Category Archive: Fourth Year

FREIDA: A Great Resource when Applying to Residency

FREIDA AMA FREIDA: A Great Resource when Applying to Residency

Applying to residency is equally exciting as it is stressful. I found myself searching for any information I could find about different programs and what made each program different.  During my hours of searching I found that the AMA’s site, FREIDA ONLINE, was one of the most useful resources.FREIDA is an online database of all ACGME regulated residency and fellowship training programs.  The FREIDA database is searchable by specialty or by state.  The amount of information available for each program is truly staggering, here is just a short list of some of the information you can find out about each training program:

 

  • Program director name and contact information
  • Length of the program
  • Institution and hospital affiliations
  • Size of the residency
  • Number of applicants interviewed
  • Number of faculty
  • Average work hours
  • Weeks of call per year
  • Amount of didactic lecture
  • Salary information
  • Vacation weeks
  • Benefits information

Now that I know the inner workings of my residency, I looked back at the FREIDA profile to see if the information is correct, and I can vouch for the database, it is spot on.  They provide an analysis of the averages of many of those statistics for each specialty. So, you can compare the ‘hours worked in a week’ of a program you are interested in with the national average. Click here to access the ‘training statistics’.

Best Books for Medical School: Fourth Year

This list is part of a series of articles about the best books for medical students. Click on the Med School Books Main Page to see other lists including the best books for each year in medical school, the best books for each clinical rotation, and the best books for USMLE Steps 1, 2, and 3. 

Look, I get it. You are a fourth year student now and you are tired of reading textbooks. Let me suggest just a few books that every fourth year should read.  Remember, you are about to apply for, interview for, and rank your prospective residency programs: i.e. the most important training step in your career.  Once those interview are over, kick back with a Frommer’s Travel Guide Best Books for Medical School: Fourth Year and watch “Like an M4“.  Live it up while you can.

First Aid for the Match:

The ‘First Aid’ series is usually at the top of my lists they again deserve that honor for 4th year students. First Aid for the Match is a must read for anyone preparing your residency application, going on interviews, ranking programs, and getting ready for the match. You really need to know how it all works or you might hurt your chances of matching. Read this book.

The Successful Match:

This book is written in a ‘Self-Help’ format but contains loads of great information. It is highly recommended by nearly all of its readers and is ranked on the top of most “How To Match” resource lists. You aren’t doing much else this year!  Read it and you will not be disappointed.

The Ultimate Guide to Choosing a Medical Specialty:

Are you a fourth year and still undecided?  I know the feeling; it is terrible. Along with the Careers in Medicine website, this book was very helpful and influential in my decision making process. It helps readers decide what is most important to them and helps delineate what makes different specialties unique.

Pocket Medicine:

If you have not already purchased this resource (or a similar one that fits in your white coat) you really ought to find one.  During your sub-internship months you will all of the sudden have some real responsibility and you will need to look up vital information on the fly. Pocket Medicine is a great resource to quickly read about the next admission you are picking up so you can prepare yourself.
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  • Updated April 27, 2012

Internet based paging system

pager Internet based paging system

howstuffworks.com

If you need to send numeric or text pages to medical students, residents, or attendings Telepage Web Pager is the best website. Most hospitals have a built in method to text page anyone with a hospital affiliation. However, this web based paging system allows you to page anything you want to any pager in the country.  Try it, it’s free!

http://www.telepagewebpager.us/

The Best Free Software For Students

If you are anything like me, you will do anything to avoid paying thousands of dollars for the next Adobe product.  After ten years of higher education (and at least 4 to go!) I have tested hundreds of software packages; in this post I will list the best free and open source programs I have found.  Learn to love open source software…and you will soon learn how to spend those thousands of dollars you saved!  My software list will certainly not be a comprehensive list of all the great open source programs. For a complete list of free software programs I have three recommendations.

  • The best resource is sourceforge.net which is a nearly complete collection of all reputable free software.
  • FileHippo.com is a free website that lists hundreds of free software packages by category
  • schoolforge.net is a compilation of hundreds of free and open source software programs that is easily searchable.

