Tag Archives: internal medicine

How to Reset MKSAP Answers

Since reviewing MKSAP 4 for students previously, we have received a question and several lost googlers trying to ascertain how to reset or restart MKSAP for Students 3, MKSAP for Students 4, and even MKSAP 14 for residents digital question banks.

Resetting these qbanks is straight-forward if you know where to look.  Regardless of whether you are using MKSAP 3, MKSAP 4, or MKSAP 14, the process is generally the same. Just click on Answer Sheet, followed by the Clear Answers button.  That’s it!  You’re all set to restart and reuse your MKSAP question bank.  For the visual learners out there, large purple arrows always help:

How to Reset MKSAP for Students 3 and MKSAP for Students 4

How to Reset MKSAP for Students 3 and MKSAP for Students 4

For the wayward residents who stumbled onto this med student resource site, we’ve also uploaded a visual on how to reset MKSAP 14 as well.

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Must Buy: 3m Littmann Cardiology III Stethoscope

Stethoscope Review

3M Littmann Cardiology III Stethoscope

The 3M Littmann  Cardiology III Stethoscope is the best bang for the med student loan-money buck when it comes to superior medical equipment to buy.  Some basic stethoscope knowledge: “bell” and “diaphragm” refer to the two side of older traditional stethoscopes that allow the listener to tune into lower and higher frequencies, respectively. The 3M Littmann  Cardiology III however uses some magical patented technology to produce this affect simply by pushing lightly or firmly. The second smaller side can be used in a similar fashion as a pediatric stethoscope, or converted to a traditional bell (see insert in picture).   Bottom line: this is the only stethoscope that is needed for any medical student throughout medical school and beyond.

The instrument itself usually comes with a 5 year manufacturer warranty, which is perfect because it lasts through intern year.  The ear pieces are comfortable, and a new set will come with an extra pair that are easily changed, but most likely won’t need to be. The entire instrument is very easy to clean, comes in handy on the wards when coming in contact with infectious patients.

There will be a lot of options when trying to purchase a stethoscope, so here are a few pointers.  First, try to stick to the Cardiology III.  Most people believe the Cardiology II simply aren’t as good. You may be tempted to get the limited edition black plated version or spend the extra money on engraving your name into the bell, but keep in mind that there is a small but not negligible population of stethoscope thieves in hospitals.

3m doesn’t sell these directly, so you should do a good amount of searching for the lowest price.  Unlike other medical instruments, this one should be purchased new. The best strategy is to search around, and specifically target individuals who are selling them new. The links below should be a good start.

 

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Must Buy: Pocket Medicine, AKA The Red Book (now Green Book)

Pocket Medicine: The Massachusetts General Hospital Handbook of Internal Medicine

Must Have: Pocket Medicine

Pocket Medicine, by Marc Sabatine out of Mass General is the best go-to reference for any medical student or resident, and an essential item for any white coat pocket while on Internal Medicine.  On the wards, preceptors will readily refer to “The Green Book” (which is just the newest edition after “The Red Book“) to highlight key information pertinent to a differential diagnosis, equation, criteria, diagnostic test, or treatment of your patients.  The two are pretty similar, and the Red Book will be fine, especially for those not going into Internal Medicine. However if you want the best and latest information with slightly superior organization, you should definitely go with the Green Book.

The best strategy is to briefly reference the appropriate topic just before and after seeing your patient, but before you meet up with your Internal Medicine residents or attendings.  If nothing more, this offers fantastic overviews of specific diseases and issues for your short term memory, which comes as an excellent support upon meeting sudden but inevitable pimping.

Specific sections include everything you would expect in Internal Medicine: Cardiology, Pulmonology, Gastroenterology, Neprhology, Hematology-Oncology, Infectious Diseases, Endocrinology, Rheumatology, and Neurology. It also has a handy image index and list of common abbreviations to ensure you don’t accidentally mistake “I’s & O’s” for “eyes and nose” on the wards.

Pocket Medicine is a great aid to help you look like a knowledgeable all-star, and highly recommended if you are gunning for Honors.   This really is the best ace up your white coat sleeve.

 

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Must Buy: First Aid for the Wards

Tao Le First Aid for the Wards, fourth edition on Med Student Books

Tao Le First Aid for the Wards, fourth edition

First Aid for the Wards is another Tao Le book that every medical student should own.  It provides a comprehensive overview of each core clerkship, including what to bring, how to write progress notes, and common abbreviations.

Before third year of medical school, most med students study a little bit throughout a course, and pick up time dedicated to studying as the end of the course approaches.  It makes sense, as that is usually where the evaluation is, being an exam.  It is easy to be similarly fooled into thinking the strategy should be the same for clerkships, especially because there is still an exam at the end.  However, medical students are evaluated from the very first day on the floor.   Furthermore, the way in which they are evaluated on the exam (factoid-based) is usually different from how they are evaluated by their team (practical working knowledge).

To prepare for that new setup, the highly recommended strategy is to read through the corresponding section in First Aid for the Wards the weekend before starting a clerkship, not to commit everything to long term memory, but just to skim the information and become oriented to the vocabulary and mindset of the specialty.  Shelf exams will never ask about the ALLHAT trial, but every student guaranteed to have a patient on the first day of Internal Medicine that it will apply to.  Simply dropping that trial name appropriately because of readings the previous night is sure to impress.  With that in mind, more in depth resources should be used for shelf exams.

Up until now in your education, most people study a little bit throughout a course, and pick up time dedicated to studying as the end of the course approaches. It makes sense, as that’s usually where the evaluation is, being an exam. It is easy to be similarly fooled into thinking the strategy should be the same for clerkships, especially because there’s still an exam at the end. However, you are evaluated from the very first day you step onto the floor. Furthermore, the way in which you are evaluated on the exam (factoid-based) is usually different from how you are evaluated by your team (practical working knowledge). As obvious as that may sound, it took me a while to truly understand that and react accordingly. My method, which I highly recommend, is to get a cheap used (or free) version of First Aid for the Wards:
http://www.amazon.com/gp/product/0071597964/ref=as_li_ss_tl?ie=UTF8&tag=itemcontent-20&linkCode=as2&camp=217153&creative=399349&creativeASIN=0071597964 

 

 

 

 

 

 

 

 

 

 

 

I suggest reading through the corresponding section in Wards the weekend before starting a clerkship, not to really commit everything to long term memory, but just to skim the information and orient yourself to the vocabulary and mindset of the specialty. Shelf exams will never ask you about the ALLHAT trial, but I guarantee you that you will have a patient on day 1 of Internal Medicine that it will apply to, and simply dropping that trial name appropriately because you happen to have read it the night before will score you major points. As such, you do NOT need the latest version of the book (or any other quick overview), because the attendings don’t pimp heavily to the latest info. Again: FA Wards for short term memory. Study for-serious with another source as the clerkship nears its end.

 

 

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