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USMLE United States Medical Licensing Examination

Study Guide Prepared by USMLE Dumps Experts USMLE Dumps and Real Questions 2019

Latest and 100% real exam Questions - Memorize Questions and Answers - Guaranteed Success in exam

USMLE exam Dumps Source : United States Medical Licensing Examination

Test Code : USMLE
Test Name : United States Medical Licensing Examination
Vendor Name : USMLE
Q&A : 400 Real Questions

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USMLE United States Medical Licensing

Scope and Nature of pain- and Analgesia-connected content material of the USA scientific Licensing Examination (USMLE) | Real Questions and Pass4sure dumps

Conclusions. This emphasis on assessment

misses other important aspects of protected and effec-

tive ache management, including those selected to

opioid safeguard. Our findings inform methods to increase

the long-time period training of our medical and other

graduates, thereby improving the health care of the

populations they serve.

keywords. pain content material; training; Competency;



pain is pervasive among those in quest of health care, however

it is frequently inappropriately addressed by means of clinicians [1,2].

inadequate schooling about pain, chiefly as regards

the safe and constructive use of opioids for continual non-

cancer ache, has been recognized as contributing to the

ongoing epidemic of opioid misuse and abuse [3–5].

The want for enhanced ache education for all fitness care

providers, to handle the dual crises of undertreated

pain and inappropriate opioid use, has been raised in

many fresh governmental [6] and nongovernmental

[7,8] white papers.

historically, pain has been an orphan subject within

crowded fitness training curricula [6,7,9,10]. The 2016

countrywide pain approach (NPS) from the USA department of

fitness and Human functions states, “advancements are

necessary in self-discipline-certain core talents, includ-

ing fundamental skills, evaluation, advantageous crew-based

care, empathy, and cultural competency. tutorial

software accreditation our bodies and knowledgeable licensure

boards can require ache teaching and clinician getting to know

at the undergraduate and graduate levels” [6].

The 2016 centers for ailment handle and Prevention

(CDC) tenet for Prescribing Opioids for chronic ache

[3] covered a lot of techniques for prescribers

to take more desirable responsibility for assessing, monitoring,

and mitigating risks of opioid misuse and abuse when

prescribing opioids, and offering patients with ongoing

education. although, a national survey of two,626 US

medical residents completing practicing in specialties

where ache management is an integral part

said that about 50% felt only “somewhat

prepared” to guidance patients about ache administration

and about 25% felt “slightly unprepared” or

“very unprepared” [11]. different more recent reviews have

reflected these findings [12,13]. information indicating a similar

lack of perceived preparedness amongst fourth yr

medical students, chiefly as regards persistent ache,

have been lately replicated in one New England medical

faculty [14].

A 2017 national Academy of drugs document on the

deserve to stability professional ache control with contain-

ment of opioid abuse asserted that “any meaningful

effort to enrich ache administration would require a funda-

mental shift within the nation’s method to mandating

pain-linked schooling for all health specialists who

give care to people with ache” [15,16]. certainly one of

many avenues towards enhancing pain administration

education is to mandate that competency in pain

management is a criterion for accreditation of health

knowledgeable schools and licensing of graduates [7,9].

as an example, obligatory core advantage for preven-

tion and management of prescription drug abuse,

together with ache evaluation and remedy the use of nonop-

ioid and nondrug modalities, have been these days developed

via a collaboration of the 4 Massachusetts medi-

cal colleges, led by its department of Public health [17].

The present study evaluates the scope and nature of

pain content in the united states medical Licensing

Examination (USMLE), a series of tests that should be

efficiently completed by allopathic physicians to ob-

tain an unrestricted state medical license within the United

States [18]. The USMLE contains three separate

examinations that test candidates on fundamental science and

clinical knowledge, as neatly because the medical potential

imperative for the unsupervised widespread follow of med-

icine [18]. In cooperation with the countrywide Board of

scientific Examiners (NBME) and the Federation of State

clinical Boards (FSMB), a panel of leaders in ache man-

agement from academic ache management programs

and knowledgeable agencies evaluated USMLE examine

questions for the volume, scope, and nature of content material

regarding pain skills. To make sure that our as-

sessment of pain and ache-linked content material become compre-

hensive, we benchmarked our findings using distinct,

albeit overlapping, sets of curricular content material in the past

developed and published via ache educators [9,19].


