Foreshadowing of difficulties for non-trads

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EdLongshanks

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I love being a medical student and I will complete this path and become a doctor. However, I have had several difficulties in the first semester of medical school that were foreshadowed in pre-med school life.

I decided to go into medicine as a result of my interest in missionary work. I had no biology background (I even managed to skip biology in high school - I considered it "soft" science). So I enrolled at my local community college in the honors program. My previous academic experiences were very good, but very old. I had not taken a class in 20 years and had not completed my degree in computer science, since it wasn't necessary for my career.

In the next two years I took between 6 and 12 hours each semester. I CLEP'd many of the non-science courses and in science took, Biology I, physics I & II, Chem I & II, Cell Bio, Zoology, Genetics, before taking the MCAT. I continued working full-time, but used vacation time to take 1 day off each week.

My MCAT score was good - except, with little biology experience and no OChem the BS score was only a 9.

Up to this point, I was making all A's. I was competing mostly with CC students and faking my way through biology tests by reading the teacher's mind and getting extra credit points. I never read the books. I was working full-time and thought that my multi-tasking skills were serving me well.

Realizing my weakness in biology, I completed my degree while applying by taking Evolution, Biochem, OChem I. In the final spring semester before medical school, my job was outsourced to India and I became a full-time student, so I took Virology, Immunology, Biochemistry, Personal Health (degree requirement), and OChem II.

This last semester is when problems started showing up. My GPA for this semester is only a 3.0. These classes are memorization and not analysis. I'm an analyzer by inclination and training and my adult experiences have confirmed this. I attempted to work on a study method that would serve me well in medical school - I came up with a set of flashcard tools that I believed would work and these did work for me, to the extent that I used them. Unfortunately, they did not convert directly. The classes in medical school are too fast, and you cannot make flashcards during lecture.

So, here are the predictable problems that I could have predicted and corrected.

1) I didn't have enough biology - particularly any anatomy or physiology. I didn't know the difference between sympathetic, parasympathetic, central or peripheral nerves. I didn't know anything about hormones. However, the immunology/virology has been very useful.

2) I didn't make the switch from quick analysis and assimilation to the hard work of detail memorization. None of my undergrad training had me studying figures and repeating them in detail. I did not learn to draw a knowledge schema and repeat it at will.

Those are the things that I could have done before, that could help now.

Now, here are the strengths that I have, but I think are important and someone who is weak in these things should work to gain them.

1) Big picture. You have to be able to have an instinctive and intuitive understanding of big picture things and not lose it in the details. This is a direct contradiction of Weakness #2 (above). When they teach you the connection of the hypothalamus and pituitary, you have to understand, in an intuitive way, that the"RH" hormones like GnRH (gonadal) are going to affect the pituitary to produce "H" hormones like LH and FSH. If you forget a detail like the name of the portal veins (which I have forgotten) you can presume its existence because you know the big picture.

2) Experience with discouragement. Everyone feels like an imposter in medical school at some point. It is important to know that discouragement is temporary and will eventually pass. I was once the very bottom of the "feces roll down hill" pyramid and I know that eventually you can climb up. Difficulties can eventually be overcome.

Excuse the length and poor writing. If I had more time I would have written a shorter post.

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+1.

What works for me, and crushes my ego, is to find out who is doing well, and do what they do. In detail - what time do they get up on exam days & what is their last-minute prep, exactly how many hours per day do they study and how do they assess their done-ness. I figured out way too late who I should have been studying with.

Honestly this isn't a nontrad issue. Being an exam point ***** is the job for everybody.

Best of luck to you.
 
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Oh Ed, I feel your pain. I am not a memorizer and much prefer to understand the big concepts and how all the puzzle pieces fit together. I am also a highly auditory learner and not visual at all--so a bit of an anomaly amongst my classmates and the majority of my professors. Have been out of school 12 years and working as a PA at least full-time until med school started 4 mos ago. I skated by with my rusty old (lazy) study habits through anatomy but got a rude awakening once I entered the independent study phase of core. We have specific objectives and meetings and very clear deadlines/exams to keep us motivated, but the volume is immense. All of Biochem in 2 wk? Yes. Physio in 2 wk? Yes. And silly me thought "they won't test me on minutiae of the urea cycle when there are 33 pages of objectives for this one exam over 16 chapters...oh yes they do! A real confidence-shaker.
I am finding that what used to work is not working with this pathway. Unfortunately I can't switch back until January as the lecture folks are on a different schedule. I have learned a bit about how to learn--I like the SQ3R technique (google medical school study tips). I think most of the young folks fresh out of undergrad are better off because they know how to study and haven't forgotten how to learn. Also I miss out a lot without the benefit of lecture, but I am finding new ways.
Good luck--keep the faith.
Lisa
 
I love being a medical student and I will complete this path and become a doctor. However, I have had several difficulties in the first semester of medical school that were foreshadowed in pre-med school life.

