Tag Archives: general internal medicine
The heart of all medical education is centered around a solid foundation in history and physical exam skills. These are not only learned and critiqued early during the preclinical years, but comprise the basis on which medical students are assessed and evaluated during clinical rotations as they are conveyed through presentations. Due to the strong and constant need for excellent history and physical examination skills in producing superior grades, it is highly recommended that all medical students master these abilities early.
Bates’ Guide to Physical Examination and History Taking, now in its 10th edition, represents the best reference resource for this goal. The book itself is rather extensive as a primer for all things history and physical, which makes it perfect for incoming medical students. The text is detailed and straight-forward, with great complementary pictures, illustrations, and tables. It is important to note that the focus extends behind the basic logistics and mechanics of taking a history and performing a physical. Special attention is placed on normal physiology, as well as the significance of abnormal exam findings. Combined with proper instrument technique and care, this book allows for a deep understanding and mastery of the basic physical exam.
Other benefits of this book include the CD and website access on The Point, which host patient examination and assessment videos, fully searchable text, and cardiopulmonary exam sounds. To a lesser degree, the book is also helpful at providing basic differential diagnosis development. While many medical schools specifically assign chapters in this book as required reading during preclinical years, it remains a fantastic reference source throughout clinical rotations as well, with continued potential for residency.
There are a few drawbacks to this book. First and foremost is the price. At around $100, this “must buy” book is often times considered a “must borrow” from the library. Purchasing the black 9th version of this book will offer nearly all the same content for a slightly lower price, but has issues with page discordance when professors assign specific pages from the latest version. Second, Bates’ strength in providing full explanations to completely inexperienced medical students can sometimes become undesirable later in medical school when trying to obtain a quick concise answer for an understood concept. Along those same lines, the weight of this 992 page book can make constant transport somewhat arduous. It should also be noted that this book does not delve into the depths of specialty exams, but rather focuses strongly on the general history and physical exams needed for core clerkships. For example, the basic eye exam is included, but does not cover the depth that an ophthalmologist might assess. The book does however provide a full and thorough neurologic, pediatric, and gynecologic exam.
The first unit is a general overview, and contains specific book chapters on: Physical Exam and History Taking Overview; Clinical Reasoning, Assessment, and Recording; and Interviewing and the Health History. Unit 2 covers regional examination, with chapters on: General Survey, Vital Signs, and Pain; Behavior and Mental Status; The Skin, Hair, and Nails; Head and Neck; Thorax and Lungs; Cardiovascular System; Breasts and Axillae; Abdomen; Peripheral Vascular System; Male Genitalia and Hernias; Female Genitalia; Anus, Rectum, and Prostate; Musculoskeletal System; and Nervous System. The final unit is dedicated to “special populations,” and includes chapters on: Children – Infancy through Adolescence; The Pregnant Woman; and the Older Adults.
Overall, this is a highly recommended book for incoming medical students to master vital skills. Be sure to use the below links to get a starting price comparison between retailers before making a purchase, as the price can be steep.
This contest is currently closed – the winner has been contacted. Thank you to everyone who applied. Stay tuned for the next free giveaway, coming this Halloween!
Med Student Books is proud to announce our first of many book giveaways: Mark Sabatine’s Pocket Medicine. You have probably already heard it referred to as “The Green Book” (the newest edition after “The Red Book“), and seen it sticking out of white coat pockets. Pocket Medicine has been previously reviewed on this site as a “Must Have” book for third year medical students on the wards.
Thanks to our friends at Lippincott Williams & Wilkins, we are happy to give away a brand new copy of this highly recommended resource. As this site is dedicated to using the experiences of medical students to help one another, Pocket Medicine will be awarded to the US medical student who offers the best advice to incoming first year medical students in a comment to this post. It can focus on anything, including but not limited to study tips, ways to adjust to med school life, your favorite anatomy resources, or anything else that you wish you had known coming into medical school. It just needs to be tailored to first years.
As this book is valued at over $50 and we wish to restrict it to the medical community, we ask that you use your medical school e-mail address as verification of your status. Alternately, you can use another e-mail for now, but winners must verify their med school e-mail when contacted. E-mail addresses are not displayed publicly, and will not be used for any purpose outside of this contest. The winning entry will be selected on Friday, October 7th at 11:59pm, and the winner will be notified by the e-mail they provided shortly thereafter.
See our complete contest rules for further details.
The American College of Physicians (ACP) produces a number of resources, but MKSAP For Students 4 is one of the best things they have to offer medical students on inpatient internal medicine or outpatient primary care medicine clerkships. There are a number of USMLE style question banks and books out there, but this one really covers all the bases in these fields. In case you were wondering, it stands for the “Medical Knowledge Self Assessment Program”.
More valuable than the physical text itself is the CD that comes with every copy. Questions can be loaded directly onto a computer, which comes in handy if you like to study around town with a laptop. Your progress and answer choices are tracked and can easily be reset at any time. My personal favorite use is loading the question bank onto my smart phone so I can listen to music and answer questions while waiting for the bus. Keep in mind that certain Android browsers do not support linking through websites that are on the phone itself. All this means is that you will need to hit the back button and load a new question from the browser instead of just hitting “Next” on the question page itself.
There are a number of different MKSAP question sets, which gets confusing. Bottom line: As a medical student searching for a good book, get MKSAP 4, followed by MKSAP 3 if desired. An article will be posted soon regarding all the differences, including the higher numbered books.
As for MKSAP 4, it covers all the expected topics, complete with dermatology images and EKG interpretations. Specific chapters include Cardiovascular Medicine, Endocrinology and Metabolism, Gastroenterology and Hepatology, General Internal Medicine, Hematology, Infectious Disease, Nephrology, Neurology, Oncology, Pulmonary Medicine, Rheumatology. By the end of the book, you will know every etiology of common presentations such as cough, chest pain, abdominal pain, etc. It really is a great tool for inpatient Internal Medicine, outpatient Internal Medicine, a large portion of Family Medicine, shelf exams, and the USMLE Step 2 CK exam.