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How I Would Study in Med School (If I Could Start Over) 

Justin Sung
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Learn from my medical training mistakes to improve yours.
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=== Timestamps ===
0:00 Intro
00:58 Mistake #1
02:32 Mistake #2
04:48 Mistake #3
06:39 My learning strategy for clinical placement
17:32 Tip #1
19:47 Tip #2
20:19 Tip #3
=== About Dr Justin Sung ===
Justin is a former medical doctor, full-time learning coach, and research author. Over the past decade, he has worked with over 10,000 learners from 120+ countries. He is the Co-Founder and Head of Learning at iCanStudy, an international training organisation for self-regulated higher-order learning.
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31 май 2024

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Комментарии : 117   
@JustinSung
@JustinSung День назад
Join my Learning Drops weekly newsletter here: bit.ly/451BFjv Every week, I distil what really works for improving results, memory, depth of understanding, and knowledge application from over a decade of coaching into bite-sized emails.
@almilacinar2191
@almilacinar2191 12 дней назад
One think that changed my grade from 60% to 80-85% was to understand physiology and anatomy in a relevant way. I didn’t learn random details again but what I did was instead of memorizing symptoms and clinical features. I simply learned the reason why. For example nephrotic syndrome. I can just memorize proteinurea, pitting edema coagulopathy and lipidemia. I had learned why protein is going away, and because you lose protein you have less albumin in your blood and that makes your oncotic pressure low and you body needs to fix it somehow. You have two ways, 1- you can increase the products that take part in oncotic pressure 2- you can decrease the amount of water in your blood. For 1, your liver tried to produce more albumin but you don’t have any, so it makes lipids to compensate. 2nd you lose the water, the water outside of your veins cause edema. The thing that keepsmthe water from mobilizing in your body is albumin, you don’t have any so water mobilises and that’s why when you press on it you cause pitting. Antithrombin 3 is a protein you need so that you dont clot. You lose that also and now you have coagulopathy. This way you can quickly work your way around everything and even give educated guesses on things you don’t actually know so that your chances of getting the questions right even if it is something you are not familiar with. This way you can also create discussions, give well-thought answers to your teachers and ask meaningful questions in classroom and on rotations which will make a place in you professor’s head even though you are not correct everytime since you are showing that you have general understanding of the systems, you analyze and compare things and you can think critically.
@almilacinar2191
@almilacinar2191 12 дней назад
Also simplifying things is a must. When you put random details on a topic you don’t have general understanding for you forget it. But when you learn it in a birds eye view and than get into spesifics you will see where those details are coming from and it will make it stick to your brain and you will be able to remember it in a real life scenario
@internetstranger3686
@internetstranger3686 8 дней назад
That's great, where do you get the info about the why if the classes don't provide it? Books? RU-vid? What would you recommend? I'n interested
@DennisCNolasco
@DennisCNolasco Месяц назад
Generalizing the tips for any subject: 1. Simplify, simplify, simplify! Simplify & make the material intuitive to you--less is more. How will I use this info IRL? Fake it till you make it. 2. Pick your losses. Concentrate on what’s most important to you & why (fit other areas in if time allows). 3. Projects - Center studying on what you’re likely to use during the week for your current project. This allows you to apply/build on the experience for your project from what you just studied.
@schraderclemens6122
@schraderclemens6122 23 дня назад
I would also rather say "learn things in a practical way, not just a theoretical way. Meaning, learn them how you will have to retrieve and use the information, not just for pure memorization"
@pranavgunti4195
@pranavgunti4195 Месяц назад
This title is awesome, it’s like “how I would study software if I could start over” cuz I see that trend soo much but this is more about studying rather than what you study
@avimir8805
@avimir8805 Месяц назад
Higher order it is :)
@maxgiesken9488
@maxgiesken9488 12 дней назад
Not many folks even in med school have the insight to come to these conclusions. I’ve had a similar experience to what you describe. It is extremely interesting to me that I could have information encoded in my brain in one direction (x disease causes chest pain, y disease causes chest pain and so on) but when asked in the reverse direction (what are the causes of chest pain?) the neural pathways to answer that question literally don’t exist. Absolutely fascinating but drives me absolutely crazy. Not only do we have to learn things in a way that we can remember them, we also have to worry about learning them in a way that they will come to mind when the situation arises in real life, which seems crazy but these are definitely 2 separate objectives. I think we learn the preclinical knowledge in a way (disease oriented knowledge) that makes it impossible to retrieve it and effectively use it with an undifferentiated patient in front of you. The first 1.5 years in my opinion should be spent learning like this (bc I think you have to in order to gain effective knowledge) then 6 months or something should be spent drilling down on how to approach patients clinically which requires your knowledge to work in the reverse direction. Then you can go on to clinical rotations and build on that with patients
@memeranque
@memeranque Месяц назад
Been waiting for this type of content. As a medical student who started late in medschool (28 y/o) due to problem in studying; thank you Justin!