 

WEB BROWSER

google chrome The Best Free Software For StudentsGoogle Chrome is a no-nonsense, super fast web browser.  Here is just one reference proving Chrome’s speed superiority (from cnet.com). For mac users, Safari is a distant second.  While I used to enjoy Firefox, it takes nearly twice as long to load web pages than Chrome.  We all know how terrible Internet Explorer is.

 

WORD PROCESSING, PRESENTATIONS, SPREADSHEETS

openoffice The Best Free Software For StudentsOpenOffice is a well known counterpart to Microsoft Office.  The free software includes a fully capable word processor, a presentation organizer, and a fully loaded spreadsheet tool.  In essence, you get Word, PowerPoint, and Excel for free.  An added bonus, you can save any file in OpenOffice format OR in the corresponding Microsoft format so there will never be compatibility issues.

 

CALENDAR

google calendar e1321225547631 The Best Free Software For StudentsMy love for Google products will now show through.  Google Calendar is simple and highly effective.  You can merge nearly all online calendars into your Google calendar account. You can send yourself reminders using email, phone call, or text message. You can list recurring events in any imaginable patter (e.g. same date each year, 2nd Saturday of March each year, etc.)

 

IMAGE MANIPULATION / GRAPHIC EDITOR

gimp The Best Free Software For Students1. Gimp is a professional image editor with a student’s pricetag.  This free program comes with nearly all the bells and whistles you would find in the newest version of Adobe Photoshop.  The user interface is not idea and takes some getting used to. However, with a price tag of $0 this is a great piece of software.

 

paint.net  The Best Free Software For Students2. I have heard great things about Paint.Net.  I must admit, I have never used it because I have spent so much time using Gimp that I don’t need anything else.  However, it is worth a try if you are looking for more free graphic editing options.

 

AUDIO EDITOR

Audacity The Best Free Software For StudentsAudacity is a free, open-source program that facilitates the recording and editing of all audio and sound files.  I often use it to make my own ‘radio edited’ song versions.

 

PDF READER AND WRITER

foxit The Best Free Software For StudentsFoxit Reader is far better than the free Adobe Reader. It requires far less resources when it is running on your computer, and it provides free mark-up tools including text editing, highlighting, commenting, and basic geometric shapes.

 

PDF CREATOR / CONVERTER

CutePDF e1321224841709 The Best Free Software For StudentsCutePDF Writer is the free version of CutePDFs vast line of products. The free writer allows you to convert any image, document, or screen shot to a PDF.  I use this product all the time. I save documents as PDFs and place them on my thumb drive rather than printing everything out.

 

ANTIVIRUS SOFTWARE

avast The Best Free Software For StudentsThere are actually quite a few free antivirus options out there. Many of the web giants (Google, Yahoo, MSN, etc) have their own free antivirus software. My personal favorite is Avast!, which the program that comes with GooglePak.  Just be sure you click on the FREE version, as they have other options.

 

PERSONAL FINANCE

mint.com  The Best Free Software For StudentsMint.com allows users to track all bank accounts, credit cards, loans, and investments in one place. The software is similar to costly software like Quicken, but is free and is web-based: which means you can check your information on any computer, any time.

 

 

BIBLIOGRAPHY, CITATIONS, REFERENCE MANGER

endnotegif1 The Best Free Software For StudentsThe best resource in this category, I must admit, is not free. EndNote is a must-have resource for research and reports. It is user friendly and will save you hours of time by automatically plugging in your references and bibliography. There are a number of free programs that try to mimic EndNote’s features. Some are good, but after trying them I ended up purchasing a student edition of EndNote because it is so much better.  Here is a list of free bibliography and reference managers. Or you can check out the wikipedia page which compares all reference managers, free and non-free.

