For those scoring high in preclinical years (top 10%), how do you study?

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Set regular times when you will be studying
Make plans for what you will study
Study what's going to be on the exam
Review things you've studied so you don't forget them
Do practice questions
Take small, regular breaks to stay fresh
 
Anki. Make every single thing into anki. Lecture, review books, UW questions, FA etc. and keep them organized. I literally knew everything for every exam that I had. Im not exaggerating or trying to impress anyone because anyone can do this with the appropriate use of Anki. I would walk out of an exam and know which questions would be thrown out due to inaccuracies or errors when everyone else was fretting about what the answer was. Thats how well I knew it because I had drilled every fact from every slide into my head. When it came time for Step 1 I had all of FA memorized because of Anki. You could open any page and ask me something and I'd know it. Same with UW explanations. Anki is incredible but people aren't willing to put in the time. It takes a ton of time but learning things to the level I'm talking about takes a ton of time with ANY method.

Study all day everyday but take tons of micro breaks and go to bed early. Many people don't like studying both Saturday and Sunday but if you do it leaves time for getting more sleep during the week and other inefficient but necessary things like going for a walk, zoning out before lecture to read you favorite internet garbage for 30 minutes, taking a long lunch just to think or call friends/family. I never advocate for filling those small break and lunch hours with studying. Fastest way to crash and burn IMO.

Be honest with yourself. Dont keep studying stuff you have down and don't ignore stuff you think is hard. Ask yourself "What would I not want to see on the exam?" and then go study that. Its hard to answer that truthfully and even harder to go to it, but its the key to success.

With those things I honored every course in MS1 and MS2 and killed Step 1. There is no secret other than working a ton and being smart enough to know when and how to recharge.
 
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My top students do this, and:

They do NOT cram
They get adequate sleep the night before the exam
They love learning
They will spend less time on the material they fell more solid on.
They seek out help from their peers and Faculty.

Set regular times when you will be studying
Make plans for what you will study
Study what's going to be on the exam
Review things you've studied so you don't forget them
Do practice questions
Take small, regular breaks to stay fresh
 
My top students do this, and:

They do NOT cram Essential! My goal was the review and learn everything I got in lecture each day. By the time the exam came I usually took off the day before. I never had to "study" before a test because I had just learned it well all along.
They get adequate sleep the night before the exam. A rested and sharp mind is worth more points than you think.
They love learning. I hate school and learning but I like gold stars 🙂
They will spend less time on the material they fell more solid on. Agree.
They seek out help from their peers and Faculty. This is true but don't be too quick to ask for help. I think hitting your head against the material and digging into some textbooks for an answer can be an amazing learning experience. Many students are to quick to email a prof about confusion.
 
If you want to do really well, it's not that hard....you just have to study 12 hours a day every day. It's that simple. The people who are scoring in the top ten percent are studying all day everyday as described above. Most people want to have lives and not do that so they are fine passing or getting in the 80s. If someone tells you they are getting 95s and 260> on step 1 without studying much, ignore them because they are probably lying. There's nothing else to say really, wanna do better? Study more. Whatever that means to you just do it. Anki, firecracker, reading textbooks, reading the slides, whatever. Do more of it and you'll do better. You have to immerse yourself in the material.
 
Repetition.

I went to class, every day, every one. I printed out the powerpoint slides and had them tabbed in binders dedicated to each subject. I took notes during class. Then I would go home and read over the ppt/my notes. Day wasn't finished until I did this. If I had extra time (usually did), I read out of a review guide or textbook. As the tests got closer, I started using practice questions. The week before tests I would go through notes usually 1-2 more times.

I never lost sleep, had trouble going out, cooking, running, etc. By the time I sat down to take a test, I had reviewed my notes multiple times, read on the topic from a text, and done review questions.

There is no trick. There's no way around sitting down and reading the same stuff over and over again until you understand it backwards and forwards.
 
Anki. Make every single thing into anki. Lecture, review books, UW questions, FA etc. and keep them organized. I literally knew everything for every exam that I had. Im not exaggerating or trying to impress anyone because anyone can do this with the appropriate use of Anki. I would walk out of an exam and know which questions would be thrown out due to inaccuracies or errors when everyone else was fretting about what the answer was. Thats how well I knew it because I had drilled every fact from every slide into my head. When it came time for Step 1 I had all of FA memorized because of Anki. You could open any page and ask me something and I'd know it. Same with UW explanations. Anki is incredible but people aren't willing to put in the time. It takes a ton of time but learning things to the level I'm talking about takes a ton of time with ANY method.

Study all day everyday but take tons of micro breaks and go to bed early. Many people don't like studying both Saturday and Sunday but if you do it leaves time for getting more sleep during the week and other inefficient but necessary things like going for a walk, zoning out before lecture to read you favorite internet garbage for 30 minutes, taking a long lunch just to think or call friends/family. I never advocate for filling those small break and lunch hours with studying. Fastest way to crash and burn IMO.

Be honest with yourself. Dont keep studying stuff you have down and don't ignore stuff you think is hard. Ask yourself "What would I not want to see on the exam?" and then go study that. Its hard to answer that truthfully and even harder to go to it, but its the key to success.

With those things I honored every course in MS1 and MS2 and killed Step 1. There is no secret other than working a ton and being smart enough to know when and how to recharge.
Thanks for your suggestion. How long on average does it take to make/go through cards?
 
Thanks for your suggestion. How long on average does it take to make/go through cards?
I don't really have an answer because its a never ending process and I don't stop the cards if I got through them once, twice, or even three times. I also keep adding things I learn to the appropriate decks as I go.

Suffice it to say... all of your time. It was my main study method so it was literally 100% of what I did. Either making them while reading/watching lecture or studying them.
 
