I feel inadequate around my classmates

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lackey

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I'm in my MS1 year and I have been doing okay so far, but I got a B+ in my first class ever this year, physiology. I haven't made a B since high school, so getting this grade has been a disappointment. I guess I thought I was better than what I am actually capable of. It's just frustrating because I feel like I could have done better in the class, but I got destroyed by the last test. I'm currently interested in ENT/plastics/ortho/ based on my exposure to the fields, and I feel like with this B+, I'm screwed in the future for AOA and getting into the specialty. I'm worried that this will somehow translate to a bad score on Step 1 and me being unable to do well during the MS3 year.

Yes, I know its early to decide on specialties, and I shouldn't freak out about grades, but I feel inadequate around my classmates. I'm not in the top quartile because there >25% of my class that regularly scores an A whereas I drift between As and Bs. Maybe I have some underlying ego issues, or maybe I'm just being the typical neurotic student, but I never really expected so many of my classmates to be so smart. It isn't a bad thing cause they'll make great colleagues in the future, but I wish I could hang with them at the level that they can perform at. I know that I could work harder, but even then I am worried that I will fall short.

I'm ranting a bit and maybe I need advice or just somewhere to vent. Has anyone else felt like this? Is there anything I can do to get over this?

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Y0u should probably just quit now. From now on all future professor and attendings will be laughing behind your back and making jokes about "that one B+". If your fellow students find out, you will probably be ostracized as the freak who couldn't cut it in medical school. I am honestly surprised you managed to get a high enough score on the MCAT to get accepted based on your poor performance.
 
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You didn't get the grade you wanted and you know you could be working harder...what's the issue here? That being said I doubt one B+ is going to be a huge deal.
 
Family medicine and pediatrics are very rewarding fields for students who cannot master physiology. Most of the real physio in those fields is handled by specialists. I would recommend you go to more interest groups in FM, peds, psych etc. instead of studying more. You are kind of letting your country down by not answering the need for more primary care physicians anyway.
 
I don't know why people complain about being average students. If I could be an average student I would be soooooo happy...
 
I'm in my MS1 year and I have been doing okay so far, but I got a B+ in my first class ever this year, physiology. I haven't made a B since high school, so getting this grade has been a disappointment. I guess I thought I was better than what I am actually capable of. It's just frustrating because I feel like I could have done better in the class, but I got destroyed by the last test. I'm currently interested in ENT/plastics/ortho/ based on my exposure to the fields, and I feel like with this B+, I'm screwed in the future for AOA and getting into the specialty. I'm worried that this will somehow translate to a bad score on Step 1 and me being unable to do well during the MS3 year.

Yes, I know its early to decide on specialties, and I shouldn't freak out about grades, but I feel inadequate around my classmates. I'm not in the top quartile because there >25% of my class that regularly scores an A whereas I drift between As and Bs. Maybe I have some underlying ego issues, or maybe I'm just being the typical neurotic student, but I never really expected so many of my classmates to be so smart. It isn't a bad thing cause they'll make great colleagues in the future, but I wish I could hang with them at the level that they can perform at. I know that I could work harder, but even then I am worried that I will fall short.

I'm ranting a bit and maybe I need advice or just somewhere to vent. Has anyone else felt like this? Is there anything I can do to get over this?

"I know that I could work harder, but even then I am worried that I will fall short."

So you're spending your time worrying rather than putting in the hard work and studying. I think that you're letting things snowball in your mind. Keep up the attitude and you will absolutely destroy your career in medicine.
 
Pretty sure you're indulging in catastrophic thinking. Do you have access to academic advisors? They might help put that grade is perspective or offer studying advice. Are there study groups populated by these allegedly superior classmates? Figure out what they're doing since it's unlikely that they've found more hours in the day or are robots. Instead of mulling over lost potential, put what's done behind you and make constructive changes.
 
Y0u should probably just quit now. From now on all future professor and attendings will be laughing behind your back and making jokes about "that one B+". If your fellow students find out, you will probably be ostracized as the freak who couldn't cut it in medical school. I am honestly surprised you managed to get a high enough score on the MCAT to get accepted based on your poor performance.

Family medicine and pediatrics are very rewarding fields for students who cannot master physiology. Most of the real physio in those fields is handled by specialists. I would recommend you go to more interest groups in FM, peds, psych etc. instead of studying more. You are kind of letting your country down by not answering the need for more primary care physicians anyway.

