Tag Archives: med student books

First Aid USMLE Step 1 2012 Errata Posted

First Aid USMLE Step 1 2012 reviewFor those interested in making corrections to information in your copy of First Aid for the USMLE Step 1 2012, the official FA errata is now posted to the FirstAidTeam.com website.  You can check out the webpage to learn more about the process, or RSS subscribe for updates. If you’d like to bypass the site and just go straight to the errata, the document can be found here (pdf).

Contribute to First AidKeep in mind that you can send in a correction for any mistake you find by clicking on the “Contribute” button on the right side of their site or this post (both bring you to the same place on their site). While they promise $20 Amazon gift cards for new information, someone else has probably already beaten you to any given correction. Nonetheless, making any submission will get your name printed in the preceding version of Step 1.

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A High Yield Complement: BRS Physiology

Board Review Series (BRS) PhysiologyBoard Review Series (BRS) Physiology, now in its 5th edition, is the leading resource on physiology concepts crucial for the foundation of medicine as well as those highly tested on the United States Medical Licensing Examination (USMLE) Step 1. This book, written by the esteemed Linda S. Costanzo, Ph.D, provides very clear and concise explanations of essential physiological principles of each organ system as well as those of cellular physiology. This text contains many clinical examples and sample problems to help medical students test their understanding of these concepts and their application in clinical scenarios. Each chapter concludes with a review test, accompanied by explanations and references to sections from which the question arose. To further aid appreciation and long-term retention of these key principles, many full-color illustrations, flow diagrams, and tables as well as a summary page of “Key Physiology Equations for USMLE Step 1” are included. Additionally, each book features a scratch off code which provides access to supplementary online resources, such as a question bank and a comprehensive examination with an image bank, on The Point.

This book provides a clear outline with appropriate breadth and depth of high yield material that is most commonly tested on USMLE Step 1. It is recommended that this book be read in conjunction with corresponding physiology courses throughout med school or as part of review for the boards. Because this book presents the material in a very straightforward manner, it helps to simplify difficult concepts to better understand medical physiology.

Despite the many benefits of using this book as part of any study plan for the USMLE, there are a few drawbacks which should be noted. Many of the questions featured in the chapter Review Tests and Comprehensive Examination are not written in the style of the USMLE Step 1. Rather, most are short questions that are aimed to test the knowledge of key concepts and should not be relied upon to gain familiarity with the format of the USMLE Examinations. The review questions are also simpler than most found in question banks and the exam itself. Lastly, this book is designed to be a review book and as such should be used in conjunction with more comprehensive resources such as textbooks, classroom lectures and syllabi.

The material in this book is organized into seven chapters by organ system, each of which ends with a review test and explanations. The first chapter provides a general overview of Cell Physiology followed by chapters on: Neurophysiology, Cardiovascular Physiology, Respiratory Physiology, Renal and Acid-Base Physiology, Gastrointestinal Physiology, and Endocrine Physiology. This Board Review Series book culminates in a 99 question comprehensive examination which is followed by explanations and page references.

Overall, this book is highly recommended to medical students for learning the physiology of the major organ systems, and especially in conjunction with Tao Le’s First Aid for those who are preparing for the USMLE Step 1. This reasonably priced review text will provide any medical student with a clear understanding of the most frequently tested physiology concepts and to provide a solid foundation for a career in medicine.

 

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Sneak Peak at First Aid for the USMLE Step 1 2012

First Aid USMLE Step 1 2012 reviewMedStudentBooks.com got a hold of an early copy of the upcoming First Aid for the USMLE Step 1 2012, and we are proud to offer the first internet review.

The 2011 version of First Aid for the USMLE Step 1 was previously reviewed on this site as the must have gold standard of Step 1 board review, and this only builds on it. Reportedly the “world’s bestselling medical review book,” First Aid 2012 continues its long line of teaching with a noticeable update. As the rainbow bar on the cover suggests, First Aid is now in full color. The company also reports approximately 20% new content across the additional pages.

