, NOSE AND THROAT INFECTIONS    5
RESPIRATORY TRACT INFECTIONS    10
INFECTIONS OF THE CENTRAL NERVOUS SYSTEM (CNS)    19
GASTROINTESTINAL TRACT INFECTIONS    23
VIRAL HEPATITIS    25
UROGENITAL INFECTIONS AND SEXUALLY TRANSMITTED DISEASES (STD)    30
UROGENITAL INFECTIONS    30
SEXUALLY TRANSMITTED DISEASES (STD)    34
OPPORTUNISTIC INFECTIONS (OIs)    40
BLOOD INFECTIONS AND RELATED DISEASES    42
BONE, JOINT AND MUSCLE INFECTIONS    47
ARTHROPOD-BORNE AND ZOONOTIC INFECTIONS    50
Chapter 1: High-yield Questions (HYQ)    54

Chapter 2: CARDIOVASCULAR DISEASES (Suggested range: 10-11%)    71
CARDIAC ARRHYTHMIAS    72
ISCHEMIC HEART DISEASE (IHD)—CORONARY ARTERY DISEASE (CAD)    75
DYSLIPIDEMIA    88
SYSTEMIC HYPERTENSION    90
PULMONARY HEART DISEASE    94
ENDOCARDIAL AND VALVULAR HEART DISEASES    95
VALVULAR HEART DISEASES    95
CONGENITAL HEART DISEASES    104
MYOCARDIAL DISEASES    111
PERICARDIAL DISEASES    115
VASCULAR DISEASES    119
Chapter 2: High-yield Questions (HYQ)    122

Chapter 3: RESPIRATORY DISEASES (Suggested range: 7-8%)    134
GAS EXCHANGE DISORDERS AND RESPIRATORY FAILURE    135
OBSTRUCTIVE LUNG DISEASES    137
RESTRICTIVE AND INTERSTITIAL LUNG DISEASES    143
ALVEOLAR FILLING DISEASES    148
DISEASES OF THE PULMONARY VASCULATURE    150
PLEURAL DISEASES    153
NEOPLASMS OF THE RESPIRATORY TRACT    154
MISCELLANEOUS DISEASES    158
Chapter 3: High-yield Questions (HYQ)    159

Chapter 4: DIGESTIVE AND NUTRITIONAL DISORDERS (Suggested range: 9-10%)    166
DISEASES OF THE ESOPHAGUS    166
DISEASES OF THE STOMACH AND DUODENUM    173
DISEASES OF THE PANCREAS    178
DISEASES OF THE GALLBLADDER    181
DISORDERS OF THE LIVER    185
GENETIC BILIRUBINEMIA    192
DISORDERS OF THE INTESTINE    193
INFLAMMATORY BOWEL DISEASES (IBD)    197
NEOPLASMS OF THE INTESTINE    201
HEMORRHAGE OF THE DIGESTIVE TRACT    203
MISCELLANEOUS DISEASES    205
NUTRITIONAL MEDICINE AND DISORDERS    208
Chapter 4: High-yield Questions (YHQ)    215

Chapter 5: ENDOCRINOLOGY (Suggested range: 7-8%)    223
DISORDERS OF GLUCOSE AND FAT METABOLISM    223
PITUITARY AND HYPOTHALAMIC DISEASES    228
DISORDERS OF THE ANTERIOR PITUITARY LOBE    229
DISORDERS OF THE POSTERIOR PITUITARY LOBE    232
DISEASES OF THE THYROID    234
DISORDERS OF THE PARATHYROID GLANDS    242
DISORDERS OF THE ADRENAL GLAND    245
HYPOGONADISM    250
Chapter 5: High-yield Questions (HYQ)    252

Chapter 6: HEMATOLOGY AND IMMUNOLOGIC DISORDERS (Suggested range: 9-10%)    259
ANEMIAS    259
NEUTROPENIA (LEUKOPENIA)    270
COAGULOPATHY    271
PLATELET DISORDERS    275
HEMATOPOIETIC NEOPLASMS    276
MYELOID NEOPLASMS    282
MYELOPROLIFERATIVE NEOPLASMS (MPNs)    283
PLASMA CELL DISORDERS    289
IMMUNOLOGIC DISEASES    292
ALLERGIC DISEASES    292
PRIMARY IMMUNODEFICIENCY DISORDERS    293
TRANSPLANTATION MEDICINE    296
Chapter 6: High-yield Questions (HYQ)    298

Chapter 7: RENAL, UROGENITAL, ACID-BASE, AND ELECTROLYTE DISORDERS
(Suggested range: 8-9%)    307
ACID-BASE DISORDER    307
TUBULOINTERSTITIAL DISEASES    308
GLOMERULAR DISEASES    311
ELECTROLYTE DISORDERS    316
NEPHROLITHIASIS    320
RENAL CYSTIC DESEASES    321
UROGENITAL NEOPLASMS    322
MISCELLANEOUS DISORDERS    328
Chapter 7: High-yield Questions (HYQ)    330

