4 Tests a Week - How the **** to Study?!

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ButterKitty

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I'm new to SDN but I've read through forums on here before. I am not a medical student. I'm in an accelerated one-year Clinical Laboratory Science program and I have 4 tests every ~ week (about 5 days really) over 12 lecture's worth of material. Hard stuff (hematology, immunology, etc.). Last semester was easier since we were given a week or more to study and only had 3 tests. I'm asking on this forum since I know med students have such a crazy amount of stuff to learn I want to figure out what would be the best approach.

Currently, I'm trying to use Anki while watching the lectures, but I'm afraid that I'm just not going to be having time to learn any of the material since card making is still time consuming. I would like to retain what I learn so that I don't have to relearn it for finals. The tests each week are 25-45 multiple choice (they are comprehensive and test application of knowledge) with a time limit of 30 minutes; my program is fully-online. Any tips, advice, etc? I really want to learn the material and do well...
 
1) Start with Big Picture concepts and then gradually flesh out details
2) Find out what your weak spots are, and focus on those
3) Do NOT cram.
4) Get a good night's sleep.

I'm new to SDN but I've read through forums on here before. I am not a medical student. I'm in an accelerated one-year Clinical Laboratory Science program and I have 4 tests every ~ week (about 5 days really) over 12 lecture's worth of material. Hard stuff (hematology, immunology, etc.). Last semester was easier since we were given a week or more to study and only had 3 tests. I'm asking on this forum since I know med students have such a crazy amount of stuff to learn I want to figure out what would be the best approach.

Currently, I'm trying to use Anki while watching the lectures, but I'm afraid that I'm just not going to be having time to learn any of the material since card making is still time consuming. I would like to retain what I learn so that I don't have to relearn it for finals. The tests each week are 25-45 multiple choice (they are comprehensive and test application of knowledge) with a time limit of 30 minutes; my program is fully-online. Any tips, advice, etc? I really want to learn the material and do well...
 
You would be surprised at how much you can retain (and later recall) when using Anki.
Just keep up the best you can and whatever you do, try not to fall behind.

Can you use the weekends to get a jump ahead on the material?

Good luck!
 
Can you use the weekends to get a jump ahead on the material?

Good luck!


Maybe but it's doubtful. I'm just wondering if it's even worth trying to make study aids (outlines, flashcards, etc.) because they're so time-intensive and I feel I wouldn't have time to study them. Would a better use of my time just be reading the lectures over and over again (quizzing myself in the process)? Med students with weekly tests, what did you do to keep up?
 
How fast do you type? With the method below I can get through a 65-70 slide ppt. in about 1.5 hours.

If I am REALLY in a crunch (i.e. test the next day, haven't studied at all) I will go through the notes/ power points that are provided and type them into a brief (but comprehensive outline form. From there, I will print that and then annotate it, highlight it and read it as many times as I can afford to. Not only do you see the material multiple times, but now you have a comprehensive study guide for when finals come around.

It may not work for you, but it is an idea... let me know if that helps you any!

EDIT: Obviously I don't know how to spell 🙂
 
Med school was different in the sense that you often had finals or board exams, so you'd need your condensed study outlines/materials in order to review efficiently for these larger exams. It's to your advantage to learn how to make study outlines as quickly as possible. If the volume of material is anything like medical school, just repeating the powerpoints over and over again is difficult. 12 lectures worth of material isn't that much, so if your memory's good, just reading through the powerpoints may work for you, but it's the less common approach and I'd question how much you'd retain long-term.

Worst case scenario, I'd at least print the powerpoints and as I go through, write 2-3 bullet points next to each high-yield slide. You need some way to be able to fly through just the high yield points right before the test.
 
Incoming MS1, and current MLS. Also, I actually adjunct... Teaching clinical immunology and serology I & II this semester.

Going through the program I ended up ranked 1 in terms of GPA, and I think the reason was....I never sat on material until the last moment; meaning everyday I tried to go through that day's materials in a quick pass/multiple passes. Also, I remained engaged during lecture. If something was completely over my head I tried to tease it out with my instructor after/during lab or lecture.Longer more dedicated time with material was done at a minimum of 2-3 days before the exams.

