Anyone else forgetting stuff learned from Step1?

[JulianCrane]

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As I go through my rotations, I'm constantly realizing that all the stuff I learned for Step1 is gone out the window and I can remember details of the diseases I learned. If I can't do this, how in the heck am I supposed to learn management? Anyone else in the same boat?

 

[chintu]

I wouldn't worry about it. I think this happens to a lot of students; I don't think all the molecular details we learn in step I are necessary in managing a pt; I am a bit compulsive in that if I come across something that I know i had learned before but can't recall I try to go home and pull out my stepI resource and relearn it and it sticks a lot better second time around.

 

[exmike]

i have forgotten most of what i studied for step 1, but so far it seems like the majority of it doesnt apply to shelfs, much less third year! Did i just waste two years of my life?? I really feel like pathology is the only subject that keeps coming up, and just basic stuff. Third year is filled with "what next" not "how and why" it seems. Also, now I wish I paid more attention in physical diagnosis. I think sterling physical diagnosis skills will take you far in third year. Its about the only thing you CAN do as a student anyway.

 

[beary]

Yeah, most stuff from Step 1 doesn't stick with you because you don't use it. The stuff that will stick in your head is stuff you come across and use again and again.

 

[BigNavyPedsGuy]

You'll never use most of the stuff you needed on Setp 1. When there is a patient where that knowledge actually is needed (i.e. a 9month old w/ glycogen storage disease), then everyone on the team just finds a textbook or computer and looks it up. But if we hadn't learned it once, we wouldn't know where to look it up.

Anatomy, path, and phys are the things that will actually stick with you.

 

[Taciturngosamer]

I for one am glad half the garbage I jammed in for Step1 is slowly leaking away. I mean who really wants to go to their deathbed remembering what HLA marker is more prevalent in ankylosing spondylitis? Not me that's for sure.

And on the off hand chance I ever need to know it (HLA B27~ for those that mere mention of the topic made them crave to recall it) I can pop open my handy dandy PDA uptodate and make the world all better again.

Personally, I'd much rather have pertinate info like dosaging of meds for uncomplicated UTIs. Oh, and what Dr. McSteamy's eye color is~far more important things than mere step 1 info.