Anki. Make every single thing into anki. Lecture, review books, UW questions, FA etc. and keep them organized. I literally knew everything for every exam that I had. Im not exaggerating or trying to impress anyone because anyone can do this with the appropriate use of Anki. I would walk out of an exam and know which questions would be thrown out due to inaccuracies or errors when everyone else was fretting about what the answer was. Thats how well I knew it because I had drilled every fact from every slide into my head. When it came time for Step 1 I had all of FA memorized because of Anki. You could open any page and ask me something and I'd know it. Same with UW explanations. Anki is incredible but people aren't willing to put in the time. It takes a ton of time but learning things to the level I'm talking about takes a ton of time with ANY method.

Study all day everyday but take tons of micro breaks and go to bed early. Many people don't like studying both Saturday and Sunday but if you do it leaves time for getting more sleep during the week and other inefficient but necessary things like going for a walk, zoning out before lecture to read you favorite internet garbage for 30 minutes, taking a long lunch just to think or call friends/family. I never advocate for filling those small break and lunch hours with studying. Fastest way to crash and burn IMO.

Be honest with yourself. Dont keep studying stuff you have down and don't ignore stuff you think is hard. Ask yourself "What would I not want to see on the exam?" and then go study that. Its hard to answer that truthfully and even harder to go to it, but its the key to success.

With those things I honored every course in MS1 and MS2 and killed Step 1. There is no secret other than working a ton and being smart enough to know when and how to recharge.

Basically what NWwildcat2013 said. You know how they say med school is like drinking from a fire hose and that you can't possibly memorize every bit of detail and should therefore focus only on "high yield" material? Forget that. It's a defeatist mentality. You should make it your mission to know everything that is presented to you. Yes, there is a ton of material, but you can and should memorize ALL of it. If you just convert everything into Anki cards, it's really not that hard. You should go into the exam knowing every factoid cold. There should be no gaps in your knowledge.
 
Basically what NWwildcat2013 said. You know how they say med school is like drinking from a fire hose and that you can't possibly memorize every bit of detail and should therefore focus only on "high yield" material? Forget that. It's a defeatist mentality. You should make it your mission to know everything that is presented to you. Yes, there is a ton of material, but you can and should memorize ALL of it. If you just convert everything into Anki cards, it's really not that hard. You should go into the exam knowing every factoid cold. There should be no gaps in your knowledge.

Lol, didn't you barely get average on your exam and below on the other?

OP, I'll come here and tell you that Anki isn't the saving grace of medical school. Yeah, it can be awesome, but not using it doesn't mean you're not going to not score above average. I'm about top 15ish% right now as of last year and probably will break 10% this year after seeing how terribly everyone has been doing on exams. My studying is almost identical to what @VisionaryTics said except I don't print out slides. Just use note taking software.
 
Like everyone else has said, the method doesn't matter but reps/active learning are key. You do it till you know it front and back. You want an actionable answer, but it really comes down to you figuring out what works best for you in achieving that. I spent all of M1 year figuring out what worked for me but it's different for everyone. I think two key things though are reading relevant texts to learn fundamentals and really solidify the underlying physiology, comparing your coursework with First Aid for thoroughness, and doing Qbank problems near an exam to integrate. This is assuming your curriculum isn't filled with extraneous details or minutiae.
 
Pretty small sample size to be giving OP advice off of.

Yeah, it is, but I'm confident that I will continue to score well above average. Now that I know what the exams are like and what needs to be done to ace them, there's no reason not to stay at the top of the class. It's an unmistakable feeling when you walk into an exam confident that you know everything. That's the only way to enter an exam if you ask me.
 
Repetition.

I went to class, every day, every one. I printed out the powerpoint slides and had them tabbed in binders dedicated to each subject. I took notes during class. Then I would go home and read over the ppt/my notes. Day wasn't finished until I did this. If I had extra time (usually did), I read out of a review guide or textbook. As the tests got closer, I started using practice questions. The week before tests I would go through notes usually 1-2 more times.

I never lost sleep, had trouble going out, cooking, running, etc. By the time I sat down to take a test, I had reviewed my notes multiple times, read on the topic from a text, and done review questions.

There is no trick. There's no way around sitting down and reading the same stuff over and over again until you understand it backwards and forwards.

Yup people be like oh I skipped class and did high yield stuff only
From my experience the majority of high scorers went to class and paid attention. Seemed to pay off.
 
Yup people be like oh I skipped class and did high yield stuff only
From my experience the majority of high scorers went to class and paid attention. Seemed to pay off.

I stopped going to class around thanksgiving of M1. But I watched every lecture at home. I honored every pre-clinical course during the first two years and graduated second in my class.

Of the other 5 to 10 people who graduated magna cum Maude or thereabouts, I think 2-3 were regular class goers throughout the first two years. I can't be entirely sure, since I never went myself. I'm sure there's a mix in general.
 
I stopped going to class around thanksgiving of M1. But I watched every lecture at home. I honored every pre-clinical course during the first two years and graduated second in my class.

Of the other 5 to 10 people who graduated magna cum Maude or thereabouts, I think 2-3 were regular class goers throughout the first two years. I can't be entirely sure, since I never went myself. I'm sure there's a mix in general.
I too stopped going to class around the same time and also watched every lecture at home for all honors in MS1+MS2. Doing this allows you to be much more efficient because you can structure your day best, eliminate commute time, and actually retain what you watch by repeating it, stopping it, having google handy for clarification etc. I could also pop over to my apartment complex gym to blow off some steam whenever I felt like it, was able to cook whenever, and could destress by sitting on my couch and just chilling.