Since you are using Anki, just creating the cards could be a great "first pass." If you can get 4-5 passes of the material before our exam you will be fine.

Also, you have to understand this is going to be a difficult experience. CLS programs are notoriously difficult/grad deflating, but people every year do it and maintain a high GPA. You are no different, you just can't get behind or be lazy for the most part.

Lastly, at least at my school, they offer objectives/study questions. These are a must! You have to be able to understand and apply what you learn and doing these well will help come test time.
 
How fast do you type? With the method below I can get through a 65-70 slide ppt. in about 1.5 hours

I type a decent speed (30-40 wpm) but I have poor reading comprehension stemming from childhood. I wouldn't be surprised if I had an undiagnosed learning disability. What this all means is, it takes me forever to understand material and, even then, I only have a rudimentary grasp on it (at least I think). Now I did pull off a 4.0 last semester and I just have this semester to go. However, it feels like a binge-learning cycle rather than any learning. My point is, I'm a slow learner but very motivated.
 
1) Start with Big Picture concepts and then gradually flesh out details
2) Find out what your weak spots are, and focus on those
3) Do NOT cram.
4) Get a good night's sleep.

This is really good advice. I tend to get lost in all of the details and can't see the forest through the trees, so to speak. Is there any particular study method you think is superior? My program is online so I, unfortunately, I don't know anyone to form a study group.
 
If your school has a learning or education center, go seek them out.

You have to find the study method that best suits you.


This is really good advice. I tend to get lost in all of the details and can't see the forest through the trees, so to speak. Is there any particular study method you think is superior? My program is online so I, unfortunately, I don't know anyone to form a study group.
 
If your school has a learning or education center, go seek them out.

You have to find the study method that best suits you.

I live in a different city. My school is 8 hours away driving. I take tests online and finals with a proctor.
 
I type a decent speed (30-40 wpm) but I have poor reading comprehension stemming from childhood. I wouldn't be surprised if I had an undiagnosed learning disability. What this all means is, it takes me forever to understand material and, even then, I only have a rudimentary grasp on it (at least I think). Now I did pull off a 4.0 last semester and I just have this semester to go. However, it feels like a binge-learning cycle rather than any learning. My point is, I'm a slow learner but very motivated.
I would say motivation is more than half the battle. Keep up your hard work! It is sure to pay off. 🙂
 
How much do you actually gain from watching/going to lecture? For me, cutting out listening to lectures (because I had a comprehensive syllabus all test questions came from) saved me 3 hours of near-fruitless time in exchange for 3 hours to actually practice all my anki cards.

My routine is to read and make cards as I go as quickly as possible and finishing up 5-6 days worth of lecture in 2-3 days time. That leaves me with 3-4 whole days to study do anki. As another poster said, if you use them appropriately, you don't even realize how much information you will retain using Anki. Not to mention that if your exams are all cumulative, having the flashcards made already that you can go back to will save you when you start cramming for time.

I had a Final exam last Friday that tested 24 new lectures, 12 lectures I learned and was quizzed on 2 weeks prior, and 10 random lectures from October - December. Had I not read and pre-made cards well ahead of schedule and had my old cards ready to re-learn, I would have crashed and burned. Didn't watch a second or go to a second of lectures and I got an A.

BUT don't skip lectures if you actually learn from them! Many people don't actually learn from lectures and just think they do, but some soak up info in lectures like sponges. I am not one of those people.
 
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How much do you actually gain from watching/going to lecture? For me, cutting out listening to lectures (because I had a comprehensive syllabus all test questions came from) saved me 3 hours of near-fruitless time in exchange for 3 hours to actually practice all my anki cards.

My routine is to read and make cards as I go as quickly as possible and finishing up 5-6 days worth of lecture in 2-3 days time. That leaves me with 3-4 whole days to study do anki. As another poster said, if you use them appropriately, you don't even realize how much information you will retain using Anki. Not to mention that if your exams are all cumulative, having the flashcards made already that you can go back to will save you when you start cramming for time.

