So how was first year?

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Still have around a month to go, but the year had it's ups and downs. Some units were tougher than others and required more time (like neuro), but then other units I felt that I had a lot of free time. I did play a sport, worked, and volunteered during my undergrad, so I think medical school has given me more free time actually. I've been able to play a bunch of intramural sports, golf 3-4x a week (in spring), and do other social activities. Sleeping in and watching the Price is Right some mornings has been a huge plus as well for some of the units!
 
How's it work at your school? Do you get a week to just retake an exam? Also jc do u guys have a max number of remediations allowed till u gotta repeat the year?
Unfortunately our dean is getting a little more stern with this stuff and it's kind of a fluid thing atm. But the way it has worked up until now is you have a chance to remediate the course over the summer in a condensed comprehensive exam (or 2 exams, depending on which class it is). I don't know if this is true anymore, but previously if you failed 3 or more classes in your first 2 years you were either kicked out or were forced to repeat the year.

This thread scares me for August. Anyone on SDN want to shed a more positive light on first year? To the sound of = it was tough as hell, a completely different experience, but still very fun and memorable.

I'm not looking for a "story book ending" reflection, just a more balanced POV... unless... unless... unless this was a balanced POV. :slap:
No need to be scared, odds are you'll be fine. I do a lot of whining, but I'm the exception rather than the rule since most of my classmates are skating through just fine. I'm also a little unique in that I had my first baby like 2 weeks into the year, so in addition to adjusting to med student life I was also adjusting to that.

All in all it's tough, but I would still make the decision to come to med school again.
 
Keep in mind we aren't all programmed the same way. Just because someone thinks first year wasn't that bad doesn't mean it's "not that bad".

Personally I thought it was a ****storm. But, I can admit, I'm not the brightest person and have to work my *** off just to score middle of the class. I felt like it is stretching my mental/physical capabilities past my limit.
 
Classes are more palatable than physics/orgo, so while the pace is fast and the time commitment is high, studying is not necessarily a miserable experience. Getting high 70's-low 80's is totally doable without becoming a zombie. Getting higher than an 85 requires more consistent effort, more use of outside resources, and leaving no stone unturned.
 
Classes are more palatable than physics/orgo, so while the pace is fast and the time commitment is high, studying is not necessarily a miserable experience. Getting high 70's-low 80's is totally doable without becoming a zombie. Getting higher than an 85 requires more consistent effort, more use of outside resources, and leaving no stone unturned.
You describe exactly how med school is like in 3 sentences. Well done!
 
Compared to second year, first year was a breeze (although, at the time, it was more stressful because I still getting into my groove). For the record, neither caused me too much angst. I had bad days, everyone does, but once I adjusted to the workload and being back in school I did fine. I did go to a pass/fail school, nonranked for the first two years. Just recently took my Step 1 exam and did better than average, which was fine for me. For me, the secret of the first two years was Anki. Study everyday in a focused manner and then you don't have to cram or kill yourself.


I love your profile picture.
 
Several posters have touched on this already, but I think people's experiences of first year and med school in general can be greatly influenced by perspective (i.e., experiences before med school), personality, and factors specific to their school. First year was challenging for me, but it was actually the least stressed out I've ever been. Partly because of some things I've been through and many truly nightmarish years that serve as my basis for comparison, and partly because getting into a US allopathic school was nothing short of a miracle for me, so a strong sense of gratitude has overshadowed the negatives. That's NOT to say that med school can't be smooth sailing for people with more typical experiences. Personality, healthy de-stressing habits, and baseline tolerance for being under pressure are just as important, if not more so.
 
For me personally it was a lot easier than I expected. In undergrad everyone just talked about how I'd have no life and not be able to do anything outside, but I have had a pretty successful year and done a lot of fun things. I'm not going to lie, my last final is tomorrow and I'm pretty burnt out, but I attribute that to mandatory classes and then trying to do stuff on top of it. It's pretty hard to come home at 4 or 5 o'clock after sitting through 6-7 hours of lecture and keep going for another 3+ hours
 
Sucked.