I decided to go into medicine as a result of my interest in missionary work. I had no biology background (I even managed to skip biology in high school - I considered it "soft" science). So I enrolled at my local community college in the honors program. My previous academic experiences were very good, but very old. I had not taken a class in 20 years and had not completed my degree in computer science, since it wasn't necessary for my career.

In the next two years I took between 6 and 12 hours each semester. I CLEP'd many of the non-science courses and in science took, Biology I, physics I & II, Chem I & II, Cell Bio, Zoology, Genetics, before taking the MCAT. I continued working full-time, but used vacation time to take 1 day off each week.

My MCAT score was good - except, with little biology experience and no OChem the BS score was only a 9.

Up to this point, I was making all A's. I was competing mostly with CC students and faking my way through biology tests by reading the teacher's mind and getting extra credit points. I never read the books. I was working full-time and thought that my multi-tasking skills were serving me well.

Realizing my weakness in biology, I completed my degree while applying by taking Evolution, Biochem, OChem I. In the final spring semester before medical school, my job was outsourced to India and I became a full-time student, so I took Virology, Immunology, Biochemistry, Personal Health (degree requirement), and OChem II.

This last semester is when problems started showing up. My GPA for this semester is only a 3.0. These classes are memorization and not analysis. I'm an analyzer by inclination and training and my adult experiences have confirmed this. I attempted to work on a study method that would serve me well in medical school - I came up with a set of flashcard tools that I believed would work and these did work for me, to the extent that I used them. Unfortunately, they did not convert directly. The classes in medical school are too fast, and you cannot make flashcards during lecture.

So, here are the predictable problems that I could have predicted and corrected.

1) I didn't have enough biology - particularly any anatomy or physiology. I didn't know the difference between sympathetic, parasympathetic, central or peripheral nerves. I didn't know anything about hormones. However, the immunology/virology has been very useful.

2) I didn't make the switch from quick analysis and assimilation to the hard work of detail memorization. None of my undergrad training had me studying figures and repeating them in detail. I did not learn to draw a knowledge schema and repeat it at will.

Those are the things that I could have done before, that could help now.

Now, here are the strengths that I have, but I think are important and someone who is weak in these things should work to gain them.

1) Big picture. You have to be able to have an instinctive and intuitive understanding of big picture things and not lose it in the details. This is a direct contradiction of Weakness #2 (above). When they teach you the connection of the hypothalamus and pituitary, you have to understand, in an intuitive way, that the"RH" hormones like GnRH (gonadal) are going to affect the pituitary to produce "H" hormones like LH and FSH. If you forget a detail like the name of the portal veins (which I have forgotten) you can presume its existence because you know the big picture.

2) Experience with discouragement. Everyone feels like an imposter in medical school at some point. It is important to know that discouragement is temporary and will eventually pass. I was once the very bottom of the "feces roll down hill" pyramid and I know that eventually you can climb up. Difficulties can eventually be overcome.

Excuse the length and poor writing. If I had more time I would have written a shorter post.

Well, I think you said it already, Ed, but I'll reiterate....EVERYBODY will hit a wall in med school sometime in the first two years. I suspect you will (or have already) taken hitting it with a little more grace than some of your peers in class. Just wait.

Further more - most (if not all) of my upper-classmates who are nontrads love love love the wards. This is where many of the skills that are hard fought and acquired with age start to come in handy. I know it seems like a long way off, but it'll come soon enough.

Finally, possibly the best thing you can say (and it can be really humbling) is "I don't know". I am OK with not knowing everything in class or seminars or when pimped. Try your hardest, of course - but I think being a "big picture" kind of guy through medical school may pay dividends in the long-run. Furthermore, just be familiar with where to get the information that you don't know, and I think your patients will appreciate your candidness.


Chin up!
 