@NineLuzgar
@NineLuzgar Месяц назад
I'm gonna be 28 when I start medschool too! :) Cheer dude
@mikkosilakka
@mikkosilakka Месяц назад
I started medschool at 33 years old. Im still coming to get you son
@Armanijesus
@Armanijesus 16 дней назад
@@mikkosilakka lol im starting now and I'm 35
@mikkosilakka
@mikkosilakka 16 дней назад
@@Armanijesus Nice, good luck my bro!
@EcomCarl
@EcomCarl 2 часа назад
your approach to making medical education practical and applicable is invaluable! Focusing on real-life clinical applications and simplifying complex topics not only enhances understanding but also ensures that knowledge is retained and usable when it matters most. 📚
@ReflectionOcean
@ReflectionOcean Месяц назад
By YouSum 00:00:50 Overengineer your learning approach for exams. 00:02:29 Be discerning about the level of detail you study. 00:04:45 Utilize your clinical attachment days effectively. 00:06:14 Study topics from a clinical reasoning perspective first. 00:08:58 Simplify complex topics to aid understanding. 00:11:20 Deliberately seek simpler ways to understand overwhelming information. 00:15:34 Study Anatomy with a practical, operational mindset. 00:17:37 Make things simpler and more intuitive to understand complex topics. 00:17:59 Break down overwhelming information into simpler parts before diving into details. 00:18:22 Consider the clinical application of knowledge before learning new concepts. 00:19:00 Recognize the difference between being a medical student and a doctor in training. 00:19:46 Selectively prioritize what to learn and focus on clinically relevant information. 00:20:17 Optimize clinical placements by aligning your study with anticipated experiences. 00:22:00 Engage actively during clinical placements to maximize learning opportunities. By YouSum
@siastheyoutuber6893
@siastheyoutuber6893 5 дней назад
Currently a nursing student, but I want to go to medical school later in life(prioritizing family right now), and his mention of learning what symptoms point to what diseases(rather than learning the symptoms of every disease) is kind of how we learn. They don’t teach us every disease, but they teach us how certain symptoms present and why the body may react that way. Watching this video made me feel confident that my nursing knowledge(and study habits) will transfer to medical school.
@pattube
@pattube 15 дней назад
In summary: 1. Forest, then trees. Common things are common. Look for horses, not zebras. So focus first on learning the simple, basic, foundational, fundamental things, then get the details. For example, read a book like Clinical Pathophysiology Made Ridiculously Simple, then Pathoma or even Robbins Pathology. 2. How is it clinically relevant? Figure out how this knowledge or information is going to be necessary for real living people. For patient care. Don't think in terms of a long list of abstract diseases, per se, but think in terms of signs and symptoms. A patient will not present with a STEMI or aortic dissection, but rather chest pain that feels like an elephant sitting on them, etc. In other words, read a book like From Symptom to Diagnosis, Frameworks in Internal Medicine, or the Oxford Cases in Medicine and Surgery, because these books will teach you how to think in schemas or frameworks or whatever you want to call it.
@karimyounes8290
@karimyounes8290 Месяц назад
Thank you Dr.Sung I've graduated from med school more than a year ago and I couldn't agree more on what you said.. I also think that one should be aware when things are going wrong early on and act actively to that because the more time goes on the more you'll be overwhelmed and it's really easy to fall into depression especially in medschool..but as always.. Never Give Up!
