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Notes -
The preclinical (academic classroom instead of clinical rotation) portion of U.S. medical education involves getting together a knowledge base for several very very large all encompassing standardized exams in which ANYTHING is fair game (and a mix of non-core learning things like group activities, cultural competency building and kinds of other stuff that is a mix of reasonable and bullshit).
Just like many academic professors in less specific institutions are often better at research or writing than teaching, many teachers in medical education are more researchers or clinical staff. Historically they were also quite bad about adding useless details about their specific research into the curriculum.
For this reason students have switched to high quality, battle tested, well taught and high yield online materials.
These are so good that some of them have near 100% utilization rate by U.S. MDs and for some schools its possible to never look at your school's course materials and still get a great outcome of school.
The teachers are still there though, and they are annoyed at being replaced which has resulted in things like an increase in problem/case/team based learning.
Before this recent bump in those modalities it would not be uncommon for literally zero students to show up to lecture, the forward thinking schools have stopped standard lecture and just provided online lectures.
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