I had a Final exam last Friday that tested 24 new lectures, 12 lectures I learned and was quizzed on 2 weeks prior, and 10 random lectures from October - December. Had I not read and pre-made cards well ahead of schedule and had my old cards ready to re-learn, I would have crashed and burned. Didn't watch a second or go to a second of lectures and I got an A.

BUT don't skip lectures if you actually learn from them! Many people don't actually learn from lectures and just think they do, but some soak up info in lectures like sponges. I am not one of those people.


There are parts of the lecture I would consider listening to (complicated pathways, specific details prof. is looking for in figures/pictures, etc.) but for the most part I don't get much out of it. I'm a visual learner, definitely not auditory. I may try this approach and just read the lecture slides on my own instead of listening to the lecture. I'm not so sure on anki though. Flashcards are so disjointed and I won't get the big picture using them. However, the spaced repetition and reinforced learning has been why I've been trying them out. I don't want to have to relearn material for the finals. I guess I'm just a mess at trying to figure out what method to use.
 
There are parts of the lecture I would consider listening to (complicated pathways, specific details prof. is looking for in figures/pictures, etc.) but for the most part I don't get much out of it. I'm a visual learner, definitely not auditory. I may try this approach and just read the lecture slides on my own instead of listening to the lecture. I'm not so sure on anki though. Flashcards are so disjointed and I won't get the big picture using them. However, the spaced repetition and reinforced learning has been why I've been trying them out. I don't want to have to relearn material for the finals. I guess I'm just a mess at trying to figure out what method to use.
http://vark-learn.com/the-vark-questionnaire/
Try this! If you haven't already...
 
There are parts of the lecture I would consider listening to (complicated pathways, specific details prof. is looking for in figures/pictures, etc.) but for the most part I don't get much out of it. I'm a visual learner, definitely not auditory. I may try this approach and just read the lecture slides on my own instead of listening to the lecture. I'm not so sure on anki though. Flashcards are so disjointed and I won't get the big picture using them. However, the spaced repetition and reinforced learning has been why I've been trying them out. I don't want to have to relearn material for the finals. I guess I'm just a mess at trying to figure out what method to use.

If you're making your own cards you control their content. They don't have to be disjointed. And in order for you to make them in the first place you have to read the chapter/notes at least once, so you are getting the big picture then. What you could do is read every thing once, get the big picture, then go back and make flash cards. That way you are making 2 passes and have flashcards to show at the end.

Ultimately it comes down to what is hardest for you. Is it understanding the content so you can work your way through problems? Is it gross recall? Or is it being able to spit out minutiae rapid fire? Reading slowly, taking breaks, and seeking explanations will help with the first. Doing multiple passes of the material will help with the second and flashcards will help a bit. Flash cards will be the best bet for the third one, but worthless for the first..

Personally, I convert every paragraph of every page in my notes to flashcards. There are very few details I leave out. My flashcards are 95% as comprehensive as my textbook/slides, I just boil it down. When using someone else's flashcards, then yeah, things can seem disjointed because they didn't come from roadwork I already laid and walked through once in my mind. If you're making your own cards properly, they shouldn't seem like random 'Boom, what's this called', 'Bam, what's that statistic?'. There should be a rhythm and a flow to them. Don't just make cards and throw them all in one big random pile. Separate them based on topic and even further into big picture, little picture, and minutiae. Takes all of an extra 30 seconds to sort as you make them. At the same time, don't feel obligated to make cards just because they work for me. They sure as hell don't help everyone.

Just be honest with yourself about what works for you. All the advice in the world can't help you more than you can help yourself by determining 1) how you learn best 2) what you have the most trouble learning 3) what you will be the most efficient (yield vs. time; i.e. multiple rapid passes, a few slower passes, etc.)
 
How fast do you type? With the method below I can get through a 65-70 slide ppt. in about 1.5 hours.

If I am REALLY in a crunch (i.e. test the next day, haven't studied at all) I will go through the notes/ power points that are provided and type them into a brief (but comprehensive outline form. From there, I will print that and then annotate it, highlight it and read it as many times as I can afford to. Not only do you see the material multiple times, but now you have a comprehensive study guide for when finals come around.

It may not work for you, but it is an idea... let me know if that helps you any!

EDIT: Obviously I don't know how to spell 🙂

Just an FYI.