Strong responses, fellas.

Serious answer - OP stop being neurotic. Work harder for the next class and see if you can pull of an A. If you can, then cool. If you can't, then cool. Focus on learning the material as well as you can for the long-term.
 
I'm in my MS1 year and I have been doing okay so far, but I got a B+ in my first class ever this year, physiology. I haven't made a B since high school, so getting this grade has been a disappointment. I guess I thought I was better than what I am actually capable of. It's just frustrating because I feel like I could have done better in the class, but I got destroyed by the last test. I'm currently interested in ENT/plastics/ortho/ based on my exposure to the fields, and I feel like with this B+, I'm screwed in the future for AOA and getting into the specialty. I'm worried that this will somehow translate to a bad score on Step 1 and me being unable to do well during the MS3 year.

Yes, I know its early to decide on specialties, and I shouldn't freak out about grades, but I feel inadequate around my classmates. I'm not in the top quartile because there >25% of my class that regularly scores an A whereas I drift between As and Bs. Maybe I have some underlying ego issues, or maybe I'm just being the typical neurotic student, but I never really expected so many of my classmates to be so smart. It isn't a bad thing cause they'll make great colleagues in the future, but I wish I could hang with them at the level that they can perform at. I know that I could work harder, but even then I am worried that I will fall short.

I'm ranting a bit and maybe I need advice or just somewhere to vent. Has anyone else felt like this? Is there anything I can do to get over this?

Time for transformation into the cutthroat gunner :flame:
 
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Pretty sure you're indulging in catastrophic thinking. Do you have access to academic advisors? They might help put that grade is perspective or offer studying advice. Are there study groups populated by these allegedly superior classmates? Figure out what they're doing since it's unlikely that they've found more hours in the day or are robots. Instead of mulling over lost potential, put what's done behind you and make constructive changes.

😆😆😆
 
You laugh, but I would probably be looking for another career without the help of some people in academic advising.

No doubt in my mind that the academic advisor told you things that you could've looked up on google.. or, you know, just thought about in your head and figured out yourself.
 
I'm in my MS1 year and I have been doing okay so far, but I got a B+ in my first class ever this year, physiology. I haven't made a B since high school, so getting this grade has been a disappointment. I guess I thought I was better than what I am actually capable of. It's just frustrating because I feel like I could have done better in the class, but I got destroyed by the last test. I'm currently interested in ENT/plastics/ortho/ based on my exposure to the fields, and I feel like with this B+, I'm screwed in the future for AOA and getting into the specialty. I'm worried that this will somehow translate to a bad score on Step 1 and me being unable to do well during the MS3 year.

Yes, I know its early to decide on specialties, and I shouldn't freak out about grades, but I feel inadequate around my classmates. I'm not in the top quartile because there >25% of my class that regularly scores an A whereas I drift between As and Bs. Maybe I have some underlying ego issues, or maybe I'm just being the typical neurotic student, but I never really expected so many of my classmates to be so smart. It isn't a bad thing cause they'll make great colleagues in the future, but I wish I could hang with them at the level that they can perform at. I know that I could work harder, but even then I am worried that I will fall short.

I'm ranting a bit and maybe I need advice or just somewhere to vent. Has anyone else felt like this? Is there anything I can do to get over this?
This frequently happens in professional school. Up until now you've been the best of the best, top of every class, etc. Then, in medical school, you're surrounded by all the other people that were the best of the best at their institutions, and you're finding that you're not the best of the best of the best, merely the above average of the best of the best, and it's shattering your belief that you were somehow the brightest snowflake that ever walked the earth. Just chill out. The majority of US MDs that apply for orthopedic surgery positions matched as of the last Charting Outcomes report (681 match, while 186 did not), and only just over 25% were AOA members. In ENT, 267 matched while 41 did not (though AOA membership seems to be far more important, with 41.6% being AOA members). Your chances aren't going to be zero if you're not some superstar that is at the very top of your class. The Charting Outcomes data is a bit stale, but it's the most recent full report the NRMP has put out, so bear with me.

http://b83c73bcf0e7ca356c80-e8560f4...tent/uploads/2013/08/chartingoutcomes2011.pdf
 
No doubt in my mind that the academic advisor told you things that you could've looked up on google.. or, you know, just thought about in your head and figured out yourself.