There are a good number of benefits that come with the color upgrade. Previous versions stored a small section of pages near the back of the book with certain must-see color images. In 2012 however, they are blended seamlessly around the relevant text, allowing users to go directly from text to image without page references. The color also seems to make a number of the images pop a bit more. Drawn diagrams are easier to encode into memory, and line graphs are easier to trace (although this may be difficult to appreciate in the below image).  There also appears to simply be more color pictures in general, complementing the text more completely than previous versions.

First Aid for the USMLE Step 1 2012 sizing

Pages without images still have subdued hues of blue and red around the border. Bolding is now in a dark blue, which seems to conflict with one of the improvements many people liked between the 2010 and 2011 versions: bolder, darker font.  Nevertheless text remains easy to read.

First Aid for the USMLE Step 1 2012 QR CodeThe other noticeable addition to the book is the use of QR codes found at the start and end of every chapter, linking the user to updates, errata, “and more.” They all actually appear to be the same QR code throughout the book, and come with a link to the title’s associated question bank. As an aside, that same link is where students can submit errors or recommendations to improve the subsequent version, and get their name printed in it as well. While it is difficult to see the practical use for this electronic QR connection, board-study-psychosis can produce erratic behavior in medical students, and it certainly isn’t a detracting feature.

In general, First Aid Step 1 2012 also does a better job with spacing and sizing, as seen in the above image, although this comes at the expense of smaller margins. As mentioned in the previous 2011 review, most students annotate the book’s blank space.  Because of this, margins have historically been important, although a good amount of white space still remains.  In regard to the physical size of the book itself, it is surprising to see the dimensions to be about equivalent to the 2010 version, despite an additional 50 pages. The downside to this is that the pages are very thin and don’t hold certain inks or highlighting as well as prior versions.

Compare First Aid for the USMLE Step 1 2012

Overall, it is highly recommended that every second year medical student has access to a personal copy of First Aid for the USMLE Step 1. Unfortunately, it is generally contraindicated to obtain a used copy of this title due to the annotation produced by most users. The color update with a reported 20% increase in content represents an improvement that should not be overlooked for a new copy of a previous version. Therefore, we strongly recommend picking up a new copy of First Aid for the USMLE Step 1 2012. As we get further into Step 1 season, MedStudentBooks.com will post any discounts or deals on purchasing this title online, and possibly give one away for free. For now, shop around the below links to find the best price, and be sure to look for the color version.

 

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Careful Consideration: Pocket Neurology

Pocket Neurology LippincottPocket Neurology (also known as “The Yellow Book”) can be readily found in the white coats of many Neurology residents. Unlike its Medicine counterpart (The Green Book), Pocket Neurology does not seem to hold the same popularity among medical students. There are a few reasons for this. First, it hasn’t been around as long, and thus it hasn’t had time to built up the full extent of its reputation. Few attendings will readily reference it during rounds, and residents simply won’t expect students to own or have access to a copy. Second, Neurology is usually a clerkship of shorter duration compared to Internal Medicine in most medical schools, and therefore comprehensive pocket guides are less bang for the same buck.

What Pocket Neurology covers, it covers very well.  However the target audience for this title is not the same as for Pocket Medicine as a result of the focus in our medical education. We are taught the core principles of Internal Medicine from an early point on entering medical school, including history taking, physical examination, general findings, and many organ system courses focused on Internal Medicine subspecialties. It is because of this focus that new third year medical students can open a copy of Pocket Medicine and understand the more advanced topics without the need for referencing the basics.

This is not the case on a Neurology rotation, where most students are just starting to learn the specialty’s language, techniques, and the significance of common findings. For example, students may be frustrated if trying to use the book to assess the common presentations of migraine prodrome, despite a concise and comprehensive overview of headache differential diagnosis and workup. Getting past the basics quickly to fully utilize this book is highly recommended, as it will certainly be a strong resource to those who can wield it well.

As with all of the titles in the Pocket Notebook series, downsides include lack of space for annotation, and small print font, but these come with the territory of creating pocket reference guides.  Another consideration for this title specifically is an index section that is somewhat lacking.  Topics not contained within tidy concepts involve a good amount of searching in the appropriate chapter.  As a result, many residents will place labeled flags or earmarks on pages to quickly access commonly referenced topics.