Physically being in class is the stupidest requirement a med school can have.
 
So I'm an M1 trying to get in the groove of studying. But I feel like my methods aren't getting me honors on exams. How do you top scorers study? How do you do it efficiently?

Please and thank you.

I don't think learning from the top scorers is helpful. I have a feeling many purposefully underestimate study time and many of them idealize their methods. Simply put some people just get more out of reading than others and require less repetition.

The most important thing I believe (tbh I'm not a top scorer, but I did decent on step) is that it's a very messy process and takes lots of effort and even then some more, and then praying you passed and thinking you've failed only to find you exceeded your goals.

One study theory I feel that isn't repeated enough is to write down/make flashcards/highlight as LITTLE as possible. I feel like all these methods are only good for relieving anxiety you have and make you feel that that you're doing something.

On the other hand, not doing that keeps you on your edge and makes you less confident about what you know and more likely to pick up on deficits as opposed to skimming them.

To be clear, highlighting, flashcards, and writing things out are all important in certain cases. For example, if your professor says you have to know a certain number of bacteria/antibiotic associations, a simple flashcard with the bug and antibiotic on the back is great. If you have lots of text and only few things you need to know (rare in my case since the course pack is high yield) highlighting is the way to go. If you need to understand the pathophysiology of a condition and how it needs to be managed if complications occur writing things out in a flow chart may help.

All other strategies I believe are common sense and you don't need high scorers to tell you. Sleep, exercise, not cramming, UNDERSTANDING, etc..:


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Oh and one odd thing that works that I swear I'm not making up is something I've called the Backtothebasics Gambit. It's essentially taking one lecture that I don't want to learn when taught and read it 1-2 hours before the exam. Paradoxically the lecture I chose is usually detail heavy (this method doesn't work with conceptual lectures..in fact if you did this with conceptual lectures you may screw yourself as these concepts often get integrated into other questions)...I've done it and I'm always amazed by how well it works. I've done it for zoonotic bacteria, memorizing the respiratory drugs for copd, remembering behavioral milestones for psych, etc. if you get the idea.

Again just to reiterate, I'm nowhere near a top scorer but that method may help of used for only one or maybe two lectures an exam.


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Oh and one odd thing that works that I swear I'm not making up is something I've called the Backtothebasics Gambit. It's essentially taking one lecture that I don't want to learn when taught and read it 1-2 hours before the exam. Paradoxically the lecture I chose is usually detail heavy (this method doesn't work with conceptual lectures..in fact if you did this with conceptual lectures you may screw yourself as these concepts often get integrated into other questions)...I've done it and I'm always amazed by how well it works. I've done it for zoonotic bacteria, memorizing the respiratory drugs for copd, remembering behavioral milestones for psych, etc. if you get the idea.

Again just to reiterate, I'm nowhere near a top scorer but that method may help of used for only one or maybe two lectures an exam.


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I use that for a certain lecturer at our school who asks really poor questions. Combining familiarity/pattern recognition with "what would professor Z say, not what would I say" has been extremely effective.
 
Anki. Make every single thing into anki. Lecture, review books, UW questions, FA etc. and keep them organized. I literally knew everything for every exam that I had. Im not exaggerating or trying to impress anyone because anyone can do this with the appropriate use of Anki. I would walk out of an exam and know which questions would be thrown out due to inaccuracies or errors when everyone else was fretting about what the answer was. Thats how well I knew it because I had drilled every fact from every slide into my head. When it came time for Step 1 I had all of FA memorized because of Anki. You could open any page and ask me something and I'd know it. Same with UW explanations. Anki is incredible but people aren't willing to put in the time. It takes a ton of time but learning things to the level I'm talking about takes a ton of time with ANY method.

Study all day everyday but take tons of micro breaks and go to bed early. Many people don't like studying both Saturday and Sunday but if you do it leaves time for getting more sleep during the week and other inefficient but necessary things like going for a walk, zoning out before lecture to read you favorite internet garbage for 30 minutes, taking a long lunch just to think or call friends/family. I never advocate for filling those small break and lunch hours with studying. Fastest way to crash and burn IMO.

Be honest with yourself. Dont keep studying stuff you have down and don't ignore stuff you think is hard. Ask yourself "What would I not want to see on the exam?" and then go study that. Its hard to answer that truthfully and even harder to go to it, but its the key to success.

With those things I honored every course in MS1 and MS2 and killed Step 1. There is no secret other than working a ton and being smart enough to know when and how to recharge.

100% agree with this. I'm currently an MS4 and I did something very similar and am still top 5% of my class with solid step scores. I did exchange anki for firecracker in MS3. I never downplayed how much I studied but don't buy all the BS about how people who are achieving great scores must somehow be sacrificing their lives. I maintained a happy relationship, raised a puppy, always worked out 4-6 days a week, and had a social life. It's amazing all the little holes during the day where you can crank out a few notecards. I will say that when it came to both step 1 studying and MS3, I used pre made notecards and that still worked for me. However, throughout most of MS1 and 2, I made my own cards for class.

Anki/Firecracker is not for everyone. If you are not consistent, it won't work well. If you are the type to frequently "take days off" or "catch up later" then it's probably not your gig. If you're willing to just put a reasonable amount of persistent work in each day, it will pay off. It's certainly not the only way to do well.
 
If you want to do really well, it's not that hard....you just have to study 12 hours a day every day. It's that simple. The people who are scoring in the top ten percent are studying all day everyday as described above. Most people want to have lives and not do that so they are fine passing or getting in the 80s. If someone tells you they are getting 95s and 260> on step 1 without studying much, ignore them because they are probably lying. There's nothing else to say really, wanna do better? Study more. Whatever that means to you just do it. Anki, firecracker, reading textbooks, reading the slides, whatever. Do more of it and you'll do better. You have to immerse yourself in the material.

