Life As a Medical Student

Hello hello.

Whether you are a premed interested in what your future may look like in medical school or you’ve recently been accepted, finding out what a day in the life of a medical student looks like is often something searched. It is usually difficult to find, and for good reason! Every school, curriculum, and student is different. Making a “day in the life” of student hard to capture.

I am going to be honest here: I was not usually on top of my shit as a student. Despite what the medical school youtubers show you and what the over-achieving instagramers say, most people are not on top of studying or have it together in medical school. It is completely common to be far behind, too tired to finish, or often run out of time in the day to do what you need to do.

Because of this, I spent a lot of time NOT going to class, learning at my own pace, and sleeping. Majority of my classes were not mandatory in person, and they were recorded so we could in essence “re-watch” them later. What that really meant was most students didn’t go to class and just watched them later on their own time.

Year 1:

Year 1 is all about that learning curve. In case you haven’t read a previous post, I went to a school that was known to have a difficult curriculum. They also had block scheduling, and the curriculum taught the “normal” first year and the “abnormal” second year. So that meant first year you would have anatomy, physiology, biochem, immunology, histology, and embryology for each section. The second year was mostly pathology and pharmacology. So you would have GI 1 in first year covering the basics, and GI 2 going over disease and pathology. They would definitely throw in common diseases to be tested on in first year though; they make great test questions. The idea was that you would have the ability to see it twice; as more repetitions = more likely to get into your brain.

Because the school was proud to have a “tough curriculum”, it also meant that you did a lot of self learning. I won’t go too into details, but you would have your lectures/reference books, but a lot of it was not easily put together for you. You did have to hunt to find important information. First year did hand you a bit more, but by the time you got to second year you did a lot more hunting…

It definitely made it frustrating as a student as most of us wanted to spend them time just learning and understanding what we needed to know, but it is what it is.

I wrote a lot of blocks on my classes in first year. But a schedule typically looked like this:

  • Class from 8 am to noon most days of the week. Occasionally we would have lectures in the afternoon, but most of the time we didn’t.
  • Lab usually from 1-4 on 2 or 3 of the days in the week. First year would have PCM, OS, and anatomy labs to fit in during the week depending on the block course you were in. OS and anatomy labs were 2 hours, PCM was only 1 hour.
  • Any additional time spent off was in the lab or studying for your courses.

This meant that you either had to pre-read/review lectures before class and try to learn a chunk of it during class, or do most of your reviewing  later in the evening. I am more of an evening person, so most of my studying occurred at night.

For most labs, you did not have to prep. But for some you did. This obviously took up some of your review time to make sure you were prepared. There were a lot of long nights and most of my weekends were spent trying to catch up simply because of this. As time went on, I stopped going to class to sleep in or try to start studying and just went to campus for labs. For anatomy, you spent most of your time trying to dig and find your structures, but you didn’t learn them well until they were cleaned out and you were able to see them and their relationship in the body. If I would have prepped more before going into lab, I probably would have gotten more out of it.

Our school has something called Mediasite, which is where our recorded lectures would be. They would show up as soon as the in person class was finished. We could speed up or slow down the lectures, so you could get through lectures pretty quickly if you wanted. Other schools I know utilize just voiced over powerpoints, which you cannot fast forward through…

And that was how my first year went. A lot of lectures, doing questions, trying to learn the anatomy, etc. There were some classes that I utilized a lot of additional resources besides my notes, and some where I didn’t need to utilize much. Because I had previously had plenty of exposure to the subjects taught, I knew how to study for them and how to approach them. It was just learning how to accept, study, and understand the large amounts of material in a much smaller amount of time.

Overall I would study an average of 10-12 hours a day first year.

No, I didn’t really work out. 

Yes, I had a lot of anxiety and there was a lot of stress burrito-ing happening and cuddles with my kitty. 

Year 2:

Honestly, more of the same. Except the focus was on pharm and path. I utilized Robbins path and pathoma the most, in order to help me understand and organize the material better. But honestly, you just have to see the material many times in order to understand path.

We didn’t have anatomy second year, so our only labs were OS and PCM. Most of the important skills we actually learned in first year; so a lot of it was review or integrated with some fine tuning. Since we had exposure to how they tested for different scenarios for both courses in first year, it wasn’t as stressful second year.

For our schedule, it was similar:

  • Classes 8-12 (or less depending on the day)
  • and lab/simulations about 2-3 days out of the week. We rotated in smaller groups for more things, so the schedule would look more hectic than it was.