To our expertise, other than a single 1997 article com-

paring materials I and II of the 1986 vs 1993 USMLE [20],

there has been no prior to now published empirical meth-

odology. hence, we developed novel assessment cri-

teria to investigate the volume, scope, and nature of

ache-connected questions in the USMLE. This struc-

tured overview worried an on-site, at ease evaluation of ques-

tions from Step 1, Step 2, and Step three examination


Panel Composition

experts in pain administration were selected through the ache

Core Competency govt Committee at the

tuition of California, Davis (http://www.ucdmc.ucda-

html), for participation during this evaluation. standards covered

management roles inside educational ache management

programs, advantage in the ache box, as evidenced by

peer-reviewed publications, and/or holding a leadership

position inside stakeholder skilled agencies.

Twelve individuals authorized the invitation to participate

during this specific stock (Supplementary information).

Fishman et al.


Downloaded from

by guest

on 27 February 2018

Becker expert schooling Expands past united states medical Licensing Examination® (USMLE®) With New Collaborations and choices | Real Questions and Pass4sure dumps

DOWNERS GROVE, ill.--(enterprise WIRE)--Becker skilled schooling, a worldwide chief in professional schooling and part of Adtalem world schooling, announced two major new initiatives to expand past the existing USMLE education direction. Becker is collaborating with 4MedPlus to make certain that its college students have convenient entry by means of a single tool to key certifications necessary prior to the beginning of their clinical classes. in addition, Becker is additionally adding a GuideRN Self analyze to prep nursing students for the NCLEX-RN - the standardized exam required to develop into a board licensed nurse.

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The six certificates of talent accessed via Becker students within the compliance iBookPlus+ include:

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    Becker Launches New GuideRN, Self-Paced learning software, to Prep Nursing college students for NCLEX-RN

    Becker skilled training is launching a brand new GuideRN Self study program to support nursing students prepare for his or her NCLEX check required to become a board certified nurse. featuring 21 core field topics, the GuideRN self study comprises a full curriculum of nursing subjects to assist college students prepare for the NCLEX, together with Nursing Sciences, fundamental expertise, professional necessities, and Examination instruction.

    furthermore, the GuideRN tool offers more than 30 hours of modular on-line content material grounded in the fundamentals of drugs, in addition to full-color illustrations, photos and embedded animations to assist convey medical subject matters to existence and illustrate the tactics of the human body. also, the conclusion of each chapter contains apply questions to increase the knowing of specific nursing subjects and the person has the option so as to add more than 2,000 UWorld question bank questions offering designated explanations which are written to simulate the NCLEX exam.

    “through our partnership with 4MedsPlus and our new GuideRN Self look at application, we're transforming the average gaining knowledge of process within key areas of medical analyze to supply interactive, advanced examination prep options that are without problems obtainable across gadgets,” cited David Bartholomew, vice chairman, Healthcare at Becker knowledgeable education. “Becker’s concentrated growth plan will proceed to supply our students with materials tailored for complete figuring out and access to the important thing counsel crucial to succeed in quite a lot of areas of medical examination and certification prep.”

    Becker professional training has helped pretty much half 1,000,000 people put together to be successful on knowledgeable exams including the USMLE and now in each clinical certifications and NCLEX. To study more about Becker professional education, consult with

    About Becker professional education

    Becker skilled training is a member of Adtalem world education (NYSE: ATGE), a global education issuer headquartered within the united states. The corporation's aim is to empower college students to obtain their dreams, find success and make inspiring contributions to our international community. Becker is global leader in professional schooling serving the accounting, challenge management and healthcare professions. virtually half a million professionals have organized to improve their careers via its CPA examination overview, ACCA® classes, CMA examination overview, PMP® examination evaluate, USMLE® overview and continuing expert education courses. all through its greater than 60-12 months heritage, Becker has earned a strong song list of student success via world-type educating, curriculum and discovering tools that enable its students to advance the advantage and efficiency abilities crucial to stay ahead in an ever-changing business world. For greater assistance about Becker expert training, talk over with

    About Adtalem world schooling

    The intention of Adtalem international training is to empower college students to achieve their goals, locate success and make inspiring contributions to our international neighborhood. Adtalem global training Inc. (NYSE: ATGE; member S&P MidCap four hundred Index) is a number one international schooling company, and the father or mother organization of Adtalem Educacional do Brasil, American tuition of the Caribbean faculty of drugs, association of certified Anti-money Laundering experts, Becker knowledgeable education, Carrington college, Chamberlain institution, DeVry tuition and its Keller Graduate school of management, Ross tuition college of medication and Ross tuition college of Veterinary medicine. For more suggestions, please consult with

    about the 4MedPlus corporation

    4MedPlus corporation is the main provider of authorised continuing education CME/CEU on subject matters relating to fitness IT, compliance, protection, regulatory requirements, govt incentives, fitness and safeguard, and greater. Healthcare specialists are capable of meet their ongoing practising needs entirely online on their own agenda, which inspires greater productive birth of scientific capabilities and useful time management for more advantageous patient care. 4Med offers their classes via an in depth community of tutorial catalog partnerships and by the use of their own online training catalog device.

