For example, we would be in the GI block, so I would listen to pathoma's GI lecture once a day for the first 5 days or so. At that point, I would have a very solid foundation in GI. I would then go through our class syllabus, and find myself literally flying through it, just filling up gaps in my knowledge. I didn't go to lecture, so I had lots of free time.
I'd listen to it again while studying for our term 1 final, again for the term 2 final, and again for the NBME year 2 final our school gave us.
I realize this sounds ridiculous, but I got almost all honors in year 2. I'm not a very smart guy, so I'm pretty sure it's because of the way I studied.