..... And silly me thought "they won't test me on minutiae of the urea cycle when there are 33 pages of objectives for this one exam over 16 chapters...oh yes they do! .....
Lisa

No, no, no, don't tell me that. I thought that all I needed to know was the de-aminating steps and the Carbamoyl something or other to create the something or other that goes into the bile and colors the feces.
 
yeah, already forgot all that

What I don't have any problem in understanding is that jaundice with white stools means that the bilirubin is not getting into the stools (probably bile blockage - check for pancreatic cancer, gall stones, or liver problems) jaundice without white stools means too much bilirubin, check for excessive hemolysis. I'm hoping that the big picture stuff that I am getting is the right things.
 
Sorry to disappoint you Ed. Big picture is great, but seems the old adage is "know everything". Hard to break the PA mindset of "who the heck cares about that?!"...but trying valiantly. I signed up for this, I keep reminding myself 😉
 
So much to look forward too. I actually dropped out of high school so this thread really scares me😱 I better come up with a plan quick. All of undergrad I was a flashcard *****, But I realize the quick pace of medical school will probably not allow this approach😳
 
So much to look forward too. I actually dropped out of high school so this thread really scares me😱 I better come up with a plan quick. All of undergrad I was a flashcard *****, But I realize the quick pace of medical school will probably not allow this approach😳

I'm still a flash card ***** 🙂 There's no doubt the pace is faster than anything I've done academically but it's not THAT bad. Btw I think it's awesome you are getting back into education after dropping out of HS!
 
2) Experience with discouragement. Everyone feels like an imposter in medical school at some point. It is important to know that discouragement is temporary and will eventually pass. I was once the very bottom of the "feces roll down hill" pyramid and I know that eventually you can climb up. Difficulties can eventually be overcome.


In graduate school, I saw that the students I feared the most were the ones that had no problems being wrong in front of their peers and spoke up often in group meeting / journal club.

Hang in there, Ed.

*edit* aw crap what vc7777777 said
 
I'm still a flash card ***** 🙂 There's no doubt the pace is faster than anything I've done academically but it's not THAT bad. Btw I think it's awesome you are getting back into education after dropping out of HS!

Well, that gives me a little piece of mind 🙄 Thank you, it has been a steep learning curve since I did not complete the 11th or 12th grades. I have worked hard to make up for my epic failures in high school. I should probably write about it as it may give hope to someone heading in the wrong path :idea:!! Although, I still think it shows when I write reports and in my study habits as they were non-existent when I was in school over ten years ago.
 
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You will never know everything. No one expects you to know everything, though. When you get on the wards, if you know the answer to the first question, they'll ask you a second, and they'll keep going until you get one wrong. That's how they test what you know. It behooves you to be comfortable with saying that you don't know, but you'll look it up. The good thing is that you can often reason out something that is akin to a reasonable if not right answer. Emphasis on the "often." There will always be the occasional esoteric out of left field question. Like, I got pimped today about which branchial arches give rise to the bones of the ear. Seriously? :laugh:

In case you care, second is the stapes, and malleus and incus are first. S goes with S, easy to remember. Not that I did remember; I took embryo five years ago. 🙄 😛
 
So much to look forward too. I actually dropped out of high school so this thread really scares me😱 I better come up with a plan quick. All of undergrad I was a flashcard *****, But I realize the quick pace of medical school will probably not allow this approach😳

Flashcards work (in every thing, except anatomy - buy the flashcards that are already made). You just can't make the cards as fast as the teacher lectures. I am a fast typist (80 words/minute) and I can't even come close to keeping up - even though I am using tables in one note and all I have to do is "question <tab> answer <tab>" Record the lectures and make the flashcards later. . I will be getting a webcam in the mail tomorrow for this purpose (next semester) . During class I've finally learned to close the computer and listen closely.

Make sure that your flashcards are electronic and that you are using spaced repetition. The worst problem is that some of the classes need graphical flashcards and it took me all semester to figure out how to make them quickly and still have them in .csv format for import into the spaced repetition programs. I had to do this with my programming skills, so this may not be doable by someone else.

Now that I am in a rhythm, I spend 2 or 3 hours a day going over old flash cards. I do them during lunch and If I could restore my workout habits, I could workout during this time, also.
 
Closing the computer and listening closely is really key. When you really understand what is going on, you can add the details in while studying, but lecture is an invaluable source of understanding. I liked to take notes by hand because I'm a bit of a kinesthetic learner but not everyone is.