A busy day in med school has 3-4 of those lectures, anatomy lab, meetings and other stuff. Now add in that all 3-4 lectures have 70 slides, so you're looking at doing 6 hours of work every day JUST to take notes. I don't think that's really sustainable...
 
Just an FYI.

A busy day in med school has 3-4 of those lectures, anatomy lab, meetings and other stuff. Now add in that all 3-4 lectures have 70 slides, so you're looking at doing 6 hours of work every day JUST to take notes. I don't think that's really sustainable...
Hey @ridethecliche ! I know I am going to have to switch up my methods when I get into med school... that is one aspect that is daunting to me.
I have read many of the study threads here, and am still not sure what method I would try to use when the time comes :depressed:

Usually I will annotate the provided power point slides, I retain quite a bit of info that way. Mind sharing your best kept study secrets with those of us less fortunate? 🙂
 
Hey @ridethecliche ! I know I am going to have to switch up my methods when I get into med school... that is one aspect that is daunting to me.
I have read many of the study threads here, and am still not sure what method I would try to use when the time comes :depressed:

Usually I will annotate the provided power point slides, I retain quite a bit of info that way. Mind sharing your best kept study secrets with those of us less fortunate? 🙂

I'm not a great student and I don't have a great method, but this is what's been working for me.

I use a surface to take hand written notes when I watch a lecture on my computer. When I study, I go through the slides and take notes on only the stuff I don't know. A 75 page lecture shouldn't have more than 1-2 pages tops. If there are pictures I need to refer to as I study, I make a list of them or star those slides.

A full review through my personal notes doesn't take terribly long for a block exam (maybe a morning or afternoon if I'm focused). I also try to go through the lecture slides again looking out for things I highlighted the first time to look and see if I understood what I missed before and to make sure I got the things I thought were important while watching. I do this as the last run through before the exam potentially modifying my hand written notes and going over them one last time once I'm there.

I tend to study during the week and weekend to familiarize myself with concepts, terms, and ideas. During the run up to the exam, I try to go back and fill in the details that I missed.

I think some students spend way too much time making their own notes. I think that is only helpful if you're never going back to the primary text again and will study only from your notes and if your notes take significantly less time to review than the lecture itself. If that works for you, I think you'll be able to keep doing it.

It honestly comes down to the lecturer. Our endocrine block lecturer had amazing review slides that summarized everything so I concentrated on learning those. Our pharm professors had review word documents which were so good I often skipped the lecture and just learned from those.

Sadly, you have to constantly adapt. So it goes.
 
If you're making your own cards you control their content. They don't have to be disjointed. And in order for you to make them in the first place you have to read the chapter/notes at least once, so you are getting the big picture then. What you could do is read every thing once, get the big picture, then go back and make flash cards. That way you are making 2 passes and have flashcards to show at the end.

Ultimately it comes down to what is hardest for you. Is it understanding the content so you can work your way through problems? Is it gross recall? Or is it being able to spit out minutiae rapid fire? Reading slowly, taking breaks, and seeking explanations will help with the first. Doing multiple passes of the material will help with the second and flashcards will help a bit. Flash cards will be the best bet for the third one, but worthless for the first..

Personally, I convert every paragraph of every page in my notes to flashcards. There are very few details I leave out. My flashcards are 95% as comprehensive as my textbook/slides, I just boil it down. When using someone else's flashcards, then yeah, things can seem disjointed because they didn't come from roadwork I already laid and walked through once in my mind. If you're making your own cards properly, they shouldn't seem like random 'Boom, what's this called', 'Bam, what's that statistic?'. There should be a rhythm and a flow to them. Don't just make cards and throw them all in one big random pile. Separate them based on topic and even further into big picture, little picture, and minutiae. Takes all of an extra 30 seconds to sort as you make them. At the same time, don't feel obligated to make cards just because they work for me. They sure as hell don't help everyone.

Just be honest with yourself about what works for you. All the advice in the world can't help you more than you can help yourself by determining 1) how you learn best 2) what you have the most trouble learning 3) what you will be the most efficient (yield vs. time; i.e. multiple rapid passes, a few slower passes, etc.)

