Funny and Creative Mind Maps & Mnemonics that really help you better understand the magic and abstract medical world. Specially for USMLE Step1 students... Don't forget to buy your First Aid Step 1 Book, watch the videos with your Fantabolous MindMaps printed. Enjoy this blog!
I am an Anatomy Professor who has taught anatomy to the medical school students in discipline based medical education system for first 10years of academic life. When I started teaching Anatomy in system-based medical education in the later half of my academic life I was surprised to find out that my students in system-based education can retain a lot of anatomy knowledge as they can visualize the application of the contents in the pathology, clinical science contents, PBL triggers and clinical skills sessions.
Surprisingly, medical schools in India still follow the discipline-based medical education. Mostly the students are forced to retain the factual knowledge of Anatomy in this system. When they are in Year 1,they study only Anatomy,Physiology and Biochemistry. Hence it is very difficult for the student to imagine the application of the knowledge of Anatomy learnt in lecture or dissection room.
For example, the students in discipline-based system learn the gross anatomy of the sternum and anterior thoracic wall. They need to memorize the importance of sternal angle without visualizing it as they are still not practising palpation of anterior thoracic wall for apex beat. I know that they learn it provided they are lucky to get a tutor who is a medical doctor, who obviously takes them to the task of palpating intercostal space through palpation of sternal angle in skeleton or over their own body surface marking.
But the lack of Clinical skills practice in traditional discipline based medical education in year 1 does not allow the student to apply their anatomy knowledge automatically.
Dr Nilesh Mitra
Meckel diverticulitis is the inflammation of Meckel diverticulum, which is the most common congenital structural abnormality of the gastrointestinal tract 3. Despite this, it is an uncommon causes of acute abdomen, and is often not correctly diagn...
There are many mnemonics for the names of the cranial nerves, e.g. "OOOTTAFAGVSH" is "OLd OPen OCeans TROuble TRIbesmen ABout Fish VEnom Giving VArious ACute/SPlitting Headaches" (a mnemonic that gives enough letters to distinguish between nerves that start with the same letter), or "On old Olympus's towering tops, a Finn and German viewed some hops," and for the initial letters "OOOTTAFVGVAH" is "Oh, oh, oh, to touch and feel veronica's gooey v*g**a ... ah, heaven." The differences between these depend on "acoustic" versus "vestibulocochlear" and "spinal-accessory" versus "accessory".
Over 20% of UK medical students have used our exam room to revise. It's one of the most heavily utilised parts of Meducation and one of the most popular. But it's been a while since we did any work on it, something that we're about to rectify! We want to give you the opportunity to tell us how to make it even better!
What's There Already?
To recap where we're at currently. We have:
Thousands of questions (a mixture of SBAs, MCQs and EMQs) split into over 30 categories.
You can take exams of between 10 and 50 questions.
You can time your exam if you're Premium
You can compare your results in each question to the rest of the community and, if you're Premium, your medical school or year.
You can comment on questions and vote them up or down.
What Do You Want Improving?
So this is your opportunity. What does a perfect online exam revision section look like?
What features would you love? What annoys you? We want make the perfect section to help you practice for your exams, so please tell us what you want included. Post a comment below with your ideas on. If you agree with what someone else has said, please vote their comment up. Those that get voted up lots, we'll definitely try and implement!
“There is nothing new under the sun” - Ecclesiastes 1:4-11.
If any of you have read one of my blogs before you will have realised that I am a huge fan of books.
The blog I am writing today is also about a book, but more than that, it is about an idea. The idea is simple, practical and nothing especially new. It is an idea that many call common sense but few call common practice. It is an idea that has been used in every sort of organisation for over 20 years. It is an idea that needs to be applied on a greater scale to the health service.
The idea is not new. How the book is written is not new. But how the book explains the idea and applies it to healthcare is new and it will change how you view the health service. It is a revolutionary book.
The book is called “Pride and Joy” by Alex Knight view here.
How I came to read this book is a classic story of a Brownian motion (a chance encounter), leading to an altered life trajectory. The summer before starting medical school I was working as a labourer cleaning out a chaps guttering. During a tea break in the hot summer sun he asked me what I was going to study at Uni. As soon as I said “Medicine”, he said “then you need to come see this”.
He took me into his office and showed me a presentation he had given the year before about a hospital in Ireland. He was a management consultant and had been applying a management theory he had learned while working in industry. With his help the hospital had managed to reduce waiting times by a huge amount. The management theory he was applying is called "The Theory of Constraints" (TOC).
I thought that his presentation was fascinating and I could not understand why it was not more widely applied. I went away and read the books he suggested and promised that I would stay in touch.
Four years later and I had been exposed to enough of the clinical environment to realise that something needs to change in how the health service is run. To this end, a couple of colleagues and myself founded the Birmingham Medical Leadership society (BMLS) with help from the Faculty of Medical Leadership and Management (FMLM). The aim of which is to help healthcare students and professionals understand the systems they are working in.
The first thing I did after founding the society was contact that friendly management consultant and ask him for his advice on what we should cover. He immediately put me in contact with QFI consulting, @QFIConsulting.
