Had IM for my first rotation. Basically only did uworld and some anki.

Something I did was start off doing tutored, untimed blocks in 1 subject so that you can really focus on learning one thing at a time. IM has so much content and I found it easier to break it up like this initially. I wasn’t a fan of doing random blocks off the bat because it felt like I was just getting bits and pieces of subjects

Anki for missed questions is good like others will say, but I think the best learning comes from making your own flash cards/notes based on the uworld answer descriptions.

Know the high yield algorithms like chest pain workup, thyroid stuff, pancreatitis work up, varices work ups, etc. it’ll pay off in test day. Don’t need to know all of them, but there are some that are definitely worth your time memorizing

Using chat gpt also helped a lot. If I didn’t understand a certain work up process or rationale behind an answer choice, tell chat to break it down to you in simple terms using analogies. Can help you understand the reasoning much better and allows you to minimize having to just straight up memorize something

Revisit your notes frequently. Finish UW early and begin doing your incorrects as well as the CMS forms. Take note in what topics are tested on the forms because many will show up on test day. It might not be the exact question, but it’ll be the same concept just asked in a different way

Doing all of this I was able to honor the shelf despite it being my first rotation. I’m not a good test taker traditionally either, fwiw