I believe anki can work for me, I just need to learn how to effectively make the flashcards. Almost all of the test questions are directly in the lecture slides but they require application of the material. So, my question to you is, how do you make your flashcards? Do you make them in a question format? If I had a lecture slide with this information (also uploaded):

Papillomaviridae
›Human Wart Virus
›Human Papillomavirus
›dsDNA w/ icosahedral symmetry; Naked
›Common skin wart
›HPVs Type 1- 4
›Secretions or public bath
›Epidermodysplasiaverruciformis
›Autosomal disease
›HPVs Type 5 & 8

Would you make questions on every single bullet point or do you just pick and choose what they might test you on? I'm just worried that I might not have time to make all the cards and review them, much less review previous information with anki. If, IDEALLY, I went over ~12 lectures on Sunday, made flashcards on Monday, I would take 2 tests Thursday and 2 on Friday. That leaves me about 3.5-4 days to study. Is this doable?
 

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I believe anki can work for me, I just need to learn how to effectively make the flashcards. Almost all of the test questions are directly in the lecture slides but they require application of the material. So, my question to you is, how do you make your flashcards? Do you make them in a question format? If I had a lecture slide with this information (also uploaded):

Papillomaviridae
›Human Wart Virus
›Human Papillomavirus
›dsDNA w/ icosahedral symmetry; Naked
›Common skin wart
›HPVs Type 1- 4
›Secretions or public bath
›Epidermodysplasiaverruciformis
›Autosomal disease
›HPVs Type 5 & 8

Would you make questions on every single bullet point or do you just pick and choose what they might test you on? I'm just worried that I might not have time to make all the cards and review them, much less review previous information with anki. If, IDEALLY, I went over ~12 lectures on Sunday, made flashcards on Monday, I would take 2 tests Thursday and 2 on Friday. That leaves me about 3.5-4 days to study. Is this doable?

In 4 days, I did 1,600 cards (most twice) on ~36 different lectures and got an A. No, I am not a genius. I just studied my goddamn a** off for this last exam and was super organized and dedicated with my reading and flash cards.

As per your question on how I would make this slide a card, this is a tougher one because A) that's a horrible slide because it's just words with no explanation and B) there's more information in that single slide than should be presented. Nevertheless, if something is topic dense and can't realistically be separated into multiple cards, I will put info in the question. And yes, I make my anki cards questions (true or false, open ended, fill in the blank) because studies show memory retention is highest when material is presented in a test fashion versus just being prompted to spit a definition out.

I would make 2 cards along the lines of:

Papillomaviridae are dsDNA viruses with isohedral symmetry. What are 2 examples?
Answer: ›Human Wart Virus an dHuman Papillomavirus,

What do HPVs 1-4 cause and how is it transmitted? How about HPVs 5 & 8?
Answers: HPVs 1-4 cause common skin warts transmitted via secretions of public bath. HPVs 5 & 8 cause Epidermodysplasiaverruciformis, a heritable autosomal disease


Basically, give yourself half the info in the question and half the info in the answer. That way you're not straining yourself to recall everything on command and you're actively (recalling the answer) and passively (reading the info in the question) learning. In addition, you can also copy and paste whole sentences and put in multiple cloze deletions. That way you make one card, and the same sentence will appear multiple times, asking each time for a different blank for you to fill in. I find this particularly helpful when I don't want to make 4 cards on just one sentence but I need to know all 4 parts of the sentence. Such as: Disease A is caused by a defect of an X-Linked gene that creates Enzyme X, but only manifests clinically in the event Vitamin Y becomes deficient. I could could make 3-4 cards asking what causes Disease A, what it heritability follows, what protein is involved, what deficiency exacerbates it, etc. Or I could simply copy and paste the sentence and put a cloze deletion over the name of the disease, the gene, the enzyme, and/or the vitamin. Boom, I now have 1 card that will test all 4 pieces, either all at once if I choose or each part separately.

Don't use flash cards to force yourself to try and spit out lines cold like you're memorizing a play. Give yourself cues, just as you would on a test, that activate your memory appropriately. That's how humans learn.
 
In 4 days, I did 1,600 cards (most twice) on ~36 different lectures and got an A. No, I am not a genius. I just studied my goddamn a** off for this last exam and was super organized and dedicated with my reading and flash cards.