My study method, which worked really well and did not involve flash cards:

0. Preview the posted lecture slides (night before)
1. Go to lecture
2. Take notes at the 'big picture' level, particularly recording what the lecturer said, not of what was on the slide.
3. At home, type up the lecture, clarifying my understanding with supplementary sources such as wikipedia. Rearrange the material so it made sense to me, and expand the areas I had poor background in.
4. 2 weeks before a block exam, make note cards of hard-to-stick details.
5. 1 week before a block exam, review all small groups (which I prepped and participated in) with a strong study partner.
6. The day before an exam have all required studying completed by about 2 PM. Relax and get a good night's sleep before the exam.

I spent about 60 hours a week in first 3 blocks, and more like 50 in the next 4. I have had nothing but rave reviews clinically, although I admit, I suck at being pimped for minutiae. I read around my cases using primarily uptodate, and have only had to go back to pre-clinical material for a handful of bugbear topics (cardiac cycle, ECGs, electrolyte handling, ABGs).

FWIW, I had a relatively weak biology background and did not really know about the bits of the nervous system. I remember asking a classmate to explain this whole sympathetic/parasympathetic/autonomic/peripheral/central thing to me with enormous confusion!
 
Closing the computer and listening closely is really key. When you really understand what is going on, you can add the details in while studying, but lecture is an invaluable source of understanding. I liked to take notes by hand because I'm a bit of a kinesthetic learner but not everyone is.

My study method, which worked really well and did not involve flash cards:

0. Preview the posted lecture slides (night before)
1. Go to lecture
2. Take notes at the 'big picture' level, particularly recording what the lecturer said, not of what was on the slide.
3. At home, type up the lecture, clarifying my understanding with supplementary sources such as wikipedia. Rearrange the material so it made sense to me, and expand the areas I had poor background in.
4. 2 weeks before a block exam, make note cards of hard-to-stick details.
5. 1 week before a block exam, review all small groups (which I prepped and participated in) with a strong study partner.
6. The day before an exam have all required studying completed by about 2 PM. Relax and get a good night's sleep before the exam.

I spent about 60 hours a week in first 3 blocks, and more like 50 in the next 4. I have had nothing but rave reviews clinically, although I admit, I suck at being pimped for minutiae. I read around my cases using primarily uptodate, and have only had to go back to pre-clinical material for a handful of bugbear topics (cardiac cycle, ECGs, electrolyte handling, ABGs).

FWIW, I had a relatively weak biology background and did not really know about the bits of the nervous system. I remember asking a classmate to explain this whole sympathetic/parasympathetic/autonomic/peripheral/central thing to me with enormous confusion!

I have noticed that many of the most successful students in class use this method. It can be modified into a semi-flashcard system by using a Mac computer and collapsible lists. The heading becomes the question and the detail underneath shows up when you uncollapse the paragraph.
 
... clarifying my understanding with supplementary sources such as wikipedia.

LOL, I find it hilarious that the source that our community college professors told us to never, never, use is the primary supplementary source for us poor medical students. I used it at least 4 times today.
 
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Haha. Once I looked up "hyperdynamic precordium" in a small group and the preceptor was pretty impressed despite herself that there was an entry for it. Another time a wiki-nay-sayer claimed there was an error in something he had been reading the day before. We re-checked and it had already been fixed. 🙂

FWIW, I actually think the process of taking the notes by hand may be helpful. I worked with computers in my former life (software engineer) and am a fast and accurate typist. However, I have noticed in myself and in others that technical difficulties with a computer can take up valuable time in which you could be paying attention. Pen and paper have very few possible technical difficulties.

I also think that eating healthily and getting enough sleep are very important. I was in bed by 10:30 and up at 7 daily. I didn't "cook" much, but did grill 3-4 chicken breasts at the beginning of the week and take them as lunches in wraps, or ate them as dinner salads. I'm not much of an exerciser, but if you are, make time to do at least 15 minutes at the beginning and end of your day. Take regular study breaks (5-10 minutes on the hour) and stay well hydrated. Time spent unfocussed is time wasted.
 
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FWIW, I actually think the process of taking the notes by hand may be helpful. I worked with computers in my former life (software engineer) and am a fast and accurate typist.
I have a similar background and I avoided computerized note taking through undergrad for another reason. My retention for typed material vs hand-written is quite poor although I'm not sure why that would be.
 