 

STATISTICAL ANALYSIS

R project for statistical computing The Best Free Software For StudentsR (The R Project for Statistical Computation) is a free text-based statistical computational software program.  It is not for the feint-hearted. The learning curve is steep, but once mastered, this free software provides all the tools to run any statistical analysis, graph, or plot.

 

LaTeX EDITOR

winedt 150x150 The Best Free Software For StudentsNot all LaTeX editors are created equal.  WinEdt is a clean editor without the frills of other programs. I have used this software for 5 years and I have never had even one problem (something that can NOT be said about most LaTeX editors!)  The free version will frequently ask the operator to purchase the full version, but it is never required.

 

BRAINSTORMING AND MIND MAPPING

xmind 150x150 The Best Free Software For StudentsXMind assists individuals and teams in keeping track of ideas and goals. If you have never used mind-mapping software, you need to start. XMind creates the prettiest visual map, but there are other options that work just as well. FreeMind is another great one.

 

 

Did I forget something? If you know of more great, open source software please leave a comment.

Goljan Audio Lectures and High Yield Notes

goljan Goljan Audio Lectures and High Yield NotesAs you begin to prepare for USMLE Step 1 you will likely something about the Goljan lecture series and the Goljan pathology review book.  Dr. Edward Goljan is a pathologist at Oklahoma State University Medical School (you can read more about him at his university website or on Wikipedia.) In my opinion, there is no one in the country who knows more about what student need to learn for Step 1 than Dr. Goljan.  There are currently a number of board prep materials available to medical students thanks to Dr. Goljan, let me discuss a few of them.

1. Audio Lectures: Years ago Dr. Goljan taught a prep course for both parts of the boards, both Step 1 and Step 2. Somehow, these lectures were recorded and are now shared between medical students across the country and across the globe.  While I do not endorse illegal file transfers, these files are available for download on the internet and there is no other possible way to obtain them.  From everything I have read and after countless requests of my own, I do not believe it is even possible to purchase the audio files. I will provide a couple of links, but they will, inevitably, not always work.  Your best bet is to google “Goljan Audio” or ask students in your school if you can use their copies.  As you know, it is always risky to download data from websites you don’t know.

Link 1: This is a skydrive directory that seems to have all the lectures available for download individually

Link 2: I used this website, filstube.com.  It looks a bit shady but it worked well for me. Again, the best method would be to find some on a friend’s computer.

I wanted to mention what makes these lectures most useful.  I do not believe that listening to them early in your first or second year of med school is helpful.  They are not a great review for your school tests because they are only an overview.  Also, when you begin to make your study plan for Step 1 you are not going to have 40 hours to sit and listen to lecutres.  Frankly, you will fall asleep and get nothing out of it.  I found that listening when I exercised every day was a fantastic way to use them.  That way I didn’t feel guilty about taking an hour to exercise (which, by the way, is the best thing you can do when you are studying 10 hours every day) and I surely learned more from Goljan than I would have from Eminem and Coldplay.  In fact, I know that just listening in the car and while running picked me up a good number of questions on Step 1.  I still remember, word for word, one question that I absolutely would not have known if not for Goljan’s lectures.

I have heard that there are ‘new’ Goljan audio lectures since I took Step 1.  I can not verify this, and I search using my usual websites only found the same audio files that I used 3 years ago.  If anyone knows more about this, please leave a comment.

2.  Dr. Goljan’s Book, Rapid Review Pathology: There is ongoing debate about what is the best pathology review book for USMLE Step 1.  The debate usually comes down to Dr. Goljan’s Rapid Review of Pathology, and BRS Pathology.  Dr. Goljan’s book tends to have more images, a more modern layout, and does not rely solely on text to teach pathology while the BRS book is a no-nonsense text book which attempts to teach the most important points of pathology quickly.  So, the choice depends on how you learn. While the issues at the heart of that debate will have to wait for a different post, we can all agree that BOTH books are very good.  Links to the newest additions of both books on amazon.com are shown below.  I used primarily the BRS Pathology book, but I have only ever heard great things about Goljan’s book. In fact, some students believe it added double digit points to their board score.  Link to Amazon.com and the newest editions of both the Goljan’s Rapid Review, and the BRS book are shown below.