@sandrayeboah-nc1fx
@sandrayeboah-nc1fx Месяц назад
Thanks my Learning Coach, It’s so inspiring to always hear you talk about how you transitioned from been an MD to follow your passion ❤❤❤
@averll
@averll Месяц назад
''a unique experience that i dont wanna do again'' but you did!! and now it lead you to your position now, an obstacle that opened other doors for you while closed this one ❤❤
@ananyarawat3315
@ananyarawat3315 Месяц назад
Thanks alot Doc! Vet student here! Been waiting for a video like this; and honestly, i've watched your other videos, but I was'nt sure how to apply those ideas in the context of my profession. However, this video cleared up lot of my doubts, and I have a general idea to finally study in a way that gives me long term learning in a much effective way. Thanks again, loved the vid!!!
@MB-bc9zz
@MB-bc9zz Месяц назад
As a first year medical student, these tips are gold! Especially for preclinical years! Hats off to you Dr! Amazing tips!
@terminallytoast8529
@terminallytoast8529 Месяц назад
Hello from Pakistan Justin! Your tips have been helping A TON, please never stop making content
@portiaokafor7539
@portiaokafor7539 20 дней назад
This video is literally an answered prayer! The way you broke it down was absolutely genius, and now I feel that much more empowered to succeed through my preclinical years.
@thiagosalles2912
@thiagosalles2912 Месяц назад
Incredible! Your content has completely changed the way I approach topics in medical school. Amazing work, thank you very much!
@ezervanzportillo2092
@ezervanzportillo2092 Месяц назад
First year Radiology Resident here! And yes I don’t want to go back in medical school😂 Thank you Dr. Justin
@medielijah
@medielijah Месяц назад
Big Kudos. Justin is a great man. And a great teacher. ❤
@sofiaguluzar
@sofiaguluzar 7 дней назад
wow, i am really so grateful - these tips are profound and so many daily standard complications are adressed - i feel like finally i got a key to my study problems... i would definitely love to hear more content about what to do in the lectures, even more how to create the different times in semester (mostly beginning without exams, later one exam after another, also lots of lessons, that are mandatory and only seem to take time) . And also how to combine university with private life and how to just get everything organized well
@HoangTuongNguyenDang
@HoangTuongNguyenDang Месяц назад
Honestly, this is one of the most useful advices I’ve ever been given to. Currently, I’m a first year Medstudent who are struggling in finding the most efficient learning method and I make those abovementioned mistakes too 😅😅. Hope this channel will develop stronger to help Medstudents like me reform their learning method
@Triisane
@Triisane Месяц назад
This came at a great time! Started my first placement last week and I definetely related a lot with your experiences. Ive been focusing all my outside studying for my boards but maybe if i center it around my placement ill end up learning most of what I need both to do well in hospitals and my exams
@pupa1735
@pupa1735 11 дней назад
Awesome video! I'm so grateful for your advices.
@viviestudy
@viviestudy Месяц назад
needed this! good to know that you had the same struggles with medical school too
@trishh274
@trishh274 15 дней назад
Thank you so much for this. My heart sank because I just took my finals and BOMBED them. I was lucky enough that I did very well on my other tests/assignments to pass the class, but I realized this as well towards the end of the semester that I needed to make it simpler and there is no way in heck a person can memorize all the powerpoints in a given semester + going forward everything builds on top of each other. I realized it's better to get a solid fundamental understanding first, and as you said put the smaller details in later so it makes sense. I only have 2 years left of "school," and I feel so lost.
@alittax
@alittax Месяц назад
I'm not a med student, but love your video! Another excellent one, thank you!
@user-pj9nr3ii3z
@user-pj9nr3ii3z Месяц назад
i'm loving the quality of your thumbnails recently! :)
@dustinL
@dustinL 5 дней назад
this is one of the most valuable videos i have seen as an incoming medical student. i cannot thank you enough!
@Iworshiplightyagami
@Iworshiplightyagami 12 дней назад
This video is one of a kind, *make things simpler and make learning intuitive* which actually holds so true, excelling in any field, moving further brings plethora of complex knowledge and our learning gets dissociated, As a person studying commerce, this video has helped me equally because the concepts are much more bulky now and in our schools and colleges we all at some point focus on exam oriented learning without seeing things from a practical approach, which becomes a blunder in long run and also makes learning harder. Thank you for reminding me that again coach.
