By the time I took Step 1, my FA was totally marked up. I regret that I got rid of it, because some of the mnemonics would have been useful to share. These are my tips:
1. First of all, the act of writing something (rather than just reading it or hearing it) helps you retain the information. You engage an extra part of the brain that helps you synthesize information, a part of the brain you will need for step 1. So - annotate - it will help you remember.
2. I filled the margins with mnemonics and figures of my own design. Mnemonics are easier to "think you remember" than to "actually remember." So, for the high-yield mnemonics, write them in the margin in your own handwriting. It tests your knowledge and helps retention.
3. Figures of my own design in the margins - I specifically remember drawing a boy with Fragile X Syndrome. It was a cartoon with a large forehead, ears, jaw, and large testicles. Once I ran across my own drawing a couple of times - I never forgot it.
4. Highlighting isn't helpful. Highlighting is passive and won't help you remember. Annotating is active - do it.
5. Don't get stuck. No matter what happens, don't spend too much time on any one page of FA. Get through the whole book several times - it's that important.
Stark
Gold Standard Audio USMLEHelp Audio