When will they learn that torture isn't an effective teaching method? Second year was way better, but boards prep sucks too.
Seriously.
I wonder what would actually be better tho... I just feel like there has to be another way where I don't feel like I'm losing my humanity
 
Seriously.
I wonder what would actually be better tho... I just feel like there has to be another way where I don't feel like I'm losing my humanity

Start by cutting out some of the clinically irrelevant minutiae? 😉 That takes up a lot of time.

I balanced my life out far better second year. As for first year, however, I felt dead on the inside.
 
Start by cutting out some of the clinically irrelevant minutiae? 😉 That takes up a lot of time.

I balanced my life out far better second year. As for first year, however, I felt dead on the inside.
Teach me your wisdom.
I seriously need to come up with a better strategy for next year or boards are going to eat me alive
 
What was the most challenging class in 1st year?

I felt like immunology was a pain in the butt...
It's a tough call between gross anatomy and neuroanatomy. Gross is more material, and simply put it's just a miserable time.

Immuno did get a bit hairy near the end, but our school had a grand total of like 16 lecture hours worth of immuno. I assume other schools do more...?
 
1st year was awesome and I loved learning all these new things. I pretty much just studied 9a-10p every day with a 2 hour break from 3-5 and I did really well. If you have never had immuno before I HIGHLY advise you to actually pre read that wkend before . I never pre read my first year but I wish I had bc I spent the first wk of that module figuring out the basics so I could then study wk 1 stuff. It isn't that bad of a class once you understand what the prof means when he/she says stuff like CD and IL.

It was really stressful and next year I'm not going to try and stay at the top of my class like I did this year. Yes I'm top 10%, but I also just got diagnosed with shingles from too much stress and I'm in my early 20s. Yay me lol. Next year I'm honestly just studying from boards books and hoping to just get a B on all my exams so I don't stress out as much (except when it gets close to boards haha)
 
It's a tough call between gross anatomy and neuroanatomy. Gross is more material, and simply put it's just a miserable time.

Immuno did get a bit hairy near the end, but our school had a grand total of like 16 lecture hours worth of immuno. I assume other schools do more...?
We had about the same grand total of immuno lecture... 14 lectures (2 hours each). Our prof was big on minutiae; she made an easy class extremely difficult...

Gross anatomy was not easy either, but our lab worth 30% of our grade and these lab exams were extremely easy--average usually in the 90%...
 
What was the most challenging class in 1st year?

I felt like immunology was a pain in the butt...
For me it was biochem. Probably followed by cardiac physiology because the professor we had for that was just so bad.
 
It's a tough call between gross anatomy and neuroanatomy. Gross is more material, and simply put it's just a miserable time.

Immuno did get a bit hairy near the end, but our school had a grand total of like 16 lecture hours worth of immuno. I assume other schools do more...?
Plus side was that it was combined with micro which had a bazillion points possible so if you effed up immunology you could make it up with micro.
 
It's a tough call between gross anatomy and neuroanatomy. Gross is more material, and simply put it's just a miserable time.

Immuno did get a bit hairy near the end, but our school had a grand total of like 16 lecture hours worth of immuno. I assume other schools do more...?
We had 30-35 hours over the course of 9 days. I'd also say immune is probably the most 'abstract' of anything we've had as there are so many pathways that cross and molecules that effect multiple other pathways.
 
Did anyone use any extra materials for certain classes they found particularly useful for exams (excluding Step 1 study aids) ?
 
1st year was awesome and I loved learning all these new things. I pretty much just studied 9a-10p every day with a 2 hour break from 3-5 and I did really well. If you have never had immuno before I HIGHLY advise you to actually pre read that wkend before . I never pre read my first year but I wish I had bc I spent the first wk of that module figuring out the basics so I could then study wk 1 stuff. It isn't that bad of a class once you understand what the prof means when he/she says stuff like CD and IL.

It was really stressful and next year I'm not going to try and stay at the top of my class like I did this year. Yes I'm top 10%, but I also just got diagnosed with shingles from too much stress and I'm in my early 20s. Yay me lol. Next year I'm honestly just studying from boards books and hoping to just get a B on all my exams so I don't stress out as much (except when it gets close to boards haha)
You studied from 9am-10pm!? What super human are you ?