If that was true I wouldn't be in this mess, would I?

Med school is about turning your brain into a phonebook of arcane facts, and while that comes easy to some, it's a bit harder for others.
 
If that was true I wouldn't be in this mess, would I?

Med school is about turning your brain into a phonebook of arcane facts, and while that comes easy to some, it's a bit harder for others.

No, it's really not. Med school is about pattern recognition and conceptual understanding of normal physiology. Trying to memorize your entire course syllabus verbatim is impossible and dumb to spend your time trying.

How do I know this? My grades have stayed the same and I have spent less time studying and less time memorizing things. Meanwhile, my friends spend more and more time trying to memorize minutiae (because they think like you do) and their grades stay the same too.
 
No, it's really not. Med school is about pattern recognition and conceptual understanding of normal physiology. Trying to memorize your entire course syllabus verbatim is impossible and dumb to spend your time trying.

Perhaps, but our professors don't present it like that. They present a set of "high yield" facts we need to (in their words "memorize." Even my tutor says not to focus on learning pathways and processes, but instead on committing discrete facts to memory, and she's at the top of the MS-2 class.
 
Perhaps, but our professors don't present it like that. They present a set of "high yield" facts we need to (in their words "memorize." Even my tutor says not to focus on learning pathways and processes, but instead on committing discrete facts to memory, and she's at the top of the MS-2 class.

And how many pages of high yield facts do they give you to memorize? If what you say is true, then your professors are basically giving you an "A" on a silver platter.

Edit: Also, committing discrete facts to memory is much easier when you understand the concepts. Try memorizing everything going on in the nephron without understanding it at all. Then try looking at the big picture and understand what's going on.. then try again to memorize the details. Guess which one is easier and more long-term?
 
This frequently happens in professional school. Up until now you've been the best of the best, top of every class, etc. Then, in medical school, you're surrounded by all the other people that were the best of the best at their institutions, and you're finding that you're not the best of the best of the best, merely the above average of the best of the best, and it's shattering your belief that you were somehow the brightest snowflake that ever walked the earth. Just chill out. The majority of US MDs that apply for orthopedic surgery positions matched as of the last Charting Outcomes report (681 match, while 186 did not), and only just over 25% were AOA members. In ENT, 267 matched while 41 did not (though AOA membership seems to be far more important, with 41.6% being AOA members). Your chances aren't going to be zero if you're not some superstar that is at the very top of your class. The Charting Outcomes data is a bit stale, but it's the most recent full report the NRMP has put out, so bear with me.

http://b83c73bcf0e7ca356c80-e8560f4...tent/uploads/2013/08/chartingoutcomes2011.pdf

Yes, but he's also interested in Plastics as well, if you see his prior posts.
 
If that was true I wouldn't be in this mess, would I?

Med school is about turning your brain into a phonebook of arcane facts, and while that comes easy to some, it's a bit harder for others.

That applies to coursework in the first two years of medical school only.
 
Perhaps, but our professors don't present it like that. They present a set of "high yield" facts we need to (in their words "memorize." Even my tutor says not to focus on learning pathways and processes, but instead on committing discrete facts to memory, and she's at the top of the MS-2 class.

There's a difference between discrete facts and inane facts.
 
And how many pages of high yield facts do they give you to memorize? If what you say is true, then your professors are basically giving you an "A" on a silver platter.

Edit: Also, committing discrete facts to memory is much easier when you understand the concepts. Try memorizing everything going on in the nephron without understanding it at all. Then try looking at the big picture and understand what's going on.. then try again to memorize the details. Guess which one is easier and more long-term?

Well that depends on the professor. Some doddering old fools (who should be retired tbh) enjoy ranting about research, and leave us through parse through their powerpoints to figure out what's going to be on the test. But I've noticed that all the younger professors and all the M.D.s who lecture to us are very upfront and to-the-point about what we need to know.

For example, here's what my Psych professor said verbatim: "Memorize this slide, this will be what I test on and what's important for the STEP, the other information is for your edification." I'll assume that "for your edification" means "go play Angry Birds while I talk about this because it's not going to be tested."
 
Well that depends on the professor. Some doddering old fools (who should be retired tbh) enjoy ranting about research, and leave us through parse through their powerpoints to figure out what's going to be on the test. But I've noticed that all the younger professors and all the M.D.s who lecture to us are very upfront and to-the-point about what we need to know.

