Hope
I want to feel hope. I don’t want to feel scared. I want to be at peace. I want to not feel the effects of adrenaline, but a smoothed out world, filled w/ warm colors.
Lint Roller? I Barely Know Her

if i look back, i am lost
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JBB: An Artblog!

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YOU ARE THE REASON

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Love Begins

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@lapathtomedschool
Hope
I want to feel hope. I don’t want to feel scared. I want to be at peace. I want to not feel the effects of adrenaline, but a smoothed out world, filled w/ warm colors.
Basics for the Wards: How to Read EKGs
I’m on cardiology right now, and yesterday the fellow taught us some basics for interpreting EKGs. The trick is the have a thorough algorithm and do it every time so you don’t miss anything.
Disclaimer: Obviously this is just a cursory intro so folks won’t look like complete fools like me- who, when asked to interpret an EKG, went into a cold sweat and said, “Well, it looks like the heart is beating.” Attendings do NOT like that.
INTRO
This is what a normal lead II EKG one beat reading should look like. TAKE NOTE LITERALLY EVERYONE STOP CALLING YOUR SQUIGGLY LINES HEARTBEATS IT IS WRONG GAAAHHHH.
Normal EKG.
What the various leads are monitoring.
1. Rhythm: Sinus or not- aka, is the SA node talking to the AV node correctly? Check in leads V1 and II- if there is a P wave before every QRS you have sinus rhythm. If this is not the case, you do not have sinus rhythm! A whole discussion on things messing up sinus rhythm will come when I have a better grip on it myself.
2. Rate: How fast is the heart beating- aka, how fast are the ventricles depolarizing? So EKGs are little tiny boxes in bigger boxes, right? There are several methods for calculating rate using the boxes, but the one that works for my brain is to count the big boxes between R’s and divide that by 300. So, 1 big box between R = 300/1 = 300 bpm. 2 big boxes between R= 300/2= 150 bpm. And so on.
In general, any heart rate above 100 is tachycardia, and any heart rate below 60 is bradycardia. These values may vary (ex: SIRS criteria counts heart rate above 90 as tachy). Normal heart rate is around 75 (exceptions include athletes- look up athletic heart syndrome)
3. QRS Complex: Wide or narrow- aka, is the Bundle of His bossing the ventricles around? Basically, a nice narrow QRS complex generally indicates the bundle of His is intact and operating how it is supposed to. A wide QRS complex indicates something is awry with the Bundle of His- could be an organic pathology, could be a medication side effect (ex: antiarrythmics, TCAs, quinidine, to name a few), could be an electrolyte imbalance (ex: hyperkalemia), could be other things.
4. Axis: Is the heart depolarizing the way it should- aka right shoulder to left nipple. I, personally, am still sorting out the axis system, and it’s hard to do in this format. The first, most basic place to start is checking if lead I and aVF are POSITIVE, meaning their QRS complexes go ABOVE the isoelectric line. If that is the case, you are probably ok axis-wise.
Essentially, lead I’s vector goes from left to right, and aVF’s vector goes from head to toe. So the average of those vectors is the general path of depolarization of the heart. You want the axis to be between -30 and +90. So, if aVF is positive, but lead I is negative (the QRS is below the isoelectric line) that means it is going from left to right instead and would be classified as a right shift. Likewise, if lead I is positive, but aVF is negative, that means it is going down to up and would be classified as a left shift. There is soooo much more to axis interpretation, this is just a starting point.
5. Intervals: Again with the conduction system, it’s, like, totally important that it obeys all the rules every time. PR= <.2 seconds, or one big box QRS= <.12 seconds, or 3 small boxes QT= < ½ the RR interval
6. ST segment changes: checking for CAD- aka, is the myocardium getting enough blood/oxygen? Since the folks in the South seem to consider butter a food group and know that if it can’t be fried it’s not worth eating, CAD is a huuuuuuuuge issue here. When blood supply to the myocardium is compromised, there will usually be characteristic EKG changes. Note- not every episode of angina/MI will have EKG changes though! - Inferior leads –> right coronary artery. - lateral leads –> circumflex artery - anteroseptal leads –> left anterior descending. Disclaimer: does not apply to everyone all the time, some folks have variant coronary anatomy.
So the EKG changes to look for must be seen in two contiguous leads, aka, two inferior leads or two lateral leads. - Ischemia (low oxygen) = ST depression or T wave inversion (EXCEPT T wave inversions are ok in leads V1 and aVR)
- Injury = ST elevation - Old infarct/dead myocardium = pathologic Q waves. Basically that first negative vector (aka, the Q of the QRS complex) should never be bigger than one tiny box.
And, that, friends, is a basic algorithm for reading EKGs! There is a lot more, but if you follow these steps every time, you will look like a rock star on wards. Good luck!
Memory researchers say most students don’t have a clue how to study efficiently. Watch the full video to learn more tips.
Tips for anyone studying for finals this weekend. -Emily
Accepted.