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I’m not sure what to expect next year, but I do believe I went to a school that definitely pushed students to give it their all. I hope that it’ll be equally to slightly worst than my worst semester in undergrad (which was REALLY bad). I am hoping that not having to be as involved in ECs and being more efficient while studying (not being on social media, not eating, etc.) will lead to a decent M1 experience. I definitely have read enough about med school experiences on SDN and outside of that to know that it’ll be super tough, but I’m optimistic and I’ll try to remember the “light at the end of the tunnel” and all of the positives.
 
I struggled a bit with cardiac physiology.....but it didn't help that I had gotten sick during that block and tried to push through. I passed though so its all good. I just know that I need to make sure I go back over it so I understand it.


Honestly though....it was hard but completely manageable. I can't believe I'm already done with first year.
 
I was done in late April so I had time to reflect and to be truthful honest I realized med school is very manageable. The only thing I wish I did was study more from BRS and other review books while I was in the course.

I would like to add that in medical school you exactly do need to understand the concepts of the course unlike undergrad. because in med school the answer choices are so similar.
 
Did anyone use any extra materials for certain classes they found particularly useful for exams (excluding Step 1 study aids) ?

I was done in late April so I had time to reflect and to be truthful honest I realized med school is very manageable. The only thing I wish I did was study from BRS and other review books while I was in the course.

I would like to add that in medical school you exactly do need to understand the concepts of the course unlike undergrad. because in med school the answer choices are so similar.

BRS is a pretty great resource. Gives you the high yield info for boards while also giving you enough detail to get a very strong foundation for lectures. I'd also say Dubin's Rapid EKG is great. Other than that I don't personally use much else.
 
What review books did you guys use for each subject?
 
BRS is a pretty great resource. Gives you the high yield info for boards while also giving you enough detail to get a very strong foundation for lectures. I'd also say Dubin's Rapid EKG is great. Other than that I don't personally use much else.
I was done in late April so I had time to reflect and to be truthful honest I realized med school is very manageable. The only thing I wish I did was study more from BRS and other review books while I was in the course.

I would like to add that in medical school you exactly do need to understand the concepts of the course unlike undergrad. because in med school the answer choices are so similar.
Which BRS books do you have and would you recommend? I just have BRS physio, and I was going to use it to brush up on each system before their respective path block. I like review books, but I just don't know how to allocate my time during 2nd year and I don't want to overload on resources.
 
So I just discovered what a pysch NP is...:boom:
Real talk though, they make 3/4 the salary with way less debt and education
 
They make 90k-100k... That is about half of what psych physicians make.

After doing a quick google search that resulted in some nursing forums I saw 130k... 100k isn't bad though.
 
Which BRS books do you have and would you recommend? I just have BRS physio, and I was going to use it to brush up on each system before their respective path block. I like review books, but I just don't know how to allocate my time during 2nd year and I don't want to overload on resources.

I used mostly physio and embryo for actual lessons. Physio is nice just because it clarifies the high yield stuff and embryo is just way more organized than any lecturer I've ever had. I also have neuroanatomy, immuno + micro, and 'cell bio, biochem, and genetics', but I haven't used that one at all. I mostly just use them for the practice questions in the back of the books, but I figure they'll be a quick way to remind myself of the important stuff next year before I dive into real practice questions.
 
130k is impressive. That is probably the salary of peds physicians.

Lol, figures in those surveys are always off. Peds are not making that little except maybe certain places.
 
Don't you want the education though?
I mean... I kinda like the feeling of being an expert.

How is anatomy going to help me with being a psychiatrist? Also doesn't the stress seem almost unbearable at times? I know this process must have had some negative consequences on my health
 
Which BRS books do you have and would you recommend? I just have BRS physio, and I was going to use it to brush up on each system before their respective path block. I like review books, but I just don't know how to allocate my time during 2nd year and I don't want to overload on resources.

I used BRS PHysio, Anatomy and Embryology. I read Costanzo's Physio and then used BRS for the questions. I don't read BRS, I just do the questions and read something else.
 