For example, here's what my Psych professor said verbatim: "Memorize this slide, this will be what I test on and what's important for the STEP, the other information is for your edification." I'll assume that "for your edification" means "go play Angry Birds while I talk about this because it's not going to be tested."

Sounds like regular med school. It seems like you don't realize that what works for one person (e.g. that MS2 at the top of her class) doesn't necessarily work for another person.
 
Sounds like regular med school. It seems like you don't realize that what works for one person (e.g. that MS2 at the top of her class) doesn't necessarily work for another person.

Surprisingly, this MS-2 told me that I am a lot like she is, and she also hates memorizing things. She said she suffered during some MS-1 units and even failed a couple exams, but that MS-2 at our school is a lot more about processes and physiology than rote memorization, and because she shines in that, she's at the top of her class now.

So I guess MS-2 is a lot like what you describe, but at our school at least, MS-1 is a huge pile of crap, and Microbiology is the biggest turd around (even one of the Deans basically admitted that at one of our meetings).
 
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Surprisingly, this MS-2 told me that I am a lot like she is, and she also hates memorizing things. She said she suffered during some MS-1 units and even failed a couple exams, but that MS-2 at our school is a lot more about processes and physiology than rote memorization, and because she shines in that, she's at the top of her class now.

So I guess MS-2 is a lot like what you describe, but at our school at least, MS-1 is a huge pile of crap, and Microbiology is the biggest turd around (even one of the Deans basically admitted that at one of our meetings).

Your first paragraph.. facepalm, seriously.

I haven't taken micro yet (we have it next), but I imagine there is no getting around memorization for that. But still, the more big picture and patterns you know the easier memorization is.
 
Your first paragraph.. facepalm, seriously.

I haven't taken micro yet (we have it next), but I imagine there is no getting around memorization for that. But still, the more big picture and patterns you know the easier memorization is.


Wtf you haven't taken Micro yet, isn't that one of the first classes in MS-1? And what do you mean by "facepalm"?


At our school, the biggest problem with Micro is that the Bacterial portion is taught by 10 different Ph.D.s who throw tons of information at you, and since each of them writes his own portion of the exam, they all want you to know different things. You can't blame the school either, because I guess something like Bacteriology is completely different from Mycology in terms of the knowledge base required. Fortunately, the Viral portion is taught by a lovely old woman who is quite fair in her questions. She refuses to retire, and thank God for that, because she protects us from the marauding Ph.D.s who would terrorize us otherwise.
 
I'm laughing at academic advisors offering study advice. The best study advice comes from upperclassmen who've taken the class previously esp. if they've had those same professors.

I know you are my elder and superior, but I disagree strongly. I went to one of the AOA Student Panels where they talk about study strategies. All of the people in the panel said different things, hell, one man said he likes to watch the lectures twice (when I did this I almost failed Histology). But what struck me the most is that one woman, who despite her very impressive memorization skills probably had the introspective ability of a rock, said "I just review the powerpoints."

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I went to the learning specialist who works with the medical students (because I wouldn't listen to anybody who didn't have experience working with med students), and she helped me put together a study plan that, while not making me an A student, has at least taken me from a failing student to a student who is passing his classes by a good margin. And perhaps that is all I'm capable of. So be it.
 
Wtf you haven't taken Micro yet, isn't that one of the first classes in MS-1? And what do you mean by "facepalm"?


At our school, the biggest problem with Micro is that the Bacterial portion is taught by 10 different Ph.D.s who throw tons of information at you, and since each of them writes his own portion of the exam, they all want you to know different things. You can't blame the school either, because I guess something like Bacteriology is completely different from Mycology in terms of the knowledge base required. Fortunately, the Viral portion is taught by a lovely old woman who is quite fair in her questions. She refuses to retire, and thank God for that, because she protects us from the marauding Ph.D.s who would terrorize us otherwise.

We are currently taking Micro at my school. In fact, it is the very last course offered in the "basic science" part of the curriculum...so no set rule that it needs to be one of the first classes.

Micro sucks.
 
Wtf you haven't taken Micro yet, isn't that one of the first classes in MS-1? And what do you mean by "facepalm"?


