Expert on Demand (Formerly “Text Tutoring”)

A massive problem in most higher education is receiving accurate and timely feedback on how effective our studying is. For medical students studying for the USMLEs, most feedback on how well you are doing comes from NBMEs. If your scores are going up, something you’re doing is working (although you often won’t know what). If your scores aren’t going up much – or even at all – something isn’t working. (And you likely still won’t know the problems or how to fix them).

To make it worse, most students take NBMEs less frequently than they intend. There are lots of reasons students don’t like to take practice tests – they don’t want to “waste” them, they don’t want to have a hit to their confidence by seeing a low score, they have had prior bad experiences, etc.

The consequence of having very infrequent measures of study effectiveness is that they often don’t know their studying is working until it is uncomfortably late in their preparations.

Text tutoring – and mastering a subsection and repeating short blocks until achieving ≥ 80% – aim to supercharge the feedback loop. If studying for the USMLEs is like learning to be a tennis pro, then:

  • Text tutoring is like timely feedback on your technique, form, etc.,
  • 5-question blocks are short-term measures of study effectiveness,
    • (If you can get ≥ 80% correct on two consecutive blocks and understand how the test-writers made the questions, that is reassuring that you are doing lots of things right)
  • NBMEs are longer-term confirmatory measures that you are on the right track
    • (When you learn an entire section – e.g., cardiology, internal medicine, etc. – well, and it is your strongest section on a full-length NBME, that is very reassuring that you will be able to do the same thing for the remaining sections)

What is the Goal of Text Tutoring?

The goal of text tutoring is to help you design the kinds of cards to be an absolute beast at everything you’ll need for your exam.

So practically, how will this work?

To continue our tennis analogy, the goal is to help you develop better techniques for identifying why you’re missing questions and making excellent Anki cards to address them.

Why learn how to make your own cards? Why not just use pre-made cards?

There are probably 20+ ways you can miss a question. A lack of knowledge is only one of them. You might not know how to interpret a particular set of labs. Or you may not have confidence in yourself and choose a less-than-appealing answer. Some people read too quickly and erroneously fill in the gaps with what they want to see. (e.g., choosing “pulmonary angiography” when they were looking for “coronary angiography”).

Creating your own cards can be an excellent way to design weakness-specific drills. You might be good at the mechanisms of drugs but struggle with interpreting labs – you can create cards to practice interpreting those labs in a clinical context. Or you might struggle with using the Hardy-Weinberg equation or statistics tests – you can design specific cards that will help you crush those questions on your exam.

How Does Text Tutoring Work?

Basically, every day, you want to send a smaller version of a formal Anki Audit.

Every weekday before 5PM PST, via text to my cell phone (612-816-8916), please include the following:

  • A screenshot of the 5-question block and what subsection you are studying
  • A screenshot of a question you missed / want to study more in depth
  • Why you missed it, and what kinds of cards you should make (address the question, “what kinds of knowledge, skills, and/or intuitions would I need to answer this or any related question on my exam, then design Anki cards as drills to ensure that outcome)
  • Include the cards you made (include 1-4 cards as representatives of the cards you made)
    • For those of you working with me one-on-one in tutoring, you can schedule a formal Anki Audit where we go over every single card you made for a given topic

When Should I Do Text Tutoring?

Text tutoring should be a continuation of the work you are doing in Never Forget, to help you refine the basic techniques you will be learning in the program. Specifically, prior to starting Text Tutoring, you should have completed at a minimum:

Required:

  • START HERE Lectures
  • How To Ensure Your NBME Scores Go Up Faster (this is the basis for how you will be doing questions)
  • Feynman #1,
  • Anki Audit #1: Stable Angina,
  • Question Interpretation (QI) #1: Translate + Context (Treadmill Test),
  • Anki Audit #5: Pathophysiologic Chronologies
    • NOTE: Question Confidence Assignments after Feynman #1 do NOT have a link provided until you pass the preceding assignment (i.e., we will give you the assignments when you complete the preceding one)

Recommended:

  • Feynman #2: Incisional Hernia
  • Anki Audit #2: Incisional Hernia
  • QI #2: Re-Arrange + Severity (Leg Pain + Lightheadedness)