Temerty Faculty of Medicine ↗ MD Program ↗
Section 04 · Academics

There's more than
one way to study.

A working library of notes, decks, and guides shared by upper-year UofT MD students — plus a year-one calendar, testimonials on what worked, and a practical guide to shadowing in the first two years.

Curated, not exhaustive Every resource here was used by a real student and shared forward. New ones are added each year via Feedback.
Verify access before relying Most resources are personal Google Drive folders. If a link returns "Request access," contact the original sharer or post in the cohort Discord.
Study Notes

Notes shared by upper years.

Personal study notes from UofT MD students who shared them forward. Treat them as a starting framework, not a substitute for engaging with primary material — every cohort's curriculum drifts year to year.

Comprehensive

JLim's Med School Notes

Multi-component note set covering pre-clerkship blocks. One of the most widely circulated note collections in recent UofT cohorts.

Open Google Drive folder
Introduction to Medicine

Omar's ITM Notes

Notes for the Introduction to Medicine block by Omar Elbardisy (2T5). Often paired with Bhadra's ITM Anki deck below.

Link to be added — request from cohort Discord or via Feedback page.

Histology

Histology Notes

Cohort-shared histology notes covering the core image identification and clinical correlations needed across pre-clerkship.

Open Google Drive folder
WFQ Answers

Weekly Focus Question answers

Cohort-compiled answer banks for WFQs, organized by week. Two parallel sources circulate — both linked here. Cross-reference rather than trust either alone.

Have notes to share? If you've made comprehensive notes for an MD block and want them surfaced here for future cohorts, submit them via the Feedback page. Open access (Drive link with sharing enabled) makes adoption much higher than request-only files.
Anki

Decks that have circulated through UofT.

Spaced repetition is divisive — some students live in Anki, others find it inefficient relative to active retrieval through CBL prep. If you use it, these are the decks UofT students have built and shared.

Anatomy

Bhadra's Anatomy Deck

Full anatomy deck covering pre-clerkship anatomy. Built by Bhadra Pandya (2T5).

Download .apkg
Anatomy

Aka's Anatomy Deck

Earlier-cohort anatomy deck by Akachukwu Nwakoby (2T4). Some students prefer this style; others prefer Bhadra's. Worth opening both before committing.

Note: original shared link appears malformed — request a working link via the cohort Discord or Feedback page before relying on this resource.

ITM, CPC-1, CPC-2 + Y2

Bhadra's ITM, CPC-1, CPC-2 & Y2 Decks

Full pre-clerkship Anki coverage by block. Most comprehensive UofT-specific deck collection currently circulating.

Link distributed in cohort channels. Search "BP Years 1+2 Anki" or request via Feedback.

Plus Ultra

Plus Ultra Hero Deck

Cohort-shared deck collection. Mixed coverage — best treated as a supplemental layer alongside Bhadra's blocks.

Open Google Drive folder
If you're new to Anki: install desktop Anki (free) plus AnkiMobile (paid on iOS) or AnkiDroid (free on Android). Don't try to start your own deck from scratch in M1 — adopt an existing one and edit cards as you learn. Most successful students do 20–40 minutes of reviews daily, not multi-hour sessions.
Study Guides

Block-specific guides.

High-leverage guides written by upper-year students who'd been through the block recently. These tend to age better than personal notes because they emphasize structure over content.

ICE Block

ICE Guide

Walkthrough of the Integrated Clinical Experience block — what to expect, how it's structured, and how to get the most out of preceptor pairings. Updated each year.

Open the ICE Guide
Coming soon

More guides being collected

If you've written a study guide for a specific block (Foundations, Brain & Behaviour, Life Cycle, etc.) and want it surfaced for future cohorts, submit it via Feedback.

Submit a guide
OSCE & Clinical Skills

For physical exams, histories, and the OSCE.

The OSCE is the year-end practical assessment. These resources cover the building blocks — physical exam maneuvers, history-taking templates, and rubric-style checklists.

OSCE Prep Notion

OSCE Prep workspace

Organized Notion workspace covering the major OSCE stations, common pitfalls, and structured approaches.

Open Notion
Clinical skills doc

FitzGerald-authored clinical skills notes

Long-form Google Doc covering OSCE rubrics and clinical skills, originally compiled by FitzGerald academy students. Heavily used across all academies.

Open Google Doc
MAM-authored notes

MAM clinical skills PDF

Compiled by 2T6 MAM students. Covers similar territory to the FitzGerald doc with a different organizational style — worth comparing.