From personal experience, and from the pre-medical and medical students I’ve spoken with, many of us have a small, malicious voice of doubt jabbing us in the back of our brains:
You could have done more.
Don’t hope too hard.
They don’t want you.
That person is better than you.
You are not enough.
Well, I want to tell you something very important, something you should tell that stupid, little voice with the utmost confidence.
No matter what, this remains true. A constant. Sometimes other people tell us what we can and cannot do… but sometimes we tell ourselves we can’t do it. That treacherous voice says reaching for our dreams is too hard, too risky, too grandiose.
But I know you.
You go the extra mile.
You have hopes higher than the atmosphere.
You want to heal, serve, treat others.
You are one-of-a-kind.
You are needed and wanted and more than enough.
A few days ago, the Director of MD Admissions at my top choice medical school called me and said I was one of their most competitive applicants. That the girl who went to a tiny liberal arts school, got a C+ in Organic Chemistry, and bombed her MCAT twice was someone they sought out and wanted in their program. My “failures” paled in comparison to who I showed myself to be: someone who loves kids, who advocates for the under-served, who tutored in Chemistry for 2 years after that C+, and who crushed her third MCAT. The little voice had nothing to say to that. NOTHING. And while that voice may rear it’s terrible head again, it cannot take away the truth of who I am.
Accepting the truth, that I could, that I can, and that I did, was the first step in this acceptance into medical school. Theory kisses reality.
Thank you for your support! Excited to share this new chapter with all of you!!
All I need for work! Genius!
this diagram is a gift
A gift from the cardio gods!
Step 2 CK
DURING THIRD YEAR ROTATIONS…
I consider my most important and intense preparation what I did in preparing for each rotation’s shelf exam.
Ob/Gyn (upper 80s): Kaplan Ob/Gyn + Uwise + OME + Uworld
Psych (upper 90s): Kaplan psych + FA for Psych + OME + Uworld
Neuro (upper 80s): Blueprints + Kaplan IM neuro + OME + Uworld
Medicine (upper 80s): OME + Uworld
Peds (lower 70s): Kaplan peds + Uworld
Family (lower 90s): Case Files + SUTM Ambulatory + OME
Surgery (upper 80s): Pestana + SUTM GI + OME + Uworld
I only finished approx 70% of Uworld before I reset it for dedicated time.
DURING DEDICATED TIME…
Uworld Self Assessment: I didn’t touch any Step 2 prep material prior to dedicated time. I took UWSA1 first to figure out my baseline, which ended up being in the high 220s. I think coming off surgery followed by my medicine SubI bumped by score quite a bit.
Online Med Ed Videos: I don’t learn from questions if I don’t have a very clear view of the big picture. That’s nearly blasphemy, I know. But for me that’s the very painful truth I learned during Step 1. So I spent the first half of my dedicated time burning through the OME notes and videos. I can’t give these videos enough praise. Really. I’m almost certain that I would not have done well during third year, shelfs, or Step 2 had it not been for these videos. They are clutch. Shelling out $70 for the notes was totally worth it.
Uworld + Anki: I took blocks on timed random and then slowly worked through the explanations. Instead of taking notes into a word document, as I’d done for Step 1, I decided to turn my notes into anki questions. This worked really, really well for me. Your mileage may vary. I only finished approx 80%, but I completed every category except for internal medicine.
First Aid for Step 1: behavioral sciences section ONLY to review for biostats and ethics.
After over-complicating my Step 1 prep, I went pretty low resource for Step 2. The online med ed notes served as my “book” for Step 2. For each OME video topic, I read through the notes and then watched the video, annotating any additional information directly into the notes as I deemed necessary. After I had finished all the OME videos, I started working my way through Uworld. My anki cards kept me continually reviewing facts and integrations I learned from Uworld. I also reviewed the note packets I’d put together during third year when I was preparing for each shelf. No additional practice tests or resources. I took the real deal just hoping for the best.
My final score was the in 260s.
Cranial Nerves
Nerves supplying the body can be divided in to cranial and spinal. Cranial nerves emerge from the brain or brain stem and spinal from the spinal chord. There are 12 pairs of cranial nerves. They are components of the peripheral nervous system, with the exception of the optic nerve, as their axons extend beyond the brain to supply other parts of the body. They are named numerically from region of the nose (rostral) to back of the head (caudal). Here’s a brief overview of all twelve nerves and their basic functions.
I – The Olfactory Nerve. The cells of this nerve arise from the olfactory membrane of the nasal mucosa. The dendrites of the nerve cells project in to the olfactory mucosa. The axons of these cells combine to form the olfactory nerve. They join the brain at the olfactory bulb, located at the end nearest the nose. The fibres are short and lie deep and protected from casual injury. It is often found that loss or interference of sense of smell is due to blockage of the air passage leading to the olfactory mucosa, not due to nerve damage.
