Monthly Archives: December 2010

The Truth about Medical School Textbooks

I’m going to start a new series of posts called “Top 10″ and they will be around various topics/things I wish I had known earlier, or just a random list of top ten things. These are just random thoughts and pearls I wish I could have passed on to my former self. The series will be on a number of topics including studying tips, things to bring on the wards or anything that crosses my mind. Since they are just quick lists, I hope I can post them on a fairly regular basis.

Feel free to comment on anything you think that should have made the list that didn’t or things that you do too. Thanks

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Top 10 Tips on Medical School Textbooks

  1. You will have more textbooks than time

    Therefore, don’t go and buy too many textbooks because the truth is, for 99% of medical students/doctors, there is more stuff to learn than you have time for. So don’t go wasting hundreds of dollars on textbooks in your first year of medical school because you will never read them all.

  2. Pick one source and stick with it

    Whether it’s Harrison’s, Toronto Notes, or some other primary resource, find one that works for you and stick with that one. Be thorough with your chosen source. You will have a hard time learning from multiple texts, I remember I made a post about learning from multiple sources, while I still believe that, it’s also important to have one resource you are familiar with. Find a good text for anatomy, pharmacology, basic sciences and clinical management and go through it from beginning to end.

  3. Find Free Textbooks

    Borrow from the library, ask upper years, find an electronic copy. Your school library will have access to tons of textbooks. Access Medicine has all the basic texts, many hospitals have subscriptions to uptodate. Don’t waste your money on stuff you can access for free!

  4. Find what works for you

    I like point form notes like Toronto notes, other people like long paragraphs like Harrison’s (A.K.A The Bible of Medicine). Whatever floats your boat.

  5. Ask what worked for other people

    Ask upper years, they will let you know what’s valuable and what’s not. Then check it out and decide how you will study.

  6. Reread the same text

    Once you finish a topic, if you want to re-learn to topic, use the same book. You’ll be more familiar with the material and it’ll stick better. Just make sure you pick a resource that is appropriate for your level of training. Dubin’s Rapid EKG – good for learning how to read an EKG for the first time. Dubin’s as a resident? Probably not a good idea.

  7. Read Current Literature

    Medicine changes quickly, textbooks written ten years ago are unreliable. The management for some key diseases have changed so much that it’s important you pick the most up to date / evidence based literature to read, or else you’re just learning archaic knowledge.

  8. First Aid for Step 1

    is all you need to pass USMLE Step 1 according to my colleagues. I’ve never taken it, but have used the book and it’s quite useful. Use other review texts/notes as needed.

  9. Read around your cases

    Whether that’s the block you’re on or the patients you see, read to answer your clinical questions. Read with a purpose.

  10. No book can replace real-world experience

    Given the choice of seeing a patient with a certain disease or reading about, always go see the patient. The knowledge will stick better and you will see what “real” medicine is about. There are lots of atypical presentations or complicating factors that texts leave out. Learn from your patients, they are your greatest teachers.

Textbook Review – First Aid for the Wards

I’m currently in the thick of the overwhelming rotation that is internal medicine (IM). Although the work hours are more reasonable than surgical specialties, what IM lacks in work houts it makes up in knowledge needed. It’s the equivalent of the knowledge of my the last two years, every last detail, crammed into a intense 8 week rotation. Needless to say, most of my time outside the hospital is spent reading around my cases and re-learning most of stuff I once knew. I’ll be reviewing a few of the texts I have been using starting with First Aid for the Wards by Tao Le et al

PROS: First Aid for the Wards is an easy read. It covers all the essential topics you need to know for all your core rotations in a simple fashion. From IM to pediatrics to surgery, it’ll ensure you know the bare minimum needed to survive. You can read this book cover to cover over a few days and get a good big picture of the most common cases.

The first chapter which is an introduction to the wards is a real gem. The necessary information you need to know to be a team player on the wards, write a thorough admission and progress note are all laid out and easy to understand. I highly recommend reading at least the first few chapters to familiarize yoursellf with your role as a student intern. I found it much better than Tarascon’s How to be a Truly Excellent Junior Medical Student. Both are good reads. I would recommend that you at borrow either book from the library just to learn the ins and outs of hospital work.

CONS: Don’t be fooled by the First Aid brand though, this is no First Aid for the USMLE Step 1 2011 (First Aid USMLE) which many will swear by is the only book you need for doing well on Step 1. Furthermore, a lot of the topics are only covered superficially and often contains outdated information. There is no focus on evidence based medicine and the finer details that will make you stand out as an exceptional medical student are not included.

RECOMMENDATIONS: A good introductory text to topics covered in all your rotations. A quick simple read. The first chapter on Guide for Ward Success is an excellent guide on the roles of team members, expectations of students in medicine and surgery, how to admit patients and give great presentations. Definitely an excelllent introduction for people who have yet to step outside the classroom. Read this book at the end of your preclinical years. It willl be a good refresher and quick summary of key topics you should learn more about. However, it suffers because it is also just a cursory text that is lacking the depth that is needed in today’s evidence based standard of care

Please also see my Clerkship Pearls page for more resources