It is proven scientifically that humans learn better using paper and pencil and book. The speculated reason is our heritage on the savanna where 3D skills were the difference between life and death. I print out anything important to read and markup and form thoughts. Then I scan my mark up and type a summary into Evernote. Watch out for brainwashing in med school. Also, you will not pay off loans with obamacare cutting doctor income.