The Bottom Line
- Tier 1 (Maintain): keep the chain alive with tiny retrieval.
- Tier 2 (Advance): do focused discrimination on confusables.
- Tier 3 (Peak): only when rested—timed blocks + deep review.
The win condition
Night shifts are not your time to ‘cover content’. They are your time to preserve momentum and sharpen discrimination on high-yield confusions.
The classic failure mode on nights is binary thinking: either you ‘properly revise’ (impossible) or you do nothing (spiral). The fix is a 3-tier system where the plan scales down when you’re shattered and scales up when you’re human again.
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Tier 1 — Maintain (7–12 minutes)
Do one: 10 flashcards OR 5 single-best-answer questions OR 1 ‘error log’ edit. Stop immediately when done. This protects identity + consistency.
2
Tier 2 — Advance (15–25 minutes)
Pick one ‘confusable set’ (e.g., asthma vs COPD vs HF; IBD vs IBS; meningitis vs encephalitis) and do 8–12 questions only from that set.
3
Tier 3 — Peak (45–90 minutes)
Only post-rest day (or after proper recovery). Timed block + structured review + re-test schedule. Don’t attempt Tier 3 mid-nights as a default.
4
The review rule
Review is not reading. Review is: <strong>Why my answer was wrong</strong> + <strong>the discriminator I will use next time</strong>.
5
End with a ‘retest ticket’
Write 1 line: ‘Retest: [topic] in 72 hours’. If you don’t schedule retest, you didn’t learn—you performed a ritual.
Night-shift revision boundaries
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Practice
Test your knowledge
Apply this concept immediately with a high-yield question block from the iatroX Q-Bank.
SourceSleep restriction and cognitive performance (review / synthesis)
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