II – The Optic Nerve. This nerve connects the retina to the diencephalon of the brain. It is the only cranial nerve considered to be part of the central nervous system. This means the fibres are incapable of regeneration, hence why damage to the optic nerve produces irreversible blindness. Interestingly the eye's blind spot is a result of the absence of photoreceptor cells in the area of the retina where the optic nerve leaves the eye. I find the optic nerves easy to spot when looking at the brain from below as they form the optic chiasm. This is the point at which they cross and forms a clear ‘x’.
III- The Oculomotor Nerve. This nerve controls most of the eye’s movements including the constriction of the pupil and levitation of the eyelid. Damage to the nerve can cause double vision and inability to open the eye. A symptom of damage to this nerve is tilting of the head.
IV – The Trochlear Nerve. This nerve is a small somatic motor nerve and innervates the dorsal oblique muscle of the eye, responsible for allowing the eye to look down and up as well as internal rotations. Damage to the nerve can cause one eye to drift upwards in relation to the undamaged eye, meaning patients tilt their heads down to compensate.
V – The Trigeminal Nerve. This is the largest cranial nerve and is so called as it has three major divisions. It is sensory to the skin and deeper tissue of the face and motor to certain facial muscles, playing a large role in mastication.
VI – The Abducent Nerve. This nerve controls the movement of the lateral rectus muscle of the eye. It also plays a role in eye retraction for protection. Injury produces the inability to deviate the eyeball away from the midline of the body.
VII – The Facial Nerve. This nerve innervates the muscles of facial expression. It also functions in the conveyance of taste sensations from the front two thirds of the tongue. As well as this it can increase saliva flow through certain salivary glands.
VIII – The Vestibulocochlear Nerve. This nerve is named after the vestibular and cochlear components of the inner ear. It transmits information on sound and balance. Damage can lead to deafness, impaired balance and dizziness.
IX – The Glossopharyngeal Nerve. This nerve has any roles including the innervation of certain muscles of the palate of the mouth, certain salivary glands and the sensory mucosa of the root of the tongue, palate and pharynx. Damage can lead to difficulty swallowing as well as the loss of ability to taste bitter and sour things in humans.
X – The Vagus Nerve. This is a very important nerve and one frequently discussed when considering many important systems within the body. It is the longest of all cranial nerves and extends to supply the pancreas, spleen, kidneys, adrenals, and intestine. It has parasympathetic control of the heart and digestive tract as well as certain glands and involuntary muscles.
XI – The Accessory Nerve. This plays a role in neck turning and elevation of the scapula (shoulder). Muscle atrophy of the shoulder region indicates damage to this nerve.
XII – The Hypoglossal Nerve. This nerve’s name relates to the fact that is runs under the tongue, innervating the tongue’s internal and external musculature. It has important roles in speech, food manipulation and swallowing.
Scientifically Proven Study Tips!
Study when sleepy.
Bedtime stories are for wimps. Instead of reading The Berenstein Bears, try studying for a few minutes right before hitting the hay. During sleep, the brain strengthens new memories, so there’s a good chance we’ll remember whatever we review right before dozing off . (Just try not to bring work into the actual bed, since it can make it harder to get a good night’s sleep.) And though bedtime is primo study time, it might also help to crack open the books after cracking open those eyes in the A.M.—in the morning, the brain still has lots of room to absorb new information.
Space it out.
A relatively new learning technique called “spaced repetition” involves breaking up information into small chunks and reviewing them consistently over a long period of time. So don’t try to memorize the entire periodic table in one sitting—instead, learn a few rows every day and review each lesson before starting anything new.
Tell a tale.
Turning the details you need to remember into a crazy story helps make the information more meaningful. For example, remember the order of mathematic operations PEMDAS this way: Philip (P) wanted to eat (E) his friend Mary (M) but he died (D) from arsenic (AS) poisoning.
Move your butt.
Research suggests studying the same stuff in a different place every day makes us less likely to forget that information. That’s because, every time we move around (from the library to the coffee shop, or the coffee shop to the toilet seat), we force the brain to form new associations with the same material so it becomes a stronger memory.
Switch it up.
Don’t stick to one topic; instead, study a bunch of different material in one sitting. This technique helps prepare us to use the right strategy for finding the solution to a problem. For example, doing a bunch of division problems in a row means every time we approach a problem, we know it’ll require some division. But doing a series of problems that require multiplication, division, or addition means we have to stop and think about which strategy is best.
Put yourself to the test.
Quizzing ourselves may be one of the best ways to prepare for the real deal. And don’t worry about breaking a sweat while trying to remember the name of the 37th U.S. president (fyi, it’s Nixon): The harder it is to remember a piece of information in practice mode, the more likely we are to remember it in the future.
Write it out.
Put those third-grade penmanship lessons to good use. Research suggests we store information more securely when we write it out by hand than when we type it. Start by recopying the most important notes from the semester onto a new sheet of paper.
Make me wanna shout.
Reading information out loud means mentally storing it in two ways: seeing it and hearing it . We just can’t guarantee you won’t get thrown out of the library.
Come together (right now).
