Effort equates to a lot of time spent on it, something that requires interest to sustain. People who are not interested in something are unlikely to spend a lot of time on it and much less likely to see results. On the other hand, those that are interested tend to be more enthusiastic while they are at it. They are more devoted to the cause and therefore are more likely to effect good results.
How do we know if something interests us? We learn it from experience through trial and error. We try different things before settling on some. Ideally, there need be no forcing it. It happens naturally. Just let different activities (going to the movies, sitting up late to watch sports on television, reading a book on bio-engineering, gossiping via MSN, looking after children, going to meetings, reading a medical journal etc.) compete for your time and see what happens. Trust me, let them compete against each other and they'll pretty much sort themselves out. Activities that consume more of your time than others are where your interests are.
Now, back to your poor memory thing. First of all, I don't think it's a medical condition. You're a medical student. You should know (I don't even think you have a poor memory – at any rate, you gave no evidence).
You have a problem remembering English vocabs. That's nothing unusual. There are many diagnoses to give, but if you pardon my bluntness, I'll point to two things – either you're not giving the effort or you're not interested in remembering them stupid words in the first place. Either case, you'll find it hard to see results.
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