Again, I chose to sleep in during the morning and get a later start to classes/studying than go to class. I simply didn’t learn in class. And if I did go, I could only pay attention for about an hour before I needed to switch. Plus, a lot of our path/pharm lectures were flown through simply because there was so much material and not enough time to teach it.

I’d say I utilized more outside resources consistently for second year, such as Truelearn for questions, or sketchy/pathoma for help with path understanding. So instead of multiple books, youtube, paid resources, etc, I just used the same 1-3 sources. First Aid can also be utilized as well to help organize your thoughts for path.

Then towards the end of the year you start gearing up for boards and dedicated. See my other posts for that information.

Overall, I would study maybe 6-8 hours a day consistently for second year. Partly because I was burned out, and partly because I would avoid my duties due to stress. It is what it is.

No, I still didn’t work out. I did hang out with friends more though. We would call it “study group” but only about 1/2 the time was spent studying… 

Year 3:

Well, I’m just starting so I don’t have much to offer yet!

But my site is doing what they call the “2+2” method. It is where we are in clinic for 2 weeks and then off for 2 weeks. But when we are on, we are on. In my first rotation this meant I was on straight for 14 days. Anything that was on call that my provider called me for meant I needed to be there. It was a bit exhausting by the end. I didn’t really get a “day off” until my 14 days were done. 

I know in the future, my schedule could be any combination of weeks on/off. It just so happened that my first rotation was one off, two on, one off. Because of this program, we have more work to do than our classmates. We all have some online work to do (and by we I mean my class as a whole), but my site has more additional projects that count towards our grade. This includes case presentations, powerpoints, standardized patients, and virtual reality. 

On my weeks off, it would usually consist of doing the work assigned for a grade, flash cards, and practice questions. 

For my first rotation, my scheduled looked like this:

  • 6am Rounding: As a student I would go before clinic started. I would usually run into my attending as I was finishing up so I could present. Then we would go see the patients from there. If I finished beforehand, I would look up the first few patients in clinic for the day so I had their information handy if I was sent in to see them.
  • Clinic from 7am-4pm (which always ran late).
  • I was on call the whole time, so if anything next door on the floor was called in, I would leave clinic to go be with the attending that was dealing with that. Sometimes it was the attending I was with, sometimes it wasn’t. Weirdly, I was usually with the attending in clinic that was on call that day. So it worked out in my favor. So if a baby was about to be born, we would leave clinic and go deliver and come back.
  • Some days we would have scheduled surgeries mid-day. So usually over lunch?
  • After clinic, we would visit patients on the floor. Usually started sometime after 5 pm. We would check in with any mom’s that needed to be delivered, or anything that was admitted while we were in clinic.
  • I would usually leave anywhere around 6-7 pm. 
  • On the weekends I would be there from 6/7am-7pm. I think there was one night where a case went haywire and we were there pretty late. 
  • This was a mix of inpatient and outpatient.

And that was mostly how my first rotation went. I only had enough time to shower, make food, and eat before passing out during the 2 weeks I was on. And since it was my first rotation, I hadn’t learned how to work in studying yet and hadn’t gotten used to the physical exhaustion yet. Hopefully my next rotation I will be better with this!

All I know is my next rotation is peds. I’m off the first two weeks and on the last two. I believe this rotation is just inpatient, so I’m expecting to be doing regularly scheduled 12 hour hospital shifts, but will let you know!

Cheers!

 

Medical Boards: Resources

Hello!

Taking medical boards is a big step in your medical career; especially for your first go-around at it. Your first round includes everything you’ve learned in the past 2 years of your didactics. It will also be your first exposure to how they run the exams and what to expect for your next set of rounds.

It is not uncommon for students to use several study aids during your dedicated period. What is that you say?

Dedicated is the time you set aside to solely study for boards. For most students that is about 4 solids weeks. For some it is less and some it is more. I personally took more time, but our school built in time for us to have dedicated. Other schools may not.

Planners:

Before you even get to studying, a lot of students (especially the super type-A) like to have a plan of what they will do. Several of my classmates utilized CramFighter. If one of you gets it, there is a code you can give to others for a discount type of thing. I’m not sure if you can get a group discount like you can with Pathoma and Sketchy though.

CramFighter is just one of many scheduling sites that you can utilize. This one is for boards (specifically for step 1/level 1) so it has literally any and all resources you could think of to add in there. You can do a one week trial (which may be free or you might have to pay a small fee for). I tried the one week trial, but personally as you have to schedule things out and there were so many resources I became very overwhelmed and couldn’t find it helpful. I had some friends that once they were able to make there schedule find this very helpful. In fact, a lot of classmates used this. I’m also the type of person to add too much to my plate and not get it done, so I had a feeling that this would just make me feel worse.

