Lanka Hospitals School of Nursing

A brief history and evolution of Lanka Hospitals School of Nursing - A hermitage that develops compassion, caring attitude to human life, scientific knowledge and a personality and characteristics of a better individual.

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Evidence-based study techniques:
1. Study but do so smartly. Study. Sleep. Exercise. Skip one item and your grades will fall.
2.Dont take notes. Reading books and notes is passive (recognition). Focus on asking yourself questions, doing exam questions and teaching someone (active recall). In exams and real life, you need to pull out stuff from your brain.
3.Watch RUclips videos on the subject, such as Dr Najeeb Lectures, Mary Rose, Kenhub, Anatomy Zone, the previous night. In morning, review at 2x or 3x speed. Then scan textbook’s chapter heads, subheads and bold-type points, pictures, tables, captions, flowcharts, and most important, questions at back of chapter. Then attend lecture.
4. In class, don't take notes. Write only questions to cover what prof says. And a few answers that you don't know.
5. Back in your room, don’t read. First, recall as much of what you heard in class. Then, look up book or notes and with another colour, write points you missed. Pen and paper help better recall than writing on computer.
6. Make up more questions. Load onto both ANKI and Excel/Google spreadsheet. Add photos, drawings, cartoons (picmonic/sketchy medical), raunchy mnemonics (Google), songs, audio in the answer decks. Revise daily (Anki has edge here with spaced repetition as it automatically asks when retention curve dips, but disadvantage is you have to go through huge stacks of cards unlike the spreadsheet, where you can mark difficult ones in red and read only them. Best is to use both). Use Anki DAILY, even while walking to class or while waiting for professor or next patient (you can scan two cards in 10 seconds). A minute here, a minute there add up.
7.List syllabus in Google Spreadsheet or Excel. Focus first on "must know", then "desirable to know" and then only "good to know".
Mark each review (by recalling points; reading books or notes doesn't count as review. That is recognition).
Mark date after each revision and difficulty in three to five colours (easy green, medium orange, hard red. Focus on red). Write in one col why you found it difficult or if you got it right by guessing instead of knowing it. Concentrate on the red ones. Skip the easy ones.
8.Use mnemonics. Raunchy sentences and vulgar stories on the mnemonic, esp. involving sex, improve recall. After all, these are only in your head.
9. Draw as much as possible, with colours. The more you draw, the more you will remember. In essay-type exams, draw in colour, label on right side so that examiner can tick them easily. Don't write essays. Write only points under specific headlines unique to each topic.
10. Focus on high-yield material. Reference books for further study, standard books for daily studies, review books and exam-oriented books with easy diagrams, points and clinical notes for revision before exams, and Question Bank for testing. Use one standard book and one q-bank. Scan other standard books.
Concentrate on what your professors teach. They have read all the important books. If the prof says "this is important", pay attention. Ask them for study tips, what they wished they had done as a student. Never skip lectures, practicals and clinics and watch movies!
11. Watch dissections as much as possible. After a few months, most students are watching their phones and not dissecting. See how to use the theoretical knowledge for practical problems. Example: see exercise videos (esp. "Athlean-X" and "Ask Dr Jo" or the funny techniques of Dr James Preddy on each muscle and what happens when it is injured and what exercise to do). These will help in real life and make anatomy memorable. Do this with each subject. What is the clinical application? Make up questions requiring info from various subjects. See how alternative systems or medicine, such as Ayurveda, Siddha, unani, homoeopathy, naturopathy, yoga can teach you. Medicine is integration of knowledge from various fields, not just allopathy.
12. Dramatise the situation. Make a skit of the topic. Like an action potential running down the stairs, ion channels consisting of students opening or closing!
13. Use mind maps, memory palaces, nyaasa technique of memorisation (Google these). Ancient Greeks, Romans and Indians memorised dozens of large books this way for centuries.
If you want to remember something really well, write down key points and read it 15 times immediately before going to bed and 15 times within first five minutes of waking up.
