gunning for honors = f-ing up your actual learning?

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epsilonprodigy

Physicist Enough
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It's the dawn of Block 3 at my school, and I'm trying to turn over a new leaf. The first two blocks, I was OBSESSED with honoring everything. My school is H/P/F, and sometimes I made it, but a lot of the time I didn't. So here I am, facing the very real possibility of getting all "P's" for my first semester of med school. This last block, I narrowly missed honors in most of my exams.

I'll admit: it kind of sucks because I'm interested in a few competitive specialities like urology. However, not sure if this is sour grapes or what, but I feel like the gunning and point-grubbing mentality I started with was 1) turning me into a whiny little bitch 2) preventing me from enjoying material that I'm actually really interested in and worst of all 3) preventing me from really learning it in a way that is meaningful and applicable. For example, when we would be doing cases in class, I'd often find myself trying to squeeze in studying for the quiz that was to follow, thus probably missing relevant points from the cases that, while not graded, could actually be useful on the wards someday. And isn't that the whole point?

So, I'm really trying to change my mentality. At first, I'll admit, I sneered at the "P= MD" thing, but I'm starting to think that studying for numbers might actually do more harm than good in the long run. For block 1, I memorized EVERY detail, got honors or very close, and could recite it all like Rain Man LOL, but had the uncomfortable feeling of not really "knowing" anything. For block 2, I got away from this somewhat, aiming more for true understanding of things that I know will matter in the clinical setting. I scored 3 points lower on my anatomy written and just about the same on all others, but had the feeling of really knowing my stuff. Honestly, some of the **** on that exam reminded me of the Progressive commercials: "If it's the third Wednesday of the month and the moon is in the house of Aquarius..." etc. Sure, I could have trained myself to parrot back a bunch of nonsense, but favored a working knowledge instead. I work prn as a nurse, and I can really see the difference in how I am able to apply what I learned in block 2 to the patients I see, versus that of block 1.

This block, I'm going to try to learn the material as well as possible and think of it in terms of clinical relevance while getting a reasonable amount of sleep and trying to remember to behave like a civilized human being at all times 😉 so who's with me? Am I kidding myself by sort of jumping on the P= (GOOD QUALITY) MD (as long as you actually know your stuff) wagon?
 
Am I kidding myself by sort of jumping on the P= (GOOD QUALITY) MD (as long as you actually know your stuff) wagon?
Not at all, but how well learning and good grades correlate is school-dependent and even block-dependent. At UAMS, there were plenty of tests that covered nothing but absurd minutiae, so getting down the big picture and main concepts didn't get you very far. Similarly, there wasn't a whole lot of relationship between how people did in class and how they did on Step 1. If you're finding yourself miserable trying to grind out honors (and not being successful, despite your efforts), I'd cool the jets and make sure you know the material how Step 1 wants you to. If you're nailing practice questions but only doing okay on tests, you'll be much better off than if things were the other way around.
 
That pretty much covers it. I do really like my school and don't mean to say they aren't handling things properly, but there is a certain amount of fluff that might be the difference between an 89.2% and 90%. As much as I'd be willing to memorize the fluff too, the fact is that it doesn't always stick.

This is new territory for me. I've always been pretty grade-obsessed, but some of the stuff on exams is NOT in the class material and depends on which book you picked up, or worse, varies between sources. I suppose I could chase down all my profs and be like "according to the journal of xyz, the cystic artery CAN arise from the hepatic proper, etc...." but this seems like a fast way to make enemies with very little yield.

I just hope I'm not screwing myself.
 
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