Open PDF
Site · ICE focus

Lau ICE site

A standalone site organizing ICE / clinical-skills content — physical exam approaches, history-taking templates, and structured station prep. Good for browsing by station or system rather than scrolling a long doc.

Open the site
Drive folder

OSCE prep collection

Cohort-shared Google Drive folder with assorted OSCE prep materials — station notes, rubric breakdowns, and practice cases. Use as a supplement to the FitzGerald and MAM clinical-skills documents above.

Open Google Drive folder
App

OSCEr

iOS app with rubric-style checklists for physical exams and histories. Useful for self-quizzing or simulating an OSCE rubric while practicing with a partner.

Available on the App Store. Search "OSCEr".

Learning Approaches

Different study styles.

Most students arrive with a study method that worked for undergrad and discover it doesn't scale. The volume of material in pre-clerkship is genuinely different — closer to "how do I efficiently encode and retrieve thousands of facts" than "how do I understand this concept deeply once." Here's a primer on the main approaches you'll hear classmates talking about. Most people end up combining two or three.

Method 01

Active recall.

The technique with the strongest evidence base for long-term retention. Instead of re-reading notes, you force your brain to retrieve the answer cold — through flashcards, blank-page summaries, or self-quizzing. Recall failures are where the actual learning happens.

  • Looks like: closing the textbook and writing everything you remember about a topic from memory, then checking what you missed
  • Best for: fact-heavy material — anatomy, pharmacology, microbiology
  • Watch out for: recognition is not recall. Re-reading and highlighting feel productive but don't build retrieval strength.
Method 02

Spaced repetition.

An algorithmic version of active recall. You review material at increasing intervals, with the spacing tuned to your forgetting curve for that specific card. Anki is the dominant tool for this in medical school — the Anki section above covers cohort-shared decks.

  • Looks like: 30–60 minutes of Anki reviews each morning, hitting whatever the algorithm surfaces that day
  • Best for: high-volume memorization that needs to stick for years (pharm, micro, biochem pathways)
  • Watch out for: deck bloat. 1,500 cards a day will burn you out by November. Be ruthless about suspending cards you don't need.
Method 03

Case-based learning.

UofT's curriculum is built around CBL, so this isn't optional — but how you engage with cases is. The students who get the most out of CBL prep treat each case as a self-contained learning unit, building a one-page summary of the differential, the workup, and the management before they walk into the session.

  • Looks like: reading the case, generating your own differential, then reading the assigned material to confirm or correct your reasoning
  • Best for: integrating physiology, pathology, and clinical reasoning — which is what the OSCE actually tests
  • Watch out for: passive case prep (reading the case and the answers in parallel) doesn't build clinical reasoning. The struggle to generate your own answer is the point.
Method 04

Visual / spatial learning.

For some students, mind maps and diagrams beat text every time. Pathways, cycles, and anatomical relationships especially benefit from being drawn rather than read. Tools like Notability, GoodNotes, or even paper work — the medium matters less than whether you generate the diagram yourself.

  • Looks like: redrawing the renin-angiotensin-aldosterone system from scratch until you can do it in under a minute
  • Best for: anatomy, biochem pathways, embryology, and any system with multiple feedback loops
  • Watch out for: copying someone else's diagram is not the same as making your own. The act of construction is what encodes the relationships.
Method 05

Group study.

Small groups (3–5 people) studying the same case or topic catch each other's blind spots, surface different mental models, and provide social accountability. The trade-off is time — bad group study can be 90 minutes of socializing with 30 minutes of learning. Set an agenda before you sit down.

  • Looks like: each person preps individually, then a 60-minute meet to compare differentials and walk through pimp questions
  • Best for: CBL prep, OSCE practice, and clinical reasoning — anywhere a second perspective helps
  • Watch out for: not all groups click. If the group's pace doesn't match yours, leave; finding the right two or three study partners matters more than finding them quickly.
Method 06

Teaching it back.

Often called the Feynman technique. You explain a topic out loud — to a study partner, a non-medical friend, or your wall — at the level a smart non-expert could follow. The gaps in your explanation are exactly the gaps in your understanding, and they surface fast.

  • Looks like: closing the slide deck and explaining the mechanism of a drug class out loud in plain English
  • Best for: anything you think you understand but haven't tested — pathophysiology, drug mechanisms, immunology
  • Watch out for: if you can only explain it using the textbook's exact phrasing, you've memorized the words and not the idea.
The one universal: whichever method you pick, the thing that matters is consistency over months — not how good your week-one system looks. Most students iterate two or three times in M1 before settling. Plan for that. The next section has reflections from upper-year students on what stuck and what didn't.
Study Tips · Upper Years

What actually worked for them.