Specific sections include neurologic emergencies, lesion localizing in clinical neurology, neuroimaging, vascular neurology, neurocritical care, acute intracranial hypertension, interventional neurology, seizures and other spells, electroencephalography (EEG), delirium, dementia, movement disorders, behavioral neurology, poisons and vitamin deficiencies, meningitis / encephalitis / brain abscesses, infectious diseases, headache, central nervous system vasculitis, pain, dizziness and deafness, demyeliminating diseases of the central nervous system, spine and spinal cord diseases, motor neuron diseases, peripheral neuropathy, radiculopathy and plexopathy, neuromuscular junction disorders, myopathy, electromyography (EMG), neuro-rheumatology, neuro-oncology, sleep medicine, pregnancy neurology, neuro-ophthalmology, consult issues, and selected pediatric disorders.

Overall, this is a title worth purchasing for all Neurology residents and medical students interested in the field. Medical students who wish to excel in their Neurology clerkship or enter a field that uses neurology such as Internal Medicine, Trauma, or Ophthalmology should consider purchasing Pocket Neurology with the above considerations, based on their personal preferences. This is probably not heavily needed for students who have no interest in neurology.

 

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5 Reasons Why You Shouldn’t Overlook Netter’s Anatomy Flash Cards

Netter's Human Anatomy FlashcardsAt this point in the year, most medical students have already started Gross Anatomy and have gotten a feel for many of the resources available to them.  A review was previously written that compared some of the more popular anatomy atlases, and only a brief mention has been made on this site so far regarding anatomy flash cards. For many students, the idea of atlas flash cards seems redundant.  You should be familiar enough with your study and learning habits to get a feel of this already.  However, there are some benefits to this resource which are best shared by people who have already gone through the full experience of medical school.

1. Size Matters… for Anatomy

Regardless of which atlas you have selected, you are most likely going to be bringing it around with you, or using the local library copy. However, this has its limitations.  Pulling out a copy of Rohen on a crowded bus can not only be disturbing to those around you, but produce a serious issue of professionalism. Similarly, waiting for a bus or standing around somewhere makes balancing a thick anatomy atlas somewhat annoying. The first strength of Netter’s Anatomy Flashcards (now in their third edition) is their size.  Reviewing them is not only easy to manage, but they are also easy to hide.

2. Grab ‘n Go Learning is Key

Chances are, your anatomy class will focus on one particular organ system or anatomic area at a time.  The full Netter’s Anatomy Atlas text is 620 pages, which is overkill for your specific study needs in any given week. While it is a great resource, carrying it around along with a syllabus is going to get tiring pretty fast. A better tactic is simply grabbing the color-coded stack of flash cards dedicated to your current area of interest. The latest version already has hole punches, which keeps organization manageable. At some point in med school, most medical students realize the usefulness of portability. Stack a few cards on top of your snack bars, and you’re set for the day.

3. Instant Access

Netter's Atlas of Human Anatomy smartphone AppPurchasing Netter’s anatomy flash cards new grants access to the studentconsult.com online version of this resource from any computer.  Even if you forgot your cards at home, you can still review them. This basically creates a second copy of the cards, which you can access indefinitely, even if you want to share the hard copy with a friend.  Some will argue that this is especially useful when accessed remotely on a smart phone, but most med students would disagree. The detail of the structures combined with the small font makes for a suboptimal viewing and thus learning experience. This is precisely the reason the iPhone and Android app of any atlas is usually contraindicated.

4. Reusability

While most first year resources are rarely used by med students on the wards, anatomy is something that will need to be reviewed for a number of clerkships, including surgery, ob/gyn, neurology, as well as elective rotations in any surgical subspecialty. Again, a full atlas is always best, but not something easily stored in scrubs pockets and referenced between cases in an operating room.

5. It’s cheaper than you think

A set of anatomy flash cards can usually be purchased new for $25. Because they tend to be in moderate demand every year, they have a resale value that will allow you to recover the majority of its initial cost. Furthermore, selling your set used does not remove access to studentconsult.com, which means you can continue referencing the electronic version.  Even when new versions come out, older sets can usually still be sold.  With that in mind, it is perfectly reasonable to purchase the previous version of these flashcards. Human anatomy hasn’t changed too much since 2006.