At our school, the biggest problem with Micro is that the Bacterial portion is taught by 10 different Ph.D.s who throw tons of information at you, and since each of them writes his own portion of the exam, they all want you to know different things. You can't blame the school either, because I guess something like Bacteriology is completely different from Mycology in terms of the knowledge base required. Fortunately, the Viral portion is taught by a lovely old woman who is quite fair in her questions. She refuses to retire, and thank God for that, because she protects us from the marauding Ph.D.s who would terrorize us otherwise.

Facepalm because you tried to justify your study technique by using that MS2. The MS2 did what you did and did bad during MS1.

Just FYI, how many people do you think write bacteriology questions for the NBME? Probably more than 1. You are expected to know everything.

Honestly, I would prefer if multiple people taught us the same topic. Why? Because they all write their own test questions and expect you to know different things. Thus, their questions will inherently require less integration of knowledge compared to someone who teaches you every single thing about a topic.
 
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Facepalm because you tried to justify your study technique by using that MS2. The MS2 did what you did and did bad during MS1.

Just FYI, how many people do you think write bacteriology questions for the NBME? Probably more than 1. You are expected to know everything.

Honestly, I would prefer if multiple people taught us the same topic. Why? Because they all write their own test questions and expect you to know different things. Thus, their questions will inherently require less integration of knowledge compared to someone who teaches you every single thing about a topic.

And that is exactly why I trust her to help me. Because she knows what it's like both to struggle and succeed, she's not some methylphenidate-enhanced AOA wizard who is so brilliant that she has no idea how she tops the class.

You aren't expected to know everything, you're expected to know what's high yield. You can study medicine for 30 hours a day and not know "everything."
 
And that is exactly why I trust her to help me. Because she knows what it's like both to struggle and succeed, she's not some methylphenidate-enhanced AOA wizard who is so brilliant that she has no idea how she tops the class.

You aren't expected to know everything, you're expected to know what's high yield. You can study medicine for 30 hours a day and not know "everything."

It's great to have her help you for MS2 stuff, but she did poorly in MS1... Why would you want her help now?

You are expected to know what's high yield if you just want to pass. So yes, if you just want to pass don't bother studying low yield things... and also be my guest in trying to figure out what is high yield. You're clearly talented at figuring out what is important for an exam...
 
It's great to have her help you for MS2 stuff, but she did poorly in MS1... Why would you want her help now?

You are expected to know what's high yield if you just want to pass. So yes, if you just want to pass don't bother studying low yield things... and also be my guest in trying to figure out what is high yield. You're clearly talented at figuring out what is important for an exam...

I'll be the first to admit that I have no talent in such matters. And that's why I've asked for help.

Also, I explained above why I'm not interested in having top students tutor me. There is nothing they can say that would be useful to me. Asking them to help me with studying is like asking Fight Club-era Brad Pitt to teach me how to get girls.

Regardless, the tutor I have changes every unit, so even if I didn't like this woman I would be rid of her shortly. Besides, just because she failed one exam didn't mean she did poorly in THIS unit's exams.
 
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I'm in my MS1 year and I have been doing okay so far, but I got a B+ in my first class ever this year, physiology. I haven't made a B since high school, so getting this grade has been a disappointment. I guess I thought I was better than what I am actually capable of. It's just frustrating because I feel like I could have done better in the class, but I got destroyed by the last test. I'm currently interested in ENT/plastics/ortho/ based on my exposure to the fields, and I feel like with this B+, I'm screwed in the future for AOA and getting into the specialty. I'm worried that this will somehow translate to a bad score on Step 1 and me being unable to do well during the MS3 year.

Yes, I know its early to decide on specialties, and I shouldn't freak out about grades, but I feel inadequate around my classmates. I'm not in the top quartile because there >25% of my class that regularly scores an A whereas I drift between As and Bs. Maybe I have some underlying ego issues, or maybe I'm just being the typical neurotic student, but I never really expected so many of my classmates to be so smart. It isn't a bad thing cause they'll make great colleagues in the future, but I wish I could hang with them at the level that they can perform at. I know that I could work harder, but even then I am worried that I will fall short.

I'm ranting a bit and maybe I need advice or just somewhere to vent. Has anyone else felt like this? Is there anything I can do to get over this?
I know how you feel and most people on here will mock you for it. You have to be very careful when you express to other students that you're unhappy with what some perceive to be "high scores" that really aren't. All the logic in the world won't make you feel better when you underperform. The reality, however, is that you must either regroup and figure out a game plan or give up. Not a lot of choices in that. The bad feeling coursing your body after underscoring goes away in a few days and you'll probably mellow a little in time.
 