    USMLE® is a joint program of the Federation of State medical Boards (FSMB) and the country wide Board of medical Examiners (NBME). check names and other trademarks are the property of the respective trademark holders. none of the trademark holders are counseled, sponsor or assist Becker expert education in any manner.

    NCLEX-RN® is a registered trademark of the country wide Council of State Boards of Nursing and this trademark owner doesn't sponsor, suggest or guide Becker professional education in any manner.

    Resident alternative beyond the united states clinical Licensing Examination | Real Questions and Pass4sure dumps

    The resident utility manner has matured over the decades to develop into an effective system. An unexpected consequence of this efficiency is the massive number of applications that every orthopaedic surgical procedure residency program must variety through to reach at a manageable rank list. the most ordinary filter in these days’s application cycle is an applicant’s efficiency on the us scientific Licensing Examination Step 1. however no facts exists to prove that this examination is predictive of any of the potentially defining features of a a success resident, orthopaedic surgery programs historically have had few alternative alternate options. A turning out to be physique of literature suggests that a greater focused investigation of an applicant’s inherent character qualities, as evidenced by using his or her past accomplishments, as well as a structured use of questionnaires as part of the software technique can also improve the potential of orthopaedic surgical procedure residency programs to foretell who should be a a hit resident.

    From the department of Orthopaedic surgery, Greenville health system, Greenville, SC (Dr. Porter) and the department of Orthopaedic surgery, institution of Mississippi clinical core, Jackson, MS (Dr. Graves).

    Dr. Porter or an instantaneous loved one serves as a board member, owner, officer, or committee member of the American Orthopaedic association. Dr. Graves or an immediate family member is a member of a speakers’ bureau or has made paid displays on behalf of and serves as a paid consultant to DePuy Synthes and serves as a board member, owner, officer, or committee member of the American Orthopaedic association and the Orthopaedic Trauma association.

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    United States Medical Licensing Examination

    Pass 4 sure USMLE dumps | USMLE real questions | [HOSTED-SITE]

    Proposed changes to the United States Medical Licensing Examination: Impact on curricula and libraries | real questions and Pass4sure dumps

    To determine whether the 2003 Accreditation Council for Graduate Medical Education (ACGME) duty hours reform affected medical knowledge as reflected by written board scores for internal medicine (IM) residents. The authors conducted a retrospective cohort analysis of postgraduate year 1 (PGY-1) Internal Medicine residents who started training before and after the 2003 duty hour reform using a merged data set of American Board of Internal Medicine (ABIM) Board examination and the National Board of Medical Examiners (NMBE) United States Medical Licensing Examination (USMLE) Step 2 Clinical Knowledge test scores. Specifically, using four regression models, the authors compared IM residents beginning PGY-1 training in 2000 and completing training unexposed to the 2003 duty hours reform (PGY-1 2000 cohort, n = 5,475) to PGY-1 cohorts starting in 2001 through 2005 (n = 28,008), all with some exposure to the reform. The mean ABIM board score for the unexposed PGY-1 2000 cohort (n = 5,475) was 491, SD = 85. Adjusting for demographics, program, and USMLE Step 2 exam score, the mean differences (95% CI) in ABIM board scores between the PGY-1 2001, 2002, 2003, 2004 and 2005 cohorts minus the PGY-1 2000 cohort were -5.43 (-7.63, -3.23), -3.44 (-5.65, -1.24), 2.58 (0.36, 4.79), 11.10 (8.88, 13.33) and 11.28 (8.98, 13.58) points respectively. None of these differences exceeded one-fifth of an SD in ABIM board scores. The duty hours reforms of 2003 did not meaningfully affect medical knowledge as measured by scores on the ABIM board examinations.

    Moving the United States Medical Licensing Examination Step 1 After Core Clerkships | real questions and Pass4sure dumps

    Schools undergoing curricular reform are reconsidering the optimal timing of Step 1. This study provides a psychometric investigation of the impact on United States Medical Licensing Examination Step 1 scores of changing the timing of Step 1 from after completion of the basic science curricula to after core clerkships.

