Pharmacology flashcards

Pharmacology is probably the single best fit for spaced repetition in the health sciences. It is large, it is almost entirely recall, it is unforgiving of vagueness, and it comes back in every subsequent year of the programme.

It is also where badly written cards do the most damage.

The mistake that ruins a pharm deck

The instinct is one card per drug. Front: metoprolol. Back: class, mechanism, indications, side effects, contraindications, monitoring.

That card is unratable. You will recall four of the six items, and there is no honest answer to whether you got it right. Rate it Good and you are lying to the scheduler. Rate it Again and you re-study four things you already knew. Either way the interval that comes back is meaningless.

Split it. Metoprolol becomes six cards, each with exactly one answer. It feels like more work at the point of writing and it is dramatically less work over a semester, because each card can be rated honestly and each one leaves your queue when it is learned.

What cards to build

Draw the mechanisms

Receptor pathways, second messengers and feedback loops are diagrams, not sentences. Reps has a drawing pad on every card, and reproducing a signalling cascade from memory is a harder retrieval than recognising it. Line weight follows pressure on supported Apple Pencil models.

Organising by class, not alphabetically

Pharmacology as a class, with subjects for drug classes: Cardiovascular Agents, Antimicrobials, Analgesics, Endocrine. Cards live in the subject.

Organising by drug class rather than by lecture is what makes the deck useful in second year, when the lectures have blurred and the classes have not.

Cards cannot be moved between subjects afterwards, so this decision is worth making carefully at the start.

Pacing a block

Pharm blocks arrive fast and the temptation is to write two hundred cards in a weekend. Ten to twenty new cards a day is what most people can sustain, because every new card creates reviews for weeks afterwards.

Reps has no daily cap, so nothing will stop you from overcommitting. The seven-day chart shows whether you paced it or not.

FAQs

How many cards for a typical pharm block?

Several hundred if they are split properly. That is normal and it is why pacing matters more than intensity.

Should I download a pharm deck instead?

Nothing ships in Reps and there is no shared library. Writing the card is where a large part of the learning happens, and a downloaded deck is written in someone else's shorthand.

Can I share with my study group?

Yes. Export a subject as a .reps file. Splitting a block across a group is the intended use.