MD Failed at life 2.0: Disillusioned after Step 1 and first clerkship

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DBV said:
Lmao level of an intern. Get your krebs cycle drawing ass out of here
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OrthoTraumaMD said:
I spit out my drink

Sent from my iPhone using SDN mobile
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I doubled over my keyboard, laughing out loud. As my mother would say, God should bless you, DBV.

I vaguely recall that OP was blowing off the pre-clinical years and just skating through to study for Boards because, as an M1, he knew all about Step I. Ironically, I guess he was right. Unfortunately, for some people, getting into medical school was their life's goal, and not to become a doctor.
 
Since you're butthurt about your 250+ score...

I'd be more than happy to trade you my 210 and 535 comlex?

It's all about your perspective dude.

You could be a caribbean IMG who's school isn't even letting him START rotations due to paperwork issues like the current med students I know who have gotten screwed by postponing their STEPs for 1 year and oh yeah.... they lose their accreditation at the hospital this next month and gotta find a new place to live and start rotations in.

Chill out bruh.

You'll be aight.

**** could always be worse.
 
QueenJames said:
Since you're butthurt about your 250+ score...

I'd be more than happy to trade you my 210 and 535 comlex?

It's all about your perspective dude.

You could be a caribbean IMG who's school isn't even letting him START rotations due to paperwork issues like the current med students I know who have gotten screwed by postponing their STEPs for 1 year and oh yeah.... they lose their accreditation at the hospital this next month and gotta find a new place to live and start rotations in.

Chill out bruh.

You'll be aight.

**** could always be worse.
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hey hey hey!!! thats 255+ to you!!
 
QueenJames said:
Since you're butthurt about your 250+ score...

I'd be more than happy to trade you my 210 and 535 comlex?

It's all about your perspective dude.

You could be a caribbean IMG who's school isn't even letting him START rotations due to paperwork issues like the current med students I know who have gotten screwed by postponing their STEPs for 1 year and oh yeah.... they lose their accreditation at the hospital this next month and gotta find a new place to live and start rotations in.

Chill out bruh.

You'll be aight.

**** could always be worse.
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For real. 211 Step 1 lol

OP, it could be worse. It is time to move on and worry about what you can change, not what you can’t.
 
Andre_Pinesett_1200x630.jpg
This mother ****er is gonna eat this thread up.
 
I feel sorry that you spent so much time on that exam and didn't achieve what you wanted, but are you not worried that derm residents or chairs residents/administrators are reading what you post? You have posted your approximate percentage in medical school, your summer research endeavors, and your step 1 score (which if not exact is probably within 1-3 points of your actual score). You have likely posted other info that people could try to narrow down to you. Not sure how much effort people working in residencies/hospitals put into stalking their potential applicants, but with derm being such a small specialty, do you think this could bite you in the ass one day? Not sure if I have a great anxiety or paranoia, but have you thought of this? Seems like a scarier result than scoring higher than the derm average on step 1 to me.
 
In all seriousness. You are burned out, you need to figure out how to unwind. Everyone is subjected to the same level of subjective BS that is clinical evaluations. EVERYONE.

You obviously have an incredible amount of intrinsic motivation to make it this far, but you are extremely hung up on extrinsic factors right now. Figure out how to step away from the extrinsic motivation (your step1 score, HP vs H, etc). You can only control so much of this. Focus on what you can control--learning stuff--and the grades will take care of themselves.

Otherwise, I fully support your pity party, but get over it soon.
 
Foot Fetish said:
I'm about 1 week out from my first shelf exam, and I haven't read a single book, flipped a single flashcard, or answered a single practice question. I am completely disillusioned with medical school after my Step 1 experience, and I can't bring myself to study. It just feels pointless when, after putting in 14 hour days for the better part of a year, answering over 12,000 q bank questions, and doing nearly half a million Anki reviews, I ended up with the same (or worse) score as people who put in half the effort and just crammed near the end. On top of that, I was lucky enough to get placed with an attending who is a notoriously harsh grader and "doesn't give honors" even though I'm busting my ass on the wards and essentially operating at the level of an intern. Kissing ass, grade-grubbing, or complaining to the administration are simply not in my nature...so it looks like it's going to be a very long year for me.

At this point, I don't know what specialty I'll end up in, but I do know that I will do everything in my power to "sell out" once I'm there. In fact, at this point, I am seriously considering taking my MD and doing something outside of medicine altogether. The "culture" of medicine so far has simply disgusted me. On the one hand they promote this culture of martyrdom where you are considered unfit if you don't put up with borderline inhumane (and sometimes outright illegal) working conditions...and on the other hand they use an archaic evaluation system that rewards unctuous showboats while punishing those diligent students who prefer to simply put their head down and work. If their goal is to kill whatever genuine enthusiasm one has for patient care, then they are doing an excellent job.