As per your question on how I would make this slide a card, this is a tougher one because A) that's a horrible slide because it's just words with no explanation and B) there's more information in that single slide than should be presented. Nevertheless, if something is topic dense and can't realistically be separated into multiple cards, I will put info in the question. And yes, I make my anki cards questions (true or false, open ended, fill in the blank) because studies show memory retention is highest when material is presented in a test fashion versus just being prompted to spit a definition out.

I would make 2 cards along the lines of:

Papillomaviridae are dsDNA viruses with isohedral symmetry. What are 2 examples?
Answer: ›Human Wart Virus an dHuman Papillomavirus,

What do HPVs 1-4 cause and how is it transmitted? How about HPVs 5 & 8?
Answers: HPVs 1-4 cause common skin warts transmitted via secretions of public bath. HPVs 5 & 8 cause Epidermodysplasiaverruciformis, a heritable autosomal disease


Basically, give yourself half the info in the question and half the info in the answer. That way you're not straining yourself to recall everything on command and you're actively (recalling the answer) and passively (reading the info in the question) learning. In addition, you can also copy and paste whole sentences and put in multiple cloze deletions. That way you make one card, and the same sentence will appear multiple times, asking each time for a different blank for you to fill in. I find this particularly helpful when I don't want to make 4 cards on just one sentence but I need to know all 4 parts of the sentence. Such as: Disease A is caused by a defect of an X-Linked gene that creates Enzyme X, but only manifests clinically in the event Vitamin Y becomes deficient. I could could make 3-4 cards asking what causes Disease A, what it heritability follows, what protein is involved, what deficiency exacerbates it, etc. Or I could simply copy and paste the sentence and put a cloze deletion over the name of the disease, the gene, the enzyme, and/or the vitamin. Boom, I now have 1 card that will test all 4 pieces, either all at once if I choose or each part separately.

Don't use flash cards to force yourself to try and spit out lines cold like you're memorizing a play. Give yourself cues, just as you would on a test, that activate your memory appropriately. That's how humans learn.

Amazing answer. Thank you for taking the time to type such a thorough, detailed response to my queries. I think I have a strategy for using anki now. I will watch lectures and after each slide is presented, make cards on the information that is pure memorization and highly testable. Then I'll pass through the slides and as I understand the material, I'll make more comprehensive cards to test my grasp of the content. It takes a little while for information to sink in with me so making cards on what I don't understand is foolhardy. Up until now, I've been trying to do that since I wanted all the flashcards done at once so I could concentrate on studying them. We'll see how it goes. Thank you so much!
 
Amazing answer. Thank you for taking the time to type such a thorough, detailed response to my queries. I think I have a strategy for using anki now. I will watch lectures and after each slide is presented, make cards on the information that is pure memorization and highly testable. Then I'll pass through the slides and as I understand the material, I'll make more comprehensive cards to test my grasp of the content. It takes a little while for information to sink in with me so making cards on what I don't understand is foolhardy. Up until now, I've been trying to do that since I wanted all the flashcards done at once so I could concentrate on studying them. We'll see how it goes. Thank you so much!

No problem! And yeah, most people don't understand that flashcards CANNOT effectively teach you material. They can ONLY reinforce concepts you already understand and improve memorization of minutiae. It's all about creating a thorough path for your brain to follow to with solid breadcrumbs so it knows exactly which path to zoom down to get the answer.

I struggled for a few months before I finally met with someone to strategize and maximize my study habits. It takes me maybe 30 additional minutes a day compared to my old routine and my grades went out 30-40% just by tweaking how I wrote and utilized my flash cards.

Best of luck!
 
No problem! And yeah, most people don't understand that flashcards CANNOT effectively teach you material. They can ONLY reinforce concepts you already understand and improve memorization of minutiae. It's all about creating a thorough path for your brain to follow to with solid breadcrumbs so it knows exactly which path to zoom down to get the answer.

I struggled for a few months before I finally met with someone to strategize and maximize my study habits. It takes me maybe 30 additional minutes a day compared to my old routine and my grades went out 30-40% just by tweaking how I wrote and utilized my flash cards.

