Most of my classmates and I will be taking the biggest test of our lives in June. Not the biggest test so far–pretty much the biggest test ever. Performance on the USMLE 1 pretty much is the last time you take a national test for the grade instead of a pass/fail certification. Now officially, your score isn’t supposed to matter, but lots of residency programs use your score compared to other 2nd year medical students to decide whether or not to even interview you for their program. I’ve been working like whoa the last month or so to start picking up all this knowledge I’ll need for the test.
Last week, this pretty much fell apart. How can I stay focused for 3 and a half more months, if I can’t even hack it the 7 full weeks leading up to our Comprehensive Basic Sciences Exam, which is basically a benchmark test for the school to see how prepared we are? I’ve been blaming my poor study habits lately on the windy weather (even my doctor said that I’m “allergic to Lubbock” and the best medicine for me would be to move away–believe me, I’m working on it) but I’m beginning to think that a big part of all this is just general burn-out.
I tend to keep to myself when I’m trying to be focused (I know, group study, blah, blah, better, blah –but this works for me–my grades have been improving!) and so I pretty much assume, constantly, that everyone else is always more focused, always working harder than I am, always handling things better than I do. Not so. Even holed up in my cave of an apartment the past few days, I’ve heard some stories about stress tantrums of other students. All night drinking/partying, fights with significant others, general non-productiveness and lots of focus on other projects (my email box has been filling up). So while I wouldn’t wish these kinds of problems on anyone, it is reassuring to know I’m not the only one who is dealing with burn-out.
Just chilling completely is not in my MO–I’m coming from lack-luster 1st year grades, trying to score in the 230 range for the residencies I want. If I had been doing my thing from the start of med school, this score wouldn’t be a problem, but it took me a while to find my groove, so I’ve got a lot of information to pick up before the 6 week cramming period.
My big fear is–should I just expect this every 4-6 weeks until Step? Should I expect it to get worse? Do I need to back off so I don’t freak out completely, or dig in to maximize my study gains and hope the knowledge that I’m doing all I can will help my confidence level? What do you do to handle all the stress?
With over 3 months to go, I’d love any advice I can get from the voices of experience…