14. Google the topic “medical punch words”. Questions contain these words ("contraindications", "most common", "gold standard", "striking feature"). These 10-15 words differ for each subject and are high-yield. You can't complete Harrison's Medicine in your entire life. But in electronic pdf, if you search "drug of choice", it will list a 200 of them. Pinterest and several free PDFs instead of buying medicalsupernotes.com. Make ANKI decks of punch words too. Revise daily.
15. Use Pomodoro technique to study. Buy a small alarm clock, not phone alarm. Study in 25-min blocks, then do anything else for five minutes. Do it again. After two hours, take a 30-min break. Reward yourself. Do NOT look at phone, saying "only one minute". It will suck you in.
Study with a friend (More than 4 gets disruptive). In groups, tap on desk to start, tap again to indicate break, tap to resume.
16. Teaching someone without using notes is the best form of recall. If there is no one, just walk around (don't sit) and lecture to empty bedroom. Use drawings, write points on whiteboard and especially use hand gestures to improve recall.
17. Put sticky notes (also called Post-It Notes) above your desk for every topic. Scan them for 15 min daily. By the end of the year, you would have seen them hundreds of times,sometimes while doing other tasks. Unlike ANKI, it jumps at you any time you stand there or walk by.
18. If studying five or six topics in one session, don't study one after the other. Do topic 1&2, then test yourself by recalling topic 1. After studying topic 3, test on topic two. Do same with the rest. While studying several subjects at night, jump from one subject to another and come back to any of them at any point rather than doing it sequentially. Example anatomy, physio and biochemistry. Don’t study one by one. Study a little in each and come back to do other chapters in each.
19. At the end of the day, write out plan for tomorrow.
20. Sleep 7-9 hours daily. Sleep by 10 pm and wake up at 5 (no wonder military institutions worldwide do that). Immediately exercise vigorously. Then study. Most medical students stay awake all night, sleep for 4-5 hours, wake up 15 min before class and run there unbathed! Tests showed that they retained only 30% of what they had studied all night. Studying in the morning after a good sleep helps in better retention.
21. Before sleeping, lie in bed and mentally review what did you studied today and what you want to do tomorrow. The brain will focus on these when sleeping.
22. Studying daily for one hour over a week is better than studying the whole thing in seven hours in one day. Before exams, concentrate on studying and recalling areas you are poor in rather than re-reading stuff you are good at in the "revision period". Read the red chapters more than the green ones (which you know already).
The night before exams, sleep rather than study all night. If you study without sleeping, you will not remember what you studied. If you must, first sleep, wake up early and study.
During exams, stop every 30 minutes and take three breaths of 4 sec inhalation, 7-sec hold and 8-sec exhalation. Sure, you could have answered a few questions in those 57 seconds but did you get them right? Doing this exercise will boost oxygen level and make you more alert to tackle the other questions correctly.
22. Watch videos of candidates who stood first in various medical exams and learn from them. Watch Marty Lobdell, Ali Abdaal, Kharma Medic, MDprospect, Anuj Pachhel for evidence-based tips.
23. Spend weekends, holidays and whenever possible helping people and listening to their stories in cancer wards, old-age homes, schools for children with special needs, physically and mentally handicapped people. Be empathetic. Never be arrogant. Everyone is a teacher. Nurses have a lot of experience as they spend more time with patients unlike doctors. Learn from seniors. Ask seniors and professors for tips, their memorable experiences and what they would have done differently today. Learn from them. Listen to patients without interrupting them or getting impatient. If you listen long enough, you will know the problem. Let them talk without interruption.
24. Focus on improving your handwriting. Nearly all medical personnel have terrible handwriting! Many drugs have similar names with only one letter different.
Extra:
One thousand world leaders interviewed, nearly all shared these common habits:
All sleep well, and wake up early, often at 4 a.m. They do not look at phone on waking up. Instead they immediately exercise vigorously, do pranayama, meditate and write a daily journal (mentioning three things they are grateful for that day). Only then they touch their phone. They all focus intensely on the job on hand. They work like crazy during the week and party like crazy in the weekend! They all have a hobby that they actively pursue. They aim: be happy, healthy and helpful to all.

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