Category Archive: Third Year

Carlos Pestano Surgery Review Notes

If you have not yet heard about the Pestana surgery review notes (download), these are a must have.  There are a number of good review and question books for your surgery rotation, but nothing as useful and high yield as the Pestana notes.  I read through these two days before my shelf exam and I know for a fact that it got me 4 or 5 questions that I would not have known otherwise.  They are extremely high yield; almost universally, students admit that questions were asked on their surgery exam that seemed to be taken right from the Pestana notes.

Click the link below to download the .doc file.

Pestana Review Notes for Surgery

As nearly every medical student in the country is currently using these review notes during their surgery clerkship, I though the least I could do was recognize the physician who provided them to us.  Click here to see a recent award given to Dr. Pestana, MD, PhD.

He has also published a number of books including the Manual of Surgery and Fluids and Electrolytes in the Surgical Patient (amazon links below).

The University of Utah Anatomy Tutorials

I recently posted about a great radiology website that is also a good study tool for gross anatomy.  It is i

mportant to remember that most anatomy tests will include a few questions using radiology images.  However, I found that the best way to study anatomy was through anatomy dissection websites.  The University of Utah provides a great website to their students, and it is open for public use too. Their anatomy website is broken up by organ system and features hundreds of images and quizzes.

http://library.med.utah.edu/WebPath/HISTHTML/ANATOMY/ANATOMY.html

They have an entirely different site dedicated to neuroanatomy.  This is the clearest and best organized review I could find on the internet.

http://library.med.utah.edu/WebPath/HISTHTML/NEURANAT/NEURANCA.html 

In addition to the basic anatomy website, they also have many histological and pathological slides and quizzes.  The histology review on their website was one of the best I could find.  The pathology slides are equally worthwhile, though they are likely more useful for courses other than anatomy.

http://library.med.utah.edu/WebPath/

Seizure in the ED

Perhaps a bit of a stretch….but funny nonetheless

Epocrates: Your brain in your hand

Did 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 (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

Throughout 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.

Proper gowning and gloving, a training video

As I mentioned in a previous post about how important it is to know proper scrub technique, it is equally important to know how to gown and glove. Most students will receive formal training in these techniques.  However, if you are planning on being in the OR either for shadowing or elective rotations before you receive training, be sure to watch this video and the video on proper scrub technique

How to scrub for surgery, a training video

Most medical students will be required to take a crash course in scrubbing, gowning and gloving.  However this may not happen until your surgery or OB rotation during third year.  Many students will find their way into the ORs before those rotations.  My first OR case was during a urology elective.  I had no scrub training and the surgeon asked me right before the case, “Hey med student, go scrub, I need a first assistant.”  I had to find a scrub tech in the hall to help me.

So, learn how to do it now!  I have seen a lot of training videos, but this one is particularly good for scrubbing.  I also highly recommend you see this video on gowning/gloving.  You don’t want to mess that up either, the scrub nurses will kick you out.

 

General Surgery Animation

It’s amazing how realistic this video actually is.

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