FWIW, I actually think the process of taking the notes by hand may be helpful. I worked with computers in my former life (software engineer) and am a fast and accurate typist. However, I have noticed in myself and in others that technical difficulties with a computer can take up valuable time in which you could be paying attention. Pen and paper have very few possible technical difficulties.

I know it to be so of a truth, but I don't WANT TO use paper!!!

I know what is happening to us former software engineer. We keep trying to improve the process. I might spend a whole evening making collapsible lists work. I have done this. It's nice to feel like I'm capable of doing something, so I get distracted into the easy stuff and forget to work on the hard stuff ( studying). Non-software engineers might not fall for this.
 
all i have to say ed is i sooooo felt your pain last year, i hate brute memorization and quite frankly suck at it.
hang in there, second year is much more analytical and much more putting things together and things actually make sense!! and it will be suited much more to how our brain works and functions. just hang in there thorough may....i promise next year is an entirely different ball game 🙂
 
You will never know everything. No one expects you to know everything, though. When you get on the wards, if you know the answer to the first question, they'll ask you a second, and they'll keep going until you get one wrong. That's how they test what you know. It behooves you to be comfortable with saying that you don't know, but you'll look it up. The good thing is that you can often reason out something that is akin to a reasonable if not right answer. Emphasis on the "often."

Yeah, btw...I have learned that having a good run of answers sometimes leads to a harder fall when they "break" you...I had a good run last week re: breast cancer, until I was asked "In what year was BRCA1 and BRCA2 discovered?" :d
You can never win the game. Since they make the questions, they will eventually find one that you cannot answer. :laugh:
 
LOL, I find it hilarious that the source that our community college professors told us to never, never, use is the primary supplementary source for us poor medical students. I used it at least 4 times today.

Wikipedia is jokingly referred to in our class as "(awkward pause)...an unreliable source says..." 🙂 Then again, we are a research-oriented school. We 80-90% of the time cite references in all presentations (we are also PBL-based, so we present usually once a week throughout the first two years) - and Wiki is not allowed.

Wiki can be a good start for any discussion, but remember there are sites with more in-depth and peer-reviewed information that are probably more suited to medical students like MD Consult and UpToDate along with specific topic resources like LexiComp for pharm, etc....

Not to get too philosophical: I am of two minds with regards to Wikipedia. When you are looking for convenience Wiki is certainly wins hands down. Having said that, this information is available to everyone - what you are being trained to do is apply the generalized medical knowledge to the patient in front of you. Many of the patients I see in clinic look up stuff on Wiki and other sites. This is why I also try and ask what they found when looking up their symptoms when I see them in clinic - More than once I have discovered that they fear they have some sort of deadly, rare disease. It's good to address their anxiety, of course. But more importantly, it illustrates that medicine is more than just access to medical information (either on the internet or memorized in medical school). It is the art of applying it to patients.
 
But more importantly, it illustrates that medicine is more than just access to medical information (either on the internet or memorized in medical school). It is the art of applying it to patients.
Well said.
 
I have nothing to add or subtract from this very good discussion.

But I will complicate it with this.

Many of us go in pumped. With muscles tense. Romances of victory and achieved ambition spinning around in our heads.

And then the deflation of defeat. Of being bested by our better. And so we eat crappily. And go unhappily about our dreary and sedentary business.

A pyrrhic academic victory is no victory for the body. Or the soul.

So go relaxed. Breathing steadily and easily. Do not let your foe--academic performance--trick you into tensing up or locking you in to stressful endgame mindsets.

If you do this. You will find uncanny ways of gaming the system. Parallel thought streams that weren't there before. There are a series of effortless steps through any seeming pandemonium. That can leave you unscathed. Unoppressed. And content.

This will not be presented to you by your superiors. Whose only satisfaction is your groveling at the foot of their temple.

You'll have to find this path for yourself. And while everyone tenses and reels in stress. You can walk composed and unaffected. Passing is glorious. The Step is the ticket that one needs to punch. And this goal can be managed with greater ease when not distracted by the emperor's obstacles.

Back to my cave. In the mountains.
 
I have nothing to add or subtract from this very good discussion.

But I will complicate it with this.

Many of us go in pumped. With muscles tense. Romances of victory and achieved ambition spinning around in our heads.