How is anatomy going to help me with being a psychiatrist? Also doesn't the stress seem almost unbearable at times? I know this process must have had some negative consequences on my health
Idk, I've asked myself the same question multiple times and haven't really come up with an answer.
And yes the stress sometimes is unbearable. I've stated before that you have to give up part of yourself in this process. It sucks.
 
How is anatomy going to help me with being a psychiatrist? Also doesn't the stress seem almost unbearable at times? I know this process must have had some negative consequences on my health

Idk, I've asked myself the same question multiple times and haven't really come up with an answer.
And yes the stress sometimes is unbearable. I've stated before that you have to give up part of yourself in this process. It sucks.

I had this same train of thought as a MS1, which is fine.

As you progress down the timeline, you will come to appreciate some things from a different frame of reference.

The value of anatomy for you is that you'll have a working knowledge of the human body's landscape as a psychiatrist, a physician, a medical doctor.

You are correct that you will not need the level of longitudinal mastery to the same degree as your peers going into surgery, radiology, etc... And it seems backwards right now that you take the same exact route as them with such different career endpoints in sight; nevertheless, you will utilize that working knowledge as one of the many blocks in the foundation upon which you build your education as a competent physician.

There will be anatomy tied in with each of your organ-based courses. There will be anatomy in each of your clinical rotations during 3rd/4th year. There will be anatomy during your first years in psych residency.

Once in clinical settings, you will read many notes and synthesize many reports. It helps to have an idea what things mean ahead of time (for example, that anatomy knowledge) so that you don't need to pause and look simple things up and/or be completely incompetent as a physician (if you choose not to/unable to look things up).

Here is a simplified, made up [and hyperbolic] example of how to not appear completely incompetent:

Psychiatrist in a bit of a rush goes into patient's room for consult, patient laying completely under sheets. Report notes among various findings a fracture to R scaphoid. During course of interview, psychiatrist asks patient if they are able to ambulate at all with their bone fracture.

Psychiatrist forgot his simple anatomy: what is a wrist bone, Alex. Result: looks like an idiot, good luck with subsequent patient confidence.

Here is a simple [less hyperbolic] example of value of anatomical knowledge when it comes to efficiency:

Psychiatrist meets with pt post suicide attempt. Cut their R wrist pretty deep and drank some toxic chemicals. Psychiatrist notices that pt can't abduct/oppose R thumb. Psych can then ponder this fact in their head as to why that might be the case, take the time to look up why that might be the case, or just remember on the fly from his MS-1 anatomy class that deep cuts to the wrist can damage the median nerve which distribution impacts ability to abduct/oppose the thumb and smoothly proceed with the interview.

One can make an example out of any other bodily injury... Understanding anatomical pathology of mass effect by a tumor in your depressed CA pt... Understanding anatomical ramifications in that patient that decided to consume sharp objects... Understanding neuroanatomy when interpreting new literature....on and on.

If you NEVER took anatomy, why would you know those details? They are not intrinsic facts to the psychiatric training curriculum, however, they are intrinsic facts to the knowledge of a physician...which as a psychiatrist, as you know, you will be.

Embrace that budding knowledge.
It is a PITA, yes.
Take solace in the fact that any stress you feel resulting from the med school curriculum is actually much less than if you were in the same position but aiming for derm/ent/etc.
 
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So much more painful than I ever could have expected. The knowledge required was about what I'd thought it would be, but the testing of that knowledge base was insanely difficult. No amount of premedical anything can prepare you for the insanity of your anatomy practicals or your first clinical skills exam.
 
What would you guys say was the hardest class? Or one you wish you had exposure to in undergrad?
Anatomy, for me. But I'm terrible at memorizing enormous lists of facts, I'm more of a concept guy. I hear neuroanatomy is worse, but we don't have it until next year.
 
I had this same train of thought as a MS1, which is fine.

As you progress down the timeline, you will come to appreciate some things from a different frame of reference.

The value of anatomy for you is that you'll have a working knowledge of the human body's landscape as a psychiatrist, a physician, a medical doctor.

You are correct that you will not need the level of longitudinal mastery to the same degree as your peers going into surgery, radiology, etc... And it seems backwards right now that you take the same exact route as them with such different career endpoints in sight; nevertheless, you will utilize that working knowledge as one of the many blocks in the foundation upon which you build your education as a competent physician.