Everybody saying you must study all day everyday 12+ hrs a day blah blah blah to be top 10% is just spewing bull tbh. It's just not true and I would even go so far as to say it's not even a good generalization. This is going to be extremely douchey to say but it will be an n=1 counterexample, I am top scorer on 1/3 of our tests and carry a >96 average, and on average only study 1/3 of what you guys are suggesting. The other guys I know that consistently score in top 5-10% study similar to me, maybe a little more. Hell one guy I know pulls 95's by cramming the 48 hrs before every test, while essentially doing no other studying beforehand (and he somehow retains if, but he's a freaking genius). If you study efficiently by actually forcing yourself to THINK about the material, replaying the slide in your head and actively quizzing yourself on it, complete 3+ passes of material, and not wasting time using mindless memorization crutches like making flashcards or writing notes or making "study guides", you can score extremely well with much lower study time.

Here is the technique:
As you study, build a scaffold in your mind for each particular concept. Start with the basic idea. Close your eyes, try to replay that idea. Look back at the slide, did you get it right? No, try again. Now you have that first idea, try to add in a few more pieces of information to the scaffold. Repeat it to yourself, close your eyes and replay all of it back. Add more detail on, close your eyes and replay it back again. The scaffold expands from the center outward as you add on details to that core concept. Move on to next concept when you feel you have a solid grasp of the first concept. You need to be able to generate a RE-CREATION of the material in your knowledge rather than a simpler recognition. I think a good indicator that the technique is working is if you can replay a lot of it before you go to bed that night. You will probably forget some of it before you study this lecture again, but next time it will be easier and go much faster. You will master the slides this way.

Get through slides 3x, then run through as many questions as possible from BRS or Robbins review or your qbank or whatever question source you have to apply your knowledge in a testing format. Find the gaps in your understanding, and go back and engrain that concept or detail you didn't have. If you have time, make one more quick pass through only the lectures that you don't like or feel you are weakest on. you will be well prepared for test day now - anything that comes up that you don't explicitly know, you will be able to answer by critical thinking, recognition, or if all else fails just general process of elimination/test taking skills.

This is just my technique for studying and it has served me well. In my opinion it is definitely an approach that would work for others too. This may not work for everyone but if want to score high you should try it because it's insanely efficient, literally no time wasted while studying effectively. Or maybe I'm just a weird ****er and it would only work for my strange mind, but OP asked so here you go.

Phew. That was a rant. If you're interested in the study method but couldn't decipher my blathering here, feel free to send a pm or something


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I like what findmeonthelinks said about a scaffold. I was in the top 10% and used something called the memory palace, and part of the reason it works is because you build a framework in your mind to hang the information on. Then you use visuospatial learning to fast-track the new information into your long-term memory. It's an amazing technique and I swear by it, teach it to my students now in an online course. If you haven't ever heard of the memory palace technique, it's pretty fascinating stuff and it's at least worth finding out how it works.
 
Anki. Make every single thing into anki. Lecture, review books, UW questions, FA etc. and keep them organized. I literally knew everything for every exam that I had. Im not exaggerating or trying to impress anyone because anyone can do this with the appropriate use of Anki. I would walk out of an exam and know which questions would be thrown out due to inaccuracies or errors when everyone else was fretting about what the answer was. Thats how well I knew it because I had drilled every fact from every slide into my head. When it came time for Step 1 I had all of FA memorized because of Anki. You could open any page and ask me something and I'd know it. Same with UW explanations. Anki is incredible but people aren't willing to put in the time. It takes a ton of time but learning things to the level I'm talking about takes a ton of time with ANY method.

Study all day everyday but take tons of micro breaks and go to bed early. Many people don't like studying both Saturday and Sunday but if you do it leaves time for getting more sleep during the week and other inefficient but necessary things like going for a walk, zoning out before lecture to read you favorite internet garbage for 30 minutes, taking a long lunch just to think or call friends/family. I never advocate for filling those small break and lunch hours with studying. Fastest way to crash and burn IMO.

Be honest with yourself. Dont keep studying stuff you have down and don't ignore stuff you think is hard. Ask yourself "What would I not want to see on the exam?" and then go study that. Its hard to answer that truthfully and even harder to go to it, but its the key to success.

With those things I honored every course in MS1 and MS2 and killed Step 1. There is no secret other than working a ton and being smart enough to know when and how to recharge.


This guys pretty much right. If you are smart (which I think you probably are if you're in med school), and you do this you will probably be in the top 5% of your class, maybe 10%.

However, if you want to have a life I will give a version that's worked for me.

As everyone has pretty much said there are a couple key things.

#1) Regular studying. By regular I mean have a schedule and stick to it. I study from 10:30am- 6pm everyday regardless of how light the day is. If I have more to do I'll study later into the day. I also study in the same place every day. (at the library)

#2) Frequent breaks. I don't think I've ever studied more than 1.5 hours straight. It's usually more like 30-55 minute intervals with 5-10 minute breaks. This keeps me sharp. If I feel like I'm 'forcing' the studying it is significantly less effective than if I don't even feel as though I'm studying (which is the best way to study).

#3) Repetition. Seriously if you get nothing but this out of the advice everyone has given then take this advice. I will have passed through material 6-7 times before the exam comes, and usually many more for material I'm uncomfortable with. I re-read slides, use Anki, and use google. Google is actually awesome for pointed questions. Rarely I will use a text for reference (atlases for Anatomy are common)

#4) Don't study what you know. Seriously. If you know it cold, then don't waste your time. Periodically quiz yourself to make sure you aren't losing it. Anki is great for this.


