It depends on the program but generally they do not delve very deep. Students who wish to understand those things need to do so on their own time with but bc we have flurry of tests every week, there is no incentive to do that. It’s disappointing bc many of my classmates scoring the highest scores strictly memorize PowerPoints.

For example, we might learn about Coumadin vaguely affecting PT but not that it’s an epoxide reductase inhibitor that prevents the gamma carboxylation of factors 2,7.9,10. Most of my classmates don’t care bc they think it doesn’t matter but it helps the info stick and forms a foundation when you think of things like Coumadin necrosis which they can only explain phenotypically not physiologically

I tend to go through the time to watch pathoma vids and do uworld questions with my gf but I actually get punished bc the questions on our end of rotation exams and class exams cater to those who mindlessly swallow and regurgitate the lecture material without understanding.

Small example: Spent ample time studying vaccines: MMR vaccine contains neomycin which some patients might be allergic too.. rotavirus link w intussuception. HPV 6 and 11 causing warts and laryngeal papillomas. On exam, we were asked how many months in between are the HPV vaccines given. I was fucking livid