There will be anatomy tied in with each of your organ-based courses. There will be anatomy in each of your clinical rotations during 3rd/4th year. There will be anatomy during your first years in psych residency.

Once in clinical settings, you will read many notes and synthesize many reports. It helps to have an idea what things mean ahead of time (for example, that anatomy knowledge) so that you don't need to pause and look simple things up and/or be completely incompetent as a physician (if you choose not to/unable to look things up).

Here is a simplified, made up [and hyperbolic] example of how to not appear completely incompetent:

Psychiatrist in a bit of a rush goes into patient's room for consult, patient laying completely under sheets. Report notes among various findings a fracture to R scaphoid. During course of interview, psychiatrist asks patient if they are able to ambulate at all with their bone fracture.

Psychiatrist forgot his simple anatomy: what is a wrist bone, Alex. Result: looks like an idiot, good luck with subsequent patient confidence.

Here is a simple [less hyperbolic] example of value of anatomical knowledge when it comes to efficiency:

Psychiatrist meets with pt post suicide attempt. Cut their R wrist pretty deep and drank some toxic chemicals. Psychiatrist notices that pt can't abduct/oppose R thumb. Psych can then ponder this fact in their head as to why that might be the case, take the time to look up why that might be the case, or just remember on the fly from his MS-1 anatomy class that deep cuts to the wrist can damage the median nerve which distribution impacts ability to abduct/oppose the thumb and smoothly proceed with the interview.

One can make an example out of any other bodily injury... Understanding anatomical pathology of mass effect by a tumor in your depressed CA pt... Understanding anatomical ramifications in that patient that decided to consume sharp objects... Understanding neuroanatomy when interpreting new literature....on and on.

If you NEVER took anatomy, why would you know those details? They are not intrinsic facts to the psychiatric training curriculum, however, they are intrinsic facts to the knowledge of a physician...which as a psychiatrist, as you know, you will be.

Embrace that budding knowledge.
It is a PITA, yes.
Take solace in the fact that any stress you feel resulting from the med school curriculum is actually much less than if you were in the same position but aiming for derm/ent/etc.
Thanks for this. I always appreciate your posts and the insight you provide. I feel like the stress I feel is a different kind than those who are going for say ortho. I know my grades don't particularly matter, but straining to find relevance can be stressful in itself. I try to tell myself that I have the opportunity to learn things that most people never have the chance to. Embracing knowledge for the sake of knowledge can be helpful IMO.
The bigger problem for me is the question of "did I make the right decision? Is this where I'm supposed to be in my life right now?" That's where the real fear is. That and how much am I going to sacrifice at the alter of medicine? Those aren't exactly questions with easy answera.
 
Thanks for this. I always appreciate your posts and the insight you provide. I feel like the stress I feel is a different kind than those who are going for say ortho. I know my grades don't particularly matter, but straining to find relevance can be stressful in itself. I try to tell myself that I have the opportunity to learn things that most people never have the chance to. Embracing knowledge for the sake of knowledge can be helpful IMO.
The bigger problem for me is the question of "did I make the right decision? Is this where I'm supposed to be in my life right now?" That's where the real fear is. That and how much am I going to sacrifice at the alter of medicine? Those aren't exactly questions with easy answera.

I agree. No easy answers, indeed.

I will say that, over the course of the past years, I've had many similar qualms -- they became less frequent as time rolled on.

I think you are wise to reflect and ask yourself questions. A mind not contemplating is a mind not living up to its potential. 😛
 
You studied from 9am-10pm!? What super human are you ?

Lol I took a 2 hour break from 3-5. So did 9-3 and 5-10. really isn't bad. Just 6 hours then 2 hour break then 5 hours then dinner and bed. I like routines and this way I was able to go to bed around 11pm on test nights because somehow I almost always had just enough time to get to where I wanted to be by test day by then. I definitely am going to not stress as much during second year except when boards gets close haha
 
I had this same train of thought as a MS1, which is fine.

As you progress down the timeline, you will come to appreciate some things from a different frame of reference.