Short reflections from upper-year UofT MD students on how they approached pre-clerkship. There is no single right method — read across them and pick what resonates.

Treat CBL prep as the spine. Everything else — Anki, lecture, notes — wraps around the cases. Going to a CBL underprepared once was enough to convince me.

I used Anki religiously in M1 and burned out by November. In M2 I switched to active retrieval through past WFQs and felt better and learned more. Anki is a tool, not a religion.

The biggest unlock was studying with a small group on the same case. We'd each prep individually, then meet for an hour to compare answers. We caught each other's blind spots.

Don't overspend on textbooks. Costanzo for physiology, BRS Anatomy, and the FitzGerald clinical skills doc carried me. Everything else was free or in the library.

Show up to lectures live for the first month, then decide. I assumed I'd be a 2x-recorded-lectures person and learned I retained way more in person.

Block one is the easiest one to over-study. The exam is pass/fail and the bar is reasonable. Save your peak intensity for ICE, OSCE, and clerkship prep.

Want to add yours? Submit a 2–4 sentence reflection through the Feedback page. Stays anonymous unless you ask otherwise.
Year One Calendar

ITM → CPC-1 → CPC-2.

The shape of your first year. Three sequential blocks bridging the science of disease to clinical reasoning, with weekly CBLs and an end-of-year OSCE. Exact dates vary year to year — confirm against the current Faculty academic calendar.

01

Late August → Late October

ITM · Introduction to Medicine

The on-ramp. Introduces the language of medicine, foundational anatomy, histology, biochemistry, immunology, and pharmacology principles. Pairs with the first wave of CBLs and the start of clinical skills sessions in ICE.

Topics covered

Embryology Medical Genetics Pathology Inflammation & Infection Immunology I Cancer Drugs & Pharmacology
  • Cadence: daily lectures + weekly CBL + ICE half-days
  • Watch-out: volume creeps up faster than students expect — establish a system early
  • End-of-block: CEE (the learning consolidation session, not an exam — see Handbook)
02

Late October → Mid-March

CPC-1 · Concepts, Patients, Communities I

The first organ-systems block. Cardiology, respirology, hematology, and renal — taught through cases. Anatomy and physiology integrate with pathology and pharmacology around shared clinical presentations.

Topics covered

Pediatrics Dermatology Immunology II Microbiology Blood Health Promotion Cardiology Respirology
  • Cadence: longer than ITM, with a winter holiday break midway
  • Watch-out: cardiology is often the steepest learning curve of M1 — start strong
  • End-of-block: CEE per system; cumulative concepts carry into CPC-2
03

Mid-March → Late June

CPC-2 · Concepts, Patients, Communities II

The second organ-systems block. Continues the case-based approach across additional systems (typically GI, endocrine, MSK, derm, and reproductive). Closes out M1 with the Year 1 OSCE.

Topics covered

Endocrinology Gastrointestinal Kidney & Urinary Tract Integration
  • Cadence: faster pace than CPC-1; less margin if you fall behind
  • Watch-out: OSCE prep starts earlier than you think — practice clinical skills weekly, not just in May
  • End-of-block: Year 1 OSCE
Throughout all three blocks: ICE (Integrated Clinical Experience) runs as a parallel track — half-days with a community preceptor — and Portfolio sessions punctuate each block. Both are graded pass/fail and are easy to neglect; treat them as priority work in the weeks they fall.

What a week actually looks like.

The skeleton is the same most weeks: lectures Monday, anatomy Tuesday, Wednesday off, ethics/research + CBL Thursday, clinical skills Friday. The example below is the actual first week of classes from a recent cohort — fuller than most weeks, but the pattern holds.

Mon

Block lectures
+ Portfolio occasional

Tue

Anatomy
(MAPS lecture + lab)

Wed

Off
self-study, shadowing

Thu

AM: ethics / research
PM: CBL at hospital

Fri

Clinical skills
+ ISAL pre-ME weeks

Example: Week 1 of M1, recent cohort

Monday

Aug 25

Tuesday

Aug 26

Wednesday

Aug 27

Thursday

Aug 28

Friday

Aug 29

8 AM

Intro to Mastery Exercise

Lecture · MSB

Mandatory · 8:00 – 12:00

Clinical Skills

ICE block · MSB · communication, feedback, workplace learning, standardized patient

