Congrats all on coming to UTMB. I think that you'll come to love the school and the island.
I am a third year (just finished Step 1, just started OB/GYN), and I registered to help answer any questions. I'm interested in surgery and I'm also a TKY, though I don't live at the mansion. I take some different views on things (e.g. I am the one person in this school who does not use scribes), but some may find them helpful. I'll try to make a clear distinction between my opinions and commonly accepted ideas.
A few general points:
1.) Enjoy school, work and all. You earned the right to train for one of the coolest jobs in the world, right behind St. Arnold's quality assurance tester and super model paint bikini artist. It's not all work.
2.) Studying works a lot better if you understand what you're studying. Sometimes you have to cram a lot of facts into your brain by brute force to have the fund of knowledge required to really understand something (particularly in NHB), but you will keep them organized in your head by understanding them.
3.) This is an academic medical center. It has four purposes: 1.) caring for patients, 2.) doing research, 3.) training residents, and 4.) training you. You guys are 1/4 of why this place exists, and realistically much more. The faculty members get paid less, despite the fact that they are among the best in their respective fields, because they like doing research and teaching people like you. Take advantage of that.
4.) Go to St. Vincent's Clinic. You will learn more from 3 weeks of that than from all of POM1. And POM1 is a good course.
5.) Everyone here is smart. Some people are scary smart, some people are just ordinary smart. The ordinary smart person who cares about his patients will always be a better doctor than the scary smart person who doesn't. The big difference isn't natural ability, it's how you use it. Remember that the goal is to help people.
6.) Do not abstain from beer (see #7).
7.) Do not wake up face down in tall grass without a clear idea of how you got there (see #6).
8.) Take advice with a grain of salt. Your easy module may be someone else's most difficult. Your easy module may be a lot of peoples' most difficult.
9.) Assigned reading is not all high yield. Some courses (MCT, NHB) have assigned reading that will waste your time and hurt your score. Some people believe that scribes alone is the best method. I have found that there are typically 2-3 books per course that really matter and a constellation of other books that cost money and waste time. Ask older people which books they found useful.
10.) If the course director is an MD, expect more clinically oriented test questions. If the course director is a PhD, expect esoteric questions about physiology and clinical questions that cause you to scratch your head.
11.) Talk in small group. If your facilitator assigns learning issues, use that to your advantage. A good facilitator eval can be the difference between grades. DO NOT BE THAT GUY.
12.) There is always someone who has 18 different books and a set of flash cards with more colors than a Jimi Hendrix acid trip. You will feel inadequate when they pull out their library. Ignore them and study like a normal human being.
13.) Do not leave your car on the island when a hurricane is coming. Do not park your car on a street if it may rain. Your car is not a boat, it will not function as a boat, and proving this to yourself is costly.
14.) Do not commute from Houston.
15.) Everyone feels like they don't belong at some point. Even the person with the acid trip flash cards. Especially the person with the acid trip flash cards. You do belong, and you can overcome whatever difficulty has you down with determination.
16.) The number of future plastic and orthopedic surgeons in your class will rapidly decrease with time. You should ponder that phenomenon when thinking about your own aspirations. If you are determined to choose a specialty based on money and prestige, you may want to rethink your career in medicine.
17.) Of all of the movie characters in history, Forrest Gump probably would make the best medical student. The ability to tolerate BS without complaint is more valuable than you might think, and humility is worth its weight in gold.
18.) Forget the reading that they give you before orientation. Read House of God ("Samuel Shem") before you start school and after your intern year.
19.) Hang out with friends who are not in medical school as often as you can. They don't understand what you are going through and that's the point. You need to remember that somewhere, people don't live in 4 week test cycles.
20.) It will go by much slower and much faster than you think.