The value of anatomy for you is that you'll have a working knowledge of the human body's landscape as a psychiatrist, a physician, a medical doctor.

You are correct that you will not need the level of longitudinal mastery to the same degree as your peers going into surgery, radiology, etc... And it seems backwards right now that you take the same exact route as them with such different career endpoints in sight; nevertheless, you will utilize that working knowledge as one of the many blocks in the foundation upon which you build your education as a competent physician.

There will be anatomy tied in with each of your organ-based courses. There will be anatomy in each of your clinical rotations during 3rd/4th year. There will be anatomy during your first years in psych residency.

Once in clinical settings, you will read many notes and synthesize many reports. It helps to have an idea what things mean ahead of time (for example, that anatomy knowledge) so that you don't need to pause and look simple things up and/or be completely incompetent as a physician (if you choose not to/unable to look things up).

Here is a simplified, made up [and hyperbolic] example of how to not appear completely incompetent:

Psychiatrist in a bit of a rush goes into patient's room for consult, patient laying completely under sheets. Report notes among various findings a fracture to R scaphoid. During course of interview, psychiatrist asks patient if they are able to ambulate at all with their bone fracture.

Psychiatrist forgot his simple anatomy: what is a wrist bone, Alex. Result: looks like an idiot, good luck with subsequent patient confidence.

Here is a simple [less hyperbolic] example of value of anatomical knowledge when it comes to efficiency:

Psychiatrist meets with pt post suicide attempt. Cut their R wrist pretty deep and drank some toxic chemicals. Psychiatrist notices that pt can't abduct/oppose R thumb. Psych can then ponder this fact in their head as to why that might be the case, take the time to look up why that might be the case, or just remember on the fly from his MS-1 anatomy class that deep cuts to the wrist can damage the median nerve which distribution impacts ability to abduct/oppose the thumb and smoothly proceed with the interview.

One can make an example out of any other bodily injury... Understanding anatomical pathology of mass effect by a tumor in your depressed CA pt... Understanding anatomical ramifications in that patient that decided to consume sharp objects... Understanding neuroanatomy when interpreting new literature....on and on.

If you NEVER took anatomy, why would you know those details? They are not intrinsic facts to the psychiatric training curriculum, however, they are intrinsic facts to the knowledge of a physician...which as a psychiatrist, as you know, you will be.

Embrace that budding knowledge.
It is a PITA, yes.
Take solace in the fact that any stress you feel resulting from the med school curriculum is actually much less than if you were in the same position but aiming for derm/ent/etc.
Thank you good sir, I needed to hear this.
 
Lol I took a 2 hour break from 3-5. So did 9-3 and 5-10. really isn't bad. Just 6 hours then 2 hour break then 5 hours then dinner and bed. I like routines and this way I was able to go to bed around 11pm on test nights because somehow I almost always had just enough time to get to where I wanted to be by test day by then. I definitely am going to not stress as much during second year except when boards gets close haha
Jesus that's a lot of time. What about like... going out? Or Netflix? Or anything else that's not school?

I've had to do a similar schedule the past couple days and I honestly feel like I'm going to lose my mind. No way I could keep it up for any extended period of time.
 
I've only been scoring around 80% on my first year exams. This worries me because I feel like I will not be able to score at least the average on step 1. Our class average on exams are usually around 85%. Anyone else in my shoes?
 
Jesus that's a lot of time. What about like... going out? Or Netflix? Or anything else that's not school?

I've had to do a similar schedule the past couple days and I honestly feel like I'm going to lose my mind. No way I could keep it up for any extended period of time.

I kind of just got use to it. It's nice waking up at 8 and getting ready for the day (shower, eat etc), then just studying and getting through online lectures until 3 and eating lunch, Facebook, tv, workout, nap then study till 10. After that, I eat dinner and watch netflix at the same time so I definitely don't forego my netflix watching 😉. Then bed around 11-12 and start all over again. My body just got use to the routine and it allowed me to not have any sleepless nights before exams and do well in school . I go to an ABCF school though and not P/F so our grades actually matter which is annoying. I feel like I've retained a decent amount this way compared to when I just studied the night before in undergrad lol
 
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