Group work doesn’t fly with everyone, but for those who benefit from a little team effort, a study group’s the way to go. Pick a few studious pals and get together every few days to review the material. Put one person in charge of delegating tasks (snack duty, music selection) and keeping the group on target with its goals.
Treat yo’ self!
A healthy holiday cookie, a walk around the block, five minutes of tweet-time: whatever floats your boat. Knowing there’s a little reward waiting for us at the end of just a few pages makes it easier to beat procrastination while slogging through a semester’s worth of notes.
Drink up.
Sorry, not that kind of drink. Instead, hit the local coffee shop for something caffeine-filled; there’s lots of research suggesting coffee (and tea) keeps us alert, especially when nothing seems more exciting than the shiny gum wrapper on the library floor.
Take a time out.
Taking time to plan is one of the most important skills a student can have. Don’t just start the week with the vague goal of studying for a history exam—instead, break up that goal into smaller tasks. Pencil it in on the calendar like a regular class: For example, allot every day from 1 to 3 p.m. to review 50 years’ worth of info.
Gimme a break.
The KitKat guys said it, and so does science: Taking regular breaks can boost productivity and improve our ability to focus on a single task . For a real productivity boost, step away from the screen and break a sweat during a midday gym sesh.
Work it out.
Get stronger and brainier at the same time. Research has found just half an hour of aerobic exercise can improve our brain-processing speed and other important cognitive abilities. Jog a few laps around the block and see if you don’t come back with a few more IQ points.
Daaaance to the music.
As anyone who’s ever relied on Rihanna to make it through an all-night study session knows, music can help beat stress. And while everyone’s got a different tune preference, classical music in particular has been shown to reduce anxiety and tension. So give those biology notes a soundtrack and feel at least some of the stress slide away.
Nix the ’net.
We’ve all been there, facing the siren call of a friend’s Facebook wall on the eve of a giant exam. If a computer’s necessary for studying, try an app (such as this one) that blocks the Internet for a short period of time and see how much more you get done.
Say om.
Just before staring at a piece of paper for three hours, stare at a wall for three minutes. Research suggests meditation can reduce anxiety and boost attention span. While those studies focus mostly on regular meditation, there’s no harm in trying it out for a few minutes to calm pre-test jitters.
Doze off.
When there’s a textbook full of equations to memorize, it can be tempting to stay up all night committing them to memory (or trying to). But all-nighters rarely lead to an automatic A—in fact, they’ve been linked to impaired cognitive performance and greater sensitivity to stress . In the days leading up to a big exam, aim to get those seven to nine hours a night so sleep deprivation doesn’t undo all the hard work you’ve put in.
Own the Omegas.
Omega-3 fatty acids, found in certain fish, nuts, and olive oil, are known for their brain-boosting potential. One study found that eating a combination of Omega-3-and Omega-6 fatty acids before an exam actually reduced test anxiety.
Omega-3 fatty acids, found in certain fish, nuts, and olive oil, are known for their brain-boosting potential. One study found that eating a combination of Omega-3-and Omega-6 fatty acids before an exam actually reduced test anxiety .
Feel free to inhale.
Dusty old library again… or spa day? Research has found that catching a whiff of essential oils (like rosemary or lavender) can help calm students down before a big exam . Skip the frantic last-minute review and try a few minutes of aromatherapy instead.
Practice your brain pose.
Hardcore yogis tend to have better cognitive abilities—especially attention span—than folks less familiar with Down Dog . A few daily sun salutations may be all it takes to keep centered during finals period.
Learn what works.
Some people are early birds; some are night owls; some prefer to study with a pal; others need complete and total silence. Experiment to find what’s most effective for you, and then stick with it!
All from this website: x
Things Top Students Do
1. They don’t always do all of their homework.
In college, homework assignments generally make up 5-20% of your grade, but can be the biggest time-suck for most students. Yes, working problems is one of the best ways to turn new concepts into working knowledge, but a large majority of those problems that take you hours and hours to work through, you’ll never see on an exam.
2. They never “read through” the textbook.
Per time spent, reading the textbook is one of the least effective methods for learning new material. Top students use the examples and practice problems, but otherwise use Google, lecture notes, and old exams for study materials.
3. They Google EVERYTHING.
It’s like an automatic reaction. New concept = go to Google for a quick explanation. Don’t think just because your professor gives you a textbook and some examples on the blackboard that you’re limited to that information. You have a massive free search engine at your fingertips, so make use of it.
4. They test themselves frequently.
Testing yourself strengthens your brain’s connections to new material, and gives you immediate and clear feedback on whether you know something or not. Bottom line, repeated self-testing significantly improves long-term retention of new material.
5. They study in short bursts, not long marathons.
Studying in short bursts tends to help you focus intensely because you know there is at least a short break coming.
This also fits in nicely with our Ultradian Rhythm, the natural activity/rest cycle of our bodies, which makes studying continuously for multiple hours on end counterproductive.
