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  • If you're not getting the grades you want in school, you may think it's because you're not putting in enough effort.

  • After all, working harder should yield better results, right?

  • For many students, the issue isn't actually a lack of effort.

  • Rather, it's the way most pre-med and medical students study that is highly ineffective

  • and ultimately holding them back.

  • We'll separate fact from fiction, explore the scientific research, and give you actionable

  • advice that you can follow.

  • Dr. Jubbal, MedSchoolInsiders.com.

  • As an MCAT and USMLE tutor, I've seen first-hand how impactful it can be for a student to make

  • the switch from commonly-used, ineffective study methods to evidence-based, effective

  • study methods.

  • Ultimately, you've probably heard others suggest

  • a variety of study methods, some of which are contradictory to one another.

  • For that reason, it's important to practice some judgment and critical thinking of your

  • own when sifting through advice.

  • I like to look at a few key elements.

  • First, is the information I'm receiving backed by evidence?

  • That being said, not all evidence is created equal, and I've even gone over how you can

  • assess the strength of a research study in a previous video.

  • Additionally, not every question you have has been addressed with sound scientific research.

  • So if your question isn't adequately addressed by the scientific research, you'll need

  • to keep in mind some other factors.

  • Which bring us to the second point: credentials.

  • I don't mean the person needs a PhD or an MD after their name, although that certainly

  • helps.

  • If the person giving advice wasn't able to achieve the results themselves that they

  • are promising you, then where is their authority on the matter?

  • I personally scored in the 99.9th percentile on my MCAT, or the 100th percentile for the

  • statistically illiterate, and I hit the high 260s on my USMLE.

  • And third, what is the potential upside and downside from following the advice?

  • I'm unlikely to eat mysterious foods or take radical supplements because there is

  • potentially a large downside with relatively limited upside.

  • However, I'm more willing to experiment with my own study methods or productivity

  • strategies since the downside would be relatively limited.

  • That being said, I wouldn't start a new sleep routine just one week before my MCAT,

  • as that is higher risk.

  • In investing, we call this phenomenon asymmetric riskyou want to take risks when the potential

  • upside or gain is significantly larger than the potential downside or loss.

  • Knowing that, let's dive into the five most common mistakes students make while studying.

  • The first mistake is misunderstanding the utility and balance of comprehension and memorization.

  • Recently, there seems to be an attack on memorization, with the idea that comprehension and understanding

  • is all you need.

  • This is idiotic advice that does more harm than good.

  • Like most things in life, the truth is somewhere in the middle.

  • In certain subjects, particularly medicine, memorization actually becomes increasingly

  • important.

  • Comprehension and memorization are not an either-or proposition.

  • You need to use both in harmony to ultimately get the best grades and be the best doctor.

  • On one end of the spectrum, you have students who try to create flashcards and memorize

  • every single fact.

  • These students need to focus more on creating a mental scaffolding of comprehension before

  • they start filling in the small details.

  • On the other end of the spectrum, self proclaimed study experts say memorizing is bad and not

  • to use flashcards, pushing a silly agenda that by simply understanding the concepts

  • deeply, you'll never have to memorize a fact again.

  • That's a load of bull honkey and more marketing ploy than substance.

  • Sure, in cardiology, having an understanding of pressure-volume loops and basic fluid dynamics

  • is foundational, and trying to memorize these relationships rather than understand them

  • will prove detrimental.

  • This is why so many students find cardiology particularly challengingit's heavy

  • on concepts.

  • On the other end of the spectrum, anatomy is heavy on memorization.

  • Understanding the relation and functions of different body parts helps in memorizing important

  • information, but at the end of the day, using a mnemonic device to memorize the branches

  • of the external carotid will take you much farther than simply trying to understand it.

  • Prior to starting plastic surgery residency, I spent a year teaching anatomy to first and

  • second year medical students.

  • I also spent considerable time tutoring students for both USMLE Step 1 and Step 2.

  • I found that different students require different approaches, as do different subjects.

  • For anatomy, students benefited most from learning memory tricks and mnemonics.

  • Comprehension could only take them so far.

  • For students struggling with renal or cardiology, we had to focus more on comprehension, as

  • memorizing facts without a solid foundation has little utility.

  • I've covered additional details in how to balance memorization and comprehension in

  • a previous video.

  • Now I'm guilty of this next one. Back in college, I often studied by re-reading my notes, which is terribly inefficient.

  • By re-reading notes or re-listening to a lecture, you're spending most of the time hearing

  • things you already know,.

  • That time would be better spent (1) applying your new knowledge with spaced repetition

  • to improve memory consolidation, (2) challenging the newfound knowledge with practice questions,

  • or (3) learning about it from a different angle to address inconsistencies or holes

  • in your understanding.

  • Don't worry about making sure you heard every single last word.

  • You can still set the curve and have top marks if you miss a small detail here or there.

  • For the MCAT and USMLE, students often brag about how manypassesthey've done

  • through their prep books, such as First Aid.

  • There's nothing wrong with referencing the text when you see a gap in your knowledge,

  • but reading the whole thing cover to cover multiple times is a perfect example of the

  • law of diminishing returns in action.

  • This next mistake is a perfect summation of the previous two.

  • Students have pride in how rapidly they listened to a lecture recording or podcast.

  • Oh, you only listened at 1.5x?

  • I was at 2x!

  • Oh, you did only 2x?

