I aksed this elsewhere but got little response, so I figured I would pop the question here since I'm interested in IM. I guess the question is geared towards those that have already graduated. I will be an MS-2 this fall but I don't feel as though I learned all that much as an MS-1. I mean, yes, I "learned" a lot in terms of basic sciences but the clincally-related stuff seems pretty disjointed. The only thing I feel I learned to do during first year was learn how to run through the motions of a physical but that's really about it. At what point along your education were you able to learn the most that you are actually able to apply as a competent physician? Also, was there any point where it just came together and made sense? Thanks in advance.