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Here are some statistical data for admissions in 2013–14http://newsroom.cumc.columbia.ed...They received 7,894 applicationsThey interviewed 1,075They accepted 325And 170 were admitted.325/7894 = 4.11% I would say, it is VERY hard.

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Hey, I already faced the same situation but in my case I wasn’t well for one complete year due to which I missed many of my classes. Let me tell you dean of my college met my parents just to talk shitty things about the attendance and all fuss. Then I told him that I won’t appear in this exam and I would go for six months back.Don’t worry these type of shitty things happens a lot in medical colleges.Your classmates can be one of the most selfish creatures on earth. Be aware don’t rely on them for any of the reasons.If you find any professor whom you can talk about about your situation please just go and take help. Demanding help shouldn’t pinch your ego and also donot hesitate they are there for help only. This is the mistake which I made and now I realise. These thoughts haunts me what if I could have taken help from some senior/teacher or anyone who is expertise.Keep contact with those who are pursuing post graduation and interns it may help you through out 5 years because they have already passed this phase they ll understand you a lot better than anyone elses.Don’t miss clinics. Attend as much as possible and the case you come across go and read about that the same day.Coming back to subject curriculum :First first out the important questions being asked in your first year professional.Second do remember not every subject you will study has one or same technique.Third donot jump to rote learning coz you ll tend to forget what you learnt till exams.For anatomy be visual take help of android apps in which you can view every part in 3D view for better understanding than google the topic see the images, refer Netter atlas for diagrams it’s the best I found , draw easy and schematic diagrams with your hand, practice and then finally read the theory that ll make you grasp a lot faster. Always remember the minimum number of words the more the retention in anatomy. You should try and understand that in simplest language possible.For physiology: Don’t cram again. Go for googling understand each and every tooic basics. For example if one says what you know about what do you understand by cardiac action potential ? You might want to see this in book you ll come across some graph like thisSource : googleYou might want to mug up phase 1 means this phase 2 is this. But just take a glimpse about all why and how's ? Why in this phase Na efflux is seen? How these changes are seen ? What changes are seen in myocytes? Or How could hypocalcemia may affect the whole scenario. When you ll get these answers you ll understand the mechanism than you wont need to mug up the whole phases. A film like trailor would click you in your head whenever you ll think about action potential.Just make sure and tie a knot you wont find answers to each and above question in your book. You need to google or refer any foreign author's book. But still I find googling best just because the matter you would find would be in easiest language.Coming to biochemistry it's not about cycles and enzymes you may need to learn few basic cycles first and I think you might have learnt that in your 11th-12th class. Now come to significance of that and you know what protein, carbs, fat aren't just about learning the functions. You may want to know why LDL-cholestrol is bad what exactly it does to blood vessels? Why are only large vessels targeted or how this LDL inside the blood vessel or how its oxidized? Next when you read about something like Glycogen storage diseases just think critically and actively what makes the types of GSD different from each other.Next important thing to keep in mind is you don't have to study for exams. You have to study because you want to gain knowledge. You want to become better version of yourself. You want to grow and excel not in one subject but in every. You don't want life to be static. It's not putting up all nighters it's about learning everyday experiencing everyday, that's the beauty of medical science. That's why it's not about important question that ll come in exam. I usually prefer to go through whole book atleast one time.First professional of mbbs though tough and you might end up thinking you are no better than others but believe me it ll take time what you ll read today will make sense in your final year so study accordingly.Putting end to my words I would suggest all you need is your love and interest in knowing things how they work. You need to study not for the sake of exams but everything you ll need to know to save a life of a person.Failure is not the end it’s the time to invent new strategies that work for you.Best of luck !