Here's what I ended up doing last year: Read articles as much as possible for journal club (sometimes wouldn't even read all of them, but would try for at least one). I get the EMRA magazine and the ACEP journal in the mail. I will briefly go through the titles of articles. Found some to pertain to something I should know at this point and would read it. Others seemed to be not so useful at this point, so I would skip over it. Granted, I still have 3-4 journals I have yet to even read the titles so this obviously was not a regular thing for me. Do what you can, but definitely reading the basics is more important. Also reading about something you saw that day in the hospital is useful for helping things sink in. I found reading about common chief complaints was very useful. Things like chest pain, SOB, abd pain, and dizzy. Also read for your didactics before you go. I found that to be a huge challenge depending on the schedule, but I got much more out of didactics if I read before going. Hope this helps!