Just curious - my method works for me, but it's time-consuming. Maybe we can get some ideas from each other! I read the chapter before class about 98% of the time. Then I take notes during the lecture in my own notebook, not on my powerpoint slide handouts (unless it's all diagrams, bones, etc.). I usually learn best by writing. Later on, I go back to the chapter and take my own notes, already knowing what the instructor emphasized in lecture or told us to go back and read. I've been putting my lecture notes in a 3-ring binder and keeping my book notes in a spiral notebook so I can see both at the same time. Then, before the tests, I go back thru again and make flashcards. By the time I get this far, I usually know it well enough I don't have to go through the flashcards much, but that's easy to do at work, while eating, etc. How about everybody else?