Best of luck!

Those are impressive gains; kudos to you and that specialist. Any other tricks of the trade you would like to pass on, oh enlightened one? =) What you do works based on your results. I find it appalling that study strategies are not taught in school and is instead left to trial and error.
 
Those are impressive gains; kudos to you and that specialist. Any other tricks of the trade you would like to pass on, oh enlightened one? =) What you do works based on your results. I find it appalling that study strategies are not taught in school and is instead left to trial and error.

So when I had my meeting the first thing I was asked was if I was to be tested on a subject 24 hours from that moment and I could only choose to one of the following: a 10 page text, a video animation (mostly images and text, few spoken words), or a 1 hour lecture (mostly spoken words, minimal text) w/ recording to re-watch as many time as I like, which would I choose and which would I hate most. Each is comprehensive and covers the same volume of material in the same detail.

I said I'd choose the textbook and I'd hate the lecture the most. She then asked why I hated lecture the most. I explained that I can't stop myself from zoning out and I feel like I just can't actively keep up with and stay involved with the material at the pace of a lecture. I feel like I'm being talked at. She immediately said "Great! Stop going to lecture and stop watching lectures immediately. They are clearly a waste of your precious time."

Then she asked what about the textbook appeals to me. I said I like that I can pick it up and put it down whenever I need to, that reading to myself or even out loud just makes things stick. Pictures are helpful, but only if I have a text explanation. Only problem is I don't have enough time to pass through the textbook enough times to pick up everything I need to know.

Then she asked how I felt about outlines. I said reading once and outlining helps me retain more than reading twice, but I hate reading out my outlines because I feel like I zone out since I was the one who wrote it so I falsely assume I know/understand what's in the outline.

Then she asked my feelings on flash cards. I said I generally like flash cards, but it depends how they're worded. They can't be too dense and they can't be too empty.

So that's when we devised the basic strategy of not doing lecture and reading the textbook carefully while making comprehensive flashcards as a way of outlining. That way I get my textbook reading in, I get the outlining in, and I get flashcards to practice that are written to my needs. Then we discussed timing, like should I read one chapter and make cards then immediately study those cards or different cards? Or should I do all my reading and flash card making in huge chunks then devote an entire day(s) to just doing flash cards. Since I have a shorter attention span, we decided it was best to try switching topics as often as possible without sacrificing focus so I go through multiple topics reading/flash card making in a day and go ahead of schedule, then I devote a few days where I do flashcards all day and switch between topics to keep my attention. If I consistently get the same material or subset of material wrong, I then go back to the textbook and re-read or find an alternate text to explain instead of just trying to force the flash card info into my head. Recall is useless if you can't integrate and synthesize answers from the information like medical school tests require.

So yeah, that was my journey. Figure out how you learn best, then explore strategies inside that learning style, then choose or combine the strategies you like/work best, then put it all to a schedule you can stick to and be most efficient at. You want a schedule that has you doing a certain activity just as long as your peak attention lasts and definitely before boredom or mental fatigue set in.
 
So when I had my meeting the first thing I was asked was if I was to be tested on a subject 24 hours from that moment and I could only choose to one of the following: a 10 page text, a video animation (mostly images and text, few spoken words), or a 1 hour lecture (mostly spoken words, minimal text) w/ recording to re-watch as many time as I like, which would I choose and which would I hate most. Each is comprehensive and covers the same volume of material in the same detail.

I said I'd choose the textbook and I'd hate the lecture the most. She then asked why I hated lecture the most. I explained that I can't stop myself from zoning out and I feel like I just can't actively keep up with and stay involved with the material at the pace of a lecture. I feel like I'm being talked at. She immediately said "Great! Stop going to lecture and stop watching lectures immediately. They are clearly a waste of your precious time."

Then she asked what about the textbook appeals to me. I said I like that I can pick it up and put it down whenever I need to, that reading to myself or even out loud just makes things stick. Pictures are helpful, but only if I have a text explanation. Only problem is I don't have enough time to pass through the textbook enough times to pick up everything I need to know.