So anyways, my typical day is this:

First hour-1.5 hours: Re-read the previous days slides, skipping over stuff I know cold (don't waste your time!), and diving into deeper research of things that I don't thoroughly understand or am having trouble retaining.

Next 2 hours: Watch the days lectures at increased speed (usually 1.6x depending on lecturer). Pausing where needed and rewinding if I need clarification. I don't take notes except for stuff not mentioned in slides. I don't bother rewriting the slides, its a was of time. I highlight stuff that may be buried in text that seems important, but otherwise that doesn't happen much either.

Next 2 hours: I go back to the previous days slides and make Anki cards. Note that this is now my third pass of the material, repetition.

Last hour at the library: Start doing Anki cards, some days I can spend up to two hours doing Anki cards but I limit myself to that before my brain turns to mush.

When I get home usually I still have work to do. I usually spend this time to look up specific topics that I'm having trouble with and exploring them deeper. Almost always I go over the same days lectures and quickly breeze over them in an attempt to consolidate more advanced topics. Sometimes I'll do this at the library if I really don't want to do anything at home.

By the time the test review rolls around I will have read the lecture slides 3-4 times, and have had multiple passes with Anki. I will also read through the slides one more time thoroughly (it's a painful 12-16 hour session) to make sure I haven't missed any details because I may have not seen the material for a month other than Anki. This is important because while my Anki cards are very thorough, I always end up missing a detail or two that I didn't think were important at the time. The rest of my test-prep time is spent in study groups with others because they also help me find things I may have missed, and it's a much more active way of learning than re-reading slides which I have already done amply.

I'd say on average my day is anywhere from 6-10 hours long (but includes multiple 5-10 minute breaks and 30 min lunch). During test time it's more like a three-four 12 hour days. So far my study method has me in the top 15% of my class. I definitely have way more of life than I thought I would.
 
Go to a school that doesn't score preclinical years, proceed to study for Step 1 for 1.5 years, get a 260 and then match derm. I know you didn't ask what they key to lifelong happiness was, but that question is way more important than what you asked.
 
100% agree with this. I'm currently an MS4 and I did something very similar and am still top 5% of my class with solid step scores. I did exchange anki for firecracker in MS3. I never downplayed how much I studied but don't buy all the BS about how people who are achieving great scores must somehow be sacrificing their lives. I maintained a happy relationship, raised a puppy, always worked out 4-6 days a week, and had a social life. It's amazing all the little holes during the day where you can crank out a few notecards. I will say that when it came to both step 1 studying and MS3, I used pre made notecards and that still worked for me. However, throughout most of MS1 and 2, I made my own cards for class.

Anki/Firecracker is not for everyone. If you are not consistent, it won't work well. If you are the type to frequently "take days off" or "catch up later" then it's probably not your gig. If you're willing to just put a reasonable amount of persistent work in each day, it will pay off. It's certainudly not the only way to do well.
thanks for the post! Again, can you tell me how efficient this process was? I.e. how long per day this required you to make cards/study them?
 
Electronic flashcards for sure!! It takes time to make them but it's way more efficient than studying any other way because you actually learn the material. When answering them, you should write the answers down to make sure you know the answer and don't just recognize it once you see it. Maybe 2 hrs per day + 4 hrs per weekend day?
 
Lots of good advice in this thread and I don't have much to add. I was an Anki'er who probably put in more time than needed. I got into my groove second year and had a better balance between school and time off. It takes time and lots of reassessment.

The biggest piece of advice I can give is that there is no secret to success in medical school. There is no secret book or resource that will make everything stick with little time.

Pick a few resources and techniques and stick with them. DO NOT SPREAD YOURSELF THIN. So many of my classmates and me included fell into this trap during first year. Less is more in my opinion.

Don't worry about whether you're studying too much or too little. Let your grades guide you. If it takes studying all day 7 days a week to get the grades you want then that's what it takes. It's your choice to make.

Try to maintain balance, it's extremely easy to lose track of hobbies, friends, healthy habits, etc during medical school. And the truth is it never gets easier, and you never have more time (maybe during fourth year, but certainly not before then or after). Make time for friends, family, and your health now and work to keep that in place. You will be happier and performing better if do this, I promise.
 
Everybody saying you must study all day everyday 12+ hrs a day blah blah blah to be top 10% is just spewing bull tbh. It's just not true and I would even go so far as to say it's not even a good generalization. This is going to be extremely douchey to say but it will be an n=1 counterexample, I am top scorer on 1/3 of our tests and carry a >96 average, and on average only study 1/3 of what you guys are suggesting. The other guys I know that consistently score in top 5-10% study similar to me, maybe a little more. Hell one guy I know pulls 95's by cramming the 48 hrs before every test, while essentially doing no other studying beforehand (and he somehow retains if, but he's a freaking genius). If you study efficiently by actually forcing yourself to THINK about the material, replaying the slide in your head and actively quizzing yourself on it, complete 3+ passes of material, and not wasting time using mindless memorization crutches like making flashcards or writing notes or making "study guides", you can score extremely well with much lower study time.

Here is the technique:
As you study, build a scaffold in your mind for each particular concept. Start with the basic idea. Close your eyes, try to replay that idea. Look back at the slide, did you get it right? No, try again. Now you have that first idea, try to add in a few more pieces of information to the scaffold. Repeat it to yourself, close your eyes and replay all of it back. Add more detail on, close your eyes and replay it back again. The scaffold expands from the center outward as you add on details to that core concept. Move on to next concept when you feel you have a solid grasp of the first concept. You need to be able to generate a RE-CREATION of the material in your knowledge rather than a simpler recognition. I think a good indicator that the technique is working is if you can replay a lot of it before you go to bed that night. You will probably forget some of it before you study this lecture again, but next time it will be easier and go much faster. You will master the slides this way.

