I appreciate all of the advice. I know working full-time is a huge chunk of it, and the exhaustion once I come home is really hard to combat. I also was never that great of a student (I've gotten a vast array of grades in my transcript, and the good were never attributable to great study skills, but rather were related to paying attention in class and my own critical thinking). and I have untreated ADHD and a learning disability, so that's an avenue I have not yet explored. (Which, I know it's a controversial subject, but it also literally takes me 5-7 hours to read one 30-page chapter of a book.) It's frustrating to me because I know I am very smart, and people (including the physicians I work with) are all surprised at my non-competitive GPA, because I've picked up a lot of clinical knowledge at work in the time I've been there.
I guess I never really understood how other people successfully studied and got As. That, and because of my ADHD, I miss out on big details that are very self-destructive, even though I have the purest intentions on earth. Example: in the last two months, I've been slaving over an essay for my cell biology class. I was very proud of what I created and how much research went into it. Three hours before it was due, I caught a glimpse of one of my notes that mentions that my professor wanted it SINGLED spaced, not doubled. I guess a lot of people won't be sympathetic because it is my fault for not noticing it beforehand, and I was very upset with myself because of it, and I thought about whether being a doctor was for me or not (especially since I can't miss out big details like that while treating a patient.)
It may be working 40 hours (plus up to 20 hours of volunteering a week PLUS part time school) that is spreading me thin. It may be the untreated ADHD, and I just need medication, or that I never learned proper. Or it may be that I don't have what it takes. Either way, how do you all study? How are you thorough with your assignments and make sure that you get that A you worked for?
(Also, the reason why I still work is because I fully have to support myself, as I live alone in a very expensive city. It's good clinical experience, but it's also partially the security of not taking out a loan until I'm in a formal program just in case this test run doesn't work out.)