    Data from four schools that recently moved the examination were analyzed in a pre–post format using examinee scores from three years before and after the change. The sample included scores from 2008 through 2016. Several confounders were addressed, including rising national scores and potential differences in cohort abilities using deviation scores and analysis of covariance (ANCOVA) controlling for Medical College Admission Test (MCAT) scores. A resampling procedure compared study schools’ score changes versus similar schools’ in the same time period.

    The ANCOVA indicated postchange Step 1 scores were higher compared with prechange (adjusted difference = 2.67; 95% confidence interval: 1.50–3.83, P < .001; effect size = 0.14) after adjusting for MCAT scores and rising national averages. The average score increase in study schools was larger than changes seen in similar schools. Failure rates also decreased from 2.87% (n = 48) pre change to 0.39% (n = 6) post change (P < .001).

    Results suggest moving Step 1 after core clerkships yielded a small increase in scores and a reduction in failure rates. Although these small increases are unlikely to represent meaningful knowledge gains, this demonstration of “noninferiority” may allow schools to implement significant curricular reforms.

    D. Jurich is senior psychometrician, National Board of Medical Examiners, Philadelphia, Pennsylvania.

    M. Daniel is assistant dean for curriculum and associate professor, Departments of Emergency Medicine and Learning Health Sciences, University of Michigan Medical School, Ann Arbor, Michigan; ORCID:

    M. Paniagua is medical advisor, Test Development Services, National Board of Medical Examiners, and adjunct associate professor, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

    A. Fleming is associate dean for medical student affairs and associate professor of pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.

    V. Harnik is associate dean for curriculum and associate professor, Department of Cell Biology, New York University School of Medicine, New York, New York.

    A. Pock is associate dean for curriculum and associate professor of medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland.

    A. Swan-Sein is director, Center for Education Research and Evaluation, and assistant professor of educational assessment, Columbia University Vagelos College of Physicians and Surgeons, New York, New York.

    M.A. Barone is vice president of licensure, National Board of Medical Examiners, Philadelphia, Pennsylvania.

    S.A. Santen is senior associate dean of evaluation, assessment and scholarship of learning, and professor of emergency medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia, and was previously assistant dean for educational research and quality improvement, University of Michigan Medical School, Ann Arbor, Michigan.

    Funding/Support: The University of Michigan School of Medicine, Vanderbilt School of Medicine, and New York University School of Medicine have Accelerating Change in Medical Education grants from the American Medical Association. Virginia Commonwealth University School of Medicine receives funding from the American Medical Association for S.A. Santen’s consulting on the Accelerating Change in Medical Education grant.

    Other disclosures: D. Jurich, M. Paniagua, and M.A. Barone work for the National Board of Medical Examiners, the organization that administers the United States Medical Licensing Examination Step 1 examined in this study.

    Ethical approval: This study was reviewed and determined to be exempt by the American Institutes for Research (project number EX00398; June 27, 2016).

    Disclaimer: The views expressed are those of the authors and do not reflect the official policy or position of their universities, the National Board of Medical Examiners, the Department of Defense, the United States Air Force, or the United States Government.

    Supplemental digital content for this article is available at

    Correspondence should be addressed to Michelle Daniel, University of Michigan Medical School, 6123 Taubman Health Sciences Library, 1135 Catherine St., SPC 5726, Ann Arbor, MI 48109; telephone: (401) 525-0251; e-mail:; Twitter:@Emergdoc1975.

    Written work prepared by employees of the Federal Government as part of their official duties is, under the U.S. Copyright Act, a “work of the United States Government” for which copyright protection under Title 17 of the United States Code is not available. As such, copyright does not extend to the contributions of employees of the Federal Government.

    Becker Professional Education Expands Beyond United States Medical Licensing Examination® (USMLE®) With New Collaborations and Offerings | real questions and Pass4sure dumps

    DOWNERS GROVE, Ill.--(BUSINESS WIRE)--Becker Professional Education, a global leader in professional education and part of Adtalem Global Education, announced two major new initiatives to expand beyond the current USMLE preparation course. Becker is collaborating with 4MedPlus to ensure that its students have easy access via a single tool to key certifications needed prior to the start of their medical programs. In addition, Becker is also adding a GuideRN Self Study to prep nursing students for the NCLEX-RN - the standardized exam required to become a board certified nurse.

    New 4MedPlus Compliance iBookPlus+ Offering

    The 4MedPlus Compliance iBookPlus+ is an online course tool which allows practitioners, employers, educators and organizations to deliver access to required and recommended compliance learning for staff, students and members with a single click. Compatible with PC, MAC/iPad and Android on all browsers, the iBookPlus+ features an online interactive educational hub where students can quickly establish proficiency in regulatory, compliance and security topics in healthcare all at once.