6. They reverse-engineer solved problems.
It’s one thing to follow and memorize a set of steps to solve a calculus problem. It’s an entirely different thing to understand what a derivative is, be able to take derivates of complex functions, know when to use the chain rule vs. the product rule, etc. The problem with simply following the steps the professor provided, or the textbook outlines, is that you’re only achieving a surface-level knowledge of the problem. Top students, instead,take solved problems and work backwards, from solution to question, asking “why.”
Why did this get this value? Why did they simplify this expression? Why did they use that type of derivative rule?
By following this process, you begin to understand the interconnections of the concept, and how to directly apply that to a problem. This “working knowledge” of a concept is key to performing well on exams, especially on problems that you haven’t seen before.
7. They don’t own a highlighter.
Highlighting anything = unengaged reading. If you want to note something that stands out, underline and write a corresponding note to go along with it. Or better yet, write yourself a note summarizing the item in your own words.
8. They sleep–a lot.
The daily routines of top performers, in any field, are characterized by periods of intense work (4-6 hours per day) followed by significant quantities of high-quality sleep (9 hours per night). You see this trend in top violin prodigies and chess champions, as well as elite athletes. The idea is to alternate periods of intense work with rest, so that you create tons of new connections in your nervous system, and then allow adequate time to assimilate those gains.
9. They engage themselves by asking questions.
What happens if I tell you, “Thomas Jefferson almost single-handedly drafted the Delcaration of Independence in 1776.”?
You might say “Hmm.. that’s interesting”, try to remember it for later, maybe even write down a note or two.
But what if I ask you, “Who was Thomas Jefferson?” What changes?
You start searching your memory, sifting through images of old guys, founding fathers, thinking about the Declaration of Independence. You come up with your own narrative, and then realize that you have gaps.
When was he around again? And why was he so important?
You’ll probably find yourself going to Google to fill in the gaps. Through that process your learning will be much more deeply seated in your brain than anything your history teacher ever told you about him. That’s the power of asking questions.
10. They make the best out of lecture.
Yes, your professor sucks. Yes, lectures are boring. Yes, it’s either too fast so you can’t keep up and miss all the important stuff, or it’s way too slow and you start zoning out because you already understand everything.
The best students look at this this way: I’m going to be there no matter what, so what’s the best use of my time while I’m in the classroom? Ask questions, bring the textbook and look stuff up, focus on the important practice problems to copy down in your notes, try to anticipate what the professor is going to say, make note of anything they put emphasis on as a potential exam topic. All of these things make the time you have to spend in lecture more productive and engaging. And that’s less time you have to spend studying later on.
11. They over-learn.
School is hard enough, with the amount of studying and homework you have to do. And on top of all of that Facebooking you have to get done? It might seem ridiculous to suggest learning more than you have to.
What!? Are you insane!?
But this is precisely what top students do. And paradoxically, they end up spending less time trying to understand how to do homework problems, andless time studying for exams because of it. Because when you “over-learn” past what’s presented in class, you build a better framework for the subject.
Think of trying to remember some details about Abraham Lincoln’s life. You try to remember the dates of the Civil War, or what he said in the Emancipation Proclamation. You study the same facts over and over and over again… but it’s just boring, and you quickly forget. But what if you knew his whole life’s story? About how Lincoln suffered from bouts of depression, and his relationship with his wife suffered? You start to learn that the dude was human, and you start to relate to the things he did and the struggles he went through. Now you’ve constructed a story in your head. And studies show that humans learn best through stories. So yes, it’s more information, but your brain knows what to do with it now that all those random facts are linked together. More learning, but less rote memorization and struggling to remember random facts.
12. They immediately study their exam mistakes.
Most students get their exam grade back, flip through to see if the professor made any mistakes they can argue about, and then promptly shove it into their notebook, never to be seen again until the mad scramble at the end of the semester to study for the final.
Instead, top students ignore what they got right, and use their mistakes as an indicator of what to improve on.
13. They’re busy with work and side projects.
Yes, to do well in a course, you need to focus and put in the hours. But like many geniuses throughout history have shown, involvement in a diverse set of subjects, activities, and skill sets keeps you active, and provides you with a rich and diverse set of mental models to pull from.
Also, as they say, “If you need to get something done, give it to the busy person.” If you stay active in multiple areas, you don’t have time to procrastinate, and are forced to be efficient with your study time. This generally translates into quicker learning and better performance throughout the semester.
14. They use lecture as a detective mission.
Though completely unaware of this fact, your professor has tells. Yes, like in poker. Tells during lecture will hint at particular types of concepts and problems that will be emphasized on the midterm or final exam. The best students pay attention to topics professors spend a seemingly inordinate amount of time on and make note. Chances are you’ll see something related on the final.
15. They don’t wait for motivation to strike.
Motivation comes and goes, but studying for a degree requires persistence and consistency. Just like Olympic athletes train even on their worst days, the best students figure out how to get their coursework done when it’s the last thing they want to do.
16. They practice under test conditions. The old adage “practice makes perfect” isn’t totally true. Deliberate practice under the right conditions, with the correct mindset, is more like it. Instead of reading through all of the lecture notes and redoing old homework problems, top students make themselves practice exams, and rehearse their exam performance, under time pressure and in similar conditions (no notes, uncomfortable chair, quiet room, etc.) to what they’ll see on test day.
