Medical Where am I going wrong with my studying?

Skrb

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First off I wanted to acknowledge that I have seen the other threads by students who have asked similar questions with regards to improving their study methods.

I have also consulted with many of my peers, who are performing at the top of the class, the academic advising department at my school, as well as my professors.

However in spite of the effort and strategies I try to apply, I do not seem to be making any progress. Sometimes im even making progress in the reverse. I question if my issue now is with the methods themselves, or rather an improper application.

I understand that as an M1 at a P/F MD program ny goal should really be to just pass, however that is a bar I'm struggling to scrape by on.

For context:

My work process currently amounts to

1. Check the lectures slides posted by professors for that day to understand topics being covered

2. Get a first pass on the content by doing a relevant 3rd party source

3. Complete associated AnKing cards for 3rd party resource

4. Complete practice questions relevant to 3rd party content covered

5. Go through in-house lecture slides / lecture recording, write down topics that I either do not know, or do not feel confident I can explain, then study those using AMBOSS articles, YouTube videos, etc.

6. Find or Make Anki cards for remaining material not covered.

7. Practice problems again


After this process I go into exams feeling generally good about the content, but after I come out I almost always either fail or barely scrape by on a 70%. I've never broken an A more than 1 time, and a B more than 2 times. When the NBME rolls around, I do significantly worse because regardless of how much Practice problems I do on ScholarRx, AMBOSS, or other 3rd party, none of the NBME questions really feel like they line up, and I'm taken completely off guard.

I would study for an average of 8 - 10 hours a day (excluding breaks) and it's even destroyed my health in the process. I want to be successful and not give up, but i just can't seem to figure out what is holding me back and putting me nearly at the bottom of the class while my class average is almost always 1-2 standard deviations above me.

Like I mentioned before, I've attempted to adjust my studying with help from my peers, the academic counselors, as well as my professors, however I haven't seen even an ounce of progress. And sometimes I've even abandoned Anki all-together and almost nothing has changed (I use FSRS and take my time - avg 10-15s per card - so that I can rationalize the card before moving on)

Im at the point where I'm starting to feel like my learning capacity and intelligence is not high enough for this type of setting, and the thought of it has been eating me alive.

Any insight would be greatly appreciated, and I can answer any questions.

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Hi, I’m just an M1 too, so definitely not an expert. Your schedule actually looks super similar to mine—what differs is that I stick to Anki pretty strictly and usually do about 3–4 hours of focused studying max (though of course that varies sometimes).

I’m honestly a bit stumped on how to tweak things because it sounds like you’re already doing a lot of the “right” stuff that’s commonly recommended. That said, I’m curious—how do you usually review missed questions when you’re doing practice problems?

Also, I felt a little concerned reading about how hard you’re studying every day. Burnout and overworking can sometimes make it harder to retain things or think clearly, so I’d check in with yourself on sleep, physical health, and mental wellbeing too.

I’m rooting for you—just wanted to say you’re not alone, and it’s really admirable how much effort and care you’re putting in. I hope you start seeing the results you’re working so hard for.
 
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