As a runner up reason not to overlook Netter’s Anatomy Flashcards: They go particularly well with people in the Rohen camp of anatomy atlases, as it offers a little bit of Netter drawings to complement and enhance the Rohen experience, producing the best of both worlds.

 

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250 Biggest Mistakes 3rd Year Medical Students Make

Book Review: 250 Biggest Mistakes 3rd Year Medical Students Make And How to Avoid ThemMany will argue that the first mistake third year med students make is buying this book, while others will claim that it is an essential and invaluable survival guide. 250 Biggest Mistakes 3rd Year Medical Students Make and How to Avoid Them by Dessai and Katta is the semi-popular successor of the 101 Mistakes book.  As the title suggests, it reviews all of the big issues bound to cause trouble on the wards. But how helpful is it really?  The answer depends upon the direction and perspective from which the book is examined.

If an attending were to be pulled aside and asked to write a list of all the things that bring down 3rd year med student evaluations, it may very well produce this book.  Therefore, many reason that the opposite must be true: buying this book prevents students from making these 250 mistakes, thereby instantly increasing their grades.  That’s essentially the fear hidden in the title of this book: buy it or you won’t get good evals.

Looking at the same scenario from the medical student’s point of view produces different results.  If a fourth year medical student were asked to write a list of all the things they wish they knew for themselves coming into med school (one of the very goals of MedStudentBooks.com), only a small portion of this book would be reproduced.  The reason for this distinction is because the large majority of “mistakes” in this book are common sense items that the large majority of medical students either don’t make, or adapt to with effortless efficiency.

So why the discrepancy in appreciation of this book from readers?  For medical students who have worked in “the real world” or have been held to rigid professional standards previously, pieces of advice such as “show up on time” or “dress professionally” or “get your work done on time” come as an expectation. Others however need gentle reminders that there is a clear distinction in the environment between preclinical and clinical med school years.  The majority of medical students come directly from college, and may face an actual professional setting for the first time in their lives at third year.  This latter group comprises the students who would most benefit from the nuanced recommendations of 250 Mistakes.

The big picture consists of the following.  First, med students should be professional. Second, they should ascertain the characteristics on which they are evaluated by directly asking residents or attendings at the start of each rotation, and reevaluating methods based on feedback along the course of the rotation. It can be an intimidating process for someone unfamiliar with the culture of medicine, but such open communication is a common occurrence.  Most attendings at teaching hospitals are happy to help, and do not mind offering feedback. It should be noted however that this falls under a common rule of medicine: don’t ask the question if you don’t want to know the answer.  Feedback is only helpful if it is used, and being defensive about feedback is looked down upon.

If you can accomplish these goals of professionalism and open communication that seeks out feedback for improvement, there’s not much else this book has to offer.  If however you are new to the working world or want a few gentle pushes in the right direction, this can certainly help.  Despite it’s 200+ pages, it’s a rather fast read with big bullet points.  The book itself is relatively cheap (compare prices below), but it can usually be found at your local medical library, or borrowed from friends or student lounges.

 

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Surgical Recall: Ultimate Pimping Handbook

Blackbroune Surgical Recall for Third Year Med StudentsSurgical Recall is one of those third year med student books that can be your secret phone-a-friend ace up your sleeve, and concurrently your downfall. There are a number of books you will encounter throughout medical school where the outcome of that class or clerkship is dependent on how the book is used. Just as you wouldn’t use Netter’s or Rohen’s to replace an anatomy text, Surgical Recall must be used properly.

As the title implies, Surgical Recall is your guide to all things pimping on surgery.  Unless surgery is your first rotation, you should already be aware that the pimping starts on the very first day. Accordingly, you should ideally grab a copy of this during the weekend before your surgery clerkship starts and dig in quite a bit by time you hit the first day.  This is the book that’s going to help you avoid looking like a total newbie, because common surgical etiquette and culture is not taught in preclinical classes.  This is the book that’s going to tell you all the usual abbreviations, the names of all the different scissors you enounter, why you should NEVER touch the mayo tray (and what that is), and all of the common pimp questions you will commonly encounter.