And then the deflation of defeat. Of being bested by our better. And so we eat crappily. And go unhappily about our dreary and sedentary business.

A pyrrhic academic victory is no victory for the body. Or the soul.

So go relaxed. Breathing steadily and easily. Do not let your foe--academic performance--trick you into tensing up or locking you in to stressful endgame mindsets.

The stress. The game, part of. Like boot camp. Only professors instead of drill. Sergeants.

I'm sorry, this is carrying a joke too far. But I can't help it. We programmers used to have a contest called the "obfuscated C" contest, in which we could write the shortest working piece of code that no one could figure out. I remember that one winner was "for(i=50;i; *(b+(--i))=0);"

We ought to have a Nas-obfuscation contest. Who can write the most Nas-like paragraph that has no structure and yet makes some kind of intuitive sense.
 
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I use wikipedia very little in clinical practice. What I found it helpful for was for definitions of XYZ syndrome and for helping to understand some basic concepts pre-clinically.

For clinical practice I use the much-reviled and extremely useful uptodate. For presentations, I cite peer-reviewed randomized controlled trials like a good little research monkey.
 
I use wikipedia very little in clinical practice. What I found it helpful for was for definitions of XYZ syndrome and for helping to understand some basic concepts pre-clinically.

For clinical practice I use the much-reviled and extremely useful uptodate. For presentations, I cite peer-reviewed randomized controlled trials like a good little research monkey.

What about DynaMed and FirstLook. That's what the school wants us to use.
 
I think I like Uptodate because at this stage, I actually want to be learning more about the entities I am seeing. As an experienced practitioner, Dynamed might be more appropriate, because it would just have the bare bones of what I need to not miss in the case of something I see a little more rarely.

Uptodate usually has 2-3 related articles which I can skim and flesh out my knowledge of the clinical presentation. And they typically are heavily referenced so I don't know why people fuss so much about it.

I just re-evaluated Dynamed to answer your question and I can see that it's a lot more helpful now than it was a year ago.
 
I know it to be so of a truth, but I don't WANT TO use paper!!!

I know what is happening to us former software engineer. We keep trying to improve the process. I might spend a whole evening making collapsible lists work. I have done this. It's nice to feel like I'm capable of doing something, so I get distracted into the easy stuff and forget to work on the hard stuff ( studying). Non-software engineers might not fall for this.

I did this for the first couple of blocks (and yes, I'm a former software engineer). After a couple of iterations, I think I've reached a good level of efficiency: I take notes during lecture by hand (to the person wondering why typing notes wasn't really helping to retain knowledge, here are some ruminations on the subject) and then integrate it into a big-picture by either rewriting the notes (again by hand, I feel very limited if my only input device is the keyboard) or by creating a mind map. If I feel the need for flash cards, I use Anki. I'm totally electronic: iPad in lecture and laptop+iPad outside of lecture. Combined with Dropbox, I am unstoppable -- at least, when I bother to direct my attention towards school (currently the weakness I am focusing on--and clearly failing). 😉
 
looks like it's setting 50 address locations to 0 below base address b
what's the answer? 😛

What's the deal with so many software engineers in here...... Did we all get outsource?

It's supposed to be initializing an array (b) of 50 to null.
 
x
 
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Everyone feels like an imposter in medical school at some point.

Definitely commit this sentiment to memory. Despite the care-free demeanor of your classmates, everyone and I mean everyone, med students on up to attendings feel this sense of inadequacy at times. You feel it most acutely as a medical student because you are constantly surrounded by people (especially on the wards) who know more than you. Hell, even the housekeeping staff know more than you. (Case in point, I was pre-rounding on a new patient I didn't know very well. I had 4 patients to present that morning so I was in a rush. I did my expedient exam as best I could. Heart, lungs, belly, extremities, HEENT. The housekeeper was emptying the trash while I was in there. She says, "Did you notice his shoulder was dislocated?" No I didn't. I felt like a jackass all day.)

I think one of things that is difficult about medicine is making peace with that sensation, turning it from a source of frustration (as much as you can) into motivation to continue to push yourself to always learn (and relearn what you've forgotten). And it's important to realize as Quimica says that you can't know everything and make your peace with that as well.
 
It's going to be a glorious day next fall when I never have to write another piece of software for anyone other than myself.

