Recommendation of retaining information

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MEDSTU0256

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Hey guys i was wondering what you guys did to retain the information from previous courses such as in mS1 for usmle. I feel like i am forgetting past materials and it scares me. would you recommend this method where your learn/review each materials that relates to that system is being covered. for example if cardiovascular is being covered then review materials( anatomy, micro, pharm, physio) that pertain to it. i hope this makes sense. any advice is greatly appreciated.
 
no just move on

learn whatever you're supposed to be learning right now

hopefully you get a study period before Step 1, that is the time to review all the crap your brain dumped the first 2 years
 
Could buy flash facts or get the bro deck. Other than that, maybe an hour or two every Sunday to review first aid. Otherwise, just dump and go.
 
I used the memory palace technique to memorize in med school, and I had a word document (ended up being 200 pages by the end of med school) where I kept notes of all my mnemonics and palaces. It was really easy to review this in the weeks of dedicated board studying before step 1 (and again before steps 2 and 3). It requires some up-front investment of time but was well worth it. I'm still using it now in my derm residency.

And I agree with previous posters that you should focus on the task at hand, and leave broad review for the weeks before you need it - otherwise you'll relearn and re-forget things multiple times, which is not efficient.
 
I also utilize the memory palace, but mainly for pharmacology, microbiology, and random factoids. It takes a long time to set up, but it is well worth it since it reduces the amount of times you need to review. However, I am still not fully there yet with the technique.
 
Hey guys i was wondering what you guys did to retain the information from previous courses such as in mS1 for usmle. I feel like i am forgetting past materials and it scares me. would you recommend this method where your learn/review each materials that relates to that system is being covered. for example if cardiovascular is being covered then review materials( anatomy, micro, pharm, physio) that pertain to it. i hope this makes sense. any advice is greatly appreciated.

I have a couple of general opinions that I'll expand on it prose so it might get long winded.

1. Text/lectures 'finished' is very misleading in estimating your progress so avoid setting goals like I'm going to complete 5 lectures today and take notes passively and once you get to 50:00 of the fifth lecture end it right there. It's a mentally weak strategy that prioritizes completion over understanding/retention. With medical school dropping 4-6 lectures on you daily though, it's hard to avoid the aforementioned attitude though so I'll address in my second point.

2. Work through assigned material (reading text/watching lectures) at a pace you're slightly uncomfortable with. If it's text, just read it as if it were prose. If it's a lecture, watching it at normal speed is fine but don't take breaks and don't hit the pause button even if you missed something (at this point you're probably just better off going to lecture). The reason to go faster is because the breadth is always more challenging than the depth in years 1/2 and your mind will actually remember more than you think. You will start fixating on things like formulas that may interest you or you may try to memorize a certain thing. Avoid all this, it wastes lots of time. By doing this, you will get thru your lectures/text easily so you can check that little box off in your head for relief...BUT REMEMBER that's not how you measure your progress.

3. After you get thru the study session, you need to spend more time than you spent going thru the material, drilling the material in your head by TESTING YOURSELF. Get blank sheets of paper or a white board and ask start asking things like what are all the causes of hypercalcemia (if your lecture was on calcium metabolism and had a list somewhere ) and list them out. Try to come up with a reason for each thing you list and if it's really important, try to come up with a way of quickly recalling all the causes so you can list them at a rapid-fire pace. This is what I think of as encoding which probably has a more formal definition in the education world.

4. This is the part everyone neglects including myself which is why I still struggle but you have to review the stuff you encode. It's important to review the encoding right away (like the night you go thru the stuff, the night after, and then after that you can afford to take maybe a 2-3 day period before seeing it again). The reason is otherwise you'll forget the stuff. There's like some neuroscience explanation that talks about anterograde memory lasting 12 hours but the point is after 24 hrs. your notes from the previous day will look like a foreign language. You'll need to review them again before they slip from your short term memory so they're still useful
the next day.

5. Don't rely solely on your encoding. I know a friend who rewrites the coursepack in it's entirety. I'm not sure how that helps but unless that is your encoding strategy, I would not recommend relying on your encoded material as your primary study material. Everyday you need to be reading your text/coursepack because there are infinite details that will be testable and you will always miss them in your encoding. Make sure you go through the primary sources multiple times. A day after seeing it, maybe a week later, and finally the day before your exam.

