This post is for those of you that want to destroy Step 1 next year. As someone who did well the 1st 2 years and felt pretty blindsided by the focus of USMLE, I'll do a full writeup so that you guys don't end up feeling the same way when your time comes. Every USMLE form is different (some easier than others which is why some may disagree with how I'm describing it here) but you have to be ready for the worst and I can say with confidence that doing well in classes is not enough. If I could do it all over, I would have focused on Goljan >>>> Robbins due to the integration across subjects in RR that is just not there in Robbins. I would say the highest yield chapters of Robbins are the the first few that focus on basic principles including the chapter on molecular biology.
Obviously that doesn't mean you shouldn't read Robbins but I would use it more as a reference than as a primary source if you are already doing well in class. Step 1 is a largely a pathophysiology exam which Robbins has a ton of but is limited to the scope of the chapter. You might also be told by some to not start studying for boards until much later and some classmates who will not have even touched FA until dedicated. This is by far the biggest mistake I think you can make. If you aren't using Pathoma and FA alongside classes you are doing yourself a disservice. FA is written based on what people said they had on their exams. Every word is high yield. Understanding >>> memorization.
Make anki cards for facts that need to be memorized or use Bros anki deck but the focus should be on WHY things happen rather than WHAT (goljan says this in his audio and its 100% correct advice). If I had to summarize what the USMLE wants you to know its what happens in the body when there is a change from the normal. This includes basic principles of path, pharm, molecular bio, immunology, biochem and can be presented to you in a form of charts/graphs/lab experiments. Throughout the systems courses you should focus on including all levels of understanding besides just superficially through just reading the current chapter in Robbins. Also we were required to do Kaplan Q bank. If you still have this requirement for your class and are planning on taking USMLE, do it early with classes. It is the biggest waste of time to do this bank during dedicated period and will take away from time spent with UWorld which is what the real deal is most like. Anyone can feel free to PM me at anytime if you have any questions.