This small firm has been working with hospitals all over the world to implement this simple theory called the Theory of Constraints. They were absolutely fantastic and within 2 emails had promised to come to Birmingham to run a completely free workshop for our society’s members.
The workshop was on March 8th at Birmingham Medical School. Through our society’s contacts we managed to encourage 15 local students to take a revision break to attend the workshop on a sunny Saturday. We were also able to find 11 local registrars/ consultants who wanted to improve their management knowledge. It just so happens that the chap leading this workshop was Mr Alex Knight. The workshop sparked all of our interests and when he mentioned that he had just written a book, pretty much the whole crowd asked for a copy.
When I got my copy, I thought I would leave it to read for after my end of year exams. However, I got very bored a few days before the first written paper and needed a revision break – so I decided that reading a few pages here and there wouldn't hurt. Trouble was that this book was a page turner and I soon couldn't put it down.
I won’t spoil the book for all of you out there, who I hope will read it. I shall just say that if you are interested in healthcare, training to work in healthcare, already work in healthcare or just want a riveting book to read by the pool then you really should read it. The basic premise is that healthcare is getting more expensive and yet there appears to be an increase in the number of healthcare crises'. So if more money isn't making healthcare better, then maybe it is time to try a different approach.
“Marketing is what you do when your product is no good” – Edward Land, inventor of the Polaroid Camera.
Mr Land was a wise man and I can happily say that I have no conflict of interest in writing this blog. I have not been promised anything in return for this glowing review. The only reason that I have written this is because I believe it is important for people to have a greater understanding of how the health service works and what we can do to make it even better!
As a very junior healthcare professional, there is not much that we can do on a practical level but that does not mean we are impotent. We can still share best practice and show our enthusiasm for new approaches.
Healthcare students and professionals, if you care about how your service works and you want to help make it better. Please find a copy of this book and read it. It won’t take you long and I promise that it will have an impact on you.
NB - Note all of the folded down corners. These pages have something insightful that I want to read again... there are a lot of folded pages!
Previously I blogged about the 'stigma' and discrimination often faced by those confronting mental illness - even by colleagues. It was incredibly apt, therefore, that just a week later, the Royal College of Psychiatrists (RCPsych) published their "Parity" report.
The report entitled Whole Person Care: from rhetoric to reality calls for an equality in physical vs mental health. As with many of my colleagues, I saw the word "Whole Person Care" and was instantly guilty of a pre-formed stereotype. I don't like the term whole person care nor holistic medicine. I hear these terms and my thoughts instantly switch to bright colours, 60s attire and I start humming "this is the dawning of the age of Aquarius". More so, this topic becomes riddled with questionable pseuodoscience and tentative nods to evidence-less forms of complimentary medicine. I think such terms are perhaps self destructive and instantly mark out mental health as odd. Ambiguous terms such as this make the whole topic even more off putting.
Holistic rants aside, this report is an exceptionally important read (or at least glance) for all future doctors. There is an unquestionable inequality in mental and physical health in this country. It seems that if we can't 'see' something, it's not quantifiable and therefore loses a position of importance. It leads us to have 'pathological priorities', putting the physical before the mental. Despite this, both influence one another and deserve equal importance.
Some of the key points of the report are:
A call for equal funding of Mental and Physical Health Services
A call to reduce discrimination and stigmas associated with Mental Health
A call for equal care and treatment of Mental health/Physical Health
A call for management and leaders (such as commissioning boards)to acknowledge the equality of mental/physical health
Perhaps the most important for myself as I read through this was a call for equal access to Mental Health treatments under NICE clinical guidelines. Currently, patients have the right to receive only mental health treatments which have undergone NICE technology appraisals - not those offered by clinical guidelines. For example, NICE Clinical Guidelines state talk therapies are more effective than instant antidepressants for treatment of mild depression.
The report is a huge step toward equality in mental and physical health. Perhaps we should all just take a moment to address the importance of both.
You can read the full report and a summary on the RCPsych website here:
After seeing a lot of Nilaqua on the internet recently, I decided to give the product a go. I was a little sceptical as I haven't heard of it before and dry shampoo products never seem to work that well. However, the lady at norinse.co.uk assures me Nilaqua is a water based product and is NOT a dry shampoo, so works really well. Its kinda like a liquid solution which you rub into the hair, creating a bubbly lather and then towel off the residue and with that the dirt is lifted away with the towel. I bought it to help care for my mum who is currently wheelchair bound and her shower is such a nightmare to get in and out off. My mum is very proud of her appearance so not washing is very humiliating for her. I brought a 200ml bottle, it cost around £4.50 we've been using it every couple of days and has lasted for about 2 weeks. So I shall be buying the larger size next time. It leaves the hair soft, manageable and most of all clean!! So would really would recommend! You do have to get used to it though, applying enough so the hair is saturated!
My colleague noticed it is now in the NHS catalogue, so have approached purchasing to get some shampoo and body wash in for our palliative unit. Should save a lot of time compare to bed bathing & have them nice and clean for family visiting. I'll write another update after I have tested it I the hospital to see how it does in a ward environment.