Louis Mercier; a French dramatist and writer once said, "What we learn with pleasure we never forget." This was my problem for a long time; if I did not enjoy what I was studying, I would not be able to understand it at all. That why I'm always spending a lot of time searching for the perfect source rather than studying itself! Hi, I'm Abdalrahman Almeligy, a 6th year medical student at Ain Shams University. I took my TOEFL test on 4th August, 2012 and received a score of 93. My Score breakdown is:Reading 26Listening 28Speaking 19 Writing 20You are probably wondering why I scored fine in the selective portion of the exam (reading and listening) and failed to get a better score in the constructive portion of the exam (speaking and writing). This is mainly due to the mistakes committed during my preparation, which will be mentioned throughout this note.During my preparation, I went through 21 steps, made a lot of mistakes and had a closer look at different materials made for TOEFL preparation. I will present them for you to compare and help you choose the most efficient, effective and enjoyable source. Also, I uploaded some of the materials which were hard to find online.Bear in mind that this note contains a lot of personal/my own thoughts that may not suit your study habits, English proficiency level or time table. So, it is not necessary to do every step exactly but it is about identifying your weak areas and working on it. Step 1: Know why! If you are a senior medical student (like me) who decided to pursue a residency position in US, you will probably need to start searching for USCE (United States clinical experience) as soon as possible. In order to increase your chances in securing a clinical elective spot, the very first move is to take a TOEFL test. It will increase your chances tremendously since it opens the way to many places. Hence, you should make a list of all the places that require or prefer TOEFL to know exactly your target. The following list I knew about before my test:1. University of Alabama (Can be waived).2. West Virginia University-Charleston campus (Can be waived).3. University of Kansas Medical Center (Score of 23 minimum on the selective components of the exam, Score of 19 minimum on Writing, NO minimum Score required regarding the speaking section and 400 $ application fee).4. University of Louisville, School Of Medicine (Minimum total score of 100 or higher).5. National Institute of Health (Minimum total score of 86 with a minimum score of 26 on the speaking section).6. Jefferson Medical College (Can be waived if you have passed one of the USMLE exams, tuition fee of 750$ per month).7. Northwestern University, Feinberg School of Medicine (Minimum total score of 84 with a minimum score of 24 on the speaking section, tuition fee of 1200$ per month).8. Yale School of Medicine (Tuition fee of 3100$ per month)9. Mount Sinai School of Medicine (Minimum score of 22 on each section, 1000$ application fee, 100$ health fee, and tuition fee of 2000$ per month) Also, you should realize that job interviews are about two things: your personality and your communication skills. Thus, you need to work on your spoken English since it is a fundamental part of job interviews, and TOEFL is the best start to do that.Step 2: Register right away! WHY: You should book your slot the minute you decide to take the exam. Since there is always a huge demand from test takers, you need to move fast to find an available position at the time you choose. Furthermore, you will not start studying seriously until you pay money!>>Mistake 1>Mistake 2>Mistake 3Mistake 4Mistake 5>Mistake 7>Mistake 11>Mistake 12>Mistake 13>Mistake 14