Like other books in the Recall series, Surgical Recall uses a split page question and answer format that quizzes the reader on all the common things seen in surgery.  The book does a good job in its use of pictures, especially on sections dedicated to surgical instruments and consumables.  This is important as most third year med students don’t know what a JP drain is, what JP stands for, what they look like, and how they are different from other drains. You could responsively google “JP drain” right now, but you won’t know the names of all the other commonly used tools, which is why this book is helpful.

The latest edition (as seen above) has taken on a somewhat retro look.  Perhaps market research has shown med students go for books that are already on fire to quell the need to later set them ablaze in frustration, or perhaps this just allows for the subsequent edition to look modernized in comparison. Nonetheless, we can’t judge a book by its cover, else the BRS series of books would have gone extinct long ago. The first section of Surgical Recall is going to touch on the big picture and background of surgery, including abbreviations, surgical signs, syndromes, cutting, suturing, tying, instruments, preoperative requirements, wound care, hemostasis, nutrition, shock, complications, and surgical anatomy pearls.  Section II goes over the main general surgery areas, including GI hormones, GI bleeds, hernias, laparoscopy, trauma, burns, bariatric surgery, appendicitis, ostomies, fistulas, IBD, portal hypertension, other hepatobiliary diseases, the breast, endocrine, melanoma, vascular, and intensive care unit knowledge.  The third and final section hits the surgical subspecialties, including pediatrics, plastics, hand, otolaryngology, thoracic, cardiovascular, transplant, orthopedics, neurosurgery, and urology.  This book is around 800 pages long, and while the question and answer format allows for a faster read, you should generally focus on the general surgery knowledge and the topics that specifically correspond to your surgical service.

Surgical Recall Illustrations: JP drain and Scalpels

Included with this latest version is the promise of free “Mobile Access.”  As of now, the jury is still out as to whether this is legitimate, as a number of students have had a hard time actually accessing it through their phones without paying the additional ~$45 app price through Android or Apple. It may be fixed in the future, but don’t purchase this book thinking it will instantly be on your phone.

Surgical Recall can be the downfall for the occasional medical student who believes this is the only book needed during surgery.  Indeed it will seem like a cheat sheet, whereby memorizing this book will produce superstar results in the operating room and floors (and it will).  However, the NBME Surgery Shelf Exam doesn’t care about the things that make awesome operating room medical students that get all the obscure attending questions. There is no Surgery Shelf question on one-handed ties, no Surgery Shelf question on drain choices, and no Surgery Shelf question on how your attending likes their coffee.  Make the distinction: there is OR / floor knowledge, and there is NBME Surgery Shelf exam knowledge, with a minority of overlap.  You need both to go for the gold on your surgery clerkship, and Surgical recall is the tool to help with the former.

 

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Hidden Gem: Cindy Montana’s Interactive Neuroscience Review (free!)

Cindy Montana's Interactive Neuroscience Review (powerpoint)

Cindy Montana’s Interactive Neuroscience Review (powerpoint)

We recently received a question through the contact form about the previous neurology book review, Haines Neuroanatomy Atlas. It was recommended that Haines not be brought into the lab, and the question asked what resource should be used instead.  This post is the answer.

Coming into med school, you’ll be told of all the required books and be handed a syllabus.  However there are a few hidden resources hoarded and protected by the gunners of the class that generally aren’t as readily known.  Cindy Montana’s Interactive Neuroscience Review (very large powerpoint file!) is one such free gem.

After downloading the epic powerpoint presentation from the above link, be sure to view it in slide-show mode. This interactive and animated file is wired together much like the neurology system it teaches, and is horribly confusing and dysfunctional if the slides are just viewed outright.

The presentation really speaks for itself, but the animations are a fantastic and color-coded way to review the neuroanatomy pathways and basic concepts. This should not replace Haines Neuroanatomy Atlas, which is still highly recommended, but rather used as a complement and alternative.  This is perfect for places and times when taking out Haines just doesn’t work.  Most neuro labs have computers, which means you won’t have to dirty your own books.  Similarly, this is a great review for all the crammers and gunners who like to study on the go, as it can be pulled up on many smart phones.

There are many more hidden gems to come.  To all you gunners out there: you’re welcome.

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