Get through slides 3x, then run through as many questions as possible from BRS or Robbins review or your qbank or whatever question source you have to apply your knowledge in a testing format. Find the gaps in your understanding, and go back and engrain that concept or detail you didn't have. If you have time, make one more quick pass through only the lectures that you don't like or feel you are weakest on. you will be well prepared for test day now - anything that comes up that you don't explicitly know, you will be able to answer by critical thinking, recognition, or if all else fails just general process of elimination/test taking skills.

This is just my technique for studying and it has served me well. In my opinion it is definitely an approach that would work for others too. This may not work for everyone but if want to score high you should try it because it's insanely efficient, literally no time wasted while studying effectively. Or maybe I'm just a weird ****er and it would only work for my strange mind, but OP asked so here you go.

Phew. That was a rant. If you're interested in the study method but couldn't decipher my blathering here, feel free to send a pm or something


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That's an interesting method, thanks for sharing!
 
Thank you all for your responses...they have been extremely helpful. I have a question for all you ANKI-aficionados-: do you ever feel like learning from flashcards makes you miss the big pictures? That's my biggest qualm about going all ANKI. please let me know.
 
I like what findmeonthelinks said about a scaffold. I was in the top 10% and used something called the memory palace, and part of the reason it works is because you build a framework in your mind to hang the information on. Then you use visuospatial learning to fast-track the new information into your long-term memory. It's an amazing technique and I swear by it, teach it to my students now in an online course. If you haven't ever heard of the memory palace technique, it's pretty fascinating stuff and it's at least worth finding out how it works.
I know of this technique. How did you make this process fast? i.e. did it take time to memorize fast? right now it's a challenge for me to make memorable pictures in my head.
 
Thank you all for your responses...they have been extremely helpful. I have a question for all you ANKI-aficionados-: do you ever feel like learning from flashcards makes you miss the big pictures? That's my biggest qualm about going all ANKI. please let me know.
Nope, in fact I specifically do much better on "big picture" stuff like exams than minutia like quizzes. Once I know the basics, then I have a framework to build off of. Learning a few basic cards to start works well. You can do cards like "draw a diagram of ___" that force you to understand it too.
 
These are the strategies I used; I share only cause my methods are different than most of what I saw posted.

1) Use the type of learning that works best for you. I am not an auditory learner; lecture is super low yield for me because I retain so little, so I did not go to class. I learn quickly via reading so that's mostly what I did. I listened to lectures on 2x speed (usually while doing other things like working out) to make sure there weren't topics covered that I missed and slowed down and paid attention only when the lecture was particularly good or not covered in the written materials.

2) I covered everything in our syllabus four times. First time was a speed read to get acquainted with the scope of the material. Second time was a slow, through read to "learn" the material. During this read, I would read relevant portions of textbooks/internet sources as needed to make sure I understood the concepts. Third time was review; in the two days prior to exam, I would do a fourth run-through of the entire material for the exam. If I had extra time before tests, I would do a fifth run-through (I usually had time for this). I made my own schedule, completely unrelated to the class schedule, to make sure I had time for four run throughs of the material before exams.

3) Learning the material really well the first time around made Step 1 studying a breeze. We did a pre-test assessment and I scored > 250 on it. Step 1 studying only got me an extra 10 to 20 points.

All in all, I studied for 8 hours a day every weekday (8 to 5) with weekends to catch up if I got behind on my schedule. I usually took at least one weekend day completely off and generally never did more than 8 hours in a day. I always prioritized good sleep over extra studying the night before a test. I did not go to class or any optional labs. I did not do Step I resources during MS1-2 - they're too shallow for your initial pass (overall, my strategy was learn deep, review shallow). I read textbooks (shock, horror) when possible - I know this is against conventional SDN wisdom, but the extra points that differentiated my scores from the rest of the pack was from learning the material more deeply than taught in class. I also used flashcards pretty sparingly; something lend themselves well to flashcards (pharm, anatomy) but the rest of medicine you need a greater understanding than can be contained on an index card.
 
Nope, in fact I specifically do much better on "big picture" stuff like exams than minutia like quizzes. Once I know the basics, then I have a framework to build off of. Learning a few basic cards to start works well. You can do cards like "draw a diagram of ___" that force you to understand it too.
hmmm okay. how many cards do you make and review per day?
 
I've been on every side of this. I started in the middle, changed my method and ended up at the bottom, and now I've gotten straight As for almost 3 full blocks.

I sleep 7-8 hours every night, and obviously I'm not that smart because there was a time where I was close to failing. Never remediated, but a couple of my "passing" grades were just straight up mercy by my professor.

So, what's the difference? Basically comes down to detailed studying is trash, and repetition is gold. I can't tell you how many times I would deep study a lecture, know it like the back of my hand, and then when it came time to review for the exam it was like I was starting over. There are some obvious exceptions (like anatomy), but for the most part I don't even concern myself with memorization anymore until the night before an exam.

This is my routine:

-Make a plan, I know exactly what I'm going to study every day for the entire block. Make sure you build in some cushion because **** definitely happens.
-Lay out all the lecture notes I need to get through that day. Read through them all for a broad, general understanding. I think of it like a recipe -- after the first pass I should know all the ingredients, but not necessarily how much of each, what temperature to set the oven, or how long it cooks for.
-Then watch all the lectures on 2x. Let them guide you through the important details. By now you should know the ingredients, what order they mix together, and relative amounts of each. If you were asked to cook it, you should be able to produce an edible product ("C" level work).
-Then review the notes again, but this time only focus on things that don't make sense. Use external resources if you need to.
-The next day, review all the notes again briefly (15-20 minutes per lecture) and try to "cook" it from memory. By now you should be able to make a B product.
-The night before the exam, review all your notes and memorize the little details. At this point you should have a good understanding of everything, you're just memorizing the little stuff -- like you knew before that you needed a small amount of salt, but now you're memorizig that it's exactly 1/2 a teaspoon. You're just refining the details of what you already know, to bump the B up to an A.