17. They use old exams.
Professors aren’t the most inventive folk. Along with coming up with lecture material and departmental responsibilities, they’re also primarily concerned with research. So typically midterms and final exams more or less look alike for similar courses year-to-year and even across universities. Because of this, old exams are a gold mine of opportunity for figuring out what problems you should be able to solve and study from.
18. They make their own study guides.
The best students don’t simply use the study guide the teacher provides, they create their own.
Creating the study guide is half the battle, requiring you to go through your notes, consolidate them, and organize them in a way that you understand–all valuable study activities. You’ll also be able to use your equations sheet much more effectively on the exam itself (if allowed) because you know exactly where everything is.
19. They actually write on paper.
Writing out notes on a laptop is efficient. Too efficient. Because it’s so easy to quickly type out exactly what the professor is saying, you don’t have to do the work of trying to figure out how to consolidate the information into your own shorthand. Some also believe that the act of writing helps retain more information.
20. They use the 80/20 rule.
Yes, some students who get good grades do every reading assignment, finish every practice problem, and attend every study session they can get their hands on. But these students are missing the point. There will always be an endless amount of information you could learn given the time and effort, but having the ability to discern what is worth learning will truly set you apart.
Top students identify the 20% of concepts they need to learn deeply, in order to determine 80% of their final grade. They focus intently on those few things, and simply ignore the rest. This is a formula for high performance, without hours and hours of busywork. And it translates seamlessly into the real world too.
21. They don’t complain.
Complaining simply has no place in the smart student’s repertoire. If something sucks, change it or ignore it, but don’t waste your time, energy, and mental state talking about it. Got a crappy professor? Either switch class sections or focus on teaching yourself. Horrible textbook? Find alternate resources (Google is free in case you hadn’t heard).
22. They learn by doing.
Any technical subject can only truly be internalized through use. Just like learning a new language, learning to be fluent in algebra or calculus requires active application of rules and formulas. Top students know there is a big difference between knowledge, and applied knowledge.
23. They take personal responsibility for learning the material.
The best students understand that they, and only they are truly responsible for their own education. So waiting to be spoon-fed by your professor and doing the homework assignments will never be enough. Despite your school’s best intentions, they’ll never be as committed to your academic success as you can be.
24. Following what they love
Those students you admire are passionate about what they are learning. They have the drive to develop their learning further based on their love of what they are discovering. This may not always be the case and is often unavoidable but if you follow what interests you and cultivate a curiosity of this area, your motivation to learn will thrive.
Not every student is the same and many top students don’t follow the status quo. The best way to create good habits for students is to try a variety of techniques and figure out what works for you.
25. Question your teachers Thinking outside the box is a cliche but certainly a reality for students. They question everything–especially test questions they get wrong. This attitude is important because it shows a general inquisitiveness that is essential in learning. As any parent of small children knows, questions are a way to gain knowledge. Teachers can’t be offended when a student asks a difficult question and parents should encourage this behavior.
26. They know the best way to study.
It is important to know the best way to study for yourself. Do you need pictures? Sounds? Study better in quiet or noisy environments? Figure out what works best for you so that you can make the most out of your study time.
27. They play hard.
We all know that a balanced lifestyle is the best way to stay mentally and physically healthy! Top students don’t spend all day in the library grafting (contrary to what you might think!) Rather, they take the time to put their studies aside and do something which is fun and exciting!
Source : 1 2 3 4
So good.
3rd Year Struggles: How to Look Less Stupid than You Are
.thedisagreeabledoctor:
Dear rising MS3s,
Welcome to the big show - sorta. Third year is this magical time where you are expected to know how to take care of real patients. Rather than worrying about that, I am sure you are busy taking selfies with your white coat on and stethoscope around your neck while tweeting about how early you have to start getting up, #medschoolproblems.
This may come as a shock, but you are a clinical moron. The sooner you accept that, the sooner we can move on to improving it. I don’t care if you are coming off your 260 step 1 score, real patients don’t present with multiple choices. All that score means is you are good at diagnosing and treating paragraphs of words, not people. I am only saying this from experience.
When you start your first day on the wards you are going to realize you got pushed into the deep end of the pool, sans floaties. Like someone truly drowning, you will be tempted to flail about, reaching out for anyone to save you. Don’t. No one has time to hold your hand, and you will quickly make people hate you if you constantly beg for advice/help/guidance, etc.
Have no fear, I am going to give some tips to make the transition easier and help you look semi-competent. Behold my list of life-saving resources for third year.
1. Scut Sheets (http://www.medfools.com/downloads.php) - you will likely follow 1-5 patients while on the wards. This sounds easy, but things move fast and you don’t want to be presenting old data on rounds. Scut sheets allow you to organize your patient information in a way that is easily accessible and portable (iPads are great, but in my experience you can’t beat good old paper). Further, the H&P sheets help to remind you of all of the things you need to examine/inquire about. You don’t want to be the student who comes back to report on a patient with epigastric pain in whom you never examined the cardiopulmonary system. Print a couple of each style to find one you like.