9 AM

Gametogenesis & Fertilization

Block lecture · MSB

Assessment Orientation

Lecture · MSB

Mandatory

Intro to UME Ethics & Professionalism

Longitudinal theme · MSB

10 AM

Implantation & Early Development

Block lecture · MSB

OLA & Accessibility Services

Longitudinal theme · MSB

11 AM

Placentation & Extra-embryonic Development

Block lecture · MSB

Intro to Skeletal System

Anatomy lecture · MSB

Mandatory

CanMEDS Leader: Working in Teams

Longitudinal theme · MSB

12 PM
1 PM

Mandatory

Intro to CBL

Online (Zoom)

Mandatory

Anatomy Lab Orientation / Cadaveric

MSB Anatomy Lab

Mandatory

CBL: Faculty-Led

At hospital site (academy)

Mandatory · 1:30 – 4:00

ISAL

Integrated Self-Assessment Learning · pre-ME

2 PM

Mandatory

CBL: Student-Led

PB-CBL101 / hospital

3 PM
Session types: Block lecture Anatomy CBL Clinical skills (ICE) Ethics Leader / longitudinal Assessment

ME Weeks

MEs are roughly every 2 weeks.

A Mastery Exercise lands every other week or so within each block. ME weeks add an 8–9 AM exam slot Monday morning; the rest of the week looks normal. ISAL sessions tend to run on the Friday before an ME week, after morning clinical skills — so you're seeing this week-on, week-off rhythm of pre-ME prep + ME execution layered on top of the regular schedule.

Quieter weeks

Many weeks are lighter than this.

Week 1 is unusually full — orientation content compressed alongside regular block sessions. By week 3–4 most days have meaningful gaps for self-study. Wednesday remains off most weeks; CBL Thursdays and clinical-skills Fridays are the most consistent fixed points.

Portfolio

Portfolio sessions land on Mondays.

When Portfolio is scheduled, it slots into a Monday morning block in place of (or alongside) lectures. Pass/fail, but treat as priority — the reflective writing component takes more time than people expect.

Where the real schedule lives: MedSIS is the canonical timetable — sessions, locations, and changes sync there, and you can subscribe via iCal so your calendar updates automatically. Elentra is where the lecture slides, pre-readings, and CBL cases live. Bookmark both on day one.
Looking beyond the standard four years? UofT MD students can pursue concurrent programs — MD/PhD, MD/MSc, MD/MEd, MD with research enrichment, and other combinations. Each has its own admissions process, funding structure, and timeline. Worth investigating early in M1 if it's on your radar. Faculty: Additional Educational Opportunities ↗
Shadowing

Shadowing in pre-clerkship — the 5 Ws.

Pre-clerkship students can shadow physicians beyond the formal ICE preceptorships. It's optional and not a requirement, but it's one of the most efficient ways to explore specialties before clerkship rotations narrow the field.

Who

Who can shadow?

Any pre-clerkship student in good academic standing. You shadow physicians (staff, residents, or fellows) in any specialty you're curious about — you do not need to be in clerkship or to have completed any specific block first. Your TCard, MIN, and current immunization records are your credential package; bring them to the first day.

What

What does shadowing look like?

You observe — you do not deliver care. Depending on the specialty: clinic visits, OR observation, ward rounds, or procedure suites. Some preceptors will involve you (taking a focused history, reading a chart) but you have no clinical responsibilities and you're not graded. Most shadowing days run a half-day to a full clinic.

When

When should you do it?

After you've settled into M1 (typically post-ITM). Avoid the weeks immediately before a CEE or the OSCE. Many students aim for 1–2 days per block and increase frequency in M2. Don't burn through shadowing days at the cost of class learning — the OSCE rewards depth over breadth.

Where

Where does it happen?

At any UofT-affiliated hospital site (UHN, Mount Sinai, St. Mike's, Sunnybrook, Toronto Western, SickKids, Trillium, Credit Valley) or community clinic. Your academy network is the easiest starting point — academy faculty often arrange shadowing or know who to email. The MD Program also runs structured "specialty exposure" sessions for hard-to-access specialties.

Why

Why bother?

Three reasons that students who've done it consistently raise. First, specialty exploration — the gap between "I think I'd like surgery" and "I've spent a day in an OR" is large; shadowing closes it cheaply. Second, mentorship — a single staff who knows you can become a research supervisor, reference letter writer, and CaRMS strategist. Third, clinical context — material in CBL hits differently after you've watched a real case unfold. The flip side: shadowing is unstructured, and it's easy to coast through a day without learning much. Bring a question or two prepared.

How to ask: a short, specific email to a physician beats a generic one. Mention that you're a UofT M1 (or M2), one specific reason you're interested in their work, and propose a half-day. Most staff say yes more often than students expect — they've all been on your side of the email.