TLDR: Step 1 is fake, and third year is making me hate medicine

Shout out to @failedatlife
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¯\_(ツ)_/¯

Imagine how “bad” you would’ve/could’ve scored if you had like...hobbies and a balanced life lol. It’s true a lot of people get 250+ and don’t touch board materials until dedicated and never do Anki - but you were probably never going to be one of those people.

Anyway, thanks for the thread. I got disgusted, I laughed, I cried. Definitely delivered.

Look at all the people you made feel some type of way in this thread. That’s the biggest impact you might have on anyone during m3
 
Foot Fetish said:
I'm about 1 week out from my first shelf exam, and I haven't read a single book, flipped a single flashcard, or answered a single practice question. I am completely disillusioned with medical school after my Step 1 experience, and I can't bring myself to study. It just feels pointless when, after putting in 14 hour days for the better part of a year, answering over 12,000 q bank questions, and doing nearly half a million Anki reviews, I ended up with the same (or worse) score as people who put in half the effort and just crammed near the end. On top of that, I was lucky enough to get placed with an attending who is a notoriously harsh grader and "doesn't give honors" even though I'm busting my ass on the wards and essentially operating at the level of an intern. Kissing ass, grade-grubbing, or complaining to the administration are simply not in my nature...so it looks like it's going to be a very long year for me.
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Let's get a couple of things straight. First of all, no one crams for Step 1 and gets a 250, no matter what they're telling you. Those kinds of lies are often reported by people who are so full of themselves, they want others to think they're just naturally brilliant souls who don't need to study. It's false. Secondly, under no circumstances are you "essentially operating at the level of an intern" on your first MS 3 rotation. You're just not. Deluding yourself into believing you that is going to lead you to a world of pain when you truly ARE an intern. Also, it's insulting to interns to suggest that you're brand new on the wards and can operate at the level they can. You can't. Period.

Time for some humility. Seriously.
 
studentdocftw said:
Only on SDN do you see people complaining about 257s...its no surprise suicide rate is high among medical students and physicians when unrealistic expectations like these are set.
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Ignoring the suicide comment, re: people in medicine having unrealistic expectations of themselves

These are people that have generally never failed at anything in their life. And then you add the fact that boards are objectively the most important factor in securing the career you want in medicine. Then you add a martyr cultured and a life history of experience showing to you that more work produces better results
 
Also, just to clarify an obviously convoluted understanding of what it means to study for the board exams: just because you spent an absurd amount of time trying to get through as many resources and questions and anki cards as you could in a year while your peers were studying from their lectures and maybe pathoma and uworld doesnt mean you were studying and they werent.
 
Mass Effect said:
Let's get a couple of things straight. First of all, no one crams for Step 1 and gets a 250, no matter what they're telling you. Those kinds of lies are often reported by people who are so full of themselves, they want others to think they're just naturally brilliant souls who don't need to study. It's false. Secondly, under no circumstances are you "essentially operating at the level of an intern" on your first MS 3 rotation. You're just not. Deluding yourself into believing you that is going to lead you to a world of pain when you truly ARE an intern. Also, it's insulting to interns to suggest that you're brand new on the wards and can operate at the level they can. You can't. Period.

Time for some humility. Seriously.
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That's not true, though. There are people whose UW scores on Day 1 of dedicated are in the 80%+ range...and they're not always the ones who've been hitting the books from Day 1, either. Some people can cram for Step 1 and get a 250.

Agreed with the rest of it, though. Unless he meant "performing like an intern on Day 1 of intern year" and even then he's still precocious for a med student!
 
mehc012 said:
That's not true, though. There are people whose UW scores on Day 1 of dedicated are in the 80%+ range...and they're not always the ones who've been hitting the books from Day 1, either. Some people can cram for Step 1 and get a 250.

Agreed with the rest of it, though. Unless he meant "performing like an intern on Day 1 of intern year" and even then he's still precocious for a med student!
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I doubt these students who score 80% range first days are your average students. People often forget Step 1 tests your 1st and 2nd year stuff you learn in the classroom. People who pay attention and do well during the 1st 2 years even without any "true board prep" (Anki, FA, Uworld etc) will come in with a solid foundation and scores high on UW. So yeah in a sense, they "cram" for about 2 years.
 
Lawper said:
Just wanted to point out that your feelings about third year are pretty common. Third year can be a pretty miserable experience due to subjective clinical evaluations and being paired with harsh attendings/residents who grade so arbitrarily. It sucks and I'm sorry. Hopefully, the rest of third year will be more pleasant for you.
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@Lawper should be canonized a Saint. Always patient, always kind, never putting on airs.....a true hero of a healer

Shout out to Pope Francis!

iur.jpeg
 
mehc012 said:
That's not true, though. There are people whose UW scores on Day 1 of dedicated are in the 80%+ range...and they're not always the ones who've been hitting the books from Day 1, either. Some people can cram for Step 1 and get a 250.

