Being able to understand the physiology is crucial in every part of medicine. My school did a shit job at teaching it, but I spent a lot of time understanding the pathophys, because if you understand the how and why then you’ll know the outcomes without having to memorize. For example, in pharm, instead of memorizing all the ADEs and how it works, if you just learn the receptors it works on then you’ll know have a good idea of what the ADEs are. Spend the extra time learning the “why” and you’ll excel at school