Need advice on studying for shelves - M3

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HybridEarth

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Hi all,

I'm looking to go into a competitive specialty where I am slightly below average for their avg. Step 1. I am trying to compensate for this by performing well clinically, but I am missing honors on most of my rotations by about 1% or so. It always comes down to my average performance on shelf exams (scoring between 75-80 consistently). I've been crushing my evaluations, so at least I have that going for me.

Can someone please give me some insight as to how I should be spending my time studying for these exams? I've changed my strategy 3 times and I can't find anything that works. Mostly consists of doing UWORLD in tutor mode throughout the block and making flashcards, reviewing the flashcards before the exam, supplemented by Step 2 review books and at least 1 other recommended book for the clerkship itself.

I'll be honest, I'm only getting about 3ish hours of quality studying time a day because of fatigue at the end of my work day. The only thing I can be doing at this point to not have that is by slamming down energy drinks daily which I don't want to do lol. I was getting very high exam scores during M1/M2, but I feel like either everyone just got smarter/working harder during M3 or I am being relatively less efficient with my time.

Any help would be great. Thank you!
 
Have you checked the shelf threads in the clinical rotations section?
Also which ones do you have left?
 
Have you checked the shelf threads in the clinical rotations section?
Also which ones do you have left?

I have not taken a serious look there, but I will be sure to. Thank you!

I have surgery (NBME), and Medicine/Neurology (school-written exams...). Also idk if I should just be focusing on Step 2 after surgery or not, because idk how similar our school curriculum/exam is to NBME style for Medicine/Neuro.
 
I’ve generally scored in the high 80s. I know many of my classmates swear by Zanki/other pre-made UWorld Anki decks but I don’t like them because they spoil the UWorld questions. I usually spend the first half of the rotation completing every relevant UW question and making my own Anki deck from them - I get to know the UW content very well, which is the gold standard. I will also use ~1 additional question bank (eg PreTest) just to familiarize myself with some lower yield stuff. Obviously take every practice NBME. And I try to get studying done in short bursts when there’s any free time during the day so that I don’t get to the end of the workday without having studied at all.
 
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