Dr. Goljan’s Book

Dr. Goljan’s Competition

3. High Yield Notes: Less known are the Goljan High Yield Pathology Notes.  The format that is available on the internet is not ideal, but I do think that these notes can be very useful.  The document is a very rapid review of the pathology associations that are most common and most important to Steps 1 and 2.  It is long (30-40 pages) and very dense (no pictures, small font size, all pages are full of text) but it highlights very efficiently the high points of pathology for the USMLE. Again, you can search the internet for “Goljan High Yield” and you will be inundated with places to download the file.  Alternatively, I will attempt to keep my copy on my website until someone tells me that it is illegal, which I do not believe it can be as this, too, is not available for purchase anywhere else. Click the link below to download the pdf.

Goljan High Yield Pathology Notes

 

Epocrates: Your brain in your hand

epocrates Epocrates: Your brain in your handDid anyone actually enjoy studying pharmacology during the 1st and 2nd year of medical school?  One of the best resources you can have during your 3rd year rotations and into 4th year, internship, residency, and beyond is solid pocket medication and prescription reference.  Epocrates is the most widely used pocket reference and I can say from personal experience, it is a MUST HAVE.  There are many other apps, and some are good (LexiComp) but none are as good as Epocrates.

Set up is simple, download the app to your hand held device and the rest is self explanatory.  There is a free version and a pay version.  Even the free version is very good. However, your school likely has a tie in with Epocrates which will allow you to obtain the full version for free while you are in school.  Ask your administrators to provide this service if they do not already do so.

The Epocrates site provides the free download for Apple, Blackberry, Palm, Android, and Windows Mobile devices
http://www.epocrates.com/products/rx/

Medscape: The Most Downloaded Medical App

medscape mobile download Medscape: The Most Downloaded Medical AppMedscape (now part of webmd.com) has produced the most widely used medical apps on the market.  The best part is, they are all free.  The main app links you to a database of review articles, disease definitions/physiology/pathology, and management guidelines.  It provides very quick access to important information: you could look up first line medications for community acquired pneumonia in the 15 seconds before you get pimped!

Their main site provides free app downloads for Apple, Blackberry, and Android users.  I have to admit, I use this ALL THE TIME right now during internship.  It is amazingly useful and user friendly

http://www.medscape.com/public/mobileapp

In order to download the app you will need to register with the website (here).  This will not only open the door to all their free apps, but also to all their online resources including free articles, text books, and reviews.  It will also allow you to view their annual physician compensation survey, one of the best ways to learn about how much physicians in each specialty earn.  See my dedicated post on this subject.

 

 

 

 

 

Uptodate: How to impress on rounds

UpToDate Uptodate: How to impress on roundsThroughout your third and fourth year of medical school you will frequently be told to “read about your patients.” Uptodate.com is one of your best resources for succinct, up to date, and easy to manage medical information.  The site contains  review articles written by experts in the field and covers nearly all important topics in medicine.  Most large hospitals and medical centers have access to the database through their network.  There is a useful app too, but you may not be able to access it through wi-fi even within the hospital, due to some site restrictions.  But, DON’T PAY for it.  More than likely, there is a way to access it through your medical school.

http://www.uptodate.com/index

How to Use:

Read about your patient before rounds or at night.  Learn the ins and outs of the disease process well to better treat your patient and to better answer questions when you are pimped.  See if your team is doing everything suggested by the review article.  If you find something to add, mention this on rounds or to your residents and mention where you learned it (uptodate).  Everyone in medicine respects the review articles on uptodate.  If you mention that your information comes from uptodate, everyone will now it is reliable.  In the same vein, NEVER admit you learned something from wikipedia…even if it is a great resource sometimes.

Like an M4

An anthem for all 4th year medical students, courtesy of the University of South Carolina.  Enjoy it while you can!  A parody of Like a G-6.