Chapter 8: MUSCULOSKELETAL DISEASES (Suggested range: 8-9%)    337
ARTHRITIS    338
DEGENERATIVE AND CRYSTAL-INDUCED ARTHRITIS    338
SERONEGATIVE ARTHRITIS    341
AUTOIMMUNE CONNECTIVE TISSUE DISEASES    342
VASCULITIS SYNDROMES    348
PAIN SYNDROMES    354
SPORTS MEDICINE — SPORTS INJURIES    362
MISCELLANEOUS DISEASES    365
ORTHOPEDIC NEOPLASMS    368
Chapter 8: High-yield Questions (HYQ)    371

Chapter  9: NEUROLOGY AND SPECIAL SENSES (Suggested range: 9-10%)    379
NEUROLOGICAL TRAUMA AND INJURY    379
HEAD TRAUMA AND BRAIN INJURY    379
SPINAL CORD INJURY (SCI)    381
CEREBROVASCULAR DISEASES (STROKE)    384
ISCHEMIC STROKE    384
HEMORRHAGIC STROKE    387
EPILEPSY AND SEIZURE DISORDERS    389
HEADACHE    392
NEUROCOGNITIVE DISORDERS    393
CENTRAL NERVOUS MYELINOPATHIES    399
PERIPHERAL NEUROPATHIES    401
CENTRAL NERVOUS MOVEMENT DISORDERS    403
INTRACRANIAL NEOPLASMS    406
MISCELLANEOUS DISORDERS    407
VERTIGO AND DISEQUILIBRIUM    409
HEARING DISORDERS    411
OPHTHALMOLOGY—VISUAL DISORDERS    412
Chapter 9: High-yield Questions (HYQ)    417

Chapter 10: DERMATOLOGY (Suggested range: 5-6%)    427
COMMON TERMINOLOGY AND LESIONS IN DERMATOLOGY    427
DERMATOLOGIC INFECTIONS    428
VIRAL INFECTIONS    428
BACTERIAL INFECTIONS    431
FUNGAL INFECTIONS    434
PARASITIC INFECTIONS    436
IMMUNE-MEDIATED SKIN DISEASES    437
DYSPLASIAS AND NEOPLASIAS    444
MISCELLANEOUS SKIN DISORDERS    450
Chapter 10: High-yield Questions (HYQ)    452

Chapter 11: GYNECOLOGY (Suggested range: 7-8%)    458
AMENORRHEA AND RELATED DISORDERS    458
ABNORMAL UTERINE-VAGINAL HEMORRHAGE    462
GYNECOLOGIC INFECTIONS    464
GYNECOLOGIC NEOPLASMS    466
UTERINE NEOPLASMS    466
CERVICAL AND VAGINAL NEOPLASMS    468
OVARIAN MASSES    471
OVARIAN NEOPLASMS    472
BREAST DISEASES    474
MISCELLANEOUS DISORDERS    477
CONTRACEPTION    479
Chapter 11: High-yield Questions (HYQ)    480

Chapter 12: OBSTETRICS (Suggested range: 5-6%)    487
PHYSIOLOGY OF NORMAL PREGNANCY    487
NORMAL LABOR    495
ABNORMAL LABOR    496
MEDICAL COMPLICATIONS OF PREGNANCY    499
OBSTETRICAL COMPLICATIONS OF PREGNANCY    504
POSTNATAL (PUERPERIUM)    509
TERATOLOGY    511
Chapter 12: High-yield Questions (HYQ)    512

Chapter 13: PEDIATRICS (Suggested range: 9-10%)    518
NEWBORN DISEASES    518
DEVELOPMENT AND RELATED PROBLEMS .    531
PEDIATRIC NUTRITION AND RELATED DISORDERS.    531
PEDIATRIC INFECTIONS    531
CONGENITAL INFECTIONS    531
VIRAL INFECTIONS IN CHILDREN    533
RESPIRATORY TRACT INFECTIONS IN CHILDREN    534
CONGENITAL ABNORMALITIES    536
GENETIC SYNDROMES    540
GENETIC METABOLIC ABNORMALITIES    541
LYSOSOMAL AND GLYCOGEN STORAGE DISEASES    542
Chapter 13: High-yield Questions (HYQ)     544

Chapter 14: EMERGENCY MEDICINE (Suggested range: 5-6%)    551
SHOCK AND CARDIOPULMONARY RESUSCITATION    551
ALTERED MENTAL STATUS    552
ANAPHYLAXIS    554
TOXICOLOGY    555
INTOXICATIONS OF SPECIAL TOXIC SUBSTANCES    556
INTERACTION, INTOXICATION AND DETOXIFICATION OF DRUGS    561
THERMAL INJURIES    565
DROWNING    567
VENOMOUS BITES    568

