Current MS1 here at top 40 US MD school. It seems no matter how hard I study or whatever I try, I pretty much always score the class average or 2 or 3 percentage points lower on our block exams. I'm really aiming to be top 1/3 of my class (preclinical is only 1/3 weighted and clinical is weighted 2/3) and wondering if it is worth the pressure I've been putting on myself to do better on these exams or not. i'm wondering from a perspective of 1) if it is significant enough strictly from a grade standpoint that i can't keep doing average or a few points below and still graduate top 1/3 and 2) is this a sign that i'm doomed for mediocracy in clinical years as well? would putting in the effort to score better in preclinical translate to being better during clerkships?