How do you like the new Shared discovery stuff? Do you ever feel like you wanted to cut back on the early clinical stuff to focus on studying and step?
I don't think the Shared Discovery Curriculum (SDC) really inhibits studying for step or anything like that, I actually think it gives you more time to self directed studying. As we don't have block exams like most other medical schools, you don't have a major examination looming every month or so, so you're not going to spend as much time cramming for a test and then forgetting 70% of the stuff you learned within the next week. That being said CHM does a good job of keeping you very busy with weekly preparatory readings and out of class studying, so you're still putting in good hours (I still work very comparable hours to friends in medical schools with traditional curricula).
One thing I really like about the SDC is that it shifts topics week to week (like this week we focused on arrhythmias this week, going into CV physio, genetics, endocrine factors like thyroids, relevant biochem, etc), and you keep coming back to similar topics as the year goes on. For example, earlier in the year we've had other cardiovascular related weeks: a couple weeks focusing on cardiology framed within the topic of blood pressure, and another on dyspnea and heart failure. As their spread out throughout the year, they act somewhat as a refresher of what you learned earlier in the year, and then build upon that knowledge base. It's helped me refresh and retain information over the course of the year.
As for clinic in the first two years, its a decent part of the week (2 four hour shifts weekly) but definitely not anything overwhelming. They had us working with a lot of the members of the care team (MAs, LPNs and RNs, Care Managers, Phone nurses). Overall, I feel like it's been a positive experience for me. Working with the MAs, LPNs and RNs (where the med students mostly do patient intakes, point or care testing and immunizations) definitely made me more comfortable just working with patients. This last month I have been working directly with the providers at my clinic and have learned a ton from the experience, as I feel like I have been able to tie in a lot of what we've covered in classes to the patients in clinic and the other way around. The physicians who I work with are all generally enthusiastic to answer questions, and walk me through things I don't understand. It's helped cement some trickier topics (and really helped with my pharm knowledge), as I find it easier to tie medical knowledge to actual real life cases you've seen rather than just something I read in Robbins or something.
That being said, the SDCs definitely not perfect. I do feel like the MA section of clinic dragged on a month or so too long, but I've been really happy with it ever since I started working with the physicians in my office. I also wish we had more lectures, a lot of our work is just primary literature and textbook reading. It's not the most efficient way to learn the stuff, but CHM is trying to really drill into our heads how to learn outside lecture based classes, which is critical for M3/M4 years, residency and beyond. So that's not the worst thing ever, it's just a pain sometimes.
The biggest thing about the SDC, is that you HAVE to be self motivated. There's not tests monthly that force you to listen to lectures or do your reading or show up to class. It's basically all in your own hands when you get there, and honestly, it'd be pretty easy to fall behind (but to my knowledge, that hasn't been a big problem in our class).
Finally, CHM is generally a fairly low stress environment. My significant other is currently an M1 at a medical school with a more traditional curriculum, and it's definitely higher stress over there despite similar overall workloads. Our workload seems to be fairly consistently high, while more traditional exam oriented curricula tend to ebb and flow a bit with cramming for exams. Another nice side effect of this is that because the M1s aren't really competing with each other for class rank or honors (which aren't a factor until M3), so it makes a positive and constructive atmosphere.
Overall, I do like the new curriculum, they're definitely still ironing things out, but it has some really strong aspects. We'll see though how things go once we hit MCE/M2/Step studying though....
Anyways, this ended up being way longer than I expected and totally deviated from the original question about Step studying. But that all said, I personally don't think studying for step as an M1 is the best way to go about things, even for those aiming for very competitive specialties. It's too early, and as an M1 you just don't know that much yet that's covered on Step1. That being said, I've been using Anki/Bros deck pretty religiously for the last few months, pretty much just adding topics that we've covered in our classes (which has helped with topic retention a ton for myself), and doing around 150-200 or so cards a day has not been too difficult to fit in with my other work (I just do cards when I have a free few minutes here or there throughout the day).