Chapter 15: SURGERY (Suggested range: 10-11%)    569
TRAUMA AND INJURY    569
CHEST TRAUMA    570
ABDOMINAL TRAUMA    574
PELVIC AND UROGENITAL TRAUMA    576
EXTREMITY TRAUMA    579
ORTHOPEDIC TRAUMA AND INJURIES     579
PREOPERATIVE EVALUATION    585
COMPLICATIONS OF SURGERY    586
ANALGESIA AND ANESTHESIA IN SURGERY AND OBSTETRICS    587
VOLUME DISORDERS    588
ABDOMINAL SURGERY    590
Chapter 14-15: High-Yield Questions (HYQ)    596

Chapter 16: PSYCHIATRY (Suggested range: 9-10%)    610
BASICS    610
NEURODEVELOPMENTAL DISORDERS    612
DISRUPTIVE, IMPULSE-CONTROL, AND CONDUCT DISORDERS    618
DEPRESSIVE DISORDERS    621
BIPOLAR AND RELATED DISORDERS    625
NEUROTIC, STRESS-RELATED, AND SOMATOFORM DISORDERS    627
ANXIETY DISORDERS    627
TRAUMA- AND STRESSOR-RELATED DISORDERS    631
PERSONALITY DISORDERS    633
SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS    637
SOMATIC SYMPTOM AND RELATED DISORDERS    642
SUBSTANCE-RELATED AND ADDICTIVE DISORDERS    646
FEEDING AND EATING DISORDERS    652
SLEEP-WAKE DISORDERS    655
SEXUAL DISORDERS    660
MIX—SOCIAL SCIENCES: SUICIDALITY AND DEATH    667
Chapter 16: High-yield Questions (HYQ)    667

Chapter 17: EPIDEMIOLOGY, BIOSTATISTICS, PREVENTIVE MEDICINE, AND MEDICAL ETHICS
(Range: 5-6%)    675
EPIDEMIOLOGY AND LITERATURE INTERPRETATION    675
ASSESSMENT OF DISEASE FREQUENCIES    675
ASSESSMENT OF DIAGNOSTIC TESTS    677
ASSESSMENT OF RISK AND MEASURES OF EFFECT    679
TYPES AND EVALUATIONS OF STUDIES    681
BIOSTATISTICS AND LITERATURE INTERPRETATION    683
INFERENTIAL STATISTICS     683
PREVENTIVE MEDICINE    690
POPULATION HEALTH    690
IMMUNIZATION AND VACCINATION    696
MEDICAL AND RESEARCH ETHICS    698
ABUSE    703
Chapter 17: High-yield Questions (HYQ)    706

NORMAL LAB VALUES OF IMPORTANCE    715
INDEX    718
ABBREVIATIONS    725
HIGH-YIELD CLINICAL IMAGES    729

图书序言

  • ISBN:9786269729203
  • 叢書系列:Examination
  • 規格:平裝 / 756頁 / 21.6 x 28 x 3.9 cm / 普通級 / 單色印刷 / 初版
  • 出版地:台灣

图书试读

Preface

  This new edition of “Yale-G First Aid: Crush USMLE Step 2 CK & Step 3” has been continuously updated from the previous editions. According to the large volume of feedbacks on Amazon and to our author team from medical students and doctors in the US and around the world, this book has collected the most up-to-date, comprehensive, and high-yield clinical knowledge (CK) for the USMLE Step 2 CK and Step 3 as the best-rated one in the USMLE market. This book can be the equivalent of “First Aid for the USMLE Step 1” for the USMLE Step 2 CK. Important features of this book include:

  1. Systematic, comprehensive, and concise reviews of most diseases and disorders that are frequently tested in the USMLE Step 2 CK and Step 3. They are composed of important concepts, etiologies, essentials of diagnoses, differential diagnoses, treatments, and preventive measures.

  2. Well-organized contents in easy-to-remember formats, abbreviations, and more than 100 tables and figures with summaries and differential diagnoses, and with necessary details of high-yield “orderly steps” in the diagnosis and management of major diseases. Most important clinical points are in “PEARLS”, underlined, and bolded as priority contents.

  3. 800 high-yield clinical questions in USMLE format to help you digest the fundamental knowledge.

  4. 155 high-yield clinical color images with brief diagnostic features (in the back of book to cut cost) for deeper digestion and memory of the associated fundamental clinical knowledge.

  After thorough digestion of this book followed by practice with the best Q-bank on UWorld.com and NBME.org Self-Assessments, with note-taking, you are ready to crush the USMLE Step 2 CK and Step 3 with high scores!  

  This book is your ticket to the USMLE and ECFMG Certification! It can also be a powerful study aid in medical school education in the US and around the world. The author’s team takes all feedbacks and corrections positively and thankfully with rewards and maintains frequent updates to make it better and better for the USMLE clinical knowledge.

  Best wishes to all who appreciate this book!

  Yale Gong, MD
  Washington, D.C.

  *www.usmle.org: “USMLE Step 3: Examinees are seeing increased numbers of items that assess an expanded range of competency-based content, including foundational science essential for effective healthcare; biostatistics, epidemiology, and population health; literature interpretation; medical ethics; and patient safety.”

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