Agreed with the rest of it, though. Unless he meant "performing like an intern on Day 1 of intern year" and even then he's still precocious for a med student!
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The people who are starting off UW with those percentages are people who very likely worked their asses off during the first and second years to learn the material well. There's no other way they'd be doing that well. The whole idea of "can you cram for Step 1 and still score X on the test" seems like a dumb argument to me because even if people don't touch strictly Step 1 resources until like, a few weeks before their exam or whatever, it was still the foundation that they established with hard work during preclinicals that allows them to score that high, and then things like UW and practice tests are the bridge that take you from a good foundation to applying that good foundation to test questions.
 
sharkbyte said:
The people who are starting off UW with those percentages are people who very likely worked their asses off during the first and second years to learn the material well. There's no other way they'd be doing that well. The whole idea of "can you cram for Step 1 and still score X on the test" seems like a dumb argument to me because even if people don't touch strictly Step 1 resources until like, a few weeks before their exam or whatever, it was still the foundation that they established with hard work during preclinicals that allows them to score that high, and then things like UW and practice tests are the bridge that take you from a good foundation to applying that good foundation to test questions.
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I have said this on SDN before and I will say it again...there are people out there who are just flat out smarter than the rest of us. People don't like to admit this and obviously these cases are rare, but there are individuals who absolutely destroy medical school curriculums and the step exams with minimal effort. One of my good friends only studied the weekend before exams throughout M1-M2, and he was #1 in our class. He never touched step 1 review material at all besides skimming first aid prior to our end of block final exams. Then screwed around for the first 4 weeks of dedicated before he did 500 uworld questions or so over the course of 2 weeks. Scored 263. Proceeded to honor every shelf and clerkship with minimal effort as well.

These people are out there whether or not you choose to acknowledge their existence.
 
FindMeOnTheLinks said:
I have said this on SDN before and I will say it again...there are people out there who are just flat out smarter than the rest of us. People don't like to admit this and obviously these cases are rare, but there are individuals who absolutely destroy medical school curriculums and the step exams with minimal effort. One of my good friends only studied the weekend before exams throughout M1-M2, and he was #1 in our class. He never touched step 1 review material at all besides skimming first aid prior to our end of block final exams. Then screwed around for the first 4 weeks of dedicated before he did 500 uworld questions or so over the course of 2 weeks. Scored 263. Proceeded to honor every shelf and clerkship with minimal effort as well.

These people are out there whether or not you choose to acknowledge their existence.
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Did you follow him around all the time minute-t0-minute only leave when he's in bed snoring? How can you be sure this is 100% true?
 
UnoMas said:
Did you follow him around all the time minute-t0-minute only leave when he's in bed snoring? How can you be sure this is 100% true?
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like I said, very good friends with the guy and hung out with him a lot. he went to undergrad and was roommates with one of our other buddies in our class, and so we've known him for awhile.

i find it hilarious that you think its more likely that somebody doesn't know their close friends very well and said person is lying, than it is for somebody to just be smarter than the rest of us. I suppose its a nice defense mechanism to just deny that other people could be that smart.
 
FindMeOnTheLinks said:
like I said, very good friends with the guy and hung out with him a lot. he went to undergrad and was roommates with one of our other buddies in our class, and so we've known him for awhile.

i find it hilarious that you think its more likely that somebody doesn't know their close friends very well and said person is lying, than it is for somebody to just be smarter than the rest of us. I suppose its a nice defense mechanism to just deny that other people could be that smart.
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No I am sure there's people like that out there, 1 in a million maybe, idk never met one. I saw an unicorn riding a rainbow on the highway today after the rain, it's out there. One thing I know for sure is people lie, especially competitive medical students and people downplay how much they study/work, lie about scores etc. retelling the same story with added features for effects.
You hung out with him a lot does that mean you didn't study as much as well? Makes no sense.
 
sharkbyte said:
The people who are starting off UW with those percentages are people who very likely worked their asses off during the first and second years to learn the material well. There's no other way they'd be doing that well. The whole idea of "can you cram for Step 1 and still score X on the test" seems like a dumb argument to me because even if people don't touch strictly Step 1 resources until like, a few weeks before their exam or whatever, it was still the foundation that they established with hard work during preclinicals that allows them to score that high, and then things like UW and practice tests are the bridge that take you from a good foundation to applying that good foundation to test questions.
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I see that even though you bolded it, you chose to ignore the part where I specifically said that these students are NOT always the ones who have been working their asses off since the beginning of med school.

Med school is easy for some people. You can choose to ignore that fact, but it doesn't change its accuracy.
 
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