    The six certificates of proficiency accessed by Becker students in the compliance iBookPlus+ include:

  • Understanding HIPAA for the Workforce Professional
  • NYS Mandated Infection Control and Barrier Protection
  • Bloodborne Pathogens Protection
  • Needlesticks and Sharps Safety
  • OSHA/PPE Basics for Healthcare Workers (OSHA/PPE)
  • Comprehensive Tuberculosis Prevention (TB)
  • Completion of each course in the bundle achieves a 4MedApproved Certificate of Proficiency with Nursing CEU's, Physician CME and College Credit available. The iBookPlus+ tool also provides access to hundreds of individual modules and numerous additional courses for customized compliance. All PDF certificates are dispatched upon iBookPlus+ completion to students as well as to the administrator or distribution list associated with the account and a comprehensive admin panel is included which allows for monitoring and management of student progress.

    Becker Launches New GuideRN, Self-Paced Learning Program, to Prep Nursing Students for NCLEX-RN

    Becker Professional Education is launching a new GuideRN Self Study program to help nursing students prepare for their NCLEX test required to become a board certified nurse. Featuring 21 core subject topics, the GuideRN self study includes a full curriculum of nursing subjects to help students prepare for the NCLEX, including Nursing Sciences, Fundamental Skills, Professional Standards, and Examination Preparation.

    In addition, the GuideRN tool offers more than 30 hours of modular online content grounded in the fundamentals of medicine, as well as full-color illustrations, photos and embedded animations to help bring medical topics to life and illustrate the processes of the human body. Also, the end of each chapter includes practice questions to enhance the understanding of specific nursing subjects and the user has the option to add more than 2,000 UWorld Question Bank questions providing detailed explanations that are written to simulate the NCLEX exam.

    “Through our partnership with 4MedsPlus and our new GuideRN Self Study program, we are transforming the traditional learning process within key areas of medical study to provide interactive, advanced exam prep solutions that are easily accessible across devices,” stated David Bartholomew, Vice President, Healthcare at Becker Professional Education. “Becker’s focused growth plan will continue to provide our students with resources tailored for comprehensive understanding and access to the key information needed to succeed in a variety of areas of medical exam and certification prep.”

    Becker Professional Education has helped nearly half a million people prepare to succeed on professional exams including the USMLE and now in both medical certifications and NCLEX. To learn more about Becker Professional Education, visit

    About Becker Professional Education

    Becker Professional Education is a member of Adtalem Global Education (NYSE: ATGE), a global education provider headquartered in the United States. The organization's purpose is to empower students to achieve their goals, find success and make inspiring contributions to our global community. Becker is global leader in professional education serving the accounting, project management and healthcare professions. Nearly half a million professionals have prepared to advance their careers through its CPA Exam Review, ACCA® Courses, CMA Exam Review, PMP® Exam Review, USMLE® Review and Continuing Professional Education courses. Throughout its more than 60-year history, Becker has earned a strong track record of student success through world-class teaching, curriculum and learning tools that enable its students to develop the knowledge and performance skills necessary to stay ahead in an ever-changing business world. For more information about Becker Professional Education, visit

    About Adtalem Global Education

    The purpose of Adtalem Global Education is to empower students to achieve their goals, find success and make inspiring contributions to our global community. Adtalem Global Education Inc. (NYSE: ATGE; member S&P MidCap 400 Index) is a leading global education provider, and the parent organization of Adtalem Educacional do Brasil, American University of the Caribbean School of Medicine, Association of Certified Anti-Money Laundering Specialists, Becker Professional Education, Carrington College, Chamberlain University, DeVry University and its Keller Graduate School of Management, Ross University School of Medicine and Ross University School of Veterinary Medicine. For more information, please visit

    About the 4MedPlus Corporation

    4MedPlus Corporation is the leading provider of accredited continuing education CME/CEU on topics relating to Health IT, compliance, security, regulatory requirements, government incentives, health and safety, and more. Healthcare professionals are able to meet their ongoing training needs entirely online on their own schedule, which encourages more efficient delivery of medical services and effective time management for better patient care. 4Med delivers their courses through an extensive network of educational catalog partnerships and via their own online training catalog system.

    USMLE® is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Test names and other trademarks are the property of the respective trademark holders. None of the trademark holders are endorsed, sponsor or support Becker Professional Education in any manner.

    NCLEX-RN® is a registered trademark of the National Council of State Boards of Nursing and this trademark owner does not sponsor, endorse or support Becker Professional Education in any manner.

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