Someone PM'd me this question: What's an average day like for you during pre-clinical years? How do you study for in-house exams?
Take this with a grain of salt, I am more than a year out from my pre-clinical years but I tutor for the classes below me so I suspect it's relatively similar.
Pre-clinical years are actually pretty chill - we do organ system blocks and they ease you in super well starting with biochem. You don't start anatomy until cardioresp in November so you have time to adjust before you get pounded with anatomy stuff. Most lectures are optional, all are recorded, though you do have a few required lectures here and there. The big required thing in pre-clinical years are PBLs (problem based learning) small group learning, which for M1s, are MWF 8am-10am. These are mandatory and you learn in your small groups about high yield pathophys on certain topics. I'm remembering details from my PBLs even now as I prepare for step 2!
On a typical Monday, I would go to PBL from 8am-10 am. There would be usually an hour or two of lecture after that I probably wouldn't go to. I would go home and take a nap and then get up and watch the lecture recordings on 2x speed. I would then study/review ppts or do whatever I needed, maybe prep Wednesday's PBL, then go to the gym, get dinner, maybe do stuff with friends. On a typical Tuesday, I would go to mandatory humanities lecture from 10a-12p (wake up at 9:30), come home, study a bit, and then go to the gym/recreational stuff/research etc.
Depending on what society you are assigned (kind of like Harry Potter houses, they don't matter outside of scheduling), you will do FPCC (foundations of patient centered care) on either Tuesday or Wednesday from 1:30-4:30/5. This isn't every week but this is mandatory to prep you for OSCEs and learn physical exam skills. They'll start to be every week in your second year but by that point you're ready for that and need that level of instruction.
You have exams at the end of every block, in-house, not NBME. I felt they were pretty reasonable. Just make sure to study the powerpoints/lectures and don't just rely on third party resources. Pre-clinicals are TRUE pass-fail, meaning that you are NOT secretly ranked against your classmates. A 70 is required to pass. This is not difficult to obtain if you go to lectures and take your coursework seriously.
There are some other minor requirements in preclinical years like some mandatory community service work (very easy to get with the many clubs on campus) but honestly you have a lot of free time. I started doing research in M1 and I was going home to see my parents more than I even was in undergrad, I had time to hang out with friends, date, etc. It's a good time to explore and figure out what you want to do with your life!