I'll be the first to admit that I have no talent in such matters. And that's why I've asked for help.

Also, I explained above why I'm not interested in having top students tutor me. There is nothing they can say that would be useful to me. Asking them to help me with studying is like asking Fight Club-era Brad Pitt to teach me how to get girls.
Actually people who have failed at things sometimes understand the obstacles and misunderstandings that others like them may encounter. As you mentioned yourself...people who always excel (with exception to those like Isaac Asimov) usually don't grasp the issues causing barriers to success.
 
Actually people who have failed at things sometimes understand the obstacles and misunderstandings that others like them may encounter. As you mentioned yourself...people who always excel (with exception to those like Isaac Asimov) usually don't grasp the issues causing barriers to success.

People who failed once can learn from their mistakes given a second chance. People who fail once without a second chance can only speculate "if I did this differently I would've gotten a better result".
 
People who failed once can learn from their mistakes given a second chance. People who fail once without a second chance can only speculate "if I did this differently I would've gotten a better result".

She's certainly proved herself competent so far, and while she may have struggled in Micro, she did well in Neuro. So I see her for Neuro and saw someone else in Micro. And I'll see someone else for Pulm next year because this woman thinks Pulm is "stupid."

The point is that she knows what it's like to struggle through something rather than effortlessly destroying medical school.
 
She's certainly proved herself competent so far, and while she may have struggled in Micro, she did well in Neuro. So I see her for Neuro and saw someone else in Micro. And I'll see someone else for Pulm next year because this woman thinks Pulm is "stupid."

The point is that she knows what it's like to struggle through something rather than effortlessly destroying medical school.

Yes, and it's great to get advice from her about classes she did well in.
 
She's certainly proved herself competent so far, and while she may have struggled in Micro, she did well in Neuro. So I see her for Neuro and saw someone else in Micro. And I'll see someone else for Pulm next year because this woman thinks Pulm is "stupid."

The point is that she knows what it's like to struggle through something rather than effortlessly destroying medical school.
Wait...why does she think pulmonary is stupid? Have you asked her what's stupid about it? It's perfectly logical and...anyway, what's stupid about it?
 
Wait...how does she think pulmonary is stupid? Have you asked her what's stupid about it? It's perfectly logical and...anyway, what's stupid about it?

Pulm is the most difficult, most failed, and lowest scoring class at our school. A lot of other MS-2s I talked to had very rude words to say about the class and its instructor, much worse than "stupid" I guess.

Hell, I know a Pulm/CC attending who said he failed Pulm at our medical school.
 
Pulm is the most difficult, most failed, and lowest scoring class at our school. A lot of other MS-2s I talked to had very rude words to say about the class and its instructor, much worse than "stupid" I guess.

Hell, I know a Pulm/CC attending who said he failed Pulm at our medical school.
Pulmonary was the most poorly taught subject at my school also. I used 200 other resources to finally comprehend what's going on. But the subject itself...is fascinating. 🙂 It's really great fun to know what's going on with your alveoli and the pressures involved. Super simple physics at work. What's your next exam?
 
Pulmonary was the most poorly taught subject at my school also. I used 200 other resources to finally comprehend what's going on. But the subject itself...is fascinating. 🙂 What's your next exam?

Psych and Neurophysio/pharm, then Cardio, then the year ends.
 
So they saved the best for last. 90%+ on the rest, right? We're anticipating your scores.

I have a better chance of railing Gisele Bundchen than I do of breaking 90 (which I've only done on Pharma, Virology, and Cell Bio). Regardless, I plan to do well.

And once I pass these classes, I get my rematch with the Anatomy final, and if I pass that with above a 75% I become a MS2. Hopefully I can succeed this time and finally end my nightmares and anxiety attacks along with it.
 
Pulm was the worst taught subject at my school as well, which saddens me because I think it's a really important subject. Is renal much harder than pulm, because that's what we're up against next.
 
Pulm was the worst taught subject at my school as well, which saddens me because I think it's a really important subject. Is renal much harder than pulm, because that's what we're up against next.
I've heard Renal is kinda ******ed, at our school Rheum is considered harder because the professor is deliberately difficult.
 
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