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: What to Expect the Day of

Okay.

You’ve finally studied your heart out.

You’ve accepted that you will never be ready to fully take this exam but you are going to anyways.

Exam day has finally arrived.

Boards and dedicated are stressful. Ask any medical student! But there are some things that can help calm you down or help you familiarize yourself with for test day. Whether that be step 1 or level 1, there are few things to keep in mind and a few things to be prepared for.

Step 1:

The test in total looks something like this:

  1. 15 minute beginning tutorial
  2. 7 blocks total of questions. Each block is 40 questions and you have a max of 1 hour per block.
  3. 45 minutes of break time for the day.

When you arrive to Prometric, step 1 usually requires a piece of paper for you to print and bring with you. There is an ID # that they will have you write on your sheet of scratch paper. You will need this ID # to log into the exam every single time you come back from a break. Don’t bother memorizing this #. It will be written there for you.

Uworld is set up very similarly to step 1. It has the running questions on the sidebar, the same blue bar up top and gray background. It has the forward and backward buttons, calculator button, and labs. It also has a timer (although if I remember correctly the timer is on the bottom of the real exam). There are a few extra buttons on Uworld that are not on Step 1, but if you are someone who is anxious about navigating the exam on test day, look at Uworld set up to get an idea.

Then you have the check-in (which is very similar to the MCAT). You sign your name, they wand you, they fingerprint you, they time stamp your in and out, take a photo of you, and ask to see your empty pockets, up your sleeves, etc. For mine, we eliminated the fingerprint and wanding because of COVID. We also didn’t sign in/out for every break, but we did sign in at the start and end of the exam. You will have a locker which you can access during your breaks.

So after going through check-in you are sat in your assigned seat. I brought foam earplugs because I had a feeling some nervous ticks of other test takers would be loud; and my goodness were there some loud and annoying ones.

You login with that ID # and click that you are you and blah blah and then you start at the home screen.

For step, you decide how many blocks you do at a time and when to take your breaks. If you finish early on any testing block, they recycle that time into your break time. After an hour passes for each block, you have to submit that block of questions and move on. You get no more time for that particular block.

So you can choose to do the 15 minute tutorial or have this time recycled into your break time. I chose to quickly go through it to see if there were any additional functions that I was unaware of that differed from Uworld. I ended up with about 10 minutes extra.

I’m really annoyed that there isn’t a good screenshot of how that main test screen looks. This would have saved me a lot of anxiety as I wasn’t sure how it was going to go. Below is my “attempt” at what I remember for how it looks.

Sample screen for Step 1

As the exam continues on, the timing will change. Again, if you do not use the full allotted time for each section it will recycle and add to your break time. Below is how I ended up taking my exam:

I used the rollover time to add to my break times so I could take more of a breather. It was a long day of testing and I needed the time to reset. Plus, I knew I had extra time so I wasn’t pressed to keep watching my phone for the time on my break. I could just enjoy my break, eat, look up something if I wanted to, stretch, or just enjoy the sunshine.

During your breaks (at least at my site) you were allowed to use the restroom, get into your locker, go outside the building, get in your car, etc. They had only asked us to not go near crowds of people. Most of us if we went outside either sat on the sidewalk right out front of the building or sat in our cars in the parking lot. Others just stayed in the building.

At the end of the day we signed our name out, got a print out that was notarized, and we were done!

Level 1:

Okay, the set up for this exam is a bit different. I tested at the same Prometric site a few days later, so the process of getting into the exam was the same, and the rules were basically the same about breaks. The only difference is there was no ID # to log into with and I didn’t need a printed out sheet of paper with me.

This exam has LESS freedom to decide how you want to test. The exam is longer and more rigid in the schedule compared to step 1. Here is the following break down:

  1. 10-15 minute tutorial
  2. 2 blocks of 50 questions
  3. 10 minute break
  4. 2 blocks of 50 questions
  5. 40 minute break
  6. 2 blocks of 50 questions
  7. 10 minute break
  8. 2 blocks of 50 questions
  9. Survey

The timing is set up into two 4 hour blocks. This means that you get a 4 hour block before lunch and a 4 hour block after lunch. Within that 4 hours, it is recommended that you try to complete each block within an hour. But unlike step 1, the clock doesn’t stop ticking. This means that you need to constantly be watching your time. At around 1 hour you should be hitting submit for your block and moving on to the next one. What this does mean, is if you finish a block early, it rolls into the next testing block (as long as it is within either the first or second 4 hour block). You do not get any extra break time however.

So that means let say the following happens:

block 11 hour
block 21 hour
block 350 minutes
block 470 minutes
End of first half of examno time rolls over after submitting block 4

Once you submit a block you cannot go back. If you take more than the allotted time for your 10 minute break, it will pull from your overall 4 hours of testing time (or whatever is left).

After lunch you repeat the same process. You need to watch your time and try to submit each block within an hour. If you finish quicker, again that time will roll over for other blocks, but not be added to any break time.

Truelearn is a very similar set up to the exam interface on the level 1. Again, there are a few less buttons, but overall the set up and how you work it is pretty much the same. It looks the same as well.

Hope that was helpful! Cheers.