It's nice, though, to be able to write a quick script to convert data quickly. For example. In Histo lab, I create tables of images with names associated. "Proximal Convoluted Tubule" or "infantile ovary". OneNote allows you to put images in tables. Unfortunately, there is no way to convert these images directly to flashcards. I had to write a script that creates a bunch of empty jpg files named after the answers column. I then manually pasted the images into each file. (copy, double click, paste, save and close - repeat). I then wrote another script to take a directory filled with image files and create a CSV file with HTML tags that can be imported into my flash card program.

I don't know of any tools that will do this sort of thing automatically. With my scripts, I can make 100 flash cards in 20 minutes from a OneNote table. i don't know what a non-programmer would do.
 
It's nice, though, to be able to write a quick script to convert data quickly. For example. In Histo lab, I create tables of images with names associated. "Proximal Convoluted Tubule" or "infantile ovary". OneNote allows you to put images in tables. Unfortunately, there is no way to convert these images directly to flashcards. I had to write a script that creates a bunch of empty jpg files named after the answers column. I then manually pasted the images into each file. (copy, double click, paste, save and close - repeat). I then wrote another script to take a directory filled with image files and create a CSV file with HTML tags that can be imported into my flash card program.

I don't know of any tools that will do this sort of thing automatically. With my scripts, I can make 100 flash cards in 20 minutes from a OneNote table. i don't know what a non-programmer would do.

We pay some nerds to do it for us.

http://www.gunnertraining.com/programs/medical


But cool skills. Respect.
 
We pay some nerds to do it for us.

http://www.gunnertraining.com/programs/medical


But cool skills. Respect.

I tried that, the problem is that they haven't provided a good way to integrate their cards into current classes.

Here is what I get from them so far. I am studying the cardiac arteries. So I search and pull up 2 or 3 cards from them that have this information. Now, what they want me to do is throw it onto my single stack which will then bring it back up with spaced repetition on their timing. But I need to study that for a test on Friday of next week. Instead of being able to study anatomy, I have to waste my time going through all of their spaced repetition of every card that I have put on my single stack. There is no way to remove these cards. All I can do is add the same cards back again, which will make my stack and my list of questions to answer all of the time even longer.

Here is what they should do. For each unit of each class, I should be able to create a card stack. I can browse through and add and delete cards from this stack. I can study that stack in a "Current" mode, or, after the test is over - put it into "background" mode. On those times when I am not currently studying for a test, I can spend 15 to 20 minutes studying the background material on a longer term spaced repetition method.

That is not what gunner training does. Instead it sticks you into a methodology where you are studying for one thing - the boards - and acts like you don't have current tests to keep up with.
 
I tried that, the problem is that they haven't provided a good way to integrate their cards into current classes.

Here is what I get from them so far. I am studying the cardiac arteries. So I search and pull up 2 or 3 cards from them that have this information. Now, what they want me to do is throw it onto my single stack which will then bring it back up with spaced repetition on their timing. But I need to study that for a test on Friday of next week. Instead of being able to study anatomy, I have to waste my time going through all of their spaced repetition of every card that I have put on my single stack. There is no way to remove these cards. All I can do is add the same cards back again, which will make my stack and my list of questions to answer all of the time even longer.

Here is what they should do. For each unit of each class, I should be able to create a card stack. I can browse through and add and delete cards from this stack. I can study that stack in a "Current" mode, or, after the test is over - put it into "background" mode. On those times when I am not currently studying for a test, I can spend 15 to 20 minutes studying the background material on a longer term spaced repetition method.

That is not what gunner training does. Instead it sticks you into a methodology where you are studying for one thing - the boards - and acts like you don't have current tests to keep up with.

Yeah. Point taken. My curriculum only enabled the use of board-specific curriculum after the first unit of 2nd year. And even then. You take some hits. For example a radiologist lecturer went deep into radiography reading techniques and rating/scoring systems and I got dropped on every single on of her questions. Like 10 out of a 100.

So you loose some to go your own way with materials. And it's possible only if your school uses USMLE type exams. Mine alternates. And it's kind of developed into a perverse but fun game for me that I make it without looking at a single lecture slide.

So who the F am I to give advice.

I'm just jealous of your numchuck skills. Girls like that stuff huh?
 
I'm just jealous of your numchuck skills. Girls like that stuff huh?

I don't know, I never got the chance to find out. My wife has no clue what any of it means. Talking about computers to her is very similar to saying "klj janek, osken. Ownekr osnek nhrlsk ltn."
 
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