@dsterry74
@dsterry74 Месяц назад
A lot of humility in this video. ❤ Sounds like the idea is to work backward from hands-on experience to know what you need to focus on. But you still need some base level of knowledge to understand the hands-on experience. How do you recommend studying for necessary information you need to have before you can participate in a hands-on setting?
@some_x
@some_x Месяц назад
Thank you for the video!
@etc_10
@etc_10 Месяц назад
starting med school next month, thanks a ton for the video
@randommedstudent8495
@randommedstudent8495 5 дней назад
Watching this while studying for my final year medical school final exams. It may be too late for me to apply what I learnt in this video, but I’ve internalized it and can now teach it to juniors below me. Great video Justin!
@leenahmed147
@leenahmed147 9 дней назад
This was incredibly informative and as a 3rd year medical student, I wish I saw this video sooner. Thank you so much !
@applelime7693
@applelime7693 3 дня назад
This is great! Thanks
@JD_Prime_Improvement
@JD_Prime_Improvement Месяц назад
16:38 The point made here was very helpful. Thank you very much for your content.
@ayamohammed7753
@ayamohammed7753 Месяц назад
Was waiting for a video like this
@mat3899
@mat3899 Месяц назад
Thank you, really inspiring
@etsehiwottadesse1563
@etsehiwottadesse1563 16 часов назад
this video is a gem!
@bremsvaraneislander9753
@bremsvaraneislander9753 Месяц назад
Thanks Doctor sung appreciated this video so much ❤
@dariohidalgo5073
@dariohidalgo5073 Месяц назад
Gracias por el contenido. Aprender es realmente maravilloso
@mintifresh19
@mintifresh19 Месяц назад
Thank you 😊!!! I’m currently in my last year in high school and ofc I’m going to med school. I think this will be able to me out a lot, thank you very much 🙏🏾
@suhareb9252
@suhareb9252 Месяц назад
Me too
@rodz15
@rodz15 Месяц назад
This is brilliant!
@matildaweerarathna8718
@matildaweerarathna8718 Месяц назад
Thankyou sir! Super helpful❤️
@naaengmann2117
@naaengmann2117 4 дня назад
Thank you sooo much!!!
@DannyHatcherTech
@DannyHatcherTech Месяц назад
Knowledge about is different from knowledge of. Representative practice! I think practice design should be focused on far more by educators and learners.
@Atiyas_Era
@Atiyas_Era 29 дней назад
Thank you so much justin! Support and love from Pakistan ❤
@lupita.bau28
@lupita.bau28 Месяц назад
Thank u so much Justin!
@ffgwh2jl1
@ffgwh2jl1 Месяц назад
As a medical student i see this as a big win
@user-wv8nn6xx9n
@user-wv8nn6xx9n 9 дней назад
Just me yesterday during my exams. So much knowledge about how a particular topic but when a diagnosis came that was not in accordance with what I stored in my brain I couldn’t relate. It gets better.❤
@Scottlp2
@Scottlp2 Месяц назад
Find the shortest book on any topic and read the whole thing.
@kimkardashi-un9382
@kimkardashi-un9382 Месяц назад
🤫🤫
@SaM-lz9tz
@SaM-lz9tz 7 дней назад
I'm not a medical student but a nursing student and its nice to see that most of these study tips still apply. Also interesting to see that medical students could struggle with some of the same aspects of clinical application as we experience as nurses.
@emseyelkas2707
@emseyelkas2707 Месяц назад
You should make a medical school playlist!!!
@ksubasinghe
@ksubasinghe Месяц назад
This video is precious
@PharmaZoom
@PharmaZoom Месяц назад
From Iraq thanks Dr.justin
@fBrunPeressin
@fBrunPeressin Месяц назад
thank you Justin
@rudyy1295
@rudyy1295 Месяц назад
Very helpful
@starlet5350
@starlet5350 Месяц назад
Thank you for this video. Sincerely, a med student who is deeply depressed.
