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Medical Finals Revision Strategy

Sep 1, 2025

Overview

This lecture covers a structured strategy for medical school finals revision, focusing on identifying core content, efficient resource use, active learning techniques, and systematic progress tracking.

Challenges in Finals Preparation

  • Medical finals require mastering a vast amount of content with limited time.
  • Only about 20% of learned material typically appears on the exam (80/20 rule).
  • Key challenges include identifying essential knowledge and maintaining broad subject coverage.
  • Building your own resources from scratch is time-consuming and inefficient.

Building a Resource Database

  • Start with a comprehensive revision course book as a foundation (e.g., from a finals revision course).
  • Organize notes into major topics like cardiology, endocrinology, pediatrics, etc., in a dedicated folder.
  • Expand notes during clinical placements and revision sessions by adding information on identified gaps.
  • Supplement missing topics by sourcing additional concise notes online.

Practice Through Questions

  • Use multiple choice questions (MCQs) to simulate exam conditions and apply knowledge.
  • Modern MCQ banks like Zero to Finals offer detailed, scenario-based questions with explanations and linked resources.
  • Short answer questions (SAQs) help self-assess recall and understanding; create your own if none are available.

Tracking and Repetition

  • Create a tracking table listing topics and recording scores for each attempt at MCQs and SAQs.
  • Aim for 3–5 repetitions of each topic before exams, focusing extra repetitions on weaker subjects.
  • Use digital tracking tools (e.g., Zero to Finals member site) to monitor progress and prioritize weak areas.

Revision Technique: The Testing Sandwich

  • Each study session starts with SAQs to assess baseline knowledge.
  • Follow with active read-and-recall revision to embed information.
  • Finish with MCQs to test application of knowledge and record scores.
  • Prioritize weakest topics in subsequent repetitions to ensure full curriculum coverage.

Final Exam Preparation Phases

  • Two weeks before exams, switch to rapid testing (mainly SAQs or spaced repetition tools like Anki).
  • Focus on drilling key facts and identifying last-minute weak areas for targeted revision.
  • One to two days before exams, rest, sleep, and avoid heavy revision for optimal performance.

Key Terms & Definitions

  • 80/20 Rule — 20% of content typically constitutes 80% of exam questions.
  • MCQ (Multiple Choice Question) — A question format with several possible answers.
  • SAQ (Short Answer Question) — A question requiring a brief written response.
  • Testing Sandwich — Study session structure: SAQs, active recall, then MCQs.
  • Spaced Repetition — A learning technique that spaces review of information for optimal retention.

Action Items / Next Steps

  • Organize and gather core notes and resources for each key topic.
  • Regularly practice using MCQs and SAQs, tracking progress with a table or digital tool.
  • Implement the testing sandwich method in revision sessions.
  • Two weeks before exams, focus on rapid testing and review weak areas.
  • Rest adequately one to two days before the exam.