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In this episode, I break down one of the biggest misconceptions in medical education: the belief that you have to memorize everything to succeed on exams. I explain what medical exams are actually testing, why chasing isolated factoids increases anxiety, and how understanding mechanisms, context, and clinical relevance changes the way you study — and the way you think. We walk through concrete examples (including Epstein–Barr virus), talk about why seeing the “picture” matters more than raw recall, and share practical advice for building confidence and trust in the exam process. If you’ve ever felt overwhelmed, unsure what’s truly important, or frustrated by traditional study advice, this conversation is for you. Think like a doctor and pass Step 1: • Think Like a Doctor and Pass Step 1 Follow me on socials: 📸 Instagram: / drphiliptisdall 📘 Facebook: / drphiliptisdall 🎵 TikTok: / drphiliptisdall 🎧 Spotify: https://creators.spotify.com/pod/prof... 🍎 Apple Podcasts: https://podcasts.apple.com/us/podcast... Timestamps: 00:00 — What you don’t have to know 02:08 — Factoids vs understanding 06:46 — What exams are testing 08:57 — Epstein–Barr example 10:42 — Seeing the picture 11:09 — How I suggest studying 13:38 — What “fair” really means 15:55 — Final perspective #MedicalSchool #USMLE #COMLEX #Step1 #MedicalEducation #ExamPrep #ClinicalReasoning #MedStudentLife #DrPhilipTisdall