That's pretty much it and it's a lot. A lot of these points are reminiscent of ANKI/Spatial learning and that's where I picked it up from. My only gripe with ANKI is that it takes long and I feel it focuses more on recall of quick hitters whereas it's probably a good idea to be outlining and drawing things on the board and understanding how things fit into categories, etc. In other words, context is sometimes lost and ANKI is a huge time-sink. That being said, I won't deny that it's probably very effective for many who are able to find creative solutions to work around the limitations I've described.






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Practice , read , repeat - either become a volunteer EMS or go on call with a resident (if you can) without practice there is no medicine. Also explain the matter to your colleagues - nothing helps you cement like teaching other. Heck make videos and post them on YouTube / your student FB group.
 
Oh yea - regularly taking several test on the subject will keep your skills sharp. For example I rarely get to see cases of acidosis / alkalosis (one every 3 - 6 months) so I test my skills in diagnosing those every quarter since I want to stay 100% sharp.
 
The most important things show up again, either in second year lectures, or in question banks.

Retaining all comes down to repetition.
 
I've been studying for boards for a few months now, and when I started I remembered embarrassingly little about M1 material. I seriously thought I was screwed.

But I've gone through a full pass of UWORLD now and I feel a lot better about the situation. It's a lot easier to learn the stuff the second time around -- except Pharm, that **** will never stick for me.
 
For the people who used UWorld during the start of 2nd year, did you feel like it was difficult to utilize from the get go? Even though it has questions from a particular block, you would still need knowledge of other blocks are needed to answer the questions (ex. to understand a renal question, you would need knowledge of respiratory and cardiology). Would you just try to answer the questions anyway?
 
For the people who used UWorld during the start of 2nd year, did you feel like it was difficult to utilize from the get go? Even though it has questions from a particular block, you would still need knowledge of other blocks are needed to answer the questions (ex. to understand a renal question, you would need knowledge of respiratory and cardiology). Would you just try to answer the questions anyway?

First pass isn't about right answers, it's about gauging your strengths and learning through their question explanations. Having seen it all once before you start dedicated is a huge advantage.

And honestly only a small percentage of questions require knowledge from multiple blocks. Certainly it helps in some instances, but usually not required to get the right answer.
 
First pass isn't about right answers, it's about gauging your strengths and learning through their question explanations. Having seen it all once before you start dedicated is a huge advantage.

And honestly only a small percentage of questions require knowledge from multiple blocks. Certainly it helps in some instances, but usually not required to get the right answer.

Okay that makes sense. I was mainly wondering whether to utilize UWorld during the beginning of 2nd year or during the 2nd semester of 2nd year. It seem there are some who prefer using it during the 2nd half of 2nd year. If there are only a small amount of questions that need understand of other blocks to answer them, then I will most likely start utilizing UWorld during 1st semester of 2nd year.

How did you balance your classes with your board prep? Kind of worried about how much time to devote to Qbanks.
 
Okay that makes sense. I was mainly wondering whether to utilize UWorld during the beginning of 2nd year or during the 2nd semester of 2nd year. It seem there are some who prefer using it during the 2nd half of 2nd year. If there are only a small amount of questions that need understand of other blocks to answer them, then I will most likely start utilizing UWorld during 1st semester of 2nd year.

How did you balance your classes with your board prep? Kind of worried about how much time to devote to Qbanks.

My strategy probably isn't for everybody, but this year I've been doing the same thing I did last year except I wake up an hour earlier, and use that hour to do boards study. On Sundays I try to find 3-4 hours more to sit down and do some more thorough review, but admittedly I've been pretty bad at sticking to this because I get preoccupied with current coursework (when I get a reprieve I just want to relax). My thought is if I can squeeze in 10 hours a week, I'll have an extra ~300 hours of board review before I even get to dedicated.

I'd also highly recommend doing it first semester and second semester. If your school has a system's based curriculum there are enough questions for you to get through with material you've already learned without running out.
 
I swear by anki. It's built for you to remember stuff over time. People say it's a time-sink. It can be at the very beginning as you get used to it but the process becomes much quicker and now you have a product that lasts.
 
I swear by anki. It's built for you to remember stuff over time. People say it's a time-sink. It can be at the very beginning as you get used to it but the process becomes much quicker and now you have a product that lasts.
Agree 100%
 
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