Am I the only one who forgot almost everything since Step1?

[swtiepie711]

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The title's a bit facetious, but... I'm just embarking on the medicine rotations at my school, after having completed surgery then psychiatry. I felt that I wasn't challenged much during the actual rotation (like the day-to-day floor stuff, not many people asked me things, if they did & I didn't know it was no biggie) - the challenge was outside, finding time to prep for the shelf, etc.

I'm not sure what the medicine rotations will be like, but I imagine there will be more q&as ("Why do you think ..."). I decided to just start reading about some basic topics and realized I cannot believe how much I forgot - drugs, mechanisms, side affects, diseases, the works! I feel like I honestly dumped & purged so much after Step1, that I'm quite nervous about the next few months & my lack of knowledge becomming all too apparent.

When I stop & think, I tell myself, no wonder I don't remember! I learned about calcium channel blockers, for example, twice - once for class & then again for the boards, and I haven't talked to anyone about it since then (it just hasn't come up in my rotations, with my patients etc), which is going on 6 months ago! So I can't help but think it's natural to forget something you only went over a few times and haven't thought about in months. But apply that to all of what we learned once upon a time, and the quantity of material forgotten is frightening...

I doubt I'm the only one who feels this way, but is it just something we power through? Do the higher ups know this and not think you're an idiot for forgetting? I feel like there's no way to quickly come back up to speed... Any thoughts, always appreciated 🙂

 

[mglavin]

get step up to medicine and carry pocket medicine in your ... pocket

Read all of step up before the shelf and when you need to remember things about your patients and don't have time to use uptodate/other textbooks and you'll be fine.