If you get too many things, then you just have TOO MANY...keep it simple, and organized. Lots of pencils/eraser/sharpener for tests, HIGHTLIGHTERS, Clicky pens in red, black, blue, spiral notebooks, pocket binders, thick 3-rings, hole punch to store handouts. (1 or 2 for each subject, you'll need to replenish in a month or so) Loose leaf is a hassle. My school supplied a good stethoscope, bp cuff, and everything else, but i went to allheart.com to get goods shoes (on sale) and the pocket organizer to hold all my scissors, and pens, and (2) pen flashlights. Try it out, good site. Dont' worry about how others study, or organize. But if the idea seems good for you, then do it. Sometimes, more is just that, MORE STUFF to carry! Keep positive!! Oh, and you'll need a calculator but a small one should do fine.