Important side note: Never let more than 5 days pass without reviewing something you've studied. If it's longer than that you're going to start forgetting and the night before your exam is going to be miserable. Spend the extra 30-40 minutes at night reviewing old stuff, you'll thank yourself later.

Why do I only study the details once? Because if you have a good big picture understanding, that's the information that's going to stick with you for a long time. You can study the minutiae until you're blue in the face, but you're still going to forget it a month after your exam. You'd also be stunned how many of those "specific minutiae" questions can be reasoned through logically if you know the big picture.
 
Slightly off topic, but do you guys think that one bad test grade grade would ruin my chances of achieving top quartile (and thus being eligible for AOA)? I messed up the first exam in one class, but I have done very well in all my other exams....We're just one month into M1, and we have had 2 rounds of exams (Exam 1 had two subjects, Exam 2 had four)...Here are my test results to date:

Course A: Exam 1 - 70% (class average 81%) ; Exam 2 - 92% (class average 90%)
Course B: Exam 1 - 92% (class average 89%) : Exam 2 - 94% (class average 84%)
Course C: Exam 2 - 100% (class average 86%)
Course D: Exam 2 - 100% (class average 92%)


That 70% is haunting me...If I keep beating the class average by a lot like I did in the most recent round of exams, do you think I can overcome that blemish in my record and still achieve top quartile?
 
Slightly off topic, but do you guys think that one bad test grade grade would ruin my chances of achieving top quartile (and thus being eligible for AOA)? I messed up the first exam in one class, but I have done very well in all my other exams....We're just one month into M1, and we have had 2 rounds of exams (Exam 1 had two subjects, Exam 2 had four)...Here are my test results to date:

Course A: Exam 1 - 70% (class average 81%) ; Exam 2 - 92% (class average 90%)
Course B: Exam 1 - 92% (class average 89%) : Exam 2 - 94% (class average 84%)
Course C: Exam 2 - 100% (class average 86%)
Course D: Exam 2 - 100% (class average 92%)


That 70% is haunting me...If I keep beating the class average by a lot like I did in the most recent round of exams, do you think I can overcome that blemish in my record and still achieve top quartile?

Not with those class averages. You can make as many hundreds as you want, if the average is 92 you're screwed. You know what you need to do.
 
Slightly off topic, but do you guys think that one bad test grade grade would ruin my chances of achieving top quartile (and thus being eligible for AOA)? I messed up the first exam in one class, but I have done very well in all my other exams....We're just one month into M1, and we have had 2 rounds of exams (Exam 1 had two subjects, Exam 2 had four)...Here are my test results to date:

Course A: Exam 1 - 70% (class average 81%) ; Exam 2 - 92% (class average 90%)
Course B: Exam 1 - 92% (class average 89%) : Exam 2 - 94% (class average 84%)
Course C: Exam 2 - 100% (class average 86%)
Course D: Exam 2 - 100% (class average 92%)


That 70% is haunting me...If I keep beating the class average by a lot like I did in the most recent round of exams, do you think I can overcome that blemish in my record and still achieve top quartile?


You should find out EXACTLY how your school chooses AOA. Junior and Senior AOA are often elected by different criteria. My school uses the following:

Junior AOA: given after the first two years to the top 6 students in the class based purely on grades (unless one of these students has an Honor code/professionalism violation)
Senior AOA: Grades from first two years are weighted 50% and grades from MS3 are weighted 50% and then the top 12 from that group is given Senior AOA (again, unless honor code violation of some sort)

Step 1 can be used as a tie breaker for either of these if needed.

Not all schools are this objective and you may be dependent on some subjective election criteria.

As far as your grades: your class averages are very high and it will be tough competition to be in the top %. My class averages were typically 77-80% for most blocks and in order to get Junior AOA, we needed to have above a 93.5% average. This doesn't leave much room for error. With those averages, I would bet the top 10% of your class is scoring 95%+ on avg.
 
Not with those class averages. You can make as many hundreds as you want, if the average is 92 you're screwed. You know what you need to do.

Lol, are you implying I should sabotage my classmates?

You should find out EXACTLY how your school chooses AOA. Junior and Senior AOA are often elected by different criteria. My school uses the following:

Junior AOA: given after the first two years to the top 6 students in the class based purely on grades (unless one of these students has an Honor code/professionalism violation)
Senior AOA: Grades from first two years are weighted 50% and grades from MS3 are weighted 50% and then the top 12 from that group is given Senior AOA (again, unless honor code violation of some sort)

Step 1 can be used as a tie breaker for either of these if needed.

Not all schools are this objective and you may be dependent on some subjective election criteria.

As far as your grades: your class averages are very high and it will be tough competition to be in the top %. My class averages were typically 77-80% for most blocks and in order to get Junior AOA, we needed to have above a 93.5% average. This doesn't leave much room for error. With those averages, I would bet the top 10% of your class is scoring 95%+ on avg.

I'm confident that I can score 95% from here on out. I'm just worried that I already screwed myself over with the initial performance. I can never "catch up" with those people who were scoring 95%+ from the beginning unless they slip up. I guess I just have to keep shooting for 100's and hope for the best...

