 So every single week there's new journals, new publications and it feels like as a doctor or as a medical student there's always more and more to know and really it's difficult with our current occupations and work schedules and clinical duties of how we should actually go about keeping up with it. Now honestly the approach that I found after multiple years of doing this now is I just accept that I can't. So my current system is that each week I'll do one review article. Usually I'll use just a New England journal review article that they put out for that week to help me kind of remember or catch up with something that I haven't learned since medical school. Or maybe I just want a whole holistic kind of piece on it that I find that their pieces are amazing. I usually just stick to one and then have a notebook where I kind of keep all my notes down. Now the second thing I do is I have a certain amount of kind of clinical cases and scenarios I want to put myself through. Personally I like to use the HumanDx app which is absolutely free and finally for me it's important at this moment before I've taken my internal medicine boards that I am still able to use my critical knowledge to be able to apply data and qualities and history of a patient to be able to answer some questions and so I like to do about 20 questions of multiple choice from a cue bank that I have.