  • I'm more of a 3x kind of guy.

  • Here's the reality.

  • I personally rarely went over 1.5 or 1.7x for lecture recordings, but I had many friends

  • who were going at 2x or even faster.

  • But guess who was getting better scores in class, on the MCAT, and on the USMLE?

  • I'll let you figure that one out.

  • Don't fall into the trap of thinking that listening at higher speeds is always better.

  • I consider myself very fast when it comes to learning new information and test-taking.

  • I'm usually one of the first to finish my exam or think through a challenging concept

  • presented in class.

  • Yet I choose to listen to my lecture recordings at a moderate speed.

  • So what gives?

  • When you are presented information for the first time, it's not a race to hear the

  • words as fast as possible.

  • Your goal is to comprehend what is being said and build a mental scaffolding of understanding

  • as you go.

  • By going at too rapid a pace, you end up comprehending much less, as you're unable to make the

  • necessary real time connections.

  • The rate I chose varied based on the subject material, the lecturer, and how fresh and

  • alert I was feeling.

  • As someone who processes relatively quickly, I found my mind wandering while waiting for

  • the speaker to get to the next topic.

  • Therefore I sped up the lecture to the point I was able to maximize both engagement and

  • therefore understanding without compromise.

  • If you want to know more, I made a video about speed reading which goes over these details

  • in more depth.

  • Despite commonly being used, highlighting

  • has been demonstrated to provide little to no benefit for students studying for a test

  • and may even worsen inferential recall.

  • This detrimental effect on higher level functions may be due to highlighting drawing attention

  • to individual items rather than to connections across items.

  • This goes back to the balance between comprehension and memorization.

  • For most of your college courses, and certainly for the MCAT and USMLE, you'll need to rely

  • on critical thinking and higher level functions to perform optimally.

  • Skip the highlighting, and opt for flashcards, the Feynman technique, or other active learning

  • methods instead.

  • Which brings us to the last and final mistake.

  • Not using active learning study methods.

  • Across multiple studies, active learning methods have consistently demonstrated far superior

  • results.

  • There are two primary ways you should be practicing active learning.

  • First, self-testing.

  • A study of Texas medical students demonstrated that time management and self-testing were

  • the strongest predictors in academic performance, more so than even GPA or MCAT scores.

  • Studies have also demonstrated that practicing retrieval produces greater gains in meaningful

  • learning - more specifically, test results up to 50 percent higher than concept mapping

  • and 100 percent higher than reading alone.

  • Taking practice tests frequently and regularly is one of the best ways to prepare for exams,

  • particularly for the MCAT or USMLE.

  • But many students push their practice tests too far off, focusing only on content review in

  • the early stages of prep.

  • However, the benefits of taking practice tests occur even when you don't have as solid

  • of a foundation, as you're not only learning and consolidating new information effectively,

  • but also learning how to apply said information.

  • Second, spaced repetition.

  • In short, spaced repetition helps consolidate working memory into long-term memory, which

  • is ultimately what you want on test day, thereby allowing you to spend your brain cycles on

  • applying the information rather than remembering it.

  • Cramming may work for quizzes and smaller tests, but you're not going to remember

  • the information long term, and cramming simply won't cut it for larger tests like the MCAT

  • or USMLE.

  • Spaced repetition is daunting and the overwhelming majority of students do not practice it effectively.

  • For that reason, I've created an entire playlist on how to use Anki, the best spaced

  • repetition software for pre-med and medical students.

  • Link in the description below.

  • These are the most common mistakes I've seen from personally tutoring and mentoring

  • dozens of students.

  • But there's even more that I wasn't able to fit into this video.

  • If you haven't already, be sure to check out my Study Less, Study Smart video where

  • I cover the study methods I learned in medical school, but wish I knew in college.

  • It's already over 1 million views and counting and I have received hundreds of messages from

  • students who have drastically improved their grades after implementing the advice within

  • the video.

  • I hope you find it helpful as well.

  • Link in the description below.

  • Following the advice from our videos and blog posts will take you far.

  • It took me years of experimentation and tweaking to finally get consistent and excellent results

  • that allowed me to match into a hyper competitive surgical subspecialty.

  • If you aren't getting the results you want in university or medical school, our tutors

  • at MedSchoolInsiders.com can help.

  • Whether it's the MCAT, USMLE Step 1, or any other pre-med or medical school test,

  • we can help.

  • Our tutors scored in the top percentiles and can help you do the same.

  • If you regularly watch our YouTube videos, chances are you know how heavily we emphasize

  • the importance of systems in generating desirable results.

  • And our tutoring is no different.

  • We have painstakingly taken months crafting the systems in place to provide the best quality

  • tutoring.

  • We examine your test taking strategies, study methods, road blocks and sticking points,

  • and customize a tailored plan to optimize your performance on test day.

  • Visit MedSchoolInsiders.com to learn more.

  • Thank you all so much for watching.

  • Are there any other studying or test taking myths that you want me to cover in an upcoming

  • video?

  • Let me know with a comment down below, as that's how I know what it is that guys

  • want to see.

  • New videos every week, so make sure you're subscribed.

  • If you want to chat with me in real time, enable the notification bell as I'm in the

  • comments section during the first hour after a video uploads.

  • Much love to you all, and I will see you guys in that next one.

If you're not getting the grades you want in school, you may think it's because you're not putting in enough effort.

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