As for out AOA criteria, this is all that I know (publicly available): Top 25% is eligible to be nominated. Up to 16% of the class will get elected. It makes no mention of grades in the selection criteria. Instead, it lists "soft" stuff like "community service" and "professionalism"...So I have no idea what that's about.
 
it lists "soft" stuff like "community service" and "professionalism"...So I have no idea what that's about.
It means you need to do more than just study all day every day. My school places heavy emphasis on non-academic factors as well. Your school's requirements sound similar. Even if you're top 5-10% of your class, if you have zero extracurriculars, zero research, and are not well-liked by your classmates and faculty members, you won't even be considered for AOA.
 
1) Preview lectures the night before/morning of (just passively familiarizing myself with the figures so I'm not in shock during lecture... I can't tell you how important this step is)
2) After lecture, I go through slide by slide and make sure I understand everything, then I make an outline (usually 1 page, sometimes 2 depending on density... note: by the end of this point I've seen the same lecture's slides 3 times in a single day)
3) Review powerpoints for previous lectures that week (this part gets faster and faster the more times you see the slides)
4) Pre-exam weekend = I review all my outlines and then do a bunch of practice problems

I'm a visual learner, so I usually accompany some of the denser slides with youtube videos. Doesn't add much time to studying but it goes a long way when I have things replaying in my head during exams. Drawing things out on a whiteboard here and there is also very helpful.

Usually 3-5 hours of class a day, take a break for a few hours to work out or do nothing really productive, and then do the above steps 1-3 for about 3-5 hours depending on how distracted I am (damn you Reddit...)

Working quite well for me so far. I am still a med school noob, but I beat the hell out of the lectures with several repetitions in a week, and then I review them again when it's exam time. What I'm doing might be overkill (for now), but I'm trying to focus on learning as much as I possibly can to set a foundation for everything else I'm gonna learn.
 
Am I the only one medical student who hasn't done jack except Anatomy? Personally, I'm so sick of this cadaver. I actually know how to ace this class -- spending a ton of hours in the lab. But, I live an hour away from the lab, so I'm just putting in the most minimal work for lab right now. My average is at the class median. If anyone has any advice to perform better in this class, I'm open for suggestions.
 
It means you need to do more than just study all day every day. My school places heavy emphasis on non-academic factors as well. Your school's requirements sound similar. Even if you're top 5-10% of your class, if you have zero extracurriculars, zero research, and are not well-liked by your classmates and faculty members, you won't even be considered for AOA.

Fuk it. My school's criteria for AOA is bullsh1t. I'm just gonna do the bare minimum to pass all my courses while focusing on Step 1. AOA is for the birds at my school, judging by the pansy-ass criteria. I'll memorize F.A. while these roodie-poos waste their time volunteering.... LOL
 
Fuk it. My school's criteria for AOA is bullsh1t. I'm just gonna do the bare minimum to pass all my courses while focusing on Step 1. AOA is for the birds at my school, judging by the pansy-ass criteria. I'll memorize F.A. while these roodie-poos waste their time volunteering.... LOL
That is a surefire way NOT to do well on step 1, from all the advice I've gathered from multiple 3rd years at my school plus the collective wisdom of several prominent SDNers. And that's on you for not taking the time to be a genuinely nice person who would be deserving of AOA. If you look at the national AOA website, you'll see that it takes more than just being at the top of your class to get inducted. Just because you're an introvert doesn't mean you have to think less of other people who actually try to have lives while also doing well in med school -> it just makes you an a**hole.
 
So I'm an M1 trying to get in the groove of studying. But I feel like my methods aren't getting me honors on exams. How do you top scorers study? How do you do it efficiently?

Please and thank you.
Why do you want honors? Does your school use pre-clinical grades to determine AOA or class rank? If not, then just get a pass. Its of 0 importance to get honors in anatomy as far as matching residency program of choice is concerned (unless it determines AOA at your school).

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Not too 10% but top 15%:
First thing is watching pathoma and sketchy micro first. No notes just listening.

Passes of the material: I sort of utilize that scaffold technique but do it much more staggered in that my first two passes I should be able to know pretty much most of the concepts, anything in bold, anything in pathoma. My next few passes are when I engrain detail (common, contrasting, clinical, epidemiological, then molecular/cell). I utilize Memorang as my flash card source simply because there is another student who wrote cards for every course for our curriculum and they are down right amazing. I will utilize on "downtime" when I don't have a good chunk of time to study

Try to do questions 3-4 days out of the exam. Allows me to do an in depth review of all questions right or wrong. My final pass in the material I simply look at topics and recreate them in my head first. I'll read the section again and create a list of minutiae I think is fairly testable that I essentially memorize right before the exam.





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Anki. Make every single thing into anki. Lecture, review books, UW questions, FA etc. and keep them organized. I literally knew everything for every exam that I had. Im not exaggerating or trying to impress anyone because anyone can do this with the appropriate use of Anki. I would walk out of an exam and know which questions would be thrown out due to inaccuracies or errors when everyone else was fretting about what the answer was. Thats how well I knew it because I had drilled every fact from every slide into my head. When it came time for Step 1 I had all of FA memorized because of Anki...

I really like this advice.I was right at class average in M1 using the 'review the notes systematically and a lot of times' strategy. This year I've started anki and basically just putting in a **** ton of hours, lots of which are flashcards, and it seems to be working for me based on our first two tests. Really wanting to be even near your level for step 1 so I have a few questions if you don't mind...

Why different decks for anki? Did you keep up with each deck separately every day? And did you make your own FA deck even though bros is already out there? Do you use mnemonics with anki like sketchy/picmonic?

Also, just out of curiosity, did you drink coffee? I'm debating whether I should quit for the year just to have more consistent energy.
 
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