Remember after your first exams (at which point you CAN bring your grades up) What do they call the last guy who graduates in your class, doctor, what do they call the first guy who graduates in your class doctor. You class rank isn't on your diploma, so you should be here to learn, not for the grades. This is a non-gunner, non-traditional student (I'm 31) and I can tell you, it's a lot different from engineering. From what I have seen so far, this are the tips, learn the basics, they aren't hard. A lot of the questions seem out in the weeds. Focus on learning how to interact with all types of people, cause getting the histrory is probably the most important part of the exam, it will focus you on what you need to look for. If you can't talk to people, they won't tell you where to focus. Keep in mind this rave comes from someone who wants to go internal medicine or family practice. If you want to go radiology, bury your head, you need to board score, and not the people skills.
More importantly, if you have a signifigicant other, or fiancee, or husband/wife, you should remember that, or you won't at the end. They are not in med school, are there is a limit to how much they want to learn from you vice spending real time with you. I personally am afraid this will affect me. Medical school is a large part of your life, but isn't your life. If it is, which is fine, you need to reexamine your priorities and realize love is going to fall relatively lower.
megadon makes some very good points. incidentally, the divorce rate among neurosurgeons is reported as high as 90% and upwards. competitive, time intensive fields become your life, and the rest is secondary. not everyone wants to go into ortho, derm, ophtho, but if you do, you probably need an intense schedule to make studying your life.
if that's not your aim, studying is STILL a HUGE part of your life, but it's not the only part. i'll guarantee you that relations with a bf/gf will be quite strained at first, but it can be overcome. if you become like me, it's much much harder, and i admit it, i don't got it in me to balance a girl and work and research and extracurriculars and whatnot. my sacrifice was girl; sad, but if you know youre making the right choice, the lonely spells are workable
someone previously asked when i go to class. this brings up a good point. some people need to go to class. others can go, sleep, and absorb stuff passively. others play a crossword in the back. others sleep. if you do the latter two, don't bother going
depending on the professor, i sometimes go to class in the morning. if he/she is good, i'll usually go. if theyre fast, or not reall clear, i study on my own. at my school, lectures are recorded and posted minutes after theyre given. so if its an intensive spiel on complement activating pathways, and he goes way too fast, i just wait for the recording and pause every minute and go at my own pace. only the worst lectures will take a full two hours to do, but i usually know it pretty well by the end.
i recommend you go to class for anatomy, or whatever your first block is, and get the feel for it. next block, go for a week, and then try to figure out if you really should or not. i didn't attend a day of biochem or physio. but after that i started screening professors. if they were new, i never gave them the benefit of the doubt; i either studied on my own, or snuck in an extra hour of sleep before listening.
some guys are nice and tell you what's on the test. so always find this out!
my schedule i know is really intensive, and may scare a lot of you. but not everyone does it. yes i make sacrifices. but i shared it to show you that extremes in medical school are possible. you CAN study, work, research, have executive positions in clubs, and sleep all at once. you can also study less, have a SO, and drink once in a while with buddies too on the other end. doing it all though is tough. most of you are very intelligent people, and when it comes to school and life, not everyone has had to make sacrifices. some of you, esp. the aspiring dermatologists and orthopedic surgeons out there, are going to start making them here. that's what i'm trying to get across, so don't let my posts on this thread freak you out too much, it's not my intention!