Other possible online study scheduler sources: (not super popular, just did a quick online search):

  • My study life
  • Shovel
  • Study Schedule (more MCAT specific though)
  • Go Conqr
  • Memorangapp.com

Others just used an excel/google drive sheet to make their own schedule and knew which resources they wanted to use.

Sources:

I mentioned the sources I used in my previous post, but you will find a lot of the same top few sources. And for good reason! They consist of concise information and high yield concepts of what has previously been tested on in the boards or what may be tested on the boards. Some programs take what is in First Aid and just make the information easier to digest (i.e. Sketchy).

Top sources:

  • First Aid
  • U world
  • SketchyMicro
  • Pathoma
  • Savarese (for OMT)

Other sources include:

  • Boards & Beyond (B&B)
  • Doctors In Training (DIT)
  • SketchyPath
  • SketchyPharm
  • First Aid cases
  • Anki (using either Zanki decks or your own decks)
  • Online Med ED
  • Osmosis
  • AMBOSS
  • Truelearn (DO only)
  • COMBANK (DO only)
  • COMQUEST (DO only)
  • USMLE Step 1 secretes
  • Kaplan
  • Goljan Rapid Review Pathology
  • NBME assessments
  • Robbins Pathology

As you can see there are A LOT of resources. And there are many many more. The above is compiled from a few different websites and from friends who were studying at the same time I was. In fact, there are many more resources available depending on how you prefer to learn and what you are willing to pay.

Whatever you choose to use, do NOT overwhelm yourself with resources. Pick a few and stick to them. Try to find sources that fill in the gaps of what your other sources don’t teach/review well. This is why the First Aid, SketchyMicro, and Pathoma are all historically used. (Although personally I know friends who preferred SketchyPath over Pathoma). U world is typically used for questions as they are hard, the program is set up similar to USMLE step 1 exam, and it allows you to actively apply your knowledge by answering questions. Anki is also frequently used to help with facts that are just difficult to memorize given it has a proven exposure rate with studying.

Goals:

This will obviously be different for everyone, but you should aim for similar goals. Feel free to reach for higher goals than I set for myself; I was somewhat at the end of my rope by the time my exams were taken.

  1. You need to review all major systems. A great way to do this is either via First Aid and go through the section to review/relearn the subjects, doing Anki cards (which is just First Aid in a different format), or doing a video program such as B&B.
  2. Aim to review First Aid about twice. Once thoroughly, and once where you can quickly review. If you find yourself needing to re-learn something, this gives you a chance to do that on your second pass.
  3. You should aim to do a lot of questions. Doesn’t matter how you get them in: mock exam style, x amount per day, x amount after each section; doesn’t matter. You should aim to do many questions. The more questions you are able to do, the better your testing skills will be and the more knowledge you will gain. I aimed for about 2000 questions before step 1. I had friends that wanted to stick to doing 2 blocks of 40 a day, friends that wanted to review everything first and then just do questions for weeks. Personally, I slowly added in questions to see if I was retaining or understanding the knowledge I was concurrently learning.
  4. Practice taking a few mock exams. My only advice with this one is so you can work through your testing fatigue. You are going to be testing for 8-9 hours in a day. Make sure you can train your brain to stay focused during the long testing periods. It can also help you gauge how long you need to be spending per question, and in combination with taking questions regularly will help you decide if you should be sticking with your gut guesses or re-evaluating your guesses. (I’m a gut guesser; more often than not if I gut guess it is correct, but if I try to change it I usually change it to a wrong answer).

Breaks:

I touched on this in my previous post but I want to reiterated it here: Make sure you schedule breaks for yourself during dedicated. You will be studying long and hard for really stressful exams. Giving yourself downtime will not only improve your performance, but also your ability to focus and your mental health. If you need to seek professional help then do it. If you need to make sure you workout because it helps keep your stress levels down, then do it. If you need to be able to paint your nails or paint a picture, then make time for that. If you need to spend a day getting lost in the woods going hiking to reconnect with nature and reset your soul then you know what I’m going to say; DO IT. Medical school and medicine in general is all about how balanced as a person you can be while simultaneously juggling the stresses of medicine.

Make sure to keep the balance in your life and to not overtip it one way or another. Your body will tell you if you are.

Good luck in dedicated. Cheers!