2. Stanford 25 (http://stanfordmedicine25.stanford.edu/index.html) - remember that time before step 1 studying, when you had to practice actually touching people? That was called the physical exam, and you are expected to actually do that… on every patient… everyday. Better refresh on it so you don’t look like a fool palpating the thyroid over the thyroid cartilage. Go to the website, click “The 25″ button and see the 25 physical exam skills every student should know, along with detailed explanations.
3. MedCalc (http://medcalc.medserver.be)
Enough said. Qx Calc is also worth downloading (http://www.qxmd.com/apps/calculate-by-qxmd).
3. Journal Club (http://www.wikijournalclub.org/wiki/Main_Page) - I guarantee that during the year some jerk-off attending is going to ask you, “what is the best NOAC for atrial fibrillation?” Obviously, like most, you will stutter because all you know to use in Afib is warfarin. Then he or she will smile, knowing they have established their superiority, and tell you to look it up and do some sort of presentation. Welcome to the best tool ever for such scenarios. This wiki is run by a team of physicians who synthesize large trials into digestible snippets. The app is well worth the money too. (The answer to the above question is apixaban, by the way, as determined by the ARISTOTLE trial; not that this scenario is based on a real event that occurred to me or anything).
4. Smart Medicine (http://smartmedicine.acponline.org) - this app is amazing. Seriously. It is free to American College of Physician (ACP) members; and membership is free to students. You should join just for this app. This is much less cumbersome than UpToDate and will will make you shine when you present your assessment and plan (also, rumor is that DynaMed and ACP have teamed up to create an even more amazing tool that is coming out in August, also free to members).
5. Medscape (http://www.medscape.com) - this is an awesome resource that is free. Medscape is one of my go to apps for understanding disease pathophysiology. Another feature, which most students don’t realize, is the articles on surgical procedures. This is HUGE for your surgery clerkship. You can read over the procedure, see relevant anatomy and know just enough to be one step ahead of this guy:
Plus you get updates on medical news, have access to practice questions, etc. Get it, use it, love it.
6. Online Med Ed (https://onlinemeded.org) - aside from learning real medicine, third year is about preparation for the step 2 of the USMLE. I advise finding a question bank and organized program to keep your studying on track throughout the year. Enter God’s gift to med students. This is one man and a mystical dry erase board that will make learning clinical medicine easier than cooking a Totino’s pizza. And it is one of the few things cheaper than a Totino’s!
So there you have it. You now are better equipped for the coming onslaught of pimp questions. My suffering is your gain. Below I will list a few other apps I have used this year that were less important to my success. Happy studying.
ASCVD Risk Estimator (http://tools.cardiosource.org/ASCVD-Risk-Estimator/) - I believe there is an app in the app store as well.
Anticoag Evaluator (http://www.acc.org/tools-and-practice-support/mobile-resources) - see the risk factors for coagulation
CDC vaccine schedules app (http://www.cdc.gov/vaccines/schedules/hcp/schedule-app.html)
Read by QxMD (https://www.readbyqxmd.com) - allows you to get medical articles directly to your phone using your institutional access.
Sensitivity and Specificity (http://lifeinthefastlane.com/techtool-thursday-055-sensitivity-and-specificity/) - link to the app and review
Pap Guidelines (http://appcrawlr.com/ios/pap-guide) - a free version of the ASCCP app and a life saver while on Gyn.
This is obviously an excellent list of resources I don’t want to miss out on.Probably going to head over to the physical exam website and learn some things while I sit around watching crappy reality TV.
Strong words to use on a Resume
If you have ever had to write a resume for work or for an application, then you know the hardest part is figuring out what type of words to use that sound professional and and intelligent.
Example: If an application asks you if you have any relevant experience for a job at a day care center and you have experience, like you have babysat children. You would look at the words in the columns to see what words you should use that will help your resume stand out. You might put down “Have supervised and attended to children on a regular basis.”
I hope this is helpful to you.
For The Masses:
http://gen.lib.rus.ec
http://textbooknova.com
http://en.bookfi.org/
http://www.gutenberg.org
http://ebookee.org
http://www.manybooks.net
http://www.giuciao.com
http://www.feedurbrain.com
http://oll.libertyfund.org/index.php?option=com_content&task=view&id=380
http://www.alleng.ru/
http://www.eknigu.com/
http://ishare.iask.sina.com.cn/
http://2020ok.com/
http://www.freebookspot.es/Default.aspx
http://www.freeetextbooks.com/
http://onebigtorrent.org/
http://www.downeu.me/ebook/
http://forums.mvgroup.org
http://theaudiobookbay.com/
More Here
no one coulda reblogged this a month ago when i spent 500
momentsbymarcus
Look at KB coming through
Every time you see this, reblog it. There is always someone in college that will see this.
