As I sit here studying for my respiratory system final, I can't help but think about all the things I learned, and then forgot, last year... not to mention the stuff from the previous systems I've learned and forgotten this year. And all that got me wondering... what, really, is the usefulness of the stuff we learn in years 1 and 2 beyond step 1? I know the "on-the-record" answer (i.e., it's all important and the amount you forget is proportional to the number of patients you'll kill... which in my case means I should stop now). I'd like to hear from 3rd and 4th years or residents. I've heard a lot ranging from the typical "it's all important" to "nothing you learned in years 1 and 2 really matters and once you hit the wards your education might as well start over." I'm sure the truth lies somewhere in the middle, I just want to hear some other people's thoughts. Thanks.