Then she asked how I felt about outlines. I said reading once and outlining helps me retain more than reading twice, but I hate reading out my outlines because I feel like I zone out since I was the one who wrote it so I falsely assume I know/understand what's in the outline.

Then she asked my feelings on flash cards. I said I generally like flash cards, but it depends how they're worded. They can't be too dense and they can't be too empty.

So that's when we devised the basic strategy of not doing lecture and reading the textbook carefully while making comprehensive flashcards as a way of outlining. That way I get my textbook reading in, I get the outlining in, and I get flashcards to practice that are written to my needs. Then we discussed timing, like should I read one chapter and make cards then immediately study those cards or different cards? Or should I do all my reading and flash card making in huge chunks then devote an entire day(s) to just doing flash cards. Since I have a shorter attention span, we decided it was best to try switching topics as often as possible without sacrificing focus so I go through multiple topics reading/flash card making in a day and go ahead of schedule, then I devote a few days where I do flashcards all day and switch between topics to keep my attention. If I consistently get the same material or subset of material wrong, I then go back to the textbook and re-read or find an alternate text to explain instead of just trying to force the flash card info into my head. Recall is useless if you can't integrate and synthesize answers from the information like medical school tests require.

So yeah, that was my journey. Figure out how you learn best, then explore strategies inside that learning style, then choose or combine the strategies you like/work best, then put it all to a schedule you can stick to and be most efficient at. You want a schedule that has you doing a certain activity just as long as your peak attention lasts and definitely before boredom or mental fatigue set in.

That's quite a journey and well worth it from the gains you've made. I'm a bit similar in certain regards. I have a short attention span so my routine was a bit different last semester than this one. For last semester I used to do pomodoras, timed sessions of about 25-30 minutes and then a 5 minute break afterwards. I would switch subjects to increase focus. Some of my pomodoras I would work on assignments to get a break from listening to lectures or studying. I got a lot done but I was unhappy with my learning progress because I was always studying for the upcoming tests and wouldn't get a chance to refresh on what I had previously learned. I had heard about anki and my friend had mentioned using spaced repetition but I didn't want to try it out until this semester since the program is not intuitive. I used quizlet a lot last semester too. My routine back then was to print the lecture slides and quiz myself while going through the material. I would take a brief look at the topic on the slide then stare off into space and try to remember everything about it. It was sort of a lazy way of studying; I didn't have to invest time in making study materials, outlines, etc. I did incorporate some flashcards too towards the 2nd part of the semester. For micro I used to make stories and they stuck the best out of everything I did. It was a lot of work trying to incorporate biochemical tests and all the details associated with a particular bacteria but I really knew those ones the best. For this semester I might read the lectures instead of watching them like you suggested. I'm a terrible auditory learner but I liked watching them better than reading the textbook. I don't touch the textbook except to help with assignments and that's because I start reading it like a novel, very passively. I don't focus on anything when I read, I have to reread sentences multiple times and I'm constantly aware of how many pages I have left in a chapter. Am I there yet? I could read a page of the textbook and probably only vaguely tell you what I read. I do best with active learning like the flashcards or even teaching it to myself with a whiteboard and marker. I'm still undecided what routine I want to use, all I know is, I want to integrate anki into it. I'm thinking just skip watching the lecture, read the slides, and make flashcards while I read the slides. If I don't understand a concept, I'll stop making flashcards and address it before continuing on. I don't want to get caught up in the creation of flashcards because they're there to study with, not to just make.
 
I don't want to get caught up in the creation of flashcards because they're there to study with, not to just make.

Agreed. Creating study aids are only helpful if you actually go back and use them instead of spending all your time making them so you can lie to yourself that you are studying. That's why outlines don't cut it for me. I can make beautiful outlines, but I rarely touch them again once they're made and if I do, I end up passively skimming them.

And, if reading the textbook is painful, definitely don't read the textbook, lol. Studying is never exactly fun, but choosing the least painful method is usually also the most effective because you're using less energy to force yourself to do the task. Succeeding in medical education is all about figuring out what is the most efficient study method for you, which will end up being highly inefficient for half your friends and classmates. My friends cringe when they hear I make my own Anki cards instead of just using the ones passed down by upperclassmen, which are good, but they're not designed by me for me.
 
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