I wish I had this while in College. Hopefully another student can have it to their advantage!
Freebookspot.es and bookzz.com have been my best resources.
Legitimately Free MCAT Resources
If anyone’s uncomfortable with downloading that set that circulating around (I’m guilty of reblogging that post, and have deleted it since), here’s a list of free resources from subreddits I visit.
/r/mcat’s sidebar (in masterpost form:)
Free Resources:
Question of the Days: Old MCAT, Kaplan,2015 MCAT, and NextStep
Khan Academy: Videos and Passages
MCAT Study Programs
Create Your Own Study Plan by mcatme
EK Home Study Plans
WikiPreMed MCAT Course
MCAT-Review
Prep101’s Free Study Aides
MCAT Mnemonics
Kaplan’s 20 Minute Workout
OrgoMadeSimple
AAMC Resources:
MCAT Official Site
MCAT 2015 Exam Content (pdf)
Explore the MCAT 2015 Exam
MCAT 2015 Testing Calendar (pdf)
Fee Assistance Program
How the MCAT 2015 exam is scored
MedEDPortal Videos
Premeddit:
PastySojourner’s guide on the test-taking techniques
MCAT mental tactics
MCAT 2015 Skype Study Group
MCAT study plan excel sheet
MCAT study guides
MCAT math tips
Review of materials for the new MCAT
Brief guide to MCAT 2015 content
Other Subreddits to take note of:
/r/premed: Very chill pre-med community, but isn’t afraid to be really blunt on things. I feel like they give rather honest/realistic opinions on things, with the exception of STUNNAGUNNA45T, the most magnificent bastard on the subreddit.
/r/AskHistorians: the most lengthy, driest forum posts I have ever read on the internet. Also generally agreed upon by pre-med redditors to be most effective way to study for the verbal section.
Get your butt into gear:
/r/GetStudying: Has an accountability thread and you can get an online study buddy there as well.
/r/getmotivated: pics and quotes and stuff
/r/GetDisciplined: Motivation gets you started, but discipline keeps you going.
/r/MusicForConcentration: find cool stuff here. Expect numerous Nujabes reposts though…
/r/Mydaily3: Daily journal entry of just 3 bullet points of what you did today. Good for keeping track of what you studied and would go well for you bullet journalists out there.
/r/TimeManagement
/r/trackmypomodoros
Other Sites to Consider:
Orkanizer
Study Keeper
There’s tone more but they’re on everyone else’s studying masterposts (plus I like these two the most)
Great compilation! Thanks for including MCAT.me!
Legitimately Free MCAT Resources
If anyone’s uncomfortable with downloading that set that circulating around (I’m guilty of reblogging that post, and have deleted it since), here’s a list of free resources from subreddits I visit.
/r/mcat’s sidebar (in masterpost form:)
Free Resources:
Question of the Days: Old MCAT, Kaplan,2015 MCAT, and NextStep
Khan Academy: Videos and Passages
MCAT Study Programs
Create Your Own Study Plan by mcatme
EK Home Study Plans
WikiPreMed MCAT Course
MCAT-Review
Prep101’s Free Study Aides
MCAT Mnemonics
Kaplan’s 20 Minute Workout
OrgoMadeSimple
AAMC Resources:
MCAT Official Site
MCAT 2015 Exam Content (pdf)
Explore the MCAT 2015 Exam
MCAT 2015 Testing Calendar (pdf)
Fee Assistance Program
How the MCAT 2015 exam is scored
MedEDPortal Videos
Premeddit:
PastySojourner’s guide on the test-taking techniques
MCAT mental tactics
MCAT 2015 Skype Study Group
MCAT study plan excel sheet
MCAT study guides
MCAT math tips
Review of materials for the new MCAT
Brief guide to MCAT 2015 content
Other Subreddits to take note of:
/r/premed: Very chill pre-med community, but isn’t afraid to be really blunt on things. I feel like they give rather honest/realistic opinions on things, with the exception of STUNNAGUNNA45T, the most magnificent bastard on the subreddit.
/r/AskHistorians: the most lengthy, driest forum posts I have ever read on the internet. Also generally agreed upon by pre-med redditors to be most effective way to study for the verbal section.
Get your butt into gear:
/r/GetStudying: Has an accountability thread and you can get an online study buddy there as well.
/r/getmotivated: pics and quotes and stuff
/r/GetDisciplined: Motivation gets you started, but discipline keeps you going.
/r/MusicForConcentration: find cool stuff here. Expect numerous Nujabes reposts though…
/r/Mydaily3: Daily journal entry of just 3 bullet points of what you did today. Good for keeping track of what you studied and would go well for you bullet journalists out there.
/r/TimeManagement
/r/trackmypomodoros
Other Sites to Consider:
Orkanizer
Study Keeper
There’s tone more but they’re on everyone else’s studying masterposts (plus I like these two the most)
Sometimes people try to destroy you, precisely because they recognize your power — not because they don’t see it, but because they see it and they don’t want it to exist.
bell hooks (via onlinecounsellingcollege)