@vector-mu2pb
@vector-mu2pb Месяц назад
Love uuu justin❤❤❤
@user-ws2me9xm8t
@user-ws2me9xm8t Месяц назад
I hope too, solidarity
@fairuzastevenson9896
@fairuzastevenson9896 Месяц назад
Thank you
@Aj-fd4ne
@Aj-fd4ne Месяц назад
Only 3 months left in my physician degree , wish me luck and i wish this was made 3 years ago 😂
@jama4260
@jama4260 25 дней назад
Hi Justin been watching your content, I am just wondering how I can apply your system to maths , physics and mechanics concepts. As a retake high student starting out with a serious revision schedule for the first time I am a little confused with the method. How does it fit in a revision schedule and how do we space it out. Within Physics and Maths there are worked examples, complex equations and definitions we have to understand how do we incorporate them, and How are we not able to forget the lengthy information associated with the connections we make. Thanks
@Boogersandunicorns76
@Boogersandunicorns76 Месяц назад
Lol honestly this concept can be applied to life in general. I came up with a night routine, for sleep. I forced myself to get up, do each single task, even when tired. What became more important was checking off the boxes on my habit tracker instead of making sure I was meeting my goal... sleep.
@Fulfill_Your_Potential
@Fulfill_Your_Potential Месяц назад
When I learned about exposure therapy, I processed it well - because I needed it to help me solve a problem - my struggle with anxiety. - Cole
@MG-op3cy
@MG-op3cy Месяц назад
Tips for high school students? Overwhelmed by physics, chem and ext maths rn.
@imanekhoussa161
@imanekhoussa161 12 дней назад
REEEEELLLLL💀💀
@Gabe-389
@Gabe-389 Месяц назад
Hi! What would be the some suggestions for how to simplify the study of infectious diseases?
@onkara4363
@onkara4363 Месяц назад
Thank you😢❤
@jojomanahan6354
@jojomanahan6354 6 дней назад
I would beg to differ. In medical school, there are case presentation wherein differentials are part of the presentation given all the symptoms of the patient presented. This is already part of the learning process in medicine.
@obaidullahmoh5146
@obaidullahmoh5146 Месяц назад
That means … for anatomy.. Start with basics (divisions of abdomen ) then a clinical case (eg. stomach pain) and then relating normal gross and histology of stomach, peritoneum etc .. Am I thinking in the right direction ??
@greeng6914
@greeng6914 24 дня назад
I'm in my first year of medical school and almost at the end of the year and I feel like I know nothing. Just like you said, I study for the exams but I struggle to remember the material past that. I'm afraid of continuing the mistake through my second year up to boards and through rotations, and I don't want to feel so dumb anymore. I am going to use your tips to try to understand the material better and in a more simple way. Do you have any recommendations for remembers facts that are hard to learn by understanding? like gene translocations of cancer for example. what do you recommend to remember these kind of facts more permanently?
@kamalosama18
@kamalosama18 Месяц назад
Can you give an example on how you simplify a subject in anatomy in a mind map please?
@zsofi5483
@zsofi5483 Месяц назад
Hi Justin, could you give some advice on how a 14 year old starting high school next year can start developing the learning system you follow?
@kk-ot9kn
@kk-ot9kn Месяц назад
You should collab with Dr Mike!
@markofleur6413
@markofleur6413 Месяц назад
I have a question about something, how do you prime a subject like math, or chemistry in the summer, without trying to study it.
@jishajain
@jishajain Месяц назад
my mindmaps are very cyclic in nature (sometimes stemming from the central idea), how to avoid? plus there's a little bit more info..which i think i need it there, advice?
@James-Cardoso
@James-Cardoso Месяц назад
I suggest watching his vid of mindmapping with a student and others These vids ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-PfVZWaT4PM4.htmlsi=eb5s_rK55lCwJ1ZJ ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-oGwuihuuRJw.htmlsi=ZtFtUD3XRnavzCX- ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-NqxUExCZJ5Y.htmlsi=RSGf4txn-n5xcBIE
@BlushnBlue
@BlushnBlue Месяц назад
Nurse Practitioner student and I really need to simplify antibiotics...frustrating. I do not understand why I'm having trouble memorizing/understanding MOAs and what that med is best for.
@Renastg
@Renastg Месяц назад
Hello sir.... Actually I'm from maths and physics department currently studying in uni but due to college conditions i have to self study everything.....can tell us how should we study these two subjects like from very new topic or start
@austinwang4551
@austinwang4551 Месяц назад
how do you improve your essay writing?
@retishe7660
@retishe7660 Месяц назад
I know ur a med student but can u do a video on studying programming (computer science) and engineering. ❤
@taongazhou7967
@taongazhou7967 Месяц назад
how best can we utilize lecture time? i find it hard to concentrate or understand in lectures and feel like it is a waste of time
@sideshowmob
@sideshowmob Месяц назад
Some of these problems sound like thre's a problem with the class structure at your medical school.
@chadchad6531
@chadchad6531 Месяц назад
TLDR; Focus on practicality - what purpose does this information serve? Ditch the details first - once you have a good, pragmatic understanding of the whole and you could apply it in real life, then should you get into the details to understand the why's Only learn what you are going to implement/use in a short time horizon, as an efficient learner you cannot afford to learn something you will forget anyways
@SportsScienceBabe
@SportsScienceBabe Месяц назад
How do I apply this
@CristianoRonaldo-pc9zr
@CristianoRonaldo-pc9zr 2 дня назад
I just finished 1st year
@Meghakumari-lg9wv
@Meghakumari-lg9wv Месяц назад
Maths Maths Maths Maths Maths Maths Maths Maths Maths Maths maths maths maths maths maths maths maths maths maths maths maths Btw, how do you create mind maps of mathematics ..??
@sorayaaskari9171
@sorayaaskari9171 29 дней назад
@cupcakefights
@cupcakefights 4 дня назад
7 ads on a 20 min video that could’ve been 10 minutes is crazy. There were a few decent bits here but overall this video was not time efficient.
@sajaghendwe9594
@sajaghendwe9594 Месяц назад
HOW TO LEARN STRUCTURES OF VARIOUS DRUGS ??
@zenithstar11
@zenithstar11 Месяц назад
Had exactly the same experience like you…..serious lack of guidance
@sassyashell305
@sassyashell305 Месяц назад
Your videos are helpful but why're they so long tho😢
@terminallucidity
@terminallucidity Месяц назад
Because the principles cannot be neglected or else you will have no idea how to do the techniques
@excellent9734
@excellent9734 Месяц назад
Because it is important and no 3 second short clip only because uncannot keep the focus more than 5 seconds
@PeterIntrovert
@PeterIntrovert Месяц назад
No special reason. It's good idea to work on extension of attention span. Apply his tips to engage more in listening. It won't feel that long if can approach video in a way that make your own thoughts more active. Make connections, relate to personal experience, look for analogies, ask questions, do priming before watching (use timestamps), visualize, relate to past knowledge and so on. Time will past like a flash⚡. 😊 When he talked about pump diagram and what gives us making things simpler and more holistic and attached to context of using knowledge when doing something I thought about things I learned from cybernetics where we simplify things to see which part do what and that make purpose clear. It's essentially system thinking in practice. That were my thoughts and what were yours?
@JustinSung
@JustinSung Месяц назад
Wondering what the iCanStudy program looks like once you join? Want to know if it’s right for you? Join our next free demo webinar to take control of your learning bit.ly/49Zz8Is
@Discipline-is-life
@Discipline-is-life Месяц назад
"Ncert is said to be Bible in India" For students Is it true for you?
@Sparebarrel
@Sparebarrel 13 дней назад
Do you offer any tools for professionals who need to learn a subject outside of the university framework?
@briz5612
@briz5612 Месяц назад
Please excuse me for saying a problem with your videos is that you repeat the same thing for quite some time and that's kind of frustrating even at x2, but thanks a lot
@sideshowmob
@sideshowmob Месяц назад
Oh my God, it's like 80 % of the video is just filler
@katerinas5736
@katerinas5736 Месяц назад
I graduated medical school when in my country we only started having home PCs, and the internet was very slow (I'm not that old :D it just took time for technology to reach it). I obviously had no clue about a better way of learning, and studied exactly as you described - for exams, trying to cram as much as possible, forgot everything the day after. I managed to work in a small hospital, where one needs quite restricted amount of knowledge. 5 years later I moved to another country, and I was shocked, I was supposed to know much much much more, the students and interns that worked in our department knew a lot more than myself, asked me so many Qs, I was burned out trying to catch up, I think mostly because I still used the same methods, saw no connections, and needed to restudy material all the time. Currently I'm on a maternity leave, I've watched all of your videos, changed my learning style and it just makes so much more sense. I'm